Red hypertrophic scar lighter couple days after Vbeam but 2 weeks later, red again? (Photo)

Question

I went in for a Vbeam on a pretty old hypertrophic scar on my nose that was very red. At first I thought the VBeam worked great (a day or 2) after the healing, the scar looked much, much lighter but about a week later, the redness returned; granted not to the same degree. This is not rosacea, its a hypertrophic scar on my nose so I'm wondering why the redness returned to the treated area even though a few days after healing it seemed much lighter?

Raffy Karamanoukian, MD, FACS · Answer

Our protocol for hyper-erythematous redness uses a combination of lasers and Nanofractional RF to help reduce localized and perfuse hypervascularity in the skin. We begin with an evaluation of the redness and evaluate the cause of the hypervascularity. Treatments with Limelight IPL, Vbeam Perfecta, and Nanofractional RF are then used to reduce the blood vessels and telangiectasia within the skin. Patients benefit from post-treatment application of Elevase Moisture Booster with ceramides. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Michele S. Green, MD · Answer

V-Beam is the gold standard for redness and the laser of choice for these types of scars. It generally takes a few treatments to help reduce the redness and they need to be spaced out approximately one month apart.  Please consult an expert in V-Beam and scars for the best cosmetic results.  Best, Dr. Green

Red hypertrophic scar lighter couple days after Vbeam but 2 weeks later, red again? (Photo)

Answers (2)