Problems with skin texture and color after a laser treatment – Pearl Fusion.

I had pearl fusion done one month ago,and the skin around my eye area has mild laser marks,but the skin texture is rough and looks "dirty",worse than before the treatment...I'm also using the hydroquonion/retinol cream,and its making me break out.. I'm very frustrated, and not sure what my next step should be?

Bottom line:  This laser is a “fusion” technology by Cutera (laser using a 2790nm wavelength) which unless used perfectly, in my opinion, is more likely to cause post procedure and healing problems because it targets some of the dermis but also treats the outer layer (epidermis) more intensely.  This makes the marketing sound great but also may cause more problems post procedure.

Here are some general thoughts:

  • Please go back to your doctor and discuss these problems;
  • Remember that your skin, after any laser that “breaks the skin,” is not it’s usual resilient self for 30-45 days – things that usually don’t irritate, may irritate it temporarily;
  • Remember that both the retinol and hydroquinone can cause irritation just by themselves, in combination and in combination with already irritated skin;
  • Irritation can make the skin rough and cause more pigment to form
  • In that vein, your doctor may want you to change to bland creams like CeraVe and use a high zinc (10% or greater) sunscreen and possibly even an antiinflammatory cream temporarily, but please discuss with him/her.

Hope this helps,

Dr. I

Dr. Brandith Irwin, MD

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