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1 month post fraxel and still red/pink outline

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Re: 1 month post fraxel and still red/pink outline

Postby soccerfan1234 » Sat Mar 03, 2018 8:34 pm

I have an olive complexion. I just had my 4th fraxel restore at 40 mj done on December 1st. First three were at 25, 30, 35 mj and didnt give me much problems except each one taking a few more days to heal. It has been 3 months since this last fraxel @ 40 mj and i'm still red/hyperpigmented (ESPECIALLY BELOW THE EYES ON THE CHEEKS, even tho I had whole face treated.) I am wondering how long it took for this effect to fade? I am wondering if it will eventually fade completely? And I am wondering if I can take any topical or oral medication to speed up the process (besides hydroquinone which made me extremely sensitive to the sun). Please let me know as I have been very worried and have struggled to see much improvement. My thoughts have been overwhelmed with how I may be stuck with this for the rest of my life, and if not - for a very long time. Please share your experience with me, as I would really appreciate it!!
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Re: 1 month post fraxel and still red/pink outline

Postby MissJ521@aol.com » Mon Mar 05, 2018 1:12 pm

With lasers, it's not only the energy (Joules) or mj which you list here but also the beam area; joules/unit area = FLUENCE that applies. So, if I assume the beam area was same in all treatments, it sounds like you've reached the maximum capacity for the fluence level your skin can take.

As to LASERS, the companies will sell them to ANY MD including those outside being conversant in skin care (ie derms) and those MDs, in turn, can hand them over to a staff member who might know less about skin care and lasers than the MD that bought the device. The devices themselves are great but you never know if the person doing is conversant in using them or even knows the very basics about laser physics. Many years ago when I was a student at MIT, I used to work with lasers. Not the cosmetic kind as they did not come into being until years later. But later down the line when I used to consult around about cosmetic lasers, I can't tell ya HOW MANY providers I had to RULE OUT because most of them showed NO knowledge as to the basic science behind them. It's quite alarming. Also, when a laser device is going through tests/experiments/studies to get CLEARANCE from the FDA (as to doing what it says it does and for what purpose), it is the doctors that are MOST knowledgeable about them who are hired as consultants to the laser industry to conduct the (safety and efficacy) experiments INORDER TO get the FDA clearance. IF INSTEAD a 'who knows who, who might know little about them' type practitioner, (that in practice can use these devices on PATIENTS!) conducted the FDA clearance studies, these things would never make the market. It's just an 'iffy' to bad situation where lasers are marketed based on how well they perform when TOP SHOT laser expert doctors kick up good studies. But then they are sold to any and every MD who will buy and often doled out to dolt operators who just know where to push buttons. Sorry, but that's my caveat about 'who knows what kind of people' might be using one on patients.

Olive complexion is higher risk for hyper pigmentation which refers to darker but not necessarily 'red'. The redness would be inflammation which could be self treated for a while with hydrocortizone cream. Soothing colloidal oatmeal masks also help. (Aveeno colloidal oatmeal for the bath but mixed to make a mask--sold at most drug stores.)

As to the darkness/hyperpigmentation, that would be melasma. Hydroquinone is standard cream to lighten up the darkened areas. Alternatives for HQ include such things as; Vitamin C serums, Kojic acid, Azelaic acid , and retinol creams. Lytera advanced pigment corrector, by 'SkinMedica' is a product that some derms suggest.

If your laser provider IS a DERM, you most certainly should go back for more targeted advice, specific to your skin as to which alternative HQ product to select. If your laser provider is NOT a derm, obtain all your records as to these laser treatments and seek out a derm.

An EXTREMELY strong SUN BLOCK should be used when ever you go outside. Although you relay hydroquinone makes you extremely sensitive to the sun, I will tell you that having LASER on your face is going to make you MORE sensitive to the sun even if you never got hyperpigmentation or extreme redness from it.
Please Note: NO PMs please.

Private correspondence with me concerning questions highly specific to your situation is not an extension of my open participation on the boards.
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