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Can the pulsed dye laser treatments cause loss of underlying facial fat?

jessucagoss39Oct 12, 2016
I am receiving PDL treatments to get rid of red spots on my face caused by rosacea and acne scarring. I am 34 and already spent a lot of money on facial filler so I do not want to do anything that may cause loss of any facial volume.

Answers (4)

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Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Oct 13, 2016
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Dr. Marilyn Pelias, MD
Board Certified General Surgeon
Answered on Nov 1, 2016
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1 person found this helpful
Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Mar 15, 2017
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Dr. Davin Lim, MBBS, FACD - Account Suspended
Specialist Dermatologist
Answered on Nov 23, 2016
Answer
1 person found this helpful

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Davin Lim, MBBS, FACD - Account Suspended

Your specialist who performed this procedure will have their own specific wound care, however to improve these scars, I agree with Dr Emer, micro needling PRP or laser then filler subcision would be the choice. PDL or V Beam will do very little for this type of scars. More info in the web r...

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Hratch Karamanoukian, MD, FACS

Pulsed dye lasers are great for pink or red skin or PIE. Efficacy from pulsed dye lasers 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. Pulsed dye l...

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Hratch Karamanoukian, MD, FACS

I have seen on realself that a physician in Mumbai has V Beam.Pulsed dye lasers are great for pink or red skin or PIE. Efficacy from pulsed dye lasers is related to destruction of blood vessels with expected bruising and unfortunately, potential for hyperpigmentation, hence the need to use such ...

+2 answers
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Hratch Karamanoukian, MD, FACS

Aggressive settings caused this to occur.It is more likely to get hyperpigmentation than hypopigmentatioon after pulsed dye lasers. In general, Pulsed dye laser can cause bruising and swelling and I precondition and treat my patients with a bioflavonoid product called Swell-x pt (post t...

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Raffy Karamanoukian, MD, FACS

I would recommend Plato's Bruise Balm to reduce the bruising after the laser session. Arnica may also help. Best, Dr. KaramanoukianLos Angeles

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M. David Cole, MD, FAAD

I would suggest that the first line treatment would be to address the macular amyloidosis, which is often with appropriate topical corticosteroids.  Once this treatment is optimized, then of any laser, I would suggest a Q-switched laser for pigmentation as the best option to deal with the ...

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