Experience with Pico Laser Treatment
I underwent a pico laser session yesterday and observed my skin's condition shortly after the procedure—about an hour and a half later. By the evening, it showed slight improvement, but by the time morning rolled around, my skin reverted to its post-treatment state. This was my fourth procedure, and I had never experienced such a reaction before; in fact, my skin typically shows consistent improvements rather than a decline or stagnation following treatment. I’m currently taking a 10mg dose of accutane, which I’ve done previously without issues. Given this context, I’m curious if this kind of response is typical after a pico laser treatment and what steps I could take to address it. Details about me: 19 years old, female, weighing 58 kg, and standing 169 cm tall. I’m currently on isotretinoin (accutane) at a 10mg dosage and do not smoke. How should I proceed?
Answers (1)
2/12/2026, 12:50:36 PM
OpenHealth AI
It's understandable to be concerned about your skin's reaction after a pico laser treatment, especially since you have a history of positive results. Let's go through your situation and outline what steps you can take.
Main Points:
- Fluctuating skin response post-pico laser treatment can happen, particularly when on isotretinoin (Accutane).
- It's essential to manage expectations and monitor how your skin reacts during this recovery phase.
Explanation:
Pico laser treatments are designed to improve skin texture and tone but can lead to temporary changes, especially if you're on isotretinoin, which makes your skin more sensitive. It's not unusual to see some initial improvement followed by a brief regression in the healing process, as your skin may be adjusting to the treatment. Your skin's response can be influenced by factors such as sensitivity from isotretinoin, your skin type, and any existing inflammation or irritation.
Next Steps:
-
Gentle Care: Be extra gentle with your skin for the next few days. Use a mild cleanser and avoid any harsh scrubs or exfoliants.
-
Moisturize: Apply a hydrating moisturizer to keep your skin barrier healthy. Look for products free from fragrances and alcohol, which may irritate your skin.
-
Sun Protection: Ensure you are using a broad-spectrum sunscreen. Sunscreen is crucial post-laser treatment as your skin can be more vulnerable to UV damage.
-
Observe Changes: Keep track of how your skin looks and feels over the next week. Are there any new irritations, or is the redness persisting?
-
Modify Follow-Up: If symptoms do not improve or worsen, consider discussing your experience with your laser treatment provider. They may need to adjust your treatment plan or take additional precautions due to your isotretinoin usage.
-
Hydration and Nutrition: Drink plenty of water and eat a balanced diet to support skin healing.
If you notice persistent adverse reactions or have any severe symptoms (like excessive swelling or pain), it's essential to reach out to your healthcare provider for further evaluation. Trust your skin's healing process, and remember that gradual improvement is often part of the journey.
Related Questions
Elevated Vitamin D Levels Following Parathyroid Surgery
Patient Profile: Female, Age 44 Medical Background: - Chronic kidney stones - Renal Cell Carcinoma, underwent total left nephrectomy in 2017 - Parathyroidectomy in 2018, during which 2.5 glands were excised - BRCA2 gene mutation - Type 2 Diabetes, well managed with an A1C of 5.5, currently taking 1000 mg of Metformin and 7.5 mg of Monjaro - Diagnosed with Rheumatoid Arthritis, treated with Imuran at 150 mg - Mast Cell Activation Syndrome (MCAS), managed with Allegra, Pepcid, and Xolair at 300 mg In 2018, I was diagnosed with parathyroid hyperplasia and had surgery to address it. My calcium levels were never alarmingly high, typically hovering around 10.2, yet my PTH was unreasonably elevated at 90. The surgical procedure yielded the removal of 2.5 glands, as the fourth gland was not located during the operation. After the surgery, half of one gland was retained in the event that only three glands were present. Despite undergoing scans, the fourth gland has still not been located. Throughout my medical journey, both my calcium and PTH levels have remained on the borderline of abnormal. Recently, upon reviewing my latest blood test results, my calcium was recorded at 10.3, while my vitamin D level alarmingly soared to 154. My primary care physician opted not to conduct a PTH test this time since it had been normal previously. I am concerned about this spike in vitamin D. Over the years, I have consistently taken a daily dose of 5,000 IUs of vitamin D due to a time when my levels were dangerously low. Now, I undergo blood tests biannually due to my health concerns. Historically, my vitamin D levels have remained below 40 despite prolonged supplementation. My PCP suggests that my body may now be more effective at absorbing vitamin D, recommending that I discontinue the supplement. However, I am apprehensive about this sudden increase in my vitamin D, especially since I have adhered to the same dosage, brand, and timing for three years without any changes. Why has my vitamin D level risen threefold in just six months? My PCP has declined to repeat the calcium, PTH, or vitamin D tests until I have been off the supplement for a month. I have a solid rapport with my PCP, but I worry that he does not fully grasp the complexities of my parathyroid condition, especially given that my calcium levels have never reached 11. I would truly appreciate any insights on this matter, as I am keen on safeguarding my remaining kidney.
