How effective is the combination of Venus Viva and Q-switch laser on treating post-inflammatory hyperpigmentation (PIH) on darker skin?

Doctor's Answers 1

The best treatment for PIH on darker skin is to allow for gradual spontaneous clearance over several to many months and avoiding further skin injury/inflammation that will make the PIH worse. The use of lightening creams makes help hasten the process.

Q-switched 1064nm lasers have been used with variable success in treating PIH. If used, I have found it safer to use a low fluence toning technique rather than a high fluence blasting technique which tends to worsen the PIH instead of improving it.

I have not found fractional radiofrequency (e.g. Venus Viva) useful in treating PIH. Venus Viva remains primarily a skin resurfacing procedure.

Similar Questions

Is the laser treatment for PIH the same as for mole removal?

Hello Maine Thank you for your question. Post inflammatory hyperpigmentation (PIH) or post inflammatory erythema (PIE) from acne is usually treated with q-switched laser or long-pulsed laser. You can expect gradual lightening of the marks with repeated treatments. You can also combine laser treatment with topical retinoids and chemical peels for better results. There shouldn't be any scabbing from treating PIH or PIE. Moles are usually removed with an ablative laser such as the CO2 or erbium laser. Hope this helps!

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Answered By

Dr Jiwei Wu

Aesthetic

Is laser treatment effective for prolonged redness and PIH due to surgical scars?

Hello Always Thank you for your question. Laser is a good method of treating prolonged redness and post inflammatory hyperpigmentation (PIH) from surgical scars. The redness and erythema can treated with a pulsed dye laser while the PIH can be treated with gentle laser toning. Laser treatment can be combined with topical agents such as triluma/ hydroquinone/ retinoid for the best result. Speak to a dermatologist/ aesthetic physician/ plastic surgeon to find out more. Hope this helps!

Photo of Dr Jiwei Wu

Answered By

Dr Jiwei Wu

Aesthetic

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