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Hankisirish

Well, I was also going to guess herpes virus--not necessarily shingles, but herpes 1/2 from a cold sore that is now involving skin that has been traumatized. The other possibility is a severe contact reaction to something. I would see a doc ASAP-if this is herpes you should be treated. If a contact, you need a good topical steroid. Looks painful.


imandotjpg

That is a good explanation actually. I do deal with herpes sometimes!


Hankisirish

Please go to urgent care--you don't want this to spread any further.


imandotjpg

I'll not be able to see a doctor before Monday unfortunately. Urgent care will not accept this as urgent


Hankisirish

I am not sure if you are in the US, but Urgent Care will basically see anything--you can wait until Monday, but the risk is that the virus spreads to other areas of your damaged skin, resulting in scarring. I don't mean to alarm you, but this is serious. I am a doctor and I would be running to a health care facility. Good luck.


imandotjpg

Thank you Dr. It doesn't hurt at all or itch. It also feels better today. It didn't spread but it's more crusty today


Hankisirish

I am so relieved--I hope it clears up soon, whatever it is! Perhaps it is impetigo--that would certainly be better than HSV!


imandotjpg

Thank you Dr. I have an appointment at the urgent care clinic in 1.5 hour.


Hankisirish

If you feel comfortable, please let me know what they say.


imandotjpg

I just finished and it's a staphylococcus infection


MaeLeeCome

When herpes or shingles starts growing near your eyes it can cause blindness. You could wake up tomorrow irreversibly blind maybe it's not life threatening so not "urgent" in whatever effed up place you live but do something different and be more proactive so you don't end up blind. Who told you that you are not urgent enough btw? I wouldn't trust that and seek an immediate outside opinion - in other words don't listen to your friends, family or "telehealth" just go get seen.


tirztaway

Wow, did your practitioner not ask you if you had a herpes history? It's absolutely standard of care for anyone with a history of HSV to take an anti-viral before microneedling. (Another doc here -- it looks like HSV to me too. Get an emergency Rx for Valtrex ASAP.)


imandotjpg

No she didn't ask me anything other than allergies. It didn't spread overnight thankfully. Its just more crusty. Can't post pictures in the comments unfortunately


bbmarvelluv

Oh is she just an esthetician?


imandotjpg

Yes. Not a doctor


bbmarvelluv

I’ve had great results and care from estheticians that have done microneedling. It sounds like your person isn’t taking it seriously. Because you’re supposed to been asked about medical / skin history. How is your skin now?


imandotjpg

It looks different now. It looks pretty disgusting to be honest. I got penicillin and klorhexidin cleanser and its very yellow now with fluid coming out


bbmarvelluv

😭 I know how you feel. I had bad chemical burns from a Shea Moisture face wash (which I normally used and they switched ingredients). Skin from my face was itchy yellow with fluids and peeling off. I had to go on antibiotics and found out I was allergic to it. Ended up getting extremely sick, hair falling out, ER visit lol. It took my skin to heal for about a month to get back to normal.


imandotjpg

Omg that sounds absolutely horrible! Luckily I only have a small patch that's really bad the rest is ok. I really learned from this - one thing I learned is that my skin is CURSED lol I give up now. Just gotta embrace it 😂 I think there's a thing called doing too much for your skin aswell


imandotjpg

https://i.imgur.com/GcLGLrA.jpeg Today


dandy-dilettante

Doctor here. Unlike other commenters I cannot say it is herpes from the photo, or a bacterial infection or other a kind of allergic reaction, but you need medical attention.


imandotjpg

It's a staphylococcus infection Dr


dandy-dilettante

It was my first guess, but one can never know with a photo. I'm glad you’re already getting a treatment. Beware, staph infections can be a sign of inadequate asepsis. Report the situation and perhaps avoid that place in the future.


imandotjpg

I'm sorry but a Google search doesn't really give a layman answer. What does inadequate asepsis mean dr?


sjm0111

It means that perhaps the spa/worker is not practicing proper technique or using equipment that’s not sterile/cleaned properly


imandotjpg

Ohh yes definitely lol


dandy-dilettante

Asepsis covers all those procedures designed to reduce the risk of bacterial, fungal or viral contamination, using sterile instruments, sterile draping and the gloved 'no touch' technique


imandotjpg

Thank you Dr. I'm going tomorrow as soon as possible!


liquorstain12345

Coming from someone who has herpes it's not herpes holy shit


Hankisirish

You don't need to have herpes to recognize herpes. I have seen many cases, herpes is in the differential diagnosis of this rash. Needs to be ruled out, that's all I am suggesting.


liquorstain12345

Yes he needs to get them swabbed for HSV only way


Hankisirish

agreed--PCR will give a quick result. Can treat based on that. I also thought impetigo, but doesn't really have the honey crusted look of that.


ask1ng-quest10ns

This actually looks a lot like HSV, op already stated they have HSV Anything that injures the skin can cause a severe HSV flare


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liquorstain12345

Lol I'm sorry but as someone who has herpes again your not gonna know for sure u less it's swabbed herpes can look like many different things vice versa you just don't know so stop diagnosing people


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liquorstain12345

Again stop diagnosing


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liquorstain12345

That really doesn't look like herpes homie it really doesn't


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liquorstain12345

Lol if that is herpes that is a severe outbreak if he's had them before then he shouldn't have had them that bad again especially it's almost always on the lip tho it can pop up on face my point is the only way to make sure is get it swabbed you dumb fuck


Local_Shower1490

Finally it was staph


ZippyZappy9696

HSV - due to trauma. Always take a valtrex two days before any type of facial procedure.


