Marionette line help. Do you have any other suggestions? (Photo)

Question

Hi I had filler done in my marionette lines 2 years ago and I bruised very badly and she ended up dissolving with hyaluronidase. I am now left with this mark which I can’t get rid of and is very upsetting, I’ve read it could be hemosiderin staining and Q switch laser may help. I've also tried alpha arbutin to lighten but that didn’t work. Do you have any other suggestions? Thanks

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Marionette line help. Do you have any other suggestions? (Photo)

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Marionette line help. Do you have any other suggestions? (Photo)

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