V-beam bruising and possible blistering? (photo)

Question

I had the Vbeam perfecta done 24 hours ago for diffuse redness and acne scarring and mild rosacea. The setting was 7 joules and the spot size my doctor told me was same used for port wine stains. I am unbelievably swollen and almost unrecognizable, however, this morning I woke up to see that the bruising was raised and now bumpy. I included pictures of it, it looks like just above the scarring the skin is raised with clear liquid. Is this normal??? I’m panicking!!

Raffy Karamanoukian, MD, FACS · Answer

In our office, we have several treatments that can help improve common vascular skin issues, including rosacea, post-inflammatory erythema, red scars, facial blushing, and spider veins. The Vbeam laser continues to be the gold standard for redness, including rosacea and post-inflammatory erythema. In some cases, we add Venus Viva RF coagulation to help improve redness on the skin from spider veins, inflammation, and rosacea. 
  
Generally, several sessions are required to improve redness on the skin. Vbeam laser, IPL Limelight, and Venus Viva all work very well with minimal downtime. 
  
Patients with rosacea may benefit from topical creams to help soothe inflamed skin. We recommend Elevase Moisture Booster. For Post-inflammatory erythema, Plato’s Scar Serum is recommended twice daily. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Amber Leis, MD · Answer

The Vbeam laser settings used can produce this response if they are on the higher side. Your doctor may be treating you aggressively to help achieve lasting results. The bruising and swelling should fade over 7-10 days, but I would also recommend that you contact your provider and ensure they are satisfied with your progress. They may also want to adjust the settings if you have an additional treatment later.

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V-beam bruising and possible blistering? (photo)

Answers (2)

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