Are these IPL burned marks, PIH, or just normal browning? (photo)

IPL causes crusts and scabs and should be treated with skin care.  pigmentation cannot occur for some time after IPL if it were to occur. In the future, do fraxel treatments for a better result long term.  Best, Dr. Emer.

Thank you for your question vbyrd. IPL is a great treatment for overall rejuvenation of the face. Sometimes dark spots may come to the surface within a few days after a treatment and they resolve within a week or two. Post-inflammatory hyperpigmentation (PIH) is seen after a treatment but lasts longer. PIH can be treated with topical products such as hydroquinone, kojic acid, retinoids, vitamin C, and hydroxyl acids. Hydrocortisone works for irritation or itching. Hyaluronic acid hydrates the skin and is a good product to use in general. Sometimes after a treatment cold sores are seen. They can be anywhere on the face but the areas around the lips are most common. This can be treated with antivirals like valacyclovir (Valtrex). Please speak with your doctor for specific recommendations. Good luck!