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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

Lasers, EBD & body shaping

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Dr. Sandra Denise FERNANDEZ SAMAR

Dermatologist, Mexico

June 19th, 2025 23:00

Patient description

24-year-old male patient, Fitzpatrick skin type IV, with a capillary vascular malformation

Case description

He previously underwent Vbeam laser treatments at another clinic, which resulted in a greyish discoloration followed by crusting (I suspect the settings were too aggressive). As a result, he developed post-inflammatory hyperpigmentation (PIH) that has proven very difficult to treat.

A photo is attached, showing a clear contrast between:

An untreated area, where more visible vessels are present
A treated area, where fewer vessels are visible but there is prominent PIH, which has not improved despite several treatments

Treatments attempted for PIH:

Topical hydroquinone
Picoway laser
RedTouch laser – 8 sessions completed, with no significant improvement in pigmentation

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Dr. Hector Ricardo GALVAN GARCIA

Dermatologist, Mexico

November 12th, 2025 15:57

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Dr. Dianne QUIBELL

Internal medicine, United States

October 19th, 2025 22:05

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Dr. Hans Joachim LAUBACH

Dermatologist, France

October 19th, 2025 15:32

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Dr. Diane Irvine DUNCAN

Plastic Surgeon, United States

June 20th, 2025 17:43

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Dr. Anne LE PILLOUER

Dermatologist, France

June 20th, 2025 11:40

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Dr. Dianne QUIBELL

Internal medicine, United States

June 20th, 2025 06:29

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Dr. Kuldeep SINGH

Plastic Surgeon, India

June 20th, 2025 04:18

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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

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