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Would NOT Recomment IPL for Freckles and Sun Spots

Not Worth It
Spent: $600 in Flushing, NY

Comments (75)

Updated 14 Feb 2011

Posted 23 May 2010

Went to dermatologist for consult about having some freckles & sun spots removed. After a quick look at my face, the doctor said he could remove everything with 1 session of IPL for $600. I'd become increasingly self-conscious of minor blemishes and dark spots left behind by sun damage and acne. I said I wanted to do it. The doctor told the nurse to prep me right away. I stopped him saying I had to work tomorrow (I bartend), and since the recovery time is 1-2 wks, I should reschedule. He brushed it off saying I should be fine tomorrow, it was minor &I'd be able to work. His nurse chimed in repeating the same. I was reluctantly persuaded to have it done that day.

They numbed my face and right before the precedure was done, the nurse handed me a short 1 page consent and disclaimer form to sign. She seemed put out when I insisted on reading it first. I had it done.

Aftercare- I had to prompt for insturctions beyond bacitracin oinment and no lotion for 2 weeks. I asked about make-up since they said I sould work the next day. She wasn't sure.

Needless to say I couldn't work the next day, or the one after that, or the one after that. I've lost 4 days work, (5 shifts) so far and will lose at least one more. So the real cost of this procedure is actually easily twice what I paid. Add to it, my face is now swollen, blotchy and patchy, this has NOT been a good experience. I am afraid my face is going to end up worse off than it was before as the spots seem to be forming dark pigments on my skin (after the original spot was shed).

Can anyone take a look and let me know if I should be worried. The last pictures are of day 5 after. I seem to lood worse and worse.

Updated on 14 Feb 2011:
Absolutely no aftercare. I had to do everything and ask myself. My skin is now worse off than it was before I ever saw him and his doctors. I definitely do not recommend his practice.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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My Doctor: James J. Cui, MD, PhD

My rating:

He and his nurse just wanted my money. Despite my protest that I had to work the next day, they went back on their word about 1-2 week recovery period and said I'd be fine the next day. I was not fine and have lost a lot of money losing a week of work. And my face doesn't seem to be healing right. It's swollen and splotchy and rough.

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Comments (75)

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Aliciapie 20 Jun 2010
How are you doing now? It looks like those brown spots would eventually come off. Not sure how long ago you had the procedure. I just booked IPL in two weeks for sunspots.
littlemo6 25 Jun 2010
I had IPL a few years ago and it made a huge improvement to my skin. Yes, after each procedure the face looked awful with brown spots BUT there was never any swelling like I have seen in your pictures. That should not have happened. It looks like whoever did the procedure used too much power on your skin. Go back for a review but do not have any more treatment from this practice or go see someone else for an opinion and help.
abluesgirl 22 Aug 2010
Hope things are better now! I never had pain when I got my IPL treatments and I was fine the next day (just a slight rosiness). That doctor sounds terrible.
Pl3ski 9 Oct 2010
That's pretty much what I looked like. It all peeled out after a week. Looked way better afterwards though. I don't work face to face though, so that helps me.
KikiLisa (RealFriend) 15 Feb 2011
OK, first of all, I've heard time and time again that IPL is very tricky on Asian and Black skin. In fact, I don't think it is recommended for your skin type, but I could be wrong about that. Either way, you should not be swollen. It looks as though some of the areas on your face have reacted poorly to the treatment and there is swelling. I personally am against any laser or IPL procedure because I myself had a terrible experience (nerve damage, change of texture, fat loss). Since you only had the one, give your skin some time to heal and never go back for another. Contact me if you need more info about after care. Yes, they wanted your money. They all do.
cveroleyva 28 Feb 2011
To all us ladies, keep the faith! Hopefully your skin will heal...sigh.
KikiLisa, if you don't mind helping us out in regards to how your doing your after care?
I had ipl, 2 sessions, done last summer. Same old story, did all my research before undergoing ipl, saw nothing negative, asked all the right questions. I was scheduled for 4 sessions, I stopped at 2, 2 weeks apart. Had a nice smooth complexion before, just wanted to get rid of a few sun spots and keep a healthy glow. BIG MISTAKE! Have orange peel skin now, I didn't outright burn but I have linear scars all over my face, and it's not that bad compared to what I've seen other people go through, but it's still damn right depressing knowing I'm stuck like this permanantly. What did you do for after care? I'm at a loss. Just using ROC treatments, which actually seem to help a little. Very little though. I want to post as to many sights and places to discourage men and woman to avoid lasers...
Aliciapie 1 Mar 2011
Oh, this is terrible! What did your dermatologist say about this? I've been considering IPL treatments. I did Total FX last May, paid for two of them but I didn't see any benefit from the Total FX so I've been thinking of doing IPL instead.
KikiLisa (RealFriend) 4 Mar 2011
Aliciapie, please don't get IPL. There are other things you can do that can resolve skin issues. People want the immediate gratification that a cosmetic device promises, but in many cases, it just isn't worth it. The way laser or light works is by destroying the skin! Yes, it destroys the skin! Now, if your skin repairs itself and it ends up looking better than before, great, that's great, but what can also happen is the skin repairs, or tries to repair and it doesn't quite work out very well. I am kind of interested in things like Selphyl and Stem Cell therapy to repair this type of skin damage, and it's a much better idea in my opinion if you're looking for skin rejuvenation (though, many studies still need to be done to determine effectiveness and safety). As for aftercare, cveroleyva, firstly, the orange peel skin may not be permanent. I know of a few light or laser victims who've had improvement on this front. I admit I have not yet found a product that actually fixes this problem for myself, but some have said retin-a has helped them, while others have reported the Obagi system helped restore their skin to a better condition. I am about 6 months out from being damaged and I feel that just taking really good care of yourself is the best way to go. Proper diet, a lot of rest and sleep, massages, and lots of anti-aging supplements (Omega 3, reseveratrol, vitamin C). I have faith that I can heal and get better, so I hold on to this as well. Also, there is a ton of support and information on the IPL and Laser damage support board which has helped me tremendously.
Pl3ski 8 Mar 2011
KikiLisa, you really shouldn't be making statements like 'it destroys the skin!' without providing reliable evidence. You're just scaring people needlessly.

