Page 1 of 7 123 ... LastLast
Results 1 to 10 of 67

Thread: V-Beam Hyperpigmentation Information

  1. #1
    Member
    Join Date
    Sep 2010
    Posts
    76

    Default V-Beam Hyperpigmentation Information

    Hello everyone, it's me again, LBW

    Exactly 4 weeks ago I underwent a purpuric v-beam treatment for some red marks on my face. The bruising faded after about 2 weeks, however, one area of the bruise has simply stopped fading since then. My next derm appointment is in a month, but I am fairly certain that this is no longer the bruise healing, but rather hyperpigmentation.

    Reading around the site, I have found some info on the matter, but I want to make a thread that truly gathers all the information possible, so that everyone suffering from this can easily find out more. If everyone were to describe their experiences regarding hyperpigmentation, I am sure that it would help many others out there.

    Perhaps we can make a list of questions, and people can then answer these questions, giving everyone a better sense of what to do or expect.

    Questions like:
    1) How would you describe your hyperpigmentation? (color, size etc.)
    2) When did you realize you had hyperpigmentation?
    3) Derm's info regarding hyperpigmentation (solutions, dangers etc.)
    4) How long did your hyperpigmentation take to resolve?
    5) Did you do anything to speed up the fading process?

    Feel free to add any more questions you may have.

    I'll answer them first.

    1) My hyperpigmentation looks like a reddish-brownish mark. In certain lights it looks brown, and in others it gives off a more reddish-orange hue.

    2) I suspected I have hyperpigmentation last week at around the two and a half week point, when this area of the bruise just stopped fading. There has been little change (if any) between that point and now regarding the appearance of the mark.

    3) Though my next appointment is in a month, I was able to see my derm at the three week mark, expressing my concerns. He asked whether I blistered at all, which I didn't, but I did scab slightly (ironically in part of the area that is now hyperpigmented - coincidence?). He didn't seem very concerned and believed it would resolve itself fairly soon, but I am doubtful. He said it may be iron deposits in the skin, but that I would have to come in next month in order for him to be better able to assess the situation.

    4) It has been only 4 weeks since the treatment itself, so I have no idea how long this would take to resolve. If I had to guess; many, many months.

    5) I have done nothing yet but wait, hoping that this magically fades away soon. I don't want to use any creams either, as they are too strong for my skin. I have heard from some people that NON-BRUISING v-beam treatments, counter-intuitively, can help in reducing the hyperpigmentation left behind from the purpuric treatment. Apparently the v-beam targets both melanin and hemoglobin. However, I am scarred about this for fear of making things even worse.

    This has been my experience. Please, if you have been through or are going through the same problem, share your experience with others. It will definitely help, even if just to ease the mind. Also, don't feel restricted to just answering the questions, if you have other info, just write it out, the question format is just a simple way of keeping things organized for everyone.

    I hope to make this the most comprehensive thread regarding PDL hyperpigmentation.

    Thank you for your time!

  2. #2
    Senior Member
    Join Date
    Oct 2005
    Posts
    429

    Default

    Have you read the other threads on hyper pigmentation? I think they cover things pretty thoroughly.

    I've had I think five heavily purpuric V Beams and about 8 non purpuric since August of 2009. I went monthly for a while and now go bi monthly.

    I've had massive hyper pigmentation, each time following a purpuric V Beam.

    The hyper pigmentation always covered the exact same area that had been bruised by the V Beam. The broken blood vessels healed, leaving the brown stain.

    I expected this to happen, having read about it.

    I first saw it after my first purpuric V Beam healed, maybe a month later.

    My Dermatologist said the body in its wisdom hoards iron from the broken blood vessels, and that this was the brown tea-colored stain I saw.

    He explained that the subsequent non-purpuric V Beams we had planned would remove it, and that it would fade on its own in six months to two years.

    My last purpuric V Beam was in July 2010; since then I had two non purpuric treatments; by now my hyper pigmentation is completely gone.

