I want to have IPL treatments for Rosacea, but this forum is filled with negative reviews and scary pictures. How can we all be better consumers of this service? Are the medical spas to blame? Are there certain IPL devices that should best be avoided? What are some key questions to ask in the consultation, and what answers are tell-tale signs that this doctor/practice should be avoided?
Suggestions For Preventing Burns and Bad Experiences with IPL for Rosacea?
Doctor Answers 1
How to get a good IPL or FotoFacial done
This is a great question, but very hard to answer without a lot of information! First, I own a medical spa, but I am directly involved in all patient care. I see the charts every day. I see the patients throughout their treatment series. So, good medical spas are not a problem. But medical spas that have just a "medical director" who is never on site - or not even in the same city or state sometimes - are definitely a problem! But good medical spas, who have active doctors involved, aren't a problem at all. It depends on the training of the technicians and the supervision by a physician. There are great IPL machines, and terrible IPL machines. There is such a gamut of them made that some machines cost several hundred or a thousand dollars, and good, effective machines, can cost hundreds of thousands of dollars. Most more legitimate physician run places will have machines that are of the more expensive variety. These machines are safer, more effective, and have better training for their operators too. Good machines to look for are: Syneron, Cutera, Palomar, Cynosure. These are the more top of the line IPL machines that have been on the market for years and have good results. Here is a list of things I would ask during a consultation:
1. How involved is the physician in my care? (A good answer here is VERY! Either the doctor will see you as often as you want, you can have access if you need them, etc. )
2. What type of machine do you use and how many treatments have your technicians done? How often is this machine serviced or repaired? (Thousands of treatments would be a good answer. My office has done over 110,000 IPL treatments. We repair our machine often - it tells you when there are problems and we send it in every few months for a check-up and repair on the machine and the treatment heads.)
3. What kind of results can I expect and what can I expect during a treatment and after? (A good place should be able to describe the treatment to you, and maybe even let you see the machine. They should have pre and post care instructions, as well as a consent for you to to sign and go over before you begin. Most offices will take pre pictures so you can review your progress as you go along.)
4. How many treatments are in my series? (I recommend 5 treatments done 3-4 weeks apart. Then I recommend a maintenance treatment every 4-6 months normally.)
5. What type of training does your doctor have and what type of training do the staff have? (I prefer dermatologist or plastic surgeon run offices. The training should be done by the makers of the IPL machines, and should be refreshed periodically.)
6. Do you have any recommendations to make my IPL work better? (I personally recommend a great sunscreen and a topical Vitamin C. As well, we sometimes add Cutera Laser Genesis into our Syneron RF treatments to enhance the results - at no charge. Additionally, I do liquid nitrogen freezing on deeper brown spots and age spots at no charge for patients undergoing IPL series with us. These are all value-added services that any good office will either offer to you, or at least let you know about to make your treatments better!)
7. And one more thing - call around to various offices. Ask people whom you know are getting treatments for referrals. Nothing is as good as a referral from a friend. Go to an office that you like and feel comfortable with. Don't shop by price - shop for experience!
Good luck! I hope this information is helpful in your pursuit.
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.