Temporal Meningoencephalocele: Seeking Guidance on Next Steps
An abnormality has been identified in the temporal bone situated above the middle ear on the right side, where it appears either fragile or absent. There is a minor projection of soft tissue that has entered the middle ear area, resting on the ossicles responsible for hearing. The individual experiences no discomfort or significant pain, though a slight reduction in auditory perception has been noted. Assessment reveals no signs of increased pressure within the skull or leakage of cerebrospinal fluid. Interestingly, there's a recurrent sensation of hearing one’s own pulse, alongside an unusual perception of movement from the right eyeball. I find myself at a crossroads regarding the best course of action—whether to pursue surgical intervention or adopt a strategy of observation. Medical professionals have indicated that the decision lies with me; however, I seek to comprehend both the potential risks associated with surgery and the implications of leaving the situation untreated. This appears to be an uncommon condition, and I would greatly appreciate any shared experiences or insights from others who might have faced similar circumstances. A bit about myself: I am a 42-year-old female, classified as overweight, yet I am not currently on any medication and do not have other medical issues.
Should I be concerned about the endoscopy results not indicating cancer?
Hello everyone, I'm a 30-year-old female, standing at 5 feet 4 inches tall and weighing roughly between 12 and 13 stone. I had a cesarean section a bit over a year ago, and I also have polycystic ovary syndrome (PCOS). Throughout my life, I have occasionally dealt with heartburn, but about six months ago, the frequency escalated to a daily occurrence, and over-the-counter remedies like Gaviscon were no longer providing relief. After some time, I underwent an endoscopy, which revealed ‘mild non-erosive gastritis’. During the procedure, they conducted a biopsy for Helicobacter pylori (H. pylori) which returned negative. Since I had only been off proton pump inhibitors (PPIs) for five days, they also recommended a stool test after I discontinued my PPI for an additional two weeks. This test also yielded negative results. As a result, I was prescribed a six-week regimen of daily omeprazole. This medication effectively alleviated the heartburn; however, I continue to experience a pain in the lower chest and upper stomach area that intensifies after eating or drinking. I find myself questioning whether omeprazole should have resolved this issue completely. I am scheduled to finish my course of omeprazole in a few days, but my ongoing pain has left me anxious. I am concerned that the endoscopy may not have captured all issues, including the possibility of missed cancer. Are the results of such procedures generally reliable? Would you suggest pursuing a follow-up endoscopy?
Does Using Cannabis Prior to a Thyroid Blood Test Affect the Results?
As a 30-year-old woman, I am preparing to undergo my very first blood tests to check for possible thyroid problems. Unfortunately, I neglected my appointment earlier today and, well, I partook in some cannabis before realizing my mistake. With my test scheduled in just four hours, I'm unsure whether I should reach out to cancel. Securing this appointment was quite challenging, and I hope to avoid canceling if at all possible. However, if it's necessary, I will consider it.
Should I Be Concerned?
I’m aware that I have gallstones, and I felt prepared for that diagnosis. However, the discovery of the lesion is truly alarming to me. **Findings:** 1. An indeterminate lesion located in the right hepatic region. An MRI of the liver is suggested; this should be done non-emergently, with and without the use of contrast. 2. There are gallstones present, but no signs of obstruction in the bile ducts or acute inflammation of the gallbladder based on the ultrasound findings. Clinical correlation is advised. **Reason for Examination:** R10.11 - Pain in the right upper quadrant. Previous comparison was made on August 28, 2021. **Procedure:** An ultrasound of the right upper quadrant was performed via transabdominal method. **Analysis:** The pancreas was largely obscured, making evaluation difficult. The visualized aorta and inferior vena cava (IVC) appeared normal. The liver exhibits normal dimensions at its upper limits and has a generally smooth outline. However, there is a lesion in the posterior segment of the right lobe, characterized by mixed echogenicity, measuring approximately 3.3 x 3.1 x 2.9 cm, which the ultrasound could not definitively classify. The common bile duct is within normal limits at a diameter of 3 mm, with hepatopetal blood flow seen in the main portal vein. Moderate gallstone disease is present with no notable pericholecystic fluid or positive Murphy’s sign on ultrasound. The gallbladder wall thickness measures 2 mm. The right kidney measures 10.2 x 4.1 x 4.8 cm, showing no significant lesions or signs of hydronephrosis. Additionally, there is no free fluid observed.