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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

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Dr Sandra Denise FERNANDEZ SAMAR

Dermatólogo, Mexico

junio 19º, 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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Acceso

Dr Hector Ricardo GALVAN GARCIA

Dermatólogo, Mexico

noviembre 12º, 2025 15:57

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Dr Dianne QUIBELL

Médico Internista, Estados Unidos

octubre 19º, 2025 22:05

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Dr Hans Joachim LAUBACH

Dermatólogo, Francia

octubre 19º, 2025 15:32

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Dr Diane Irvine DUNCAN

Cirujano Plástico, Estados Unidos

junio 20º, 2025 17:43

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Dr Anne LE PILLOUER

Dermatólogo, Francia

junio 20º, 2025 11:40

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Dr Dianne QUIBELL

Médico Internista, Estados Unidos

junio 20º, 2025 06:29

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Dr Kuldeep SINGH

Cirujano Plástico, India

junio 20º, 2025 04:18

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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

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