Laser Resurfacing: Q&A
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Laser Face Surgery - Red Bumps, Burning and Pain
85 years old-had laser facial surgery. 7 days post, she went to the ER for incredible pain, itching and burning with little red dots over most of her cheek areas. The MD put her on clindamycin because he thought she may be developing impetigo. Went to see her and it appeared to me that she was having an allergic reaction. She was putting Skinmedica rejuvenation ceramide on her face.I immediately told her to stop the cream and purchased ACuahor. She is better.Did she damage her skin w/ this cream
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4 Doctor Answers |
Asked by
cindy01772
in Marlborough, MA
+1
Red bumps after laser facial surgery
This does not sound like a normal postop course. It sounds like you handled this appropriately. Fortunately, it is likely that there will not be any long term adverse outcome.
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Pain after laser resurfacing
The most important diagnosis to rule out with a painful skin condition agter laser resuracing is a herpetic cold sore outbreak, especially if there is a history of eczema. This must be worked up by a dermatologist immediately.
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Red bumps, burning and pain after laser facial surgery
My concern here is whether the patient is having a herpes or shingles outbreak after her procedure. Have the patient see a dermatologist as soon as possible.
I am not excluding the possibility of impetigo or an allergic reaction, however those usually do not cause incredible pain, but itching and burning may occur.
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So this is my third laser in the last 2 yrs. going through the itchy stage as I type this....
+1
Allergic reactions can occur with any ointment and after laser resurfacing the skin is even more sensitive.
No permanent damage should occur from this. After discontinuing the product and placing the patient on a mdedrol dose pack and some topical cortisone cream, the reaction can be cleared in a week or two without any residual skin changes. If there is suspicion of an infection, the skin should be cultured.
Good luck.
Dr. Sikorski
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