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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

Lasers e EBDs

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Dr. Sandra Denise FERNANDEZ SAMAR

Dermatologista, México

junho 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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Dr. Hector Ricardo GALVAN GARCIA

Dermatologista, México

novembro 12º, 2025 15:57

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Dr. Dianne QUIBELL

Medicina Interna, Estados Unidos da América

outubro 19º, 2025 22:05

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Dr. Hans Joachim LAUBACH

Dermatologista, França

outubro 19º, 2025 15:32

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Dr. Diane Irvine DUNCAN

Cirurgião Plástico, Estados Unidos da América

junho 20º, 2025 17:43

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Dr. Anne LE PILLOUER

Dermatologista, França

junho 20º, 2025 11:40

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Dr. Dianne QUIBELL

Medicina Interna, Estados Unidos da América

junho 20º, 2025 06:29

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Dr. Kuldeep SINGH

Cirurgião Plástico, Índia

junho 20º, 2025 04:18

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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

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