I am 39 year old female with brown spots, some freckling, broken capillaries and red blotches/rosacea, and dull skin that does not exfoliate well. Which laser treatment would be best for me? Also, in regard to the actual machine, which type is best? What is the minimum power or frequency needed for very good results? I have called several doctors and they all say their machines are best for what I need. Please help!
Brown Spots on Face Treatment Advice
Doctor Answers 14
An IPL ( intense pulsed light) device would be best since it would be more effective, less expensive, less risky, and give you less downtime than a laser. An IPL which gives off light in the green part of the visible light spectrum (550 nanometers) would be the most apt. It treats both the vascular problems, rosacea, and brown spots.
A number of companies make excellent IPL machines including the Sciton IPL, the Palomar LuXG, Alma's Harmony and Cutera Limelight.
There is no one machine best for everything. Treating brown spots either with a Q-switched laser or an intense pulsed light (IPL) source can be used. With a Q-switched laser, fewer treatments are required but there is some treatment-associated downtime. In the end, both of these devices can work for the treatment of brown spots but there is no machine perfect for everything you have described. In terms of the energy required from the machine, the same Q-switched laser from different manufacturers may be used at different energies. It is impossible without seeing you to determine the appropriate frequency or energy that you require.
Brown Spots on Face Treatment
1) A good sunscreen is a must - we prefer a broad spectrum at least 50 SPF for South Florida
2) Core Obagi which includes clear, blender, and Retin A
3) You may also benefit from a combination laser resurfacing treatment/intense pulse light (such as Halo Laser and BBL/ipl).
Consult with 3 experienced and expert board certified physicians to understand your options.
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Fraxel 1927, followed by V BEAM- combination treatments work well
I personally would advise more SPECIFIC lasers designed for the job. I like combining BBL with 1927 Fraxel. This will treat the majority of your brown pigmentation in the one session. Your rosacea may get worse, I cover everyone with doxycycline for 2 weeks.
I would then use a laser such as V BEAM vascular PDL to treat the redness. You may need 2-3 treatments. The results would be better with combination treatments that are specific to your skin condition.
Dr Davin Lim
Laser and Cosmetic Dermatologist
IPL for lentigos and rosacea
Combo works best
Treatment for Age Spots
You should look into laser treatments with Spectra. Spectra is a dual mode Q-switched laser with four wavelengths. The versatility for treatment is possible with 532, 585, 650 and 1,064 nanometer options. The longer wavelength allows for treatment on those with darker skin and pigmented lesions. Multiple laser treatments may be required on your age spot issues.
Additionally, you may also benefit from Fraxel DUAL. The Fraxel DUAL features both the 1,927 nanometer wavelength and 1,550-nanometer wavelength laser option. The latter wavelength penetrates skin deeper more prominent cases.
It’s still important to consult with a board certified specialist to determine the best course of treatment. Differences in pigment, skin type and depth of age spots are all guiding factors for a laser treatment.
Brown spots on face treatment advice
Doing a treatment that it is a pulsed light treatment, often referred to as a "Photofacial" would be beneficial to help with the pigmentation issues as well as the vascular issues you mentioned.
There are a variety of machines that provide "Photofacials". The Harmony AFT Laser offers an effective treatment with fewer side effects than many previous machines.
The settings vary on each patient depending on their skin type and issues.
Brown spots, red blotches and dull skin is best treated with IPLs and chemical peels.
Both a series of IPLs and chemical peels are needed to remove brown spots, red blotches and dull skin. Usually I perform both an IPL treatment and a light TCA chemical peel at the same visit and do a series of 5 treatments about 2 weeks apart for good results for roughly $3000 for the series. Your skin will look great and healthy with no down time. Sincerely,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.