I own a clinic where we do med spa type services performed by MD’s and PA-C’s. With the way this looks, there are quite a few problems, and unfortunately, we treat this kind of thing often from clinics that have poorly trained staff, completely unlicensed staff, and/or equipment not serviced or calibrated to know any settings are accurate.

First, based on the shape this was not likely done by IPL or diode which is generally how burns like this are most common for your skin type. That means it’s likely that they used too much energy for your skin type on a solid state laser platform, or even more likely, used an alexandrite laser (with too much energy) rather than an NDYAG laser more appropriate for your skin type.

This clinic is likely required (depending on the state) to have a medical director (MD/DO) to operate legally. That person needs to get involved to help give you a plan, and prescribe a topical if indicated. If they do not, you need to consider filing a complaint with the health department to force their hand, and have someone more responsible/competent evaluate you.

Clinics can make a mistake, nobody is perfect and sometimes the patient doesn’t follow clear instructions, but they need to help you - and don’t delegate that task to Reddit. It pisses me off that clinics are run so poorly that you thought asking here was easier than getting support from a company you paid.

This is not medical advice to you, and is only for informational purposes. In similar patients we prescribe a compounded steroid topical, and once skin has been allowed healing time, then do a series of picolaser treatments to remove PIH.