Which skin procedure could help me eliminate this red pigmentation on my face? (Photo)

Question

The texture on my cheeks appears different due to the pigmentation, almost resembling a shadow. When I pull the skin taut, the visibility diminishes, leading me to question whether it's truly pigment-related or possibly linked to the natural structure of my cheeks. I'm actively searching for treatment for reddness/hyperpigmentation, particularly on the cheeks. Although it may appear subtle in photos, it's more pronounced in reality.

Chad Deal, MD · Answer

Pigment and vascular lesions have a variety of options depending on the type and depth of the lesions. Also very important to consider a patient’s natural skin type an exposure to the sun. Generally speaking vascular lesions have certain gold standard lasers such as Pulse Dye, ect. Pigmented lesions can be treated with a variety of wavelinks both lasers and lights. It would truly be best to go to a physician or very experienced laser aesthetician and they can examine your skin in person and determine what the best treatment would be. Sometimes a simple series of intense pulse light treatments that start out mild to more aggressive could be best for a mixed pigment situation. But you have to be careful with darker skin types. Great providers that have a multitude of treatment options should be able to offer you IPL’s, Pulse Dye lasers, 1064’s, chemical, peels, good skin, care, and others.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

The symptoms you've described could potentially be associated with a variety of skin conditions, such as rosacea, post-inflammatory hyperpigmentation, or even sun damage.Different treatments are available depending on the underlying cause. These may include topical creams, oral medications, or procedures such as chemical peels, laser treatments, or microneedling. However, it's crucial to have a thorough evaluation by a dermatologist to determine the most appropriate treatment for your specific condition.Dr. Anna Chacon, our dermatologist, is highly experienced in treating skin pigmentation disorders. She could provide a comprehensive assessment of your skin condition during your upcoming virtual consultation. Please ensure you have good lighting and a high-quality camera for the consultation to allow Dr. Chacon to assess your skin condition accurately.

Anil R. Shah, MD · Answer

Hello zb94! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Based on your concerns, I recommend trying a resurfacing laser such as a CO2 laser or Erbium. However, I highly recommend scheduling an in-person consultation in order to better assess the areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Camille Cash, MD · Answer

I encourage you to visit a med spa near you for an evaluation.  You will likely have the best result from a combination of in office treatments and medical grade skin care products like Transform MD.  We also recommend using sunscreen every day.

Which skin procedure could help me eliminate this red pigmentation on my face? (Photo)

Answers (5)

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