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15 Green Lane East, Remuera,  Auckland, New Zealand
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Monday - Friday: 7:30 am - 5:30 pm

Why choose this method?

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-Acne-induced inflammation can cause post-inflammatory Erythema (PIE)

-Consistent use of sunscreen can significantly decrease redness-vascular lasers offer a highly effective and efficient solution to reduce redness

-Preventing the formation of new acne spots is crucial for long-term results-in cases where both red and brown marks are present, Picosecond lasers may be beneficial.

Treatment at a Glance

Best outcomes

:

2-4 sessions

Procedure time

:

10-30 minutes

Duration of results

:

Permanent

Back to work

:

Dependent on surgery 2-7 days

Recovery

:

0-3 days

Anaesthetic

:

Not required or topical anesthetic cream

Your specialist

:

Specialist Laser Nurse

How much

:

$-$$

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Our results speaks for themselves (Before & After)
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After
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Before
After
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Frequently Asked Questions

What causes PIE, and how does it differ from PIH?

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Post-inflammatory erythema (PIE), also known as macular erythema, refers to flat, red scars that result from inflammation caused by various conditions, including acne, chickenpox, and trauma from peels and lasers.

Unlike PIH, which is a form of hyperpigmentation that predominantly affects darker skin types, PIE can occur in both light and dark-skinned individuals. The natural course of PIE involves gradual improvement over a period of 2-12 months. However, in some cases, it may take 3 years or longer for the scars to fade.

How can PIE be treated effectively?

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The most effective way to manage PIE is to apply sunscreen regularly, especially in the early stages, as this can significantly reduce the likelihood of developing PIE.

For established red scars, a vascular laser is often used. This type of laser targets the haemoglobin in the blood vessels, heating them up and causing the small capillaries to collapse, thereby improving PIE. In cases where both red and brown scars are present, a picosecond laser may be used instead.

What determines the number of treatments needed for PIE, and which treatments are best for certain types of scars?

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The number of sessions required to treat PIE depends on the duration of the scars, your skin type, and your response to laser therapy. Typically, patients require between 2-4 sessions spaced 2-4 weeks apart. However, if you have darker skin or resistant scars, you may require four or more treatments.

For atrophic scars; CO2, RF microneedling or fractionated CO2 with laser assisted drug-delivery is the preferred treatment option. On the other hand, if you have post-inflammatory hyperpigmentation in addition to PIE, picosecond lasers are the most suitable choice.

How can I determine if this treatment is suitable for my scars?

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A consultation with a specialist dermatologist is necessary.

Can microneedling effectively reduce the appearance of red scars or PIE?

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Microneedling may provide some marginal benefits in improving the appearance of red scars or PIE. However, its main function is to facilitate the delivery of topical treatments into the skin. In the context of treating red scars, laser therapy is generally more effective than microneedling.

Which devices are used at Scars and Lasers to treat PIE, and how effective are they?

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At Skin Specialist Centre, we offer several vascular laser options to treat PIE or red marks. Click below to learn more about the laser:

  1. ExcelV
  2. VBEAM Perfecta
  3. Laser Genesis

All of these devices are effective in treating PIE, and the appropriate device for you will depend on the specific characteristics of your red scars and skin type.

What other scar revision techniques for acne scarring are available at Scars and Lasers?

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In addition to laser therapy, our dermatologists and nurses offer several other scar revision techniques, including:

  1. Deep focal peels: Using TCA in a technique known as CROSS.
  2. Laser resurfacing: Full ablation using CO2 lasers.
  3. Fractional lasers:Alma Hybrid
  4. Subcision: Using techniques such as , blunt cannula and hypodermic.
  5. Surgical: Punch elevation, excision.
  6. Dermal filler +/- sculptra (biostimulators)

These techniques can be tailored to your specific needs and may be used in combination with laser therapy for optimal results.

Is laser treatment for PIE a painful procedure?

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Laser treatments for PIE are typically not painful. The lasers we use come equipped with a cooling system to minimize discomfort and potential side effects. If needed, a topical anesthetic cream is offered. The treatments usually takes around 5-10 minutes to complete.

What is the typical recovery time following vascular laser treatment, and what factors influence the downtime?

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Recovery time following vascular laser treatment depends on the type of settings used. We offer two settings:

  1. Minimal downtime or no purpura (bruising settings): This setting is recommended for darker skin types or those who prefer to avoid bruising. However, it may require more sessions to achieve optimal results.
  2. Purpuric or bruising settings: This setting may cause bruising that lasts 3-6 days but is indicated for lighter skin types.

Prior to your laser appointment, your dermatologist or laser nurse will advise you on the appropriate settings based on your skin type and specific needs. In general, the more aggressive the settings, the longer the downtime, but the better the outcomes.

Are creams effective in treating PIE, and which ones are recommended?

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Topical anti-inflammatory creams prescribed by dermatologists can be effective in treating PIE. However, over-the-counter creams may not be as effective.

It is important to note that consistent use of sunscreen is crucial in managing PIE and can make a significant difference in improving the appearance of red scars.

Why is sunscreen essential in managing redness or PIE, and how should it be applied?

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Sunscreen is crucial in managing redness or PIE since exposure to UV rays can exacerbate the condition. To protect your skin, it is recommended to use a cosmetically elegant, stand-alone sunscreen such as La Roche Posay or Avene.

To use sunscreen effectively, apply 2-3 ml to your face and neck in the morning. For optimal protection, reapply the same amount of sunscreen at noon.

What factors should be considered before undergoing PIE treatments, and what should patients keep in mind during their journey?

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Before undergoing PIE treatments, it is important to keep in mind the following points:

  1. Control your acne to achieve the best results with any scar revision treatment. Seek the help of a cosmetic laser dermatologist if necessary to achieve optimal control.
  2. Sun protection is paramount. Use SPF 50+ sunscreen twice a day regardless of exposure.
  3. More than one treatment is typically necessary to achieve optimal results. Patients with severe PIE may require 3-4 sessions, while those with deep red scars may need up to six or more sessions.
  4. Darker skin types may require more sessions compared to lighter skin.
  5. The settings of the laser used for treatment are crucial for achieving the best outcomes. The correct choice of laser brand is also vital for good results.

By keeping these points in mind, patients can achieve the best possible outcomes and maximise the benefits of their investment in scar revision treatment.

Contact Our Friendly Staff

For all appointment enquiries, medical referrals and urgent enquiries please contact us at info@scarsandlasers.co.nz or (09) 524 5011.

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