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*Treatment results may vary

I want to share something with you and maybe...

I want to share something with you and maybe trigger a discussion.

I have blush on my cheeks that I have treated with a PDL laser a few times. There are some positive results but there are nothing special and surely below my expectations.

Last time just after the treatment for the blush (V-BEAM 595nm, 7mm, 1.5ms at 7J) I asked the doctor to do a test on a completely normal pale(!) fragment of the skin on my upper arm. The doctor zapped me 3 times. The first dot was with the setting as above, the remaining two a bit stronger at 8.5J and 9J. It means that even normal pale skin will turn purple!

The dots were 2cm apart. Today, after exactly 2 weeks the marks are still somewhat visible, the least the one at 7J, but 8.5J and 9J are redder.

This means that the total "healing time" is probably 3-4 weeks or even longer! Of course face can react differently than arms etc. Therefore when we treat red skin it is difficult to asses when the "paling process" is over. I will see what will happen after next two weeks.

But something else WORRIES ME EVEN MORE! If the white skin turns purple after the laser, it means that it destroys very tiny vessels that normally are not visible. So how can we be certain that if the red skin is treated the laser reaches only the dilated bad vessels and not normal vessels? If it destroys only normal vessels, purpura appears and disappears after 2-4 weeks but the skin will look the same as before the treatment. Probably both types of vessels could be damaged at the same time: dilated and normal.

Maybe the good idea would be to use such parameters (e.g. 6ms) that
a. normal skin is not affected
AND at the same time
b. the red skin becomes purpuric.
Then it may indicate that only dilated vessels were destroyed.

Maybe someone having a PDL treatment next time could make a little test?