IPL or V Beam for post-inflammatory erythema?

Question

Fair skin, left with prolonged erythema in about 8 spots due to fairly recent breakout. Acne now under control. In the past, it took about 12 months for these to resolve without treatment. Topicals do not work. What device would be best to clear the red marks faster-IPL or PDL? Would either device be more cost effective? Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Our protocol for hyper-erythematous redness uses a combination of lasers and Nanofractional RF to help reduce localized and perfuse hypervascularity in the skin. We begin with an evaluation of the redness and evaluate the cause of the hypervascularity. Treatments with Limelight IPL, Vbeam Perfecta, and Nanofractional RF are then used to reduce the blood vessels and telangiectasia within the skin. Patients benefit from post-treatment application of Elevase Moisture Booster with ceramides. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jason Emer, MD · Answer

These marks can be improved with a combination of lasers (IPL, pulsed dye, Excel V), microneedling/prp, skin lightening, peels and skin care. Sun protection is essential. See an expert for a formal evaluation. Best, Dr. Emer

Alex Eshaghian, MD, PhD · Answer

Thank you for your question wright1. IPL is a great treatment for facial rejuvenation. It also works well to treat redness. It is difficult to make an assessment without photographs. However any vascular laser can work for redness. These include IPL, pulse dye, and KTP. It is more important to look for the right doctor than the right device. Look for experience, before and after pictures, and testimonials. Please consult with a doctor for specific recommendations. Good luck!

Dennis Gross, MD · Answer

Both Vbeam and IPL work to quickly and effectively reduce redness so it's really a matter of what you and your doctor decide on as the better treatment plan for you. I recommend consulting with a board-certified dermatologist very experienced in both lasers to determine which would best suit your needs and goals.

Manish Khanna, MD, FRCP(C) · Answer

Hi Wright1,Thanks for your question. Both IPL (BBL is the best type of IPL) and Vbeam can address your concerns very effectively as they both have wavelengths that target redness. Although your question is very valid, the more important consideration is the physician you are going to visit in consultation. A skilled physician with a lot of experience would be able to treat you with either one as it is really about optimizing the parameters of your treatment. Essentially, it is more important what you do with the technology than which one you use - in this case. Hope this helps - best of luck, Manish Khanna, MD

IPL or V Beam for post-inflammatory erythema?

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