What is best for large pores, Clear and Brilliant Vs IPL?

Question

I am debating between a series of clean and brilliant or IPL's. What is best for large pores and firmness? I do also have some blotchy skin tones but main focus is firmness and reduction as much as possible or pores. Thank you

Michael Dobryansky, MD, FACS · Answer

Hello and thank you for your
inquiry about Clear and Brilliant. If you would really like to focus on the pore
size of your skin, the IPL WILL NOT target that issue. IPL is
mainly for redness, brown spots and hyperpigmentation. IPL is superficial laser
treatment. With a series of Clear and Brilliant treatments
this will definitely help minimize your pore size and smoothen out your
texture. In addition, it will improve the blotchy skin you have mentioned as a
concern. During a series, we have the advantage to increase our modalities and
alter our setting properties. This allows us to go deeper and
to achieve optimal results that you want and need. I hope this helped
answer your question.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Larry S. Nichter, MD, MS, FACS · Answer

CLEAR
& BRILLIANT and the PERMEA is a revolutionary, gentle
laser skin care treatment, clinically proven to fight the effects of aging skin.
The laser is a safe, non-surgical option with little-to-no downtime after
treatments.  Skin tone and texture is noticeably
improved after each treatment and best of all, it  is safe for all skin types and the treatment of melasma.    Not all IPLs have the ability to reach the wavelengths that are safe for darker or ethnic skin.#skintexturelaser     #clearandbrilliant    #permeafortone

Harold J. Kaplan, MD · Answer

Hi Sue. Clear & Brilliant looks like a new device from Solta. The problem with the device is that the company does not provide any details on the website of what wavelength of light it is or how it works (scientifically). If you are concerned with firmness, we would most likely recommend a laser resurfacing procedure that has some downtime like Profractional or other fractional device. Every consumer wants to have great results and no downtime, the problem is that it's not realistic. if you look at the company's own before and after pictures for Clear and Brilliant, we did not find them that compelling. We are also in Los Angeles and offer a comprehensive suite of laser and injection services to improve your skin. See the link below.

Anna Sylwestrowicz, MD, FRCP(C) · Answer

C&B is actually a tuned down version of Fraxel, with an almost identical wavelength in the 1927 nm range (Permea). This wavelength is absorbed by water in the dermis and does amazing things! This includes reducing pore size, decreasing brown pigmentation, and improving skin texture. The Original handpiece utilizes a 1440 nm wavelength and targets water in the dermis to really combat the signs of aging (fine lines, texture, stimulating collagen etc).
Dr. Anna Sylwestrowicz MD, FRCP(C)
Victoria, BC

Mary P. Lupo, MD · Answer

This is a GREAT quesion. There are so many devices. I have and use both Clear and Brilliant and IPL regularly in my practice. A board certified dermatologist with a variety of technologies is always the best for guiding these choices. In general IPL is great for redness mixed with brown discoloration in someone wishing mild textural improvement. Clear and Brilliant is more for brown and texture and is best reserved for those without significant redness as a concern. Based on the limited information and without seeing you, it sounds like C and B is best choice.

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