No Feeling During BBL and No Red and Frackle Didn't Turn Darker

Question

Asian 26 year old Just did my first BBL. Didn't feel anything during procedure.. no "rubber band "feeling as they discribed.. Face didn't turn red at all . and brown spots didn't get any darker afterward either. Now has been two days didn't see any difference than before.. feel like didn't had bbl.... Is it because they had wrong setting? Or they didn't do right setting for Asian skin type? Will anymore changes show later on..? Or I just had a failed bbl treatment...

Jason Emer, MD · Answer

This is difficult to answer. Sensations, healing and results can be variable to the individual. Sun protection is essential after your procedure. I often combine with fractional laser to improve outcomes. If you're concerned about your treatment, I recommend following up with your Doctor. Best, Dr. Emer

Alex Eshaghian, MD, PhD · Answer

Thank you for your question elv11. IPL photofacial treatments can address concerns such as pigment and
redness. Some patients are more comfortable than others as everyone has a different tolerance for pain. We use numbing cream so many of our patients do not feel much during a treatment. Additionally more conservative settings are typically used for darker skin types, making it more comfortable. A series of treatments is recommended and results are seen over time via photographs. Patience is important. Please consult with a doctor for specific recommendations.  Good luck!

Summit Kundaria, MD · Answer

Elv11,
Thanks for the question.  What you feel during the procedure is not necessarily indicative of your results, as we are all "wired" differently, and some of us feel more or less pain than others.  Having Asian skin, your setting was likely a lower fluence than someone with lighter skin so as to avoid negative effects of the light on your skin, so you may have felt less during your treatment than some.  I think that a single treatment is too soon to call BBL/IPL "failed" because it typically takes several treatments to see an effect.

Anna Avaliani, MD · Answer

It is difficult to answer your question because sensation varies greatly from person to person. It also depends if you had numbing cream applied prior to your treatment.  Most of my patients feel some sort sensation, whether it's heat or burning or rubber bands snapping. On average, the discomfort varies on a scale from 3-8. I do not use any topical numbing as it masks the discomfort level and increases th potential for burning your skin. Asian Skin is considered skin type 4, therefore there is great caution taken when performing the treatment.  I suggest you follow up with your provider and sure hope you had the treatments done in a physicians office. Best, Dr.Avaliani

Davin Lim, MBBS, FACD - Account Suspended · Answer

If your freckles turn darker and starts to peel with the "milo like changes' than all is good. IF not the power- setting was not correct and no end point was reached. You will know within the next 2 days. All the best, Dr Davin Lim. Laser dermatologist, Brisbane. Australia.

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