While I agree that some skin types should avoid IPL or approach it with great care, I've had 6 treatments on maximum so far, and there is no evidence of skin destruction.

Every person is different. With any procedure it's up to the consumer to do research and evaluate the risks. No one should ever rely purely on the opinion of the therapist/doctor.

Because you were satisfied, and some others weren't, you cannot say this procedure is dangerous for all people.

Writing in this matter is simply spreading the same misinformation you claim to be fighting.
Pl3ski 8 Mar 2011
Correction: "Because you weren't satisfied.."
KikiLisa (RealFriend) 9 Mar 2011
People should be scared, Pl3ski, because these devices are not as safe as they are marketed to be. Sorry but I completely disagree with you and I am stating what I believe to be true. It's OK if you don't agree with me and it's OK if others don't. My experience is such that the procedure destroyed my skin and I know of of many others in the same position. Light and laser devices work by vaporizing skin tissue -- that's what they do. This is taken from DermNet: "IPL systems work on the same principles as lasers in that light energy is absorbed into particular target cells with colour (chromophores) in the skin. The light energy is converted to heat energy, which causes damage to the specific target area." Key words here are HEAT and DAMAGE.
Pl3ski 16 Mar 2011
Kikilisa, millions of people world over use hair dyes and cosmetic products, which have proven health risks, such as coal tar, P-Phenylenediamine, phthalates, skin bleaches, even coloured contact lenses.

People must be wise enough to use such products with great caution and at at low, measured doses. Sadly many people assume because those things are packaged and sold commercially they're safe to use any way they want. They are WRONG.

IPL, or any cosmetic treatment designed to permanently change skin colour, is in the same category as the above.

It can cause embarrassment and pain for people when poorly recommended and utilised. But it can do wonders, as it has for me, when patch=tested properly and used for the skin types it was meant for.

I'm sorry for the people who had bad experiences with IPL. But I live in a country where sun damage on light skinned people is a plague. I would deeply regret if IPL were taken away from people who needed it, simply because others used it incorrectly, or were poorly advised.
KikiLisa (RealFriend) 19 Mar 2011
Your argument is sound, but nobody "needs" IPL. I think if you knew more about the complications that have arised for many people after IPL you wouldn't say anyone "needs" it. It's not normal to heat up your face like that. It's a terrible idea any way you slice it.
Laser Victim 19 Mar 2011
Pl3ski, I'm glad you've had "successful" IPl treatment so far. It is risky, there have been many harmed. The physical and psychologic effects from having one's face damaged are devastating. Aliciapie, I would strongly suggest you check out the ipl/laser damage support group before proceeding with IPL and read the stories of those harmed. This will provide you with the knowledge of the true side effects that can occur.
FightingMad 19 Mar 2011
The rating for this procedure says it all, only 52% of those having the treatment have been satisfied/happy with their outcomes. If you delve into the negative reviews many will express their skin has been harmed or their lives irrevocably changed because of this device.

Germany seems to be one of the few countries in the world that understand the dangers of IPL. German doctors/scientist have written peer reviewed studies on the possible dangers of reiterative IPL treatments. Sadly, in the US our doctors are more interested in getting these expensive devices paid for with numerous treatments to unwitting patients than in the negative side effects that arise repeatedly from these devices.

Acne.org had a regulary poster who had IPLs for YEARS and was just fine, but one day (using the same doctor, same settings) her treatment went awry for no apparent reason causing scarring and volume loss. She touted IPL for years on acne.org. She had fat grafts to try to fix her volume loss. Last I heard, she no longer even posts.

If you PM me, I'll be happy to send you links to MANY articles speaking of how cosmetic devices such as IPL can and do cause great harm. Yes, 1000s are treated yearly by these devices and not everyone does have a bad outcome, but many do and many more than you'll read about here.

