Is a breakout after PicoSure treatment a cause for concern? (Photos)

I’ve had picosure 3 days ago and had a horrible break out the day after. I have never had a break out this bad. The inflammation hasn’t subsided and I’m worried it won’t for a while. Is this normal? Is this the fault of my physician? Is the clinic not clean or did the procedure not go as planned? A lot of people say that there is no downtime or side effects, but this has given me a lot of anxiety and knock on my self esteem since the treatment.