    My Dermatologist also said there is nothing I could do to speed up the fading, other than non-purpuric V Beam.

    My rosacea is awful and my flushing is really a problem, so I never saw my hyper pigmentation as an issue.

    After all, my hyper pigmentation didn't hurt, like my terrible flushing did. And my face was already so red, I didn't care if it was brown too. Mainly I wanted the flushing to stop.

    So my Dermatologist and I were dealing with a horrible problem -- very severe vascular rosacea worsened by menopause and repeated sinus infections, causing terrible flushing that sometimes flared for 8 hours or so before it subsided, creating terrible pain, fear, anxiety, and swelling in me.

    Given that, you can probably understand why I never really fretted about some hyper pigmentation.

    My rosacea is much better now. My hormone fluctuations have settled down and my rosacea no longer flares totally out of control the way it did even six months ago.

    And my 13 V Beams have improved things considerably.

    I've settled on non-purpuric treatments now, every other month, because I just can't stand the terrible rebound flushing and post-treatment misery that the purpuric treatments cause.

    I'm glad I had the bruising treatments I did, but if you see the post-treatment pics I've posted I'm sure you will understand why I just don't want to go through that again.

    Hope this helps.

    -WC
    58 yr old woman
    Rosacea at 48, debilitating at 52
    Clonidine 100mgc ev. 8 hrs;
    Remeron 15mg nightly;
    Zebeta=Bisoprolol=Beta blocker 5mg nightly;
    Brimonidine worked well initially, then MASSIVE rebound flushing and damage;
    Countless IPL with Lumenis One;
    Now purpuric V Beam with Candela Perfecta; more clearance, less downtime than IPL;
    Botox (with mesotherapy needles), good not great results;
    Monthly Kenalog injection to blunt debilitating flushing.

  3. #3
    Member
    Join Date
    Sep 2010
    Posts
    76

    Default

    Thanks for your input WC,

    I wonder, how long do you think your hyperpigmentation would have lasted if you did not get the non-purpuric v-beam treatments? (Based on the rate you saw it fading)

    I wake up every morning now with a great sense of uneasiness over what has happened, and find myself on these boards trying to console myself. I swear I must have read all the same info 10 times now. I wake up with two primary feelings. The first: worry. Will it fade? How long will it take? What can I do? Should I get another lighter treatment? The second primary feeling: anger. Why did this have to happen? I was so close. I could have felt happy and normal again but now I have to deal with this issue.

    I just want to make sure I understand you correctly when you say non-bruising treatments though. Obviously this means no purpura, but you're telling me that to come out with very red areas where the laser zapped is ideal i.e not just walking out with no indication of laser treatment? How long did it take to find out if the laser helped your hyperpigmentation afterwards? I'm guessing upwards of a month? Or is it sooner than that?

  4. #4
    Senior Member
    Join Date
    Oct 2005
    Posts
    429

    Default

    I have no idea how long my hyper pigmentation would have lasted without the subsequent non purpuric treatments.

    Yours will fade. My doctor said it may take up to two years. If it distresses you, why not have a few non purpuric V Beams to eradicate it sooner.

    I don't mean to be dismissive of your worries about this, but it's just not the problem most of us on this board are dealing with.

    Many of us are dealing with intractable facial flushing that directly impacts our quality of life. My face gets hot and red and burns and flushes at the slightest trigger.

    A bit of hyper pigmentation, which does not hurt and does not affect my ability to move freely through the world the way this horrible flushing does, is just not an important issue to me.

    I care about the pain and disability my rosacea causes, not a wee bit of brown stain on my face.

    Also, I did NOT say that coming out of a non purpuric treatment with a red face is ideal.

    I said that I come out of a non purpuric treatment with a red face.

    Those are different things. Words have meaning -- please do not assume I'm saying things that I'm not.

    It took a few weeks after the second non purpuric V Beam to see that all the hyper pigmentation was gone.