Have you ever checked out the FDA MAUDE database for adverse events from cosmetic medical devices? IPL leads the pack in adverse events.

It's a gamble you take when having these treatments done. You just have to decide for yourself if you're willing to gamble your skin and possibly health..benefit vs risk. Personally, I'm no longer the gambling type when it comes to my skin or my health.
cveroleyva 22 Mar 2011
Hi,
I'm glad to see that everyone is trying to research as well as they can, and thanks for the info kikilisa.
I stumbled upon something kind of random. Just lately I've been incredibly stressed out, and started breaking out, maybe my hormones could actually be a little off..not sure. But I went to go buy the Neutrogena Acne Complete System, and it's been two weeks. My face has been peeling ridicoulosly, but low and behold my skins texture has made a dramatic transformation. The lines are a bit smoother, and the orange peel is fading away. It's not a fun product, it's itchy and drying, but I can't believe that my skin is looking way better in texture and color!I have to bring in a non alcholic toner sometimes to get the massive peeling off without picking at it. But this is so freaking wierd! And i'm happy. It's not the biggest improvement, but it's definetely noticable. I know not everything works for all, but my dark spots are also just peeling off. It does leave my face tight, not pleasant, but its looking good. Aliciapie, I don't even know if you suffer from acne or want to get ipl for dark spots, but this may be worth a try. And if you're okay with looking oddly goofy with peeling skin...lol...It's not that bad considering I've seen a nice imporvement on my sun spots and texture. I'm sure its a temporary treatment, but then again so is ipl, and there arn't as many risks.
KikiLisa (RealFriend) 28 Mar 2011
Hey cveroleyva, that's great news that you have found something that is improving your skin's texture...that is incredible because I've tried so many things and nothing has helped or changed my skin in any way. Do you also have volume loss, as in fat loss? Please keep me updated on what happens with your skin and the neutrogena product. I have thought that a mild peel might help and it seems the product has slightly made your skin peel.
whirleegig 31 Mar 2011
Fractional lasers cause damage similar to IPL. Cellular apoptosis and damage to all three layers of skin. Had I known this, I never would have allowed these devices near my face. I used to be very pretty. Not anymore!
cveroleyva 31 Mar 2011
Hi Kikilisa,
I'm still on the acne product. The peeling has slowed, the orange texture is there but it's more even and seems less shallow I as I mention before, so I'm still thrilled. Fat loss, yes, I have it, will it stay....probably. I'm going to go for microdermabrasion, I'll stick to it once a month on top of my acne regimen, and I'll keep everyone posted.
Pl3ski 8 Apr 2011
52% approval rating is not a bad thing. It simply suggests half the people here got results because it suited their skin.

The forum posts indicate that light 'Irish' skinned people find IPL excellent for pigmentation, whereas all other people should approach it with great caution.

The use of IPL or laser for acne treatment is suspect, that seems well established. Acne is a deep hormonal issue, any topical treatment is going to have limited use.

Before anyone makes sweeping statements about IPL, we need to consider that there are 4 distinct groups here: light skinned, darker skinned, pigment and acne prone. The evidence is that the experience of IPL is different, but quite predictable for all of these groups.
cveroleyva 8 Apr 2011
Oh gosh, I know it's 50/50. But I just don't think a doctor and a patient can predict steady outcomes. So in my view, 50/50 is not great. I'm so happy it's worked for you though PI3ski, but I would hate for you to go and have another done. How many years have you been doing ipl for?
I also have to inlaws that are cosmetic surgeons, had they known I was going they would have stopped me dead in my tracks... It didn't occur to me to tell them because I thought IPL was the lightest of them all, and just assumed they performed lasers too. Guess what, they don't, and they wanted to kill me for doing it.
KikiLisa (RealFriend) 13 Apr 2011
Pl3ski, all I can say at this point, while you continue to defend IPL (which is your right, of course), is that many lives have been destroyed due to the IPL procedure. Consider yourself extremely lucky that you've had no negative consequences! None of us are making any "sweeping statements" (as you put it) -- we are simply stating what has happened to us in our own experience, and this is our right, too. Many of us have had severe, drastic and non-reversible, horrible side-effects as a consequence of IPL. Everyone I know who has had it and who is now suffering with severe, permanent damage, was told that an IPL is similar to a facial; no downtime, no side effects, no problems! The truth is that the problems can be dire, lasting, and life altering. I have nerve damage over my entire face which has resulted in daily severe, crippling pain. This is not simply a matter of someone not being satisfied, this is a matter of life as I once knew it, gone forever.
cveroleyva 13 Apr 2011
KikiLisa,
I'm backing you up on this one.

PL3ski, take before and after pics after every ipl and keep us posted. How many ipl's have you had done so far?
Laser Victim 13 Apr 2011
Pl3ski, Please read the stories of those harmed on the IPL/Laser Damage Forum. You might decide after reading the numerous stories that it's not worth the gamble.....You are risking not only your face, but live as you know it.
Laser Victim 13 Apr 2011
*life*

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