Challenging Case of PIH Following Vbeam Treatment in Skin Type IV
Dr Sandra Denise FERNANDEZ SAMAR
Dermatologue, Mexique
juin 19, 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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Se connecter
Dr Hector Ricardo GALVAN GARCIA
Dermatologue, Mexique
novembre 12, 2025 15:57
Dr Dianne QUIBELL
Interniste, États-Unis
octobre 19, 2025 22:05
Dr Hans Joachim LAUBACH
Dermatologue, France
octobre 19, 2025 15:32
Dr Diane Irvine DUNCAN
Chirurgien Plasticien, États-Unis
juin 20, 2025 17:43
Dr Anne LE PILLOUER
Dermatologue, France
juin 20, 2025 11:40
Dr Dianne QUIBELL
Interniste, États-Unis
juin 20, 2025 06:29
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Dr Kuldeep SINGH
Chirurgien Plasticien, Inde
juin 20, 2025 04:18