I had fractional laser last month on my face, will the grid marks + redness associated with a brown discolouration ever fade?

Question

A week after my laser, my skin inflamed and my doctor advised an oral anti-inflammatory medication and a topical corticosteroid. The first day I applied the corticosteroid every 2 hours, and for a week later I applied it twice a day till the redness reduced and I stopped. Now it's been a month, the redness + brown discolouration are still there, and she advised me to put a whitening cream. She's also accusing my exposure to the laptop for my 'prolonged erythema', though I always apply sunscreen.

Jason Emer, MD · Answer

This is difficult to answer without pictures. It can take several weeks for laser results to settle. I  recommend following up with your Doctor about after care. I recommend skin care with vitamin c, b5 hydrator, Sculptra, silicone based scar gels with growth factors and enzymatic washes with papaya enzyme. PDT therapy can help calm inflammation. Typically I recommend adding  clear and brilliant, viva 4-6 weeks after laser along with microneedling/prp to improve texture and tone. See an expert. Best, Dr. Emer

William Groff, DO · Answer

Hyperpigmentation can occur after almost any laser procedure. Topical treatments are often recommended, but must be used for an extended period to achieve a positive outcome. In some cases, light and laser treatments can also be used to address the hyperpigmentation. Make sure you are working with an experienced, board-certified dermatologist who can customize your treatment plan to your precise needs and skin tone.

Robin A. Sykes, MD · Answer

I generally treat post inflammatory hyperpigmentation with topical creams.  It can take several months of twice a day treatment of hydroquinone before the pigment will resolve, and sun protection is also important, as it can bring out the pigment that you are trying to suppress with the hydroquinone.  You can also try light LED light threatment (Omnilux is one type).  
Dr. Sykes

Robert G. Aycock, MD, FACS · Answer

Post inflammatory hyperpigmentation is a risk with any laser. Your skin is vulnerable to the skin 6 months after the procedure. This hyperpigmentation is treatable with hydroquinone and hydrocortizone. Follow up with your laser provider to make sure you are progressing well.

I had fractional laser last month on my face, will the grid marks + redness associated with a brown discolouration ever fade?

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