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

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.

Doctor Answers 1

Atrophic Scars/Scabs/Post Pulsed Dye Laser/--Silicone Gel for Scabs--Lasers (Fraxel, Co2, Erbium), Microneedling/PRP

For wound healing after treatment, I suggest silicone based scar gels with growth factors.  A combination treatment that includes laser and micro needling can be given after healing to give further improvement.  Best, Dr. Emer.


Los Angeles Dermatologic Surgeon
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