Purple burn mark with tracks from CO2 Laser (Photo)

Question

I had a sample patch of CO2 laser resurfacing done on the lowest frequency, which I believe was 1.1 It’s been 36 days and you can still see the laser track marks and a purple square. I see the Dr again in 1 month to further address this. I’m concerned as I am olive skin and feel like this is permanent. What is going on with this mark? Is it permanent? They’re saying it’s Post inflammatory Ethyrema. Not sure if this is correct? The mark will DISAPPEAR if I press it and then come right back after

Shanthala Shivananjappa, MD · Answer

Thank you for your question. It's important to address any concerns that arise after laser treatments, such as the persistent purple patch you've described. This can occur due to post-inflammatory hyperpigmentation (PIH), especially in areas like the abdomen where the skin may respond differently compared to the face.

**Understanding the Reaction**: The abdomen and extremities can sometimes be more prone to PIH or prolonged redness after laser treatments because these areas have different healing dynamics and less robust blood supply compared to facial skin.

**Laser Treatment and Risks**: Even with highly advanced and safe lasers like the 2910 nm Ultraclear Laser, which I use in my practice for its precision and reduced risk of complications, treating areas like the abdomen requires extra caution. This laser, while effective, still necessitates a careful approach due to the sensitivity of abdominal skin.

**Moving Forward**: Since it's been over 30 days and the patch persists, this isn't typically a permanent complication but it may take some time to resolve. I recommend continuing to monitor the area and consult with the physician who performed the procedure. There are treatments available to help accelerate the fading of PIH, including topical agents and sometimes additional laser treatments with specific parameters designed to minimize pigmentation.

For a personalized plan and further reassurance, I would advise booking a follow-up appointment with your provider. They can offer targeted advice and treatment options to aid in your recovery and improve the appearance of the treated area.

I hope this helps and I wish you a smooth and speedy recovery!

Purple burn mark with tracks from CO2 Laser (Photo)

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