What's happening to my skin? Is this the beginning of rhinophyma? (Photos)

Question

About 6mos-1year after 4 rounds of IPL (2.5 yrs ago), I began noticing decrease in collagen/elastin and orange peel texture. It's like my dermis layer has been dehydrated and tortured. I never had bad acne- now I have this awful texture on my skin- it's so frustrating. While I understand IPL typically doesn't affect skin this way- each patient is unique and the only catalyst for such a change in my texture was the IPL. What's happening w/ my skin? Is this the beginning of rhinophyma on my nose?

Nelson Lee Novick, MD · Answer

First, let me say that I am sorry that you have been experiencing this problem. Anyone who has followed my Q&As over the years knows that I am no fan of IPLs nor of other light and energy-based treatments. In general, the results from these relatively expensive approaches are subtle, inconsistent, and variable, and most of these "next best thing" devices appear to be backed far more by device manufacturer supported marketing hype than hard science. From the photos, you do not appear to have any evidence of rhinophyma, which is a swelling of the nose seen in a certain subset of people suffering from a condition known as rosacea. You do appear, however, to have enlarged, dilated pores on the central cheeks, as well as on the nose. A series of superficial chemical peels may be helpful in improving the overall appearance and TCA CROSS may be used for any particularly dilated pores. Microneedling, another relatively inexpensive procedure, has also proven useful for this purpose. You would do well to seek consultation and treatment for this problem by a board certified aesthetic physician and not just medspas or other venues motivated to hawk the next expensive "bells and whistles" machine to come down the pike. Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question smilebright7. I am sorry to hear about your situation.
IPL is a great treatment for facial rejuvenation. For my patients I recommend an initial series of six monthly treatments followed by one maintenance treatment every three months thereafter. This will help protect their investment and keep their skin looking good. Textural changes and enlarged pores appear over time as we age. I recommend that my patients stay on a good skin care regimen with products including retinoids, exfoliants, vitamin C, and hyaluronic acid with daily sunscreen of course. For my patients I recommend the Tight and Bright Rejuvenation to help with overall skin appearance and improving enlarged pores. Please consult with a doctor for specific recommendations. Good luck!

What's happening to my skin? Is this the beginning of rhinophyma? (Photos)

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What's happening to my skin? Is this the beginning of rhinophyma? (Photos)

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Everything you need to know about IPL

Our mission is to create a world where every investment in modern beauty is Worth It.