I am 39 year old female with brown spots, some freckling, broken capillaries and red blotches/rosacea, and dull skin that does not exfoliate well. Which laser treatment would be best for me? Also, in regard to the actual machine, which type is best? What is the minimum power or frequency needed for very good results? I have called several doctors and they all say their machines are best for what I need. Please help!
Brown Spots on Face Treatment Advice
Doctor Answers 20
An IPL ( intense pulsed light) device would be best since it would be more effective, less expensive, less risky, and give you less downtime than a laser. An IPL which gives off light in the green part of the visible light spectrum (550 nanometers) would be the most apt. It treats both the vascular problems, rosacea, and brown spots.
A number of companies make excellent IPL machines including the Sciton IPL, the Palomar LuXG, Alma's Harmony and Cutera Limelight.
There is no one machine best for everything. Treating brown spots either with a Q-switched laser or an intense pulsed light (IPL) source can be used. With a Q-switched laser, fewer treatments are required but there is some treatment-associated downtime. In the end, both of these devices can work for the treatment of brown spots but there is no machine perfect for everything you have described. In terms of the energy required from the machine, the same Q-switched laser from different manufacturers may be used at different energies. It is impossible without seeing you to determine the appropriate frequency or energy that you require.
Brown Spots on Face Treatment
1) A good sunscreen is a must - we prefer a broad spectrum at least 50 SPF for South Florida
2) Core Obagi which includes clear, blender, and Retin A
3) You may also benefit from a combination laser resurfacing treatment/intense pulse light (such as Halo Laser and BBL/ipl).
Consult with 3 experienced and expert board certified physicians to understand your options.
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Intense pulsed light would be helpful
There is not one best laser treatment for you. A lot depends on the expertise of the provider to give you options. Intense pulsed light would be helpful, but you can likewise get a good response to pulsed dye laser and topical lightening agents. Fraxel could be done for texture and brown discoloration. Even fractional CO2 would be an option. What's more important is that you do a full consultation with an experienced laser surgeon who can discuss those options and cater a program based on your lifestyle, skin color, ability for downtime and budget. All those aspects will help you and them choose the best laser for you.
There is no single best treatment for brown spots and redness as everyone's skin is different and the depth of hyperpigmented lesion will vary. For treating browns and reds, IPL's, in particular newer IPL's are a good place to start. I like Lumecca as it seems to focus its energy on browns and reds more specifically than other IPL's. Other treatments can include a variety of lasers including Nd:YAG, q-switched lasers, chemical peels, etc. Find a provider with experience and a variety of lasers to effectively treat your condition.
Treating Facial Brown Spots with Permea Technology
Perméa is the latest technology utilizing a low-power 1927 nm non-invasive fractional laser for rejuvenation and pigmentation. The Clear + Brilliant Perméa is designed to address early signs of aging and help to prevent them.The results of the treatment are both immediate and progressive. A few days after the treatment, your skin will start to feel softer, look brighter and show more even tone and reduction of brown spots.
#Permealasertreatments #ClearandBrilliant #brownspottreatments
Make your decision based on the expertise of your provider, not on the machine and its settings
The most important part of your decision-making process is choosing the right person, with enough knowledge and experience, to help you with your goals. Choosing the right device and adjusting the settings is an art, as well as a science.
Treatment of Browns and Reds on face
Fraxel 1927, followed by V BEAM- combination treatments work well
I personally would advise more SPECIFIC lasers designed for the job. I like combining BBL with 1927 Fraxel. This will treat the majority of your brown pigmentation in the one session. Your rosacea may get worse, I cover everyone with doxycycline for 2 weeks.
I would then use a laser such as V BEAM vascular PDL to treat the redness. You may need 2-3 treatments. The results would be better with combination treatments that are specific to your skin condition.
Dr Davin Lim
Laser and Cosmetic Dermatologist
IPL for lentigos and rosacea
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.