Laser scar reduction worsened scars. What should I do? (Photos)

Question

I'm nearly 3 weeks Post OP on three hypertrophic (already flat) scars that I wanted to improve the appearance of. My cosmetic dermatologist used the following lasers: 1. Pico, 2. V-beam, 3. 1540 Non-ablative Fractional ICON XD. The scars all look the same except they are darker and much more noticeable than they were before. In sum, all three scars look worse. I regret spending the money. Can Bleaching creams reverse this? Here is one scar before and after.

Raffy Karamanoukian, MD, FACS · Answer

In our office, we have several treatments that can help improve common vascular skin issues, including rosacea, post-inflammatory erythema, red scars, facial blushing, and spider veins. The Vbeam laser continues to be the gold standard for redness, including rosacea and post-inflammatory erythema. In some cases, we add Venus Viva RF coagulation to help improve redness on the skin from spider veins, inflammation, and rosacea. 
  
Generally, several sessions are required to improve redness on the skin. Vbeam laser, IPL Limelight, and Venus Viva all work very well with minimal downtime. 
  
Patients with rosacea may benefit from topical creams to help soothe inflamed skin. We recommend Elevase Moisture Booster. For Post-inflammatory erythema, Plato’s Scar Serum is recommended twice daily. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jason Emer, MD · Answer

Keep in mind, it takes several weeks for laser results to settle. However, a combination approach is needed to get the most improvement. These can be improved with a combination of lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Laser scar reduction worsened scars. What should I do? (Photos)

Answers (2)