Saline brow removal scarring and redness? (Photo)

Question

had 3 rounds of saline scar removal done to remove old brow tattoo. after the third time i noticed severe redness especially when pressure is applied and after showers. seen some other people posting about similar things and Pico seemed to be a frequent response but I'm just wondering what my other options are. there's still a small amount of ink left but i don't want to go further with removal incase it turns even more red. i read that it may be due to excess blood vessels too.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

It's important to consult with a dermatologist or a qualified specialist to evaluate your specific situation, but here are some general insights and options to consider for addressing redness and potential scarring after saline brow tattoo removal:

Topical Treatments: Consider using topical treatments that can help reduce redness and promote healing. Products containing ingredients like aloe vera, vitamin E, or hyaluronic acid may be soothing and beneficial.

Laser Treatments: While Pico laser is often recommended for tattoo removal, other laser treatments like the Vbeam laser, which targets blood vessels, might help reduce redness caused by increased vascularity.

Microneedling: This treatment can help improve skin texture and reduce the appearance of scars by promoting collagen production. It may also help with residual ink.

Chemical Peels: Depending on your skin type and the extent of the redness, a gentle chemical peel might help even out skin tone and reduce redness.

Intense Pulsed Light (IPL) Therapy: This can be effective for reducing redness and improving overall skin tone.

Avoiding Triggers: Try to avoid factors that increase redness, such as hot showers, harsh skincare products, or excessive sun exposure. Use a broad-spectrum sunscreen to protect your skin.

Consultation with a Dermatologist: It's crucial to have a personalized evaluation to determine the best course of action based on your skin type and the specific condition of your skin.

Remember, each individual's skin responds differently to treatments, so what works for one person might not be suitable for another. A professional consultation will guide you towards the most effective and safe options.

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