The manufacturer does provide recommendations on the settings that should be used with a specific laser. This is based on the research they have performed prior to FDA approval. However, it is experience that teaches us what settings to use on a given patient. Think of this as a recipe when you are learning how to cook. The first time you try it, you try to do EXACTLY what the recipe says. Once you like the food, you think of ways to make it better. You alter the recipe and try again. Sometimes, the food turns out to not be quite as good as the original, so you change the recipe again or go back to the original.
This tried-and-true method is exactly what most well-qualified physicians would do. I feel it is important that your doctor performs the treatment personally. This is the only way to improve on the "recipe." The "recipe" I use now is based on numerous procedures and modifications. In general, the settings I use are a lot stronger than the manufacturer's recommendations. Good luck.
