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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

激光, 光声电仪 & 非手术塑体

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Sandra Denise FERNANDEZ SAMAR 医师

皮肤科医师, 墨西哥

六月 19日, 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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Hector Ricardo GALVAN GARCIA 医师

皮肤科医师, 墨西哥

十一月 12日, 2025 15:57

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Dianne QUIBELL 医师

内科医师, 美国

十月 19日, 2025 22:05

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Hans Joachim LAUBACH 医师

皮肤科医师, 法国

十月 19日, 2025 15:32

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Diane Irvine DUNCAN 医师

整形外科医师, 美国

六月 20日, 2025 17:43

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Anne LE PILLOUER 医师

皮肤科医师, 法国

六月 20日, 2025 11:40

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Dianne QUIBELL 医师

内科医师, 美国

六月 20日, 2025 06:29

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Kuldeep SINGH 医师

整形外科医师, 印度

六月 20日, 2025 04:18

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Challenging Case of PIH Following Vbeam Treatment in Skin Type IV

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