I got a hydrafacial and now have divots, little tethered holes, and divot lines across my cheeks. (Photos)

Question

In a pattern from tech. Please help. I am sick. The spa says, this can't happen. But unfortunately it did. I am scared of permanent scarring. And would like it fixed. I feel they might have used the wrong tip and or suction for my skin type.

Stephen Giordano, DO · Answer

The HydraFacial treatment is a very safe procedure. You should not have had this kind of reaction from this device. I would recommend consulting with your provider. I hope this helps. Best of luck!

Bhupesh Vasisht, MD · Answer

Sorry that you have this reaction from this treatment .  However, I agree that this cannot and should not happen from this treatment because it is impossible.  The hydra facial hand pieces cannot  create this kind of depression and the chemical for the peels are mild and cannot and should not create this.  This has to be from something else, but I dont know what.   What i see are acne depression scars on your photos, but I cannot be certain without examination of course. This treatment is safe and reproducible for all skin types.  I am wondering if you had other treatments as well like Fractionated lasers or something else.  Sorry I know this probably does not help too much but I would need more information.

Deborah Kessler Hudak, MD, MHA · Answer

The HydraFacial procedure cannot produce the divets you show.  Perhaps you are having a little swelling reaction to one of the infused ingredients that is accentuating (transiently) irregularities in your cheek skin surface.  The technician should have taken a "before photo" of your treatment area.  Ask her/him to show you it.  Sometimes people scrutinize their treated area more AFTER a procedure than before, and therefore can think something is new that has, in fact, been present awhile.
Consider gently rinsing your face with distilled water and applying a cool pack, then reassess.
If, in fact, these "divets" are bothersome to you, consider having future treatments in a physician's office that has HydraFacial MD, their elite machine.  We physicians have access to more potent serums, chemical peels,  and a diamond-tip microdermabrasion for the machine that spas do not have access to.  Such measures can smooth our the skin irregularities.
I hope that helps you!!  
Debbie Kessler Hudak, MD, MHA   Oculoplastics Surgeon, All About Aesthetics, PC,  Raleigh, NC

Robert Whitfield, MD · Answer

This should not occur with Hydrafacial.  The treatment itself is safe and effective for improving the texture of the skin.

I got a hydrafacial and now have divots, little tethered holes, and divot lines across my cheeks. (Photos)

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