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Atrophic Scarring following Pulsed Dye Laser treatment on facial veins and diffuse redness (Photo)

miyoki32Sep 19, 2016
PDL treatment with V beam perfecta; 7mm spot; 9.5 J/cm2; 0.45ms; DCD 30:20 and 10 J/cm2 and 1.5 ms. Some areas scabbed and I used vaseline and hydrocortisone %1 scabs came off and deep atrophic scars revealed.Also I lost some facial structure on left side; my under eye area looks very flat compared to right side. would atrophic scars improve on their own over time and whether the collagen loss between my lower eyelids and cheekbone would resolve with time? Possible Hyperpigmentation issue too.

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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on Sep 21, 2016
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Dr. Davin Lim, MBBS, FACD - Account Suspended
Specialist Dermatologist
Answered on May 26, 2017
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Hratch Karamanoukian, MD, FACS

Pulsed dye lasers are great for pink or red skin or PIE. Efficacy from pulsed dye lasers is related to destruction of blood vessels with expected bruising and unfortunately, potential for hyperpigmentation, hence the need to use such products. Link is provided for more information. Pulsed dye l...

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Hratch Karamanoukian, MD, FACS

I have seen on realself that a physician in Mumbai has V Beam.Pulsed dye lasers are great for pink or red skin or PIE. Efficacy from pulsed dye lasers is related to destruction of blood vessels with expected bruising and unfortunately, potential for hyperpigmentation, hence the need to use such ...

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Hratch Karamanoukian, MD, FACS

Aggressive settings caused this to occur.It is more likely to get hyperpigmentation than hypopigmentatioon after pulsed dye lasers. In general, Pulsed dye laser can cause bruising and swelling and I precondition and treat my patients with a bioflavonoid product called Swell-x pt (post t...

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