I had a Pulse Laser Dye treatment that lasted 10 mins. for redness associated with a scar on my nose from MOH's surgery one year ago. The derm stated I would be bruised and all the literature and these Q's and A's indicate that brusing should occur. I had no bruising. Should I assume the Derm didn't do the procedure correctly or had the wrong setting that accomplished nothing?
August 7, 2014
Answer: Pulsed Dye Laser: bruising There are a number of settings on this laser which determine whether you will experience bruising. There was a recent paper in the Derm Surgery Journal which proved that the results with the use of a non-bruising parameter were just as good as those using a bruising parameter. I would wait 4 weeks to judge your results: don't base it on whether you experienced bruising.
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August 7, 2014
Answer: Pulsed Dye Laser: bruising There are a number of settings on this laser which determine whether you will experience bruising. There was a recent paper in the Derm Surgery Journal which proved that the results with the use of a non-bruising parameter were just as good as those using a bruising parameter. I would wait 4 weeks to judge your results: don't base it on whether you experienced bruising.
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December 15, 2014
Answer: Too early to tell....read more. Most dermatologists and plastics would take things easy with the first treatment- this is because we use this as a 'test dose' to see how your skin reacts and how much downtime ensures. We can easily give prupura or bruising by decreasing the pulse duration and or increasing the fluence. I ALWAYS tell patients that 3-4 treatments are needed for optimal outcomes, and the first treatment is ALWAYS conservative. Once patients are comfortable with the treatment and know what to expect, I decrease the pulse duration and push up the power- this results in bruising, and better outcomes. You are indeed correct that prupura or bruising is the desired outcome, however you are exception to the rule as you are well versed in this desired end result. Not everyone is as well read as yourself. If you are comfortable with bruising- go for it..... this will improve your scar. Tell your specialist that you know what to expect and they will use the optimal parameters. All the best, Dr Davin S. Lim Laser and cosmetic dermatologistwestderm.com.auBRISBANE, Australia.
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December 15, 2014
Answer: Too early to tell....read more. Most dermatologists and plastics would take things easy with the first treatment- this is because we use this as a 'test dose' to see how your skin reacts and how much downtime ensures. We can easily give prupura or bruising by decreasing the pulse duration and or increasing the fluence. I ALWAYS tell patients that 3-4 treatments are needed for optimal outcomes, and the first treatment is ALWAYS conservative. Once patients are comfortable with the treatment and know what to expect, I decrease the pulse duration and push up the power- this results in bruising, and better outcomes. You are indeed correct that prupura or bruising is the desired outcome, however you are exception to the rule as you are well versed in this desired end result. Not everyone is as well read as yourself. If you are comfortable with bruising- go for it..... this will improve your scar. Tell your specialist that you know what to expect and they will use the optimal parameters. All the best, Dr Davin S. Lim Laser and cosmetic dermatologistwestderm.com.auBRISBANE, Australia.
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