Laser treatment resulted in blistering. That healed well, but I now have PIH (browning) & PIE (redness). What can I do to treat that? Topicals?

NdYag laser treatment for redness/broken capillaries on the bridge of my nose resulted in blistering. That healed well in about 10 days. But I now have both PIH (browning) & PIE (redness) at the site of the healed blister. It’s persistent & won’t go away. It’s been 6 weeks & nothing seems to help. Been treating with Aquaphor & silicon gel (plus constant sunscreen). What can I do to safely even out the color? Is it too soon to lighten? Should I consider Vbeam? How long should I wait?

Answers from doctors (1)


More About Doctor David Green, MD

Published on Apr 13, 2021

PIH (Post-Inflammatory Hyperpigmentation) can take months or longer to fade - 6 weeks is not sufficient time to observe lightening. Laser treatment is not reproducibly effective and might exacerbate hyperpigmentation. A topical lightening agent may be applied as long as it does not cause any irritation. Aquaphor and silicone gel pads are an excellent way to protect this skin; silicone gel pads - by maintaining the skin temperature above skin not so occluded might accelerate the body's ability to lighten the dark patches.

Answered by David Green, MD (View Profile)

PIH (Post-Inflammatory Hyperpigmentation) can take months or longer to fade - 6 weeks is not sufficient time to observe lightening. Laser treatment is not reproducibly effective and might exacerbate hyperpigmentation. A topical lightening agent may be applied as long as it does not cause any irritation. Aquaphor and silicone gel pads are an excellent way to protect this skin; silicone gel pads - by maintaining the skin temperature above skin not so occluded might accelerate the body's ability to lighten the dark patches.

Published on Jul 11, 2012


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