Dark spots after micro laser peel (Photo)

Question

12 hrs post op a 30 micron laser peel. Extremely hot still, edema under eye areas. Will the areas that darkened be the areas that slough off? Could the freckles just end up "remaining" underneith, or does this look like they will be coming off (almost) entirely? PRE pics show lime freckles and sun spots.

David A. Sieber, MD, FACS · Answer

Thanks for the great question! After procedures like micro laser peels, Halo, and IPL the pigment which is treated usually turns dark. This means that the pigment (melanin) containing cells have been damaged. You should see those spots start to fall off over the next 3-5 days. Continue to use a moisturizer and wear plenty of sun screen!Best~Dr. Sieber

Carmela A. Pettigrew, MD · Answer

Thanks for your photos and question. Looks like it should at 12 hours. The brown spots are going to come off and you should have great result.  Keep ointment on and stay out of the sun. Stay hydrated with a lot of water and  try to sleep propped up to avoid more swelling.

Kimberly P. Cockerham, MD, FACS · Answer

Reducing hyperpigmentation on your face can be a challenge. It is very common for the brown spots to look worse before they look better. Treatments to reduce hyperpigmentation include laser peels, iPL, and traditional peels. All can cause the brown spots to look more brown before flaking off. It is absolutely crucial that you avoid direct sun exposure and use effective sun protection especially in the month following your treatment. 
Immediately following the treatment cool compresses are soothing. If you have blistering contact your treating physician immediately.
The best sun protection regimen includes:
1. Sunblock your car windows with clear UVA and UVB coating
2. Apply vitamin C/E and ferulic acid serum (skin ceuticals) after cleansing your face in the am
3. Apply tinted sunblock lotion 50 spf
4. Complete your protection with micronized zinc powder and reapply every two hours if driving or outside.
keep in touch,
Kimberly Cockerham, MD, FACS

Davin Lim, MBBS, FACD - Account Suspended · Answer

Still vvv early days, the depth is shallow at 30 microns. This is only 1/3 the epidermis. Your specialist will know what to do 1. Wound care 2. Post op SPF 3. HQ to reduce PIH or rebound pigmentation. This is especially important if you are of ethnic skin type. All the best, Dr Davin S. Lim. Brisbane. Australia.

Dark spots after micro laser peel (Photo)

Answers (4)

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