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Pretreating with a retinoid, such as tazorac, will help to exfoliate the skin, thereby allowing better penetration of the levulan. This will enhance the treatment outcome. Other options to enhance the result include longer incubation times, occluding with saran wrap after applying levulan, or using other methods to exfoliate the skin manually or chemically.
Thanks for your question– and the answer is that PDT can be very effective for the arms and clinicalstudies have supported this for years. And, in fact, we know that pre-treatmentof the areas we are treating with a wide variety of topical agents can enhancethe penetration of the Levulan, thus making the PDT treatments work evenbetter. We have found that multiple treatments are needed on the extremities –so be prepared for this – but PDT on the arms can do wonders to remove thepre-cancerous skin lesions that develop there.
Photodynamic therapy (PDT) is a very useful treatment for pre-cancerous lesions, or actinic keratoses caused by the sun. Pretreatment with a retinoid such as tazorac will allow the levulan to penetrate deeper into the skin and will make the treatment more effective. PDT can also be done sequentially with other pre-cancer treatments like 5-FU or imiquimod.
Preparing the area ahead of time with Tazorac should help tremendously in allowing the Levulan to penetrate better in that Tazorac is a retinoid which helps encourage turnover the skin. This should greatly enhance the treatment outcome in an area with relatively thick skin.
Yes, PDT with blue light can definitely help with back acne! It typically requires a series of treatments to get the acne under control. Blue light PDT works by targeting Cutibacterium acnes (the bacteria that contributes to acne). The blue light activates compounds in the bacteria or applied...
When you say that the technician exposed you to a blue light and "orange light," do you mean "red light?" You are correct, the red light source does emit within the 600nm wavelength range, but is much different than an IPL and is not used for hair removal. If an IPL was truly used to activate...
UVA and UVB penetrate very superficially. Most light sources that are used in PDT can penetrate deeper. Unfortunately 1 or 3 treatments with PDT can't reverse all the sun exposure and damage you already have. My patients generally return for maintenance treatments every 3-5 years.
Levulan is active on your skin for 48 hours after application. You need to stay out of the sun (or any other bright light source) for 48 hours, or you can get a burn. You will actually feel tingling, burning, or warmth, and this is an indication that the medication is being activated...
The FDA has approved photodynamic therapy for actinic keratoses on the face and scalp. Nevertheless, many dermatologists use it on off-label areas including neck, arms, or legs. In areas with thicker skin, such as the extremities, the incubation time for the levulan needs to be...
While there has never been a study on the use of PDT with Levulan or Metvixia or Allumera in women who are breast feeding, it is hard to imagine that any of the topically applied products would penetrate into the blood stream to affect breast milk.
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