Woodland Hills Doctors

How Bad Are the Lipo Scars? Do They Require Stitches?

How Bad Are the Lipo Scars? Do They Require Stitches?

Using modern liposuction techniques, you should have very little in the way of scarring.  Modern liposuction tubes are thin and can fit through very small incisions placed in inconspicuous ares like skin folds.

Lawrence A. Osman, MD

Woodland Hills Dermatologic Surgeon

Hyper-Pigmentation After Fractional CO2 on Indian Skin !

I am an Indian with Skin Type 4. I have got the DeepFx Fractional CO2 laser done on my face.It has been close to a month now but the entire area where the laser was used looks like a very distinct patch, it looks the same way as if that area was burnt and has become dark then the rest of my skin though it is not very intensely dark, but it is darker than the rest of area of my skin. Can this be termed as Hyper-Pigmentation or is it a normal? Settings were 35mj,Density 2 with a double passing.

Yes, you do have post inflammatory hyperpigmentation.  This is the most common adverse outcome in treating skin types 4 and above.  Fortunately, it can be treated.  Strict sun protection and prescription bleaches are the way to go.

Lawrence A. Osman, MD

Woodland Hills Dermatologic Surgeon

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?

I find that a one hour incubation time after appropriately preparing the skin is often sufficient.  Three hours is quite long, and the reaction with activation will be fairly intense.  It sounds like your practitioner feels your redness is from pre-cancerous lesions since they are recommending activation using the blue light.  If the redness is from dilated veins as well, you may see better results if you activate it using the IPL.

Lawrence A. Osman, MD

Woodland Hills Dermatologic Surgeon