Post-Laser Treatment Issues: Pigmentation Concerns

Post-laser pigmentation removal issues?

Hello, I would like to inquire about a previous laser treatment for sweat gland tumors and pigmentation removal.
Initially, I used artificial skin, but later developed an allergy to it and switched to applying ointment.
Now, I notice that the area around the wound has developed some dark pigmentation.
Could this be related to the use of artificial skin, or is it an indication of post-inflammatory hyperpigmentation?

vivi, 20~29 year old female. Ask Date: 2015/12/10

Dr. Lu Daokuan reply Plastic Surgery

It is more likely that there is a mild allergic reaction leading to pigmentation changes, and a follow-up appointment should be scheduled promptly.

Reply Date: 2015/12/10

More Info

Hello! Thank you for your question regarding the pigmentation concerns following your laser treatment for sweat gland tumors and spots. It’s understandable to be concerned about changes in skin pigmentation after such procedures, especially when you notice darkening around the wound area.

Firstly, it’s important to recognize that post-laser treatment, especially when it involves the removal of lesions or spots, can lead to various skin reactions, including pigmentation changes. This is often referred to as post-inflammatory hyperpigmentation (PIH), which is a common response of the skin to injury or inflammation. When the skin is treated with lasers, it can become inflamed, and as it heals, it may produce excess melanin, leading to darker patches around the treated area.

Regarding your specific situation, the use of artificial skin (or dressings) can sometimes contribute to skin irritation or allergic reactions, which may exacerbate inflammation and potentially lead to increased pigmentation. If you experienced an allergic reaction to the artificial skin, it could have caused additional inflammation, thereby increasing the likelihood of developing PIH. However, it’s also possible that the pigmentation is a natural response to the healing process itself, rather than solely due to the dressing used.

To address your concerns:
1. Is the pigmentation due to the artificial skin? While it’s possible that the artificial skin contributed to the irritation and subsequent pigmentation, it’s more likely that the pigmentation is a result of the healing process following the laser treatment. If the skin was inflamed due to an allergic reaction, this could have intensified the pigmentation.

2. Is it starting to darken? If you notice that the pigmentation is becoming more pronounced, it’s essential to monitor it closely. PIH can sometimes take weeks to months to fade, and while it may appear darker initially, it often lightens over time. However, if the area continues to darken or if you notice any other concerning symptoms (such as increased redness, swelling, or pain), it would be wise to consult with a dermatologist.

3. What can be done about it? There are several approaches to managing post-inflammatory hyperpigmentation. Topical treatments, such as hydroquinone, azelaic acid, or retinoids, can help lighten the pigmentation over time. Additionally, sun protection is crucial, as UV exposure can worsen pigmentation. Using a broad-spectrum sunscreen with a high SPF can help prevent further darkening of the area.

4. When to seek professional advice? If the pigmentation does not improve over the next few weeks or if you have any concerns about the appearance of the area, it would be beneficial to see a dermatologist. They can assess the pigmentation and recommend appropriate treatments tailored to your skin type and condition.

In summary, while the pigmentation you are experiencing may be related to the healing process post-laser treatment, it’s essential to monitor it and take preventive measures against further darkening. Consulting with a dermatologist can provide you with personalized advice and treatment options to help manage the pigmentation effectively. Remember, patience is key, as skin healing and pigmentation changes can take time.

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