Why don't I have results after VI Peel?

Question

On day 9 of my Vi peel and I don't see any improvements with brown spots or acne. This flare up was caused by a reaction to a mirena device which was removed 5 months ago but I'm still dealing with face issues. I'm Caucasian, 32, and have never had acne or brown spots before. Mirena destroyed my nice skin. Any help on this? I thought the Vi peel would help.

Raffy Karamanoukian, MD, FACS · Answer

Vipeel chemical peels can cause post treatment redness, itching, 
dryness, and ironically, hyperpigmentation. Early post-peel care is 
vital. I would use a curated combination of Covalent peels, fractional 
laser, and topical creams to treat the skin after a Vipeel. Start with 
Elevase to help with dryness of the skin. Melarase creams are ideal to 
combat pigmentation. 
AM: Melaclenz, Melapads, and Melarase AMPM: Melaclenz, Melapads, and Melarase PMBest, 
Dr. Karamanoukian
Realself100 Surgeon

Dina D. Strachan, MD · Answer

It sounds like you may have melasma, a condition in which brown patches appear on the skin often as a results of hormonal therapies such as mirena. This can be tough to treat. One Vi Peel is not going to completely take care of it. There are a number of treatment options and combinations for this problem, including peels, hydroquinone, brightening agents and sunscreen. I would advise seeking the care of a board-certified dermatologist who can advise you and offer both prescriptions and procedures rather than someone who only offers peels. Good luck.

Stuart B. Kincaid, MD, FACS (in memoriam) · Answer

You may want to try a series of Vipeels, three, a month a part to see if this improves your brown spots and acne.  You may also consider facial laser resurfacing.  We the DOT C02 Fractionated Laser.

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