Profractional laser left halo mark - remedy? (Photo)

Question

I had a profactional laser treatment in February of this year. However there was a big focus on a dilated pore on my forehead and it has left a halo mark ever since. I've tried all kinds of creams, serums, spot treatment microneedle and spot treatment of BBL. Would Vbeam, excel v or another redness laser help?! Or am I better off with a punch excision? Photos are 6 months after laser, am I permanently scarred?help!

Nelson Lee Novick, MD · Answer

First let me say that it appears that the pore that was the reason for treatment in the first place is still there. TCA CROSS, which I have been performing for twenty-four years has a proven track record of safety and efficacy in all skin types for treating ice pick scars and dilated pores.
I have been cautioning my regular followers for years now to exercise a healthy dose of ?buyer beware? skepticism when it comes to expensive "bells and whistles" light and energy-based gizmos since the hard science to support their use lags well behind the intense marketing and advertising hype to hawk them. So, be cautious when considering any more of these gizmo treatments. 
Punch excision, like any excision in an area such to a great deal of  underlying static and/or dynamic tension can lead to the subsequent development of unsightly stretch scars and even tram track stitchmark tracks. 
You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist scar specialist to discuss the appropriate use of TCA CROSS to address the apparent residual dilated pore, as well as the proper Dermastamp microneedling treatments (accompanied by the appropriate use of Rx pigment modifiers) to deal with the halo. Hope this helps and best of luck.

Jennifer R. Berman, MS, MD · Answer

Experiencing a halo mark after a laser treatment can be frustrating, especially after trying multiple treatments. 
1. Why Did the Halo Mark Occur?
A halo mark can happen due to pigmentation changes or subtle scarring after intense laser treatments, especially if a specific area received focused energy. Factors like skin type, healing response, or over-treatment can contribute to these outcomes.

2. Is the Mark Permanent?
Six months after the procedure, your skin is still healing, but a plateau in improvement may suggest lingering changes. Pigmentary changes or vascular abnormalities could make the halo mark more noticeable. Permanent scarring is possible, but most cases can see improvement with the right approach.

3. Will Vbeam or Excel V Help?
Yes, vascular lasers like Vbeam or Excel V can target redness caused by dilated blood vessels, reducing the appearance of the mark. These lasers are effective at calming redness and promoting even skin tone. Depending on the underlying cause of the halo (vascular or pigment-related), this could be a good next step.

4. Are There Other Options?
If redness lasers do not yield satisfactory results, here are alternative treatments:

Fractional Laser Resurfacing (e.g., Fraxel): Can refine skin texture and tone, especially for superficial scars.
Chemical Peels: Mild to moderate peels can even out pigmentation and improve skin texture.
Punch Excision: This surgical option removes the dilated pore and scar tissue entirely, followed by fine suturing for a clean outcome. It’s ideal if the dilated pore is the main concern.
Microneedling with RF (Radiofrequency): Adds deeper collagen remodeling to improve texture and color.
5. What Can I Expect Next?
Consult a board-certified dermatologist or plastic surgeon who specializes in laser and scar treatments. They can assess whether vascular lasers like Vbeam are suitable or if excision is better for you. Often, a combination of therapies tailored to your skin’s needs provides the best outcome.

6. Preventative Tips:
Continue using gentle, hydrating products to support healing.
Avoid sun exposure and use a high-SPF sunscreen daily to prevent pigmentation from worsening.
Conclusion
You’re not alone, and there are effective ways to address persistent marks from laser treatments. A combination approach targeting both vascular and structural changes can help restore your skin’s appearance. Speak to a specialist for a personalized plan.

Let us know how your journey progresses—we’re here to support you!

Profractional laser left halo mark - remedy? (Photo)

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Profractional laser left halo mark - remedy? (Photo)

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Everything you need to know about ProFractional Laser

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