Can discoloration after Pulse Dye laser be corrected?

Question

A year ago I had PDL for broken capillaries around mouth and chin. It didn't work and months later I noticed the skin around mouth and chin turned a greyish ash color and has remained ever since. Iam also fair skinned not tanned. Tried tretinoin 0.5 and 0.01 but no change. Any advice what to do now?

Hratch Karamanoukian, MD, FACS · Answer

As you know, pulsed dye laser is more appropriate for post inflammatory erythema.
Pulsed dye laser can cause bruising and swelling and I precondition and treat my patients with a bioflavonoid product called Swell-x pt (post treatment) and also an oral supplement for PIH relief called Scler-X and I find them to be effective. As mentioned, efficacy is related to destruction of blood vessels with expected bruising and unfortunately, potential for hyperpigmentation, hence the need to use such products. Link is provided for more information.For hyperpigmentation relief we use a HQ and non HQ based creams in  the U.S. called Sclerovase and Scleroquin plus or Melarase by another company. 
Hratch L Karamanoukian MD FACS

Can discoloration after Pulse Dye laser be corrected?

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Can discoloration after Pulse Dye laser be corrected?

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