San Diego Photodynamic Therapy doctors

Melanie D. Palm, MD Melanie D. Palm, MD
San Diego Dermatologic Surgeon
320 Santa Fe Drive Suite 310, Encinitas
8 answers
Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
5 answers
Jason R. Lupton, MD Jason R. Lupton, MD
San Diego Dermatologist
12395 El Camino Real Suite 117, San Diego
2 answers
Kimberly Butterwick, MD Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 125, San Diego
Steven R. Cohen, MD Steven R. Cohen, MD
San Diego Plastic Surgeon
4510 Executive Drive Suite 200, San Diego

Recent Answers

I Am Booked for PDT in 2 Months Time, Whats the Average Incubation Time for Levulan with Blu Light?

I am female, fair skinned, prone to broken veins & have uneven redness in my skin tone, never had acne or any other complaints, I've tried laser genesis and IPL for the redness and now PDT is recommended with 1 hour incubation of Levulan before blu light treatment. I am wondering whether this may help, what is the average incubation time, they orginally said 3 hours. I was concerned about such a long incubation time as my skin is very reactive. Is 1 hour long enough to show good results?

A: Pulsed dye laser may be better for redness

Based on your description you may want to consider treatment with a pulsed dye laser. I feel it is superior to both laser genesis and IPL for reduction of facial rednes and veins. I do not routinely use PDT for facial redness - that seems like overkill to me. PDT is best used for acne and actinic keratosis (pre-cancerous skin growths).  Treatment with the pulsed dye laser usually has limited downtime and risk. PDT causes extreme light sensitivity for 24-48 hours and may have considerable discomfort. I would not recommend it for facial redness alone. Also a three hour incubation is quite long and if you have very reactive skin as you say then you might have a prolonged recovery and significant discomfort post treatment.  Good luck. 

Jason R. Lupton, MD
San Diego Dermatologist
What is Photodynamic Therapy?

how is this used in skincare?

A: PDT a chemical light reaction for photorejuvenation

Photodynamic therapy is a chemical reaction FDA-approved for the treatment of actinic keratoses.  PDT can also be used to treat acne, rosacea, broken blood vessels, enlarged oil glands, and brown spots.  PDT describes a chemical reaction that occurs when a solution (Levulan) in the presence of oxygen is activated by light.  Abnormal skin cells (such as precancerous cells) are targeted and destroyed, revealing improved skin.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
Does Photodynamic Therapy Permanently Minimize the Sebaceous Glands?

will photodynamic therapy permanently decrease the size of the sebaceous glands or is it only temporary?

A: PDT for enlarged oil glands or sebaceous hyperplasia

A published medical article demonstrated that sebaceous hyperplasia (enlarged oil glands) respond favorably to a series of PDT treatments.  However, PDT will not permanently reverse your likelihood to develop new lesions.  Maintenance PDT therapy or other destructive treatment options may be necessary from time to time to keep your skin clear of enlarged oil glands.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
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