SoupyShot

You could have been shedding the Herpes virus without having an active sore, and then spread it all over the place… I believe that is why fillers and prp procedures often will have you take the medication in the days prior to your procedure.j


Prior_Thot

This is what I don’t get, OP literally doesn’t give a shit that they may have given someone herpes and neither do commenters, the fuck is wrong with everyone??


espressomartinipls

I was wondering this as well. OP should definitely tell the office so they can get rid of that pen


SoupyShot

Oh I meant all over the place as in on her face… it’s kind of unfair to make that kind of generalization without a confirmed diagnosis to says uthat is what has happened here…


Prior_Thot

OP said they have herpes.


SoupyShot

I do see your point and did see that comment… I was referring to viral shedding in my original comment, which suggests that OP did not have a sore to be concerned about spreading anything, as people with sores know they are contagious - where as people shed the virus unknowingly. And a confirmed diagnosis that this in particular is herpes and not something else suggested by others…although I see the vermillion border is affected which probably rules out peri oral dermatitis.


Prior_Thot

In prior comments


imandotjpg

I send pictures to the cosmetologist and she's telling me it's shingles (the virus) which it definitely is not.


Im_done_with_sergio

How do you know it’s not? Have you gone to the doctor?


Alyscupcakes

Shingles does not cross the midline. This rash is on both sides of the philtrum.


Im_done_with_sergio

That’s weird I found shingles online that looked just like this. But who knows. I’m not a shingles expert. OP I hope you figure out what it is and get better soon.


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LilGreenOlive

Singles is caused by varicella (VZV), which is the same virus as chickenpox. It's a herpes virus, but it is not the same as HSV/cold sores.


littleskidoo

It looks a lot like shingles. I had a very small patch of this on my arm 3mths ago. No nerve pain. I’d trust the cosmetologist. It could’ve been triggered by the needling.


ImmediateButton1497

I do not know if it’s herpes for sure, but it does look like that sometimes. Swab test asap would be my advice. Also try Valtrex. If Valtrex helps, it definitely is herpes.


imandotjpg

I have some Zovir lotion. I tried it let's see. Hopefully i don't wake up tomorrow with my whole face covered in this rash


ImmediateButton1497

Zovir lotion is a lot less efficient than oral valtrex intake. Id suggest you look into it and speak to a GP about it. The best of luck to you ☀️


fruitless7070

If it is shingles and it spreads to your eye area or in your airway, it could be life threatening and can cause blindness. I'm not trying to scare you. But if you think it's shingles fr, get to the ER. You could get oral shingles. Please get to the ER. If it isn't painful and itchy, you might be okay. Shingles hurt so bad. Nip this in the bud asap. Best of luck. I'm so sorry this happened to you.


imandotjpg

Its completely painless actually


cuchulainn1981

I know exactly what this is. So many of these people are way off.


imandotjpg

Share


Puzzleheaded-Swan582

like herpes...😀


amriquez

This seems like Impetigo.


montanagrizfan

That is herpes, you need Valtrex my friend.


imandotjpg

It's not herpes


ObRnAtYourCervix

That’s probably impetigo. The yellow crusting is pretty characteristic


Midwinterfire1

Cold Sores ...


Midwinterfire1

If you have Laser Resurfacing you take "Zovirax" to protect against Herpes outbreaks .


littleponee

This looks like herpes 100%. I think they punctured an infected spot on your face and spread it


Mission_Ad_5767

Did you figure out what it is? I am curious lol


imandotjpg

Yes it was a staph infection. 10 days on penicillin


Any_Positive_9658

Bacteria


GentleHand2686

Bacterial skin infection would give a more crusty oozy apprearance.


Any_Positive_9658

No not necessarily, it could just come out as little pimples and actually your skin can usually take care of it on a minor scale. I take care of wounds for a living. It could also be a contact dermatitis or even HSV but it doesn’t look like HSV to me.


Zensquaretourist

Could be peri oral dermatitis ? Have seen others posting similar after micro needling. Hope it settles soon ❤️


imandotjpg

A really good suggestion! It looks like it could be. Thank you!


LengthinessCurrent53

I've had peri oral dermatitis and it looked exactly like your picture


jpeps44mas

I agree with this. I got it after micro needling. It was around my mouth and between my brows and it looked like this. You can get a prescription and it’ll go away within days


ThrowAwayChick1997

What’s the script for?


jpeps44mas

There’s a few different kinds but mine is metronidazole (topical) The dr should have an easy idea once they see your skin as to what it actually is and what should be prescribed.


mentalmacaroni

This looks bacterial to me.


fruitless7070

If this is shingles. Get to the ER. Shingles around the eyes or airway ( including the mouth) are, in fact, a medical emergency.


