What is better for poikiloderma - IPL or a more aggressive one-time laser?

Question

I like the idea of getting things done in one shot as opposed to waiting months to see results. However, I'm reading more positive things about IPL & not great things about lasers.

Daniel Levy, MD · Answer

Jelly-A one-time blast type of laser treatment usually does not work and may even risk worsening the mottled red and brown discoloration of Poikiloderma.  For this skin condition, I recommend a series of 3-5 BBL (Broadband Light) treatments spaced at 3 week intervals.Good luck!

David Shafer, MD, FACS · Answer

Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more commonly in women. Civatte first described the condition in 1923. At our practice I commonly use VBeam Perfecta and/or Candela Elos IPL SR hand pieces to treat poikiloderma of civatte.  It is a unique yet common skin disorder that responds well to laser/ipl treatments.  Multiple treatments are necessary and best done with a strict regimen of sunscreen and abstinence from sun exposure.  A vitalize peel done at the very beginning of laser therapy is beneficial as it preps the skin in advance of the laser therapy.  Microneedling is another option done in a series for patients that have less options for downtime.Since all results vary I recommend a customized in person consultation.  Good luck.

Jason Emer, MD · Answer

There are many vascular lasers on the market but I find that those should be combined with nonablative lasers or RF devices and PRP to get improvement in color and lines.  Please see an expert.  Best, Dr. Emer.

What is better for poikiloderma - IPL or a more aggressive one-time laser?

Answers (3)

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