“Pricey Treatment with Barely Discernible Improvement - New York”

Am currently nearing the end of IPL treatment with a reputable dermatologist. Cost of the treatment is $800 per session. The first session resulted in very little, if any change. Perhaps a dozen tiny "coffee grounds" resulted. Dark spots, which were gone over twice each, darkened but never flaked.

The second session was at a higher setting and was somewhat more aggressive (the doctor explained that they start off conservatively to avoid any complications), but the result was the same, namely nothing measurable at all. Perhaps the photos taken before each session will prove otherwise, but what is visible to me is far more important than what the camera might see.

Third treatment was a spot treatment (at my request). The cost was $200. A different hand piece was used, and the settings increased. This time, results were apparent, with crusting over of spots and then pink skin revealed beneath them once they flaked off.

However, one prominent spot (the one that irks me the most) seems to still have some pigment remaining. Perhaps another spot treatment will take care of it. Overall, however, when used as intended (as a full facial treatment), I found it largely ineffective and a complete waste of money.

Updated on 3 Feb 2012:
After the spot treatment, I experienced darkening of the treated areas, which flaked off about 1.5-2 weeks later. However, there was little, if any, improvement. Had the spot treatment done again today -- my final time, since I can no longer afford pouring money into what doesn't appear to be working for me -- and whatever happens (or doesn't), I'm done.

Updated on 6 Mar 2012:
Last treatment also resulted in no discernible improvement. A total waste of money. However, once the month passed and I felt it safe, I did a 21% TCA peel on my skin (using MUAC's solution, which I have used before in lesser strengths). GREAT improvement. Will post about it in the proper forum.