    Please try to stop obsessing over this. You really have to give it about six months after a V Beam to see results, and results are cumulative. It's not fair to expect to see good results after only one or two treatments.

    So patience, please. Try to focus your mind on things other than your face. Easier said than done, I know.

    -WC
    58 yr old woman
    Rosacea at 48, debilitating at 52
    Clonidine 100mgc ev. 8 hrs;
    Remeron 15mg nightly;
    Zebeta=Bisoprolol=Beta blocker 5mg nightly;
    Brimonidine worked well initially, then MASSIVE rebound flushing and damage;
    Countless IPL with Lumenis One;
    Now purpuric V Beam with Candela Perfecta; more clearance, less downtime than IPL;
    Botox (with mesotherapy needles), good not great results;
    Monthly Kenalog injection to blunt debilitating flushing.

  5. #5
    Member
    Join Date
    Sep 2010
    Posts
    76

    Default

    I'm sorry if I have offended you. I realize this is not the ideal place to discuss these issues but this is one of the few forums on the web that has people who know what they are talking about.

    I know it may not sound like much to you, but I am 20 years old, and for the past three years my life has been ruined by my obsession with these marks. This issue has impacted me probably more than many people on these boards, I have lost many friends and can't even look my family members in the eyes anymore over the shame I feel regarding these marks. I realize that it is wrong, and that's why I am making appointments to see a therapist next week, to tackle the mental issues as well.

    It's just extremely frustrating since I am also trying to eliminate the physical problem as well, and this feels like it has set me back.

    Regarding the non-purpuric treatments, I didn't intend to put words in your mouth, I am just trying to figure out what I should ask my derm for when I go.

    Again, WC, I am sorry. You are one of the only people who is actually taking the time to help me on these boards and for the I am truly grateful. You have no idea what your support means to me and I hope you don't take a dislike towards me, I really am not trying to upset you or anyone on these boards, just trying to keep my sanity.

    Anyways, thank you

  6. #6
    Senior Member nat007's Avatar
    Join Date
    Jun 2005
    Posts
    1,906

    Default

    Hi,

    I've been reading your posts as well lately, and I am very sorry for the stress you are going through now.
    I think WC is right, she has tons of experience with lasers (and severe rosacea, but that's another story).
    I think you already mention it yourself: you are having a big psychological issue with your skin/ your marks.
    It probably doesn't matter or help for you if other people say they are not as bad as you think (which
    people probably HAVE said to you I suppose). Perhaps you are having insecurity issues, have had some
    disappointments in your current life or things are not going as you like, in other areas then your skin?
    If this is the case, sometimes people look for reasons for this in something they cannot controle or dislike
    about their body: too heavy, wrong nose, bad skin, marks on your face. It sounds a bit to me as if your
    trying to get rid of these marks has more significance in your mind then just to have clear skin again.
    It seems VERY important to you, and perhaps therefore you are so in panic at the moment, as there is
    much 'at stake' with these marks not fading as you hoped?
    If this is the case (and I am only assuming), then it would be indeed a good idea to see a therapist and
    discuss this. The thing is, that most people on this forum are beyond worrying and depressing about solely
    the way their skin looks: many have a lot of physical pain from it and a severe limitation of their lives.
    Therefore, it might be that not everyone can relate very well to your story, as you have 'only' some marks on a further healthy skin. This doens't mean it is not something very important for you. But it does mean perhaps
    you are obsessing a bit too much about the wrong things perhaps: of course it is very sad and unpleasant
    what is happening with you right now, but when put in perspective, it is for many here perhaps not the drama
    that it is for you.

    I am really sorry you are experiencing all this stress now over it and sincerely hope they will fade in time,
    as they seem to do with most. I hope you can find out for yourself why these marks are such a big thing in your life and why they keep you (or you keep yourself over it) from living a happy and confident life.

