Laser Treatments for Skin Repair After Accidental Injuries - Plastic Surgery

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Skin abrasion with bleeding?


Doctor Lu, after my car accident, the wound healed but left a dark spot that I thought was due to melanin.
However, I noticed that there were acne nearby, and when I squeezed them, I accidentally broke the skin and got it on the dark area.
I realized it was due to not cleaning the wound properly.
Is there a gentler laser treatment that can resurface the skin without causing bleeding?

Lin Xiansheng, 20~29 year old female. Ask Date: 2010/10/08

Dr. Lu Daokuan reply Plastic Surgery


Hello, traumatic wounds may exhibit temporary hyperpigmentation.
If pigmented substances remain at the site of injury, they may appear black.
Whether laser treatment can be used for removal depends on the prominence of the pigmentation.
If the natural black color of the wound is present, it will gradually fade over a period of two months.

Reply Date: 2010/10/08

More Info


After experiencing an accidental injury, such as from a car accident, it is common for the skin to heal with discoloration, scarring, or even the development of acne in the affected area. In your case, it seems that you are dealing with post-injury hyperpigmentation, which is the darkening of the skin due to an increase in melanin production. This can often occur after trauma to the skin, and it may be exacerbated by factors such as improper wound care or secondary infections.

When considering laser treatments for skin repair after injuries, it is essential to understand the different types of lasers available and their specific applications. Generally, there are two main categories of lasers used for skin resurfacing and repair: ablative and non-ablative lasers.

1. Ablative Lasers: These lasers, such as CO2 and Erbium YAG lasers, work by removing the outer layers of the skin. They are effective for treating deeper scars and significant skin discoloration. However, they can cause more downtime due to the nature of the treatment, as they create a wound that needs to heal. This type of laser can lead to bleeding and requires careful post-treatment care to avoid complications.

2. Non-Ablative Lasers: These lasers, such as fractional lasers, work by heating the underlying skin tissue without damaging the outer layer. They stimulate collagen production and can improve skin texture and tone with minimal downtime. Non-ablative lasers are generally considered to be less invasive and may be a better option for individuals concerned about bleeding or extensive recovery time.

In your situation, if you are looking for a milder approach that minimizes the risk of bleeding and promotes healing, a non-ablative laser treatment could be a suitable option. These treatments can help reduce hyperpigmentation and improve the overall appearance of the skin without the extensive recovery associated with ablative lasers.

Before proceeding with any laser treatment, it is crucial to consult with a qualified dermatologist or a skin care professional who can assess your specific skin condition and recommend the most appropriate treatment plan. They will consider factors such as the extent of the discoloration, the presence of acne, and your skin type to tailor the treatment to your needs.

Additionally, it is essential to ensure that your skin is fully healed from the initial injury before undergoing any laser treatments. Typically, it is recommended to wait at least six months after the injury has healed to allow the skin to stabilize and for any inflammation to subside. This waiting period helps to ensure that the treatment is safe and effective.

In terms of post-treatment care, it is vital to follow your dermatologist's recommendations closely. This may include using gentle cleansers, avoiding sun exposure, and applying topical treatments to aid in healing and prevent further pigmentation issues.

In summary, laser treatments can be an effective option for addressing skin concerns following accidental injuries, but the choice of laser and timing should be carefully considered. A consultation with a skin care professional will provide you with the best guidance tailored to your specific situation.

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