It's the RF. It's happened to many people. The Pixels scar some people and the RF damages the facial fat. It's absolutely criminal that Medspas are allowed to use this on the face. Write to Erin Brockovich,
( http://www.brockovich.com/prodliability.html ) get your records from the MedSpa and file a report with the FDA ( https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm ), join the IPL and Laser Damage Support.
The same thing happened to me. I had 4 Pixel treatments, now, two months after the last treatment, I realize that I have little pixel holes that look like pores. They are little depressed scar holes all over my face.
Also, take a look at one of the before/after pics of some pixel done on a deep scar (on Real Self). Look closely and you may see that it appears that there is an orange peel texture, where the scar and surrounding skin has been treated with Pixel. For me, it looks like the scar has been spread out and replaced with an big orange peel.
Update: I am figuring out (on my own with no help from the office the did the work) some things that have made some improvement, so far.
1) I used a hydra mask that was designed for use right after ablative procedures. My skin is extremely sensitive now, so I figured that this wouldn't sting, and it didn't. I believe that it has softened some of the thin dead skin on the surface, and did improve the appearance.
2) I bought some Cereva face wash (at the drugstore) for dry to normal skin. Before the Pixel my skin was normally combination/oily, but it's extremely sensitive now. I am very acne prone and I was using Rodan & Fields Unblemish before, which had really made my skin look so much better (so much that I started to sell it). I had to stop using the Unblemish wash and the sunscreen, because it was too much for my extremely sensitive skin now.
3. I restarted the R&F spot fading toner (as I did before) and the still use the R&F treatment, which has benzoyl peroxide (very low dose). Caution, I've not found any other benzoyl peroxide lotion that I can use. This one has a moisturizing gel and it's very low dose, so it does not dry out my skin.
4. I had already switched to the R&F sensitive skin sunblock SPF30. There are other brands that would work, but be careful. I've seen some sunscreens for sensitive skin that have chemical sunscreens. Use one a top quality one for sensitive skin that has zinc oxide and titanium dioxide, i.e. a sun block.
4. I bought some Cereva lotion and use this on my neck and the sensitive skin sunscreen (my neck was Pixeled too, but at a lower setting).
5. I started taking antibiotics to help reduce the breakouts. I didn't need antibiotics before, as the R&F had eliminated my acne.
My skin is still different, but this has helped considerably. Hopefully I will be able to keep my acne under control. I'll post again for that result. The Pixel also cause acne and cysts on my neck; I've never had acne on my neck before.
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