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

ontheway93Apr 10, 2017
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?

Answers (2)

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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Oct 16, 2018
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Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Apr 13, 2017
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Raffy Karamanoukian, MD, FACS

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...

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Jason Emer, MD

I recommend following up with your Dr. to discuss aftercare. With extensive bruising is the possibility of haemosiderin staining which can persist for a few weeks, but can be improved with lasers and vitamin C pills/topical. Best, Dr. Emer

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Sameer Bashey, MD

It is not uncommon, depending on the settings of the V-beam used, to have redness and even bruising post-procedure. Bruising can be quite common after this laser and your doctor will warn you about that if he uses certain settings on the laser that make it more likely. It is too...

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Raffy Karamanoukian, MD, FACS

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...

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Stuart H. Bentkover, MD (retired)

Time will resolve a lot of this.  In addition, I still like the pulsed dye laser (V-Beam) for treating red scars.  Check out patient 24213 on the attached link.

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Raffy Karamanoukian, MD, FACS

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...

+2 answers
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