How soon after bruising V Beam can I use hydroquinone for hyperpigmentation?

Question

Hello had pupruic v beam 1 week ago still some brusing with scabs form v beam how soon after can i start using hydroquinone for hyperpigmentation caused by the treatment ?

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

This is difficult to answer without pictures. I recommend following up with your Doctor for after care recommendations. PDT therapy can improve inflammation. I always combine lasers with microneedling/prp to get the best outcomes. Best, Dr. Emer

Michele S. Green, MD · Answer

I would consult your treating physician but in general the V-Beam is not typically performed with scabs and bruising except when treating keloids.  I would encourage you to wait until your skin has healed from the V-Beam and then you can begin to use the hydroquinone on the pigmented area.  Best, Dr. Green

How soon after bruising V Beam can I use hydroquinone for hyperpigmentation?

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