How Can I Find a Good Therapist for Poikiloderma? (photo)

I have had very good success treating this network of fine capillary blood vessels in sunexposed necks and chests with the 595nm. pulsed dye V-beam laser.  Some patients have the redness and pigmentation also, and the brown color can be treated wtih the V-beam and glass tip, or Fraxel Dual, Alexandrite or Neodynium Yag lasers.  Sometimes the pigment responds well to lightening creams such as Elure by Syneron. Sunscreen is important to protect the skin from ongoing sun exposure that would worsen the redness. V-beam treatments can be done once a month and may take a few to several treatments. 100% reduction is not a realistic expectation but significant improvement is often possibly removing the need of using makeup to hide the redness.

Several of the newer IPL machines work well for treating this condition.  It may require several treatments to correct and may require repeating again if it recurs.

It is always best to get a referral from another physician who is familiar with that person's work. You should always for before and after photos to confirm that the physician has performed this procedure successfully.