Is this post inflammatory hyperpigmentation? (Photos)

Question

I underwent obagi blue radiance peel yesterday. This is day 2 and I have lot of bluish discoloration over my skin. more on right cheek and right chin? I was told that this is normal. But to me it looks like post inflammatory hyperpigmentation? Please advice. Does post inflammatory hyperpigmentation happen too soon after peel? If yes, what should I do?

Jeff Angobaldo, MD · Answer

Thank you for your questions and photos.  An examination is needed to fully answer your questions.  Post inflammatory hyperpigmentation does not occur in the few few days. Discuss your concerns and have an examination with your physician who applied the peel.  Best wishes

Raffy Karamanoukian, MD, FACS · Answer

If the pigmentation persists, I would start Melarase AM, Melarase PM, and Melapads followed by Melapeels at least twice over a one month interval. Best, Dr. KaramanoukianLos Angeles

Samuel Baharestani, MD, FACS · Answer

Thank you for sharing your case and photos.  I'm sorry to hear that you have had a difficulty recovery after your Obagi Blue Radiance Peel.  Post-inflammatory hyperpigmentation usually takes much longer to appear than two days.  Have you recovered from this initial presentation?  Did you have any other treatments (fillers/botox) on the day of your peel?

Hratch Karamanoukian, MD, FACS · Answer

Brown skin and Asian skin is prone to post-inflammatory hyperpigmentation. recommend Melarase AM and Melarase PM to improve hyperpigmentation as well as Scler-X, a post-inflammatory hyperpigmentation relief complex. Scler-X is an oral supplement that is taken for 3-6 months or longer for maintenance therapy.
Also apply a wide spectrum high SPF 50+ sun block to prevent ongoing damage and PIH. I recommend Spectrase from Kare Skin. 
See link below.

Andrew Pichler, MD · Answer

The bluish discoloration is not likely from the peel. Radience peel is a mild, non invasive peel (less deep than the standard Obagi Blue Peel which has TCA in it) with very low risks. Preconditioning is advisable though not absolutely necessary. I prefer to precondition  all my peels. Have this evaluated by your provider.

Is this post inflammatory hyperpigmentation? (Photos)

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Answer: Is this post-inflammatory hyperpigmentation (PIH) ?

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Is this post inflammatory hyperpigmentation? (Photos)

Answers (7)

Answer: Is this post-inflammatory hyperpigmentation (PIH) ?

Answer: Is this post-inflammatory hyperpigmentation (PIH) ?

Answer: Obagi Radience Peel issue

Answer: Obagi Radience Peel issue

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Recommended reading

Everything you need to know about Blue Peel

Our mission is to create a world where every investment in modern beauty is Worth It.