San Diego IPL doctors

Bryan K. Chen, MD Bryan K. Chen, MD
San Diego Dermatologist
10672 Wexford Street Suite 205, San Diego
4 answers
Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
3 answers
Jason R. Lupton, MD Jason R. Lupton, MD
San Diego Dermatologist
12395 El Camino Real Suite 117, San Diego
3 answers
Amir Moradi, MD Amir Moradi, MD
San Diego Facial Plastic Surgeon
2023 W. Vista Way Suite F , Vista
3 answers
Darrell W. Gonzales, MD Darrell W. Gonzales, MD
San Diego Dermatologic Surgeon
9850 Genesee Avenue Suite 500, La Jolla
1 answer

Recent Answers

Can IPL Be Caused Due to Cooling Gas from Candela Laser?

3 weeks ago i had a laser removal treatment on my bikini area. This seem to burn my skin and has now caused IPL. I have been told by the company that this burn was not caused by the laser but by the cooling gas used in the Candela laser machine. Is this correct? Should I stop any further laser treatments until the pigmentation fades? Appreciate your advice, Jessica

A: Sounds like PIH, not IPL

Sounds like post inflammatory hyperpigmentation (PIH).  There is a delicate balance between cryogen spray which cools the skin, and laser light which heats the skin. 

Typically the cryogen spray will overcool the skin with the assumption that the laser will heat it back to normal temperature.  If the two are not aligned correctly the result is either a freezing burn, or a hot laser burn.  This typically shows up as small arcs of hyperpigmentation that look like slivers of the moon. 

If the PIH shows up as full circles, the laser energy is either too high, or it may be too low for the amount of cooling. 

Any inflammation can cause PIH whether it is hot or cold, but both are treatable by using a 4% hydroquinone cream. 

In Good Health!

Douglas M. Keel, DO
San Diego Dermatologic Surgeon
2 Ipls Have Had No Effect on Lentigos at Derm Office. One of the Other Doctors Has Suggested Yag.what Do You Think?

I am now 5 weeks after ipl treatment on hands arms and face to try and fade or erase lentigos as diagnosed by derm. I am skin type II, and i see no change in my spots. Doctor used Lynton ipl and another doc says he will try yag. I would be grateful for your comments thanks Ally

A: IPL Removal of Lentigos

Since the development of the Intense Pulsed Light (IPL) nearly 18 years ago, there are now over 20 different companies that make a variety of IPL devices. Not all IPLs are the same. I do not know what a Lynton IPL is. Solar lentigos should easily resolve if the right IPL is performed properly with the correct settings. I use the Lumenis M22 IPL. Solar lentigos can also be removed with a variety of lasers including a Q-switched 532 nm Nd:YAG, Alexandrtie or Ruby laser as well as a long pulsed Alexandrtie laser. It is important to go to a dermatologic surgeon who has a variety of laser/IPL devices so that the right machine can be used to treat your specific problem.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
Are Multiple Treatments Necessary?

I did the IPL last month and didn't see much difference. Will additional treatments improve my face?

A: Don't give up--IPL requires multiple treatments

I always counsel patients that IPL treatments should be considered as a "series," meaning multiple treatments are necessary.  For pigmentation disorders, such as solar lentigines (sun spots) and melasma, often one treatment offers noticeable improvement, but multiple treatments are necessary to achieve optimum results.  In treating vascular orders such as rosacea with IPL, I find that multiple treatments, usually a minimum of three sessions spaced 4-6 weeks apart, is required before deciding whether IPL is offering an improvement in the degree of broken blood vessels and background erythema.  The added benefit of a series of IPL treatments is that medical literature suggests that collagen formation may be stimulated, in addition to the improvement in sun damage and broken blood vessels.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
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