PIH or PIE After TCA. Will Fraxel Dual 1927 Help?

Question

I stupidly self inflicted a TCA 35% peel several years ago. I now have skin discoloration. A derm has told me I do not have scarring but I do have PIH, but it doesnt look brown- it looks red/purple-ish. I've also read about post inflammatory erythema. I need some advice on what the best treatment is. I've gotten about 50% relief with 4 pulsed dye laser treatments, 2 of which were VBeam perfectas. Do I stick with more PDLs or try the 1927 in hopes of fewer treatments and more greater clearance?

Raffy Karamanoukian, MD, FACS · Answer

Our protocol includes sublative RF, Elevase Moisture Booster, PDL, and Plato's Scar Serum to help with your PIE and PIH. Best, Dr. KaramanoukianRealself100 Surgeon

Vivek Bansal, MD · Answer

I like the V-Beam Perfecta for this problem.   You may need up to 8-10 treatments to optimize the laser.

Michele S. Green, MD · Answer

While I love the 1927 Fraxel laser it is not indicated for your particular problem. Be patient. You may need four more V-Beams to effectively clear the problem that was created by such a strong TCA peel. You are on the right track and you should continue with your V-Beam treatments.

PIH or PIE After TCA. Will Fraxel Dual 1927 Help?

Answers (3)