How to get rid of textured PIE mark left from cyst on face? (Photo)

Question

I had a mean recurring cyst on my face that finally went away after I got a cortisone shot 3 months ago. I am now left with this textured PIE mark (the mark on the left in the images). How can I improve the pigment and texture of that PIE mark? Is VBeam safe for my Indian skin?

Jason Emer, MD · Answer

redness can be treated with vascular laser like v beam and excel v all fine on all skiin types however, scarring and pigmentation needs peels, lasers, fillers/subcision. I suggest you doing at home derma rolling right now and at home peels to improve the outcome before offices are back open.
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we alreayd pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

John J. Martin, Jr., MD · Answer

You are still early in the healing phase so this will continue to improve on its' own.  Some silicone gel such as Silagen will help.  Non-ablative fractionated resurfacing will help to smooth out the texture as well.  (1540 or 1550nm lasers).  Make sure to use sunblock so it won't get darker.

How to get rid of textured PIE mark left from cyst on face? (Photo)

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How to get rid of textured PIE mark left from cyst on face? (Photo)

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