48, Caucasian, female, very pale, any insight on CoolPeel complications? (Photos)

Thank you for sharing your experience. It sounds like you are going through a very challenging time with your skin following your treatments. While I can offer some general insights, it's important to consult with a qualified dermatologist for a thorough evaluation and personalized advice.

Post-Treatment Sensitivity: After procedures like CoolPeel and pulse dye laser treatments, some degree of sensitivity, tingling, and redness can be expected as the skin heals. However, persistent symptoms like burning, pain, and swelling that you describe may suggest an adverse reaction or complication.

Nerve Involvement: The symptoms of tingling and pain could indicate nerve irritation or damage. This is less common but can occur, especially if deeper layers of skin are affected during treatment. Your GP's suggestion of possible nerve involvement is worth exploring further, potentially with a neurologist or a dermatologist experienced in laser complications.

Raynaud's Phenomenon: Your history of Raynaud's could potentially affect your skin's response to treatments, as it involves vascular changes that might influence healing and sensitivity. However, more specific research and clinical correlation would be needed to understand any direct link.

Management and Next Steps: Consider seeking a second opinion from a dermatologist who specializes in laser treatments and complications. They might suggest treatments to soothe the skin, manage pain, and reduce inflammation. Options might include topical steroids, oral medications, or other therapies tailored to your symptoms.

Monitoring and Documentation: Keep a detailed record of your symptoms, including any triggers or changes in severity. This information will be helpful for any healthcare providers you consult.

I hope these insights are helpful, and I strongly encourage you to consult with a specialist who can offer a comprehensive evaluation and appropriate treatment plan.