    Best wishes Natalja

  7. #7
    Member
    Join Date
    Sep 2010
    Posts
    76

    Default

    Thank you for your kind words Natalja,

    I understand what you are saying completely. I know basically no one here can relate to my story very well or at all, I just come here because of the wealth of knowledge regarding lasers.

    My life has been a downwards spiral for the past few years. I basically have put my life on hold. I feel as though I am dead, simply waiting too live, and until I get this issue under control, I cannot live. I need to tackle both the mental and physical issues. It just sucks when you have arrived at a certain point physically, and then something happens that you feel has set your progress backwards. What really gets me upset is how if this brown/redness faded to what it should have as the rest of the bruise has, my life would be completely different. I would feel as though the treatment has helped and I am close to being free. Not stressing, worrying everyday, regretting my decision.

    This is a major issue for me, and I hope to one day overcome it. I always try to put things in perspective, but perspective gets blurry when you have been feeling as lost and hopeless as I have for a long time.

    I feel bad that this thread has gone from me wanting to just gather info on hyperpigmentation from everyone to me ranting about my life. I sympathize with all of you, we all face different struggles and I do not know how you feel, except I am sure you are not entierly happy.

    These marks have taught me to never judge a person, because you never know the issues they are dealing with inside.

  8. #8
    Senior Member
    Join Date
    Oct 2005
    Posts
    429

    Default

    Hello lilbitworried,

    I'm so sorry you're suffering.

    Many of us here can sympathize with putting our lives on hold until things improve.

    It's a painful place to be, waiting for something to settle before we can begin to live.

    For me, I finally realized that there would *always* be something in my life distressing me.

    Given that, I decided to change my reaction to it and not let it define me. I decided to remove its ability to make me miserable.

    I tried to look outward instead of inward, which helped me with the unhappiness that accompanied my severe and finally debilitating flushing.

    Anyway--

    I was left with huge hyperpigmentation after five massively purpuric V Beams. I waited four months after the last treatment, and then had a gentle, non-purpuric V Beam. Two months later, I had another gentle non-purpuric V Beam.

    Now, one month after that V Beam, ALL of my hyper pigmentation is totally GONE.

    So for me, with massive hyper pigmentation from five incredibly hot and painful purpuric V Beam treatments, the trick was to
    1. heal for 4 months after the last bruising treatment, then
    2. get a gentle V Beam;
    3. heal for 2 months, then
    4. get another gentle V Beam;
    5. heal for 1 month

    and Voila! All gone.

    Good luck to you, we're all rooting for you.

    -WC
    58 yr old woman
    Rosacea at 48, debilitating at 52
    Clonidine 100mgc ev. 8 hrs;
    Remeron 15mg nightly;
    Zebeta=Bisoprolol=Beta blocker 5mg nightly;
    Brimonidine worked well initially, then MASSIVE rebound flushing and damage;
    Countless IPL with Lumenis One;
    Now purpuric V Beam with Candela Perfecta; more clearance, less downtime than IPL;
    Botox (with mesotherapy needles), good not great results;
    Monthly Kenalog injection to blunt debilitating flushing.

  9. #9
    Member
    Join Date
    Sep 2010
    Posts
    76

    Default

    Thank you for your response WC, it means a lot to me.

    I wish I had your level of confidence regarding my hyperpigmentation. My derm hasn't officially diagnosed it as such, but when I see him in a month (and I'm sure these marks will still be here then), he will most likely diagnose it as such.

    I just always fear the worst. This area of my face is so emotionally charged for me that everything that happens to it affects me greatly.

    I mean, the bruise acted like a normal bruise, it did not blister, only scabbed in one small area, so I doubt the treatment was dangerously strong or anything.

    Ideally, I would like to let it resolve on it's own, but I cannot keep affording to put my life on hold for these marks anymore. Two years is simply too long to wait. These past three years for me have felt like a lifetime of waiting, with far too many ups and downs.

