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• Posted to 3 IPL Spot Treatments with No Result - Stockholm, Sweden on 5 Jul 2012

  Hi. I just read your post while researching IPL. My heart goes out to you, because I can completely relate to minor imperfections causing great psychological distress. It is called Body Dysmorphia Disorder and I, too, suffer from it. I think counseling is an excellent idea. Having addressed that...now about your "spot." While I am a nurse, I am NOT a dermatology nurse. But I have researched almost every procedure EXTENSIVELY. So this advice is based solely on my personal experience and not on my nursing judgement. It appears from the photos that the area of concern is raised, not flat. In which case it makes sense it was unresponsive to IPL. In addition, there are vascular lasers that would be much better suited to a collection of broken capillaries or hyper-pigmentation. If you frequently have cold sores, I suspect that is probably what it is because they can be exacerbated by sun exposure AND certain lasers or light treatments. If that is your suspicion as well, I would try to treat it as such, with BOTH a topical AND oral anti-viral medication like acyclovir (of course with a doctor's approval and prescription!) If the lesion remains unchanged after that, you might consider a consult with a dermatologist or plastic surgeon about having it surgically removed and biopsied--just to rule out any cancerous or pre-cancerous cells. I am not trying to scare you and I HIGHLY doubt that is what it is, but you just can't ever be TOO cautious when it comes to new bumps on the skin. Especially when they look and feel different than anything you've had in the past. If you do choose that route, make sure you use a reputable dermatologist or plastic surgeon with lots of experience in facial surgeries so you are not left with a scar that makes you feel even MORE self conscious. They should be able to remove it quickly under local anesthesia in the office. I hope my suggestion didn't freak you out as that was most certainly not my intention. I just know with BDD, we tend to obsess over aesthetics more than our health sometimes (at least I do!) Best of luck to you and, please, keep us updated.