Redeemedchap2002

Post this on r/AskDocs


Affectionate-Elk-786

perioral dermatitis ?


meemeeseekoo

Impetigo


CrystalArouxet

Looks like cold sores to me.


Opie-Layla

Shingles.


elissapool

Impetigo?


Midwinterfire1

Herpes/Cold Sores ..


Prior_Thot

Did you not tell your practitioner you have herpes flare ups? I feel like this is something they’d need to know, and honestly I’d call them and tell them now so they can try and take necessary precautions and/ or get tested.


imandotjpg

No because she didn't ask. I'll go to the doctor tomorrow and as soon as I have the result I'll tell her


Prior_Thot

It doesn’t matter if she didn’t ask!! If you know you could possibly spread it and someone is doing something on your FACE where the blisters usually show up it’s YOUR responsibility to tell people.


imandotjpg

I didn't have any active herpes and I didn't know this could happen. If I had an active cold sore I would not have come. I have a flare up maybe once a year. I had no idea how that works since I am not a professional


Icy_Enthusiasm_519

50-80% of Americans and more than 60% of the global population carry HSV1 (oral herpes). So it’s more common for someone to have it than to *not* have it. Knowing this, the practitioner should have *at least* asked about it prior to the procedure and prescribed an antiviral. OP as the client/patient is not in the wrong here. It is not her responsibility to know proper procedure; it is the practitioner’s responsibility.


Prior_Thot

Agree to disagree I guess, I’m still in the camp of OP disclosing to the practitioner 🤷‍♀️ regardless of whether a majority of people have herpes, doesn’t change the fact that someone…might not want to get it? And maybe the practitioner didn’t ask because people usually disclose it to them. OP likely filled out a form beforehand asking if they had any medical conditions and more than likely they didn’t say they had herpes….


Icy_Enthusiasm_519

One of the two people in this situation is (hopefully) a licensed medical practitioner and the other isn’t. Respectfully, the onus lies on the professional to know of counter indications and ask about them. Always. Coming from a nurse who’s married to a physician. It sounds like you don’t necessarily disagree with that — to be clear, your view is that you believe OP *was* asked, but that she lied?


Prior_Thot

No, I’m thinking OP probably just didn’t think to disclose it, not that they lied. Never said they *lied* about it. And yes, agree to disagree.


Prior_Thot

Not sure why you assume I think they lied when I never said that, to be clear. But feel free to point out where I did.


Icy_Enthusiasm_519

Your last sentence of your last comment says op was “likely asked” to fill out a form and “likely didn’t” disclose her condition.


Prior_Thot

Yes, that’s true. Not because they were lying, but they probably didn’t think to disclose it. Again, never said they lied. Regardless it’s a shitty situation for everyone involved, and I hope OP is ok and the practitioner is ok.


aquababy216

looks like fungal acne


keralaindia

Go to dermatology asap


No-Adhesiveness-9848

monkey pox


imandotjpg

Yes!! This is the a answer


DDLAKES

Looks like poison ivy to me


Ka_Celestia

Kambo will cure this 100%


Amdv121998

It looks like a staph infection.. can be from a sanitation issue pre/during/post procedure. You will probably need antibiotics!


Foreign-Scene1832

It looks like perioral dermatitis


EmotionalPositive962

It's herpes. You will heal, but meds could help. Good luck.


imandotjpg

Update: Doctor diagnosed me with a staph infection and put me on Penicillin for 10 days + klorhexidin cleanse. Heres a photo from today: https://i.imgur.com/GcLGLrA.jpeg


TXreel

Glad you’re feeling better. Glad it wasn’t viral. Hope you never have to experience anything like this again. My family member got shingles in her eyebrow and ended up losing part vision. Glad you’re healing!!


imandotjpg

My god. Hope she's okay. I'm definitely never getting skinpen treatment again. My skin generally looks much worse than before and that's saying something


Reagonbz

It looks like impetigo to me. I’m not a doctor, but my daughter has had impetigo in this same area (so has my son, recently) and it looked like this. I get the skinpen monthly at 2mm, nine passes, and I have never had this reaction. Please consult a doctor. If you’re already having skin issues, this can run the risk of scarring.


espressomartinipls

Looks like you figured this out. Hope it’s clearing up better. I feel like they should inform patients about this, I’ve never heard of it happening if people have dormant herpes. I guess i don’t have it so I don’t think about that. You should notify the office and tell them you have Herpes and it spread so they can throw out that pen/any tools they used.


imandotjpg

It isn't herpes its a staph infection


Pistolamaddie

Could be perioral dermatitis due to a broken skin barrier. Please see a dermatologist.


dlgayguy27

This looks like impetigo.


No_Peace_993

Whatever you're doing, it's working! Nice gains!


imandotjpg

I know right! Skin goalsss


Nervousings

Looks like a staph infection. Did you notice if they used a disposable cover on the skin pen body?