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What Caused my Red Itchy Bumps/rash on my Legs After my Second Laser Hair Removal Treatment?

Sometimes this can happen due to the increased settings with each treatment. Try not to scratch the area as much as possible to avoid further irritation. You may try taking an antihistamine and applying hydrocortisone a few times a day to relieve redness and itching. It is always best to avoid rubbing/scrubbing the area after a treatment and to avoid sun exposure, hot showers/baths, pools, oceans, jacuzzis, or hot saunas for a few days after your treatment to reduce further irritation of the hair follicles. Use gentle cleansers and moisturizers as well. Sometimes these rashes can result in hyperpigmented spots, but usually these spots resolve over time. If you do not notice an improvement or worsening of your rash, contact the person who performed your treatment so that you may be evaluated.

Clinical Context

Laser energy targets pigment inside hair follicles, and the resulting heat can trigger local inflammation that looks like small red, itchy bumps or hives. This is more likely when treatment settings are increased, since higher energy affects more follicles. Redness and itching usually improve as the skin calms down, and any temporary darker spots tend to fade as skin renews. If irritation is severe or does not improve, follow up with your treatment provider.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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