Laser resurfacing did not heal. What should we do? (photo)
My mom had some kind of laser resurfacing in July to erase a dark spot a size of a nickel. After the treatment, I think she applies scar reducing ointment hen follow up wit bleaching cream. Now, tht area is enlarged to two inch diameter, has scab that shreds, and itches. We have an appointment for her I'm a couple of weeks, but I am anxious for some professional opinion and hope to help my mom. She's stressed and anxious. See attached picture.
Doctor Answers (3)
It is very concerning that your Mother is having this kind of
reaction >8 months post her initial treatment. It is very possible that she
is having some kind of reaction to the scar ointment, and she should not be
applying bleaching cream over anything that hasn’t healed. In some cases, even
things like pet fur or fragranced products can cause localized infection. She
should keep the area as clean as possible with a gentle cleanser, discontinue
all products except a medical grade protective ointment such as EltaMD, and
possibly go through with a course of an anti-viral or antibiotic, depending on
the type of infection that is determined at your appointment.
I would also consider a small local infection, and apply antibiotic ointment (like Polysporin or generic equivalent) twice to three times a day for 4-5 days.
From the photograph, the picture is most consistent with contact dermatitis due to an allergic reaction to the antiscarring treatment or another cream that she using. I would stop all treatment other than a moisturizer. A treatment with minimal chance for reaction such as A & D ointment used for diaper rash is what I have patients use after laser resurfacing. The skin is more sensitive, and can react to things like makeup that never caused the patient problems before. However, to give a definitive answer, an in person consultation is important.
These answers are for educational purposes and should not be relied upon as
a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.