    I just fear that another v-beam would cause things to worsen, even if it is gentle, but I have heard from others as well that gentle treatments would probably speed the fading process as it would eliminate the hemosiderin or iron deposits.

    Can I ask you, in the four months you waited between treatments, did your hyperpigmentation fade at all? What I really don't want to happen is that the days and months roll by, and I sort of trick myself into thinking it's fading, and then I wake up 6 months from now and realize it has not faded at all.

    Again, thank you for the advice WC

  10. #10
    Senior Member nat007's Avatar
    Join Date
    Jun 2005
    Posts
    1,906

    Default

    Hi LBW,

    I am really sorry if you feel I was having a rant at you, which was def. not my intention. I really feel for you, and for how much stress and anxiety this is causing you. I know very well what you are going through, as many with rosacea will. The idea that your life is on hold and it will only be like what it used to be if the rosacea is gone. We all have bought countless creams in the hopes of finding one wonderctream that solves it all.
    Also, I have had an IPL treatment in 2005, when my rosacea was bad, but not too bad. It went wrong, the guy treated me too strong and whereas I used to flush only on the temples of my cheeks, afterwards my full face was bright red and flushed, and it has been like that till now. I was bright red, swollen and in pain for a year, and just because one laser treatment went wrong. I felt almost suicidal at the time. The docotr just ssaid it wasn't his fault and he never had something like this with another patient. Ok, thanks.....
    So I really know what you mean when you worry why you did this to yourself, why the doctor didn't do it right etc.
    It's just that it will help you, regardless of the marks and if they will fade eventually, to find some sense of calmness, as all the stress and anxiety is not good for both your mental and your fysical well being.
    But I know you can't just 'order' that, so that's why I wrote that it might be a really good idea to talk about this all with a councelor too. You are more then these marks. It would be best and most easy of course if you can just get rid of the marks, but if not, you will have to accept perhaps that everybody has something, sometimes visible to others, sometimes not, but that nothing is worth getting your life on hold for. I bet you are a pretty girl, sweet, intelligent etc, but you are doing yourself injustice by defining yourself by your marks.

    Why not give your skin some extra time to heal, before deciding if you will proceed with another laser treatment or not? You can't turn back things once they happened, so often it's best to wait things out and decide when you aare fully certain about something. WC is probably right, and the marks will fade. Isn't there something you can put on it, to calm it even more? Aloe vera perhaps, or pcle cream? And to calm down the distress and anxiety, perhaps try to find some distraction, go out, regardless of the marks, watch a movie, do things that take your mind of it and that will comfort you. I say this, because I have been in your situation as well; in the year after that laser treatment I was someimes so anxious, I was hyperventilating and just trembling all day from the stress, and I had a friend or my dad with me at all times to not go nuts.

    What helped me for both my flushing but also my mental state was a med that's called remeron; it is an antidepressant and anti-anxiety med. I felt so much better within a month, I can't describe you the difference. It saved my life I think I can honestly say. The anxiety band depression have never since returned luckily. But it was some dark place.

    Best of wishes, Natalja

Similar Threads

  1. V-beam Induced Hyperpigmentation
    By Slivovice in forum Intense pulsed light and laser
    Replies: 57
    Last Post: 5th February 2011, 06:51 PM
  2. Severe hyperpigmentation after v beam-Help!
    By Jean08 in forum Intense pulsed light and laser
    Replies: 8
    Last Post: 16th May 2010, 02:08 PM
  3. V-beam- Is this hyperpigmentation- Will it get better?
    By angel in forum Intense pulsed light and laser
    Replies: 4
    Last Post: 15th January 2010, 11:58 AM
  4. Hyperpigmentation Following V Beam
    By roz in forum Intense pulsed light and laser
    Replies: 3
    Last Post: 11th July 2009, 12:59 AM
  5. RLT for hyperpigmentation?
    By Miki in forum Low level light based therapies
    Replies: 0
    Last Post: 22nd March 2007, 04:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •