How long shall I use cortisone for erythrma after IPL?

Question

i did ipl for pih + redness under eyelids. i had erythema for a week until i put a little cortisone yesterday. i am better and even the pih is improved now that the erythema has abated. im afraid it will come back as soon as i stop cortisone. how long can i use cortisone ? does it mean ipl is off limits for me in the future (i can see it did help the pigmentation now that the erytema is better). i forgot to mention i was on tetracyclines when i did the ipl (i didnt know you are not supposed to)

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

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. IPL is best for treating hyperpigmentation, broken capillaries, minimizes pores, and stimulates collagen. Redness and swelling are common side effects. I would not use cortisone for more than one week. There are certain medications, especially ATB that are photosensitive so have to wait until done with this medication before doing any IPL treatments. I hope this helps!

Brian S. Biesman, MD · Answer

Questions about postoperative care should be directed to the physician who supervised or performed your care, as opposed to an on-line forum.  Your doctor will know you and your skin better than strangers.

F. Victor Rueckl, MD (in memoriam) · Answer

Hydrocortisone is so mild you can use it daily on infants to avoid diaper rash. The reason I say this is because it's such a mild medication but it works so well that I want you to understand we literally let innocent perfect baby skin use it! You can use it as much as you want. It won't hurt you. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

How long shall I use cortisone for erythrma after IPL?

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