Fat Atrophy, Wrinkling and Eye Pain after IPL and RF from EMAX fotofacial - Palm Harbor, FL
I went to an mdspa in the Palm Harbor to receive...
I went to an mdspa in the Palm Harbor to receive IPL to get rid of my visible blood vessels on my cheeks in Mid November. I'm 37.
Unfortunately, the PA did the area near my eyes as well though I didn't request it. I had swelling for about 7 days total, mostly around my eyes. I had a few new blood vessels surface that were previously unnoticeable. I now have dime sized areas under my eyes that are noticeably a darker, stranger color, almost like it's black and blue under the eyes with some redness in a part of it. It's 1.5 months since I had the treatment. It is not improving. I also have little bumps on my skin under one eye and the skin is slightly sunken in under my right eye. The texture is bumpy where it used to be smooth.
I've seen two separate dermatologists and both say that it is possible that they may heel over time (not guaranteed) but that the new blood vessels are permanent. I didn't have any burns but you don't need a burn to have this damage. The swelling was really awful.
It was explained by the dermatologist that some of the IPL machines have some RF frequency also in them which can cause the dermis to shrink to become more damaged causing the difference in depth I see on my skin.
I can only hope this will heal. It is a little hard to cover with makeup in that the area is a different texture, depth, and color so it is quite noticeable. The area near the eye is more sensitive and thinner. Why she treated this area I will never know but definitely discuss exactly where you want your IPL so they don't just treat you everywhere.
I would not recommend this procedure. In the future for any procedure, I would only go with a dermatologist who has extensive experience with lasers, not a PA and definitely not an mdspa. I never did see a doctor at that location.
To make matters worse, the PA decided to do an RF skin tightening treatment under my chin (which I didn't request)and did not use any eye shields - which can lead to permanent eye damage. He goal was to sell me on the whole procedure. I've had corneal irritation since the procedure along with annoying vision issues and I have to put in steroid drops daily to reduce this (not to mention they found brand new opacities). Since I didn't bite for the full skin tightening treatment, she then tried to sell me a B-12 shot claiming it would give me energy. All of this was a big learning experience and reminder to only go with professional medical doctors for any procedures in the future.
Definitely go to a competent doctor for any procedure, not a mdspa and skip IPL for broken blood vessels. There are apparently better lasers out there for blood vessel treatments though since this mdspa didn't own that laser, they sold me on this one (and never mentioned there were others). I wish I had done more research.
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I should also mention that I have a substantial...
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Thanks for posting your update. There was a question asked in the Q&A section that might address your question about the possibility of the fat under your eyes being melted.
"Is IPL with RF Powerful Enough to Melt Fat?"
However, there are others who have talked about fat loss after IPL. Here are links to a couple of their reviews.
Thanks for posting a pict so that people understand exactly what we are talking about. Those are the same lines, bumps, etc I have all over from my ipl treatments. This wasn't on the consent form by any means. ugh.

I'm now 6 months out and my skin is considerably...
It did not get better as I had hoped.
I consulted a laser expert who told me I have thermal damage. They took picture and said the radiofrequency was too high and went too deep causing fat atrophy (fat loss) and dermal damage. They said it may continue to get worse (and it has).
I have wrinkles all around my eyes, a bumpy texture and the skin is sinking down. I have little brown spots and many more blood vessels as the skin has thinned so much everything shows through. The laser expert said the skin is too thin for fillers as they may show though with a blusih cast. I was told to baby my skin with gentle moisturizers. I was told the indentation under my right eye is permanent as once the facial fat is lost it does not repair.
I look like I'm well over 60 around my eyes.
Here is all the info about my treatment:
The machine used was called the EMAX made by Syneron. The PA who did the treatment was Rosemary Woolfe. Medical director is Lyda Tymiak (an opthalmologist).
The RF setting was 25 using the SRA head. Optical fluence was also 25.
I also continue to have eye pain. Opthalmologist suggested I have nerve damage from the procedure as it was very close to my eyes and my eyes were not protected duing the second procedure.
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Thank you so much for continuing to keep us updated and posting pictures so we can all learn from this. I'm so sorry for what you are having to go through. Please continue to keep us posted on how you are.

Thank you for being so diligent about posting updated photos so we can see what is going on for you ajapel. I only wish it were an update showing improvement. Hugs to you!
You certainly make a valuable add to the community by stressing the importance of going to a reputable doctor.
That is unfortunate about the change in color under your eyes. Have you seen any improvement, or has it remained as dark as it was?
You are right, there are no guarantees, and there are risks with any treatment. Of course going to a reputable doctor can help manage those risks, but they will never be completely gone.
Here is a blog that sort of touches on this subject that might be of interest:
Staggering Differences in Satisfaction Between Board vs. Non-Board Certified Doctors