Post-Photofacial Concerns: Dealing with Persistent Skin Discoloration - Dermatology

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Issues After Clear Skin Laser Treatment


Hello Doctor, after my Clear + Brilliant treatment, I experienced some subcutaneous bleeding, and the area appears a bit dark reddish-brown.
A week later, the dark reddish-brown color hasn't formed any scabs, and it feels smooth without any scabbing, remaining dark reddish-brown.
What should I do? It looks like a burn with that brown color.

Joan, 20~29 year old female. Ask Date: 2017/11/12

Dr. Wu Yuxin reply Dermatology


You should consult your treating physician who performed the laser procedure, as they are the most familiar with your condition.

Reply Date: 2017/11/12

More Info


After undergoing a photofacial treatment, it is not uncommon to experience some degree of skin discoloration, especially if there was any bruising or trauma to the skin during the procedure. The dark coffee-red coloration you are observing could be a result of post-inflammatory hyperpigmentation, which is a common response of the skin to injury or irritation. Here are some insights and recommendations on how to manage this condition:

Understanding Post-Photofacial Discoloration
1. Healing Process: After a photofacial, the skin goes through a healing process that can involve redness, swelling, and discoloration. The dark coffee-red color you are seeing may indicate that the skin is still in the healing phase. Typically, this discoloration should gradually fade over time as the skin continues to heal.

2. Duration of Discoloration: The duration of discoloration can vary from person to person. In most cases, it can take several weeks to a few months for the skin to return to its normal color. Factors such as skin type, the severity of the treatment, and individual healing responses can influence this timeline.

3. Avoiding Sun Exposure: It is crucial to protect the treated area from sun exposure during the healing process. UV rays can exacerbate pigmentation issues and lead to further discoloration. Always apply a broad-spectrum sunscreen with an SPF of 30 or higher, even on cloudy days, and consider wearing protective clothing or a wide-brimmed hat when outdoors.


Recommended Treatments
1. Topical Treatments: You may consider using topical agents that can help lighten hyperpigmentation. Ingredients such as hydroquinone, kojic acid, vitamin C, and niacinamide are known for their skin-brightening properties. However, it is essential to consult with your dermatologist before starting any new topical treatment to ensure it is appropriate for your skin type and condition.

2. Moisturization: Keeping the skin well-hydrated is vital for the healing process. Use a gentle, non-comedogenic moisturizer to help maintain skin hydration and support the skin barrier.

3. Avoid Irritating Products: During the healing phase, avoid using harsh exfoliants, retinoids, or any products that may irritate the skin. Stick to gentle cleansers and soothing products to minimize irritation.

4. Consultation with a Dermatologist: If the discoloration persists or worsens, it is advisable to consult with a dermatologist. They can assess your skin condition and may recommend treatments such as chemical peels, laser therapy, or prescription-strength topical agents to help address the pigmentation.

5. Patience is Key: It is essential to be patient during this process. Skin healing and the resolution of discoloration can take time, and it is crucial to follow a consistent skincare routine while allowing your skin to recover.


Conclusion
In summary, the dark coffee-red discoloration you are experiencing after your photofacial is likely a part of the healing process. Protecting your skin from the sun, using appropriate topical treatments, and consulting with a dermatologist if necessary are key steps in managing this condition. Remember that skin healing is a gradual process, and with proper care, you should see improvement over time.

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