Do you suffer from wrinkles, rosacea, age spots or large facial
pores? If you do there is light at the end of the tunnel. With today’s advances
in cosmetic lasers and light technology these conditions can be treated in a
very fast,
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replica, safe, painless and effective fashion.
Patients seek
treatment that offers a return to a more youthful appearance through restoration
of even color and smoothness, relief from pigmentary sun damage, and the redness
and flushing associated with rosacea. In addition, this patient group requires
treatments that are short and pain-free, and allow immediate return to all
activities.
Following more than 20 years
of treatment of vascular lesions using the pulsed dye laser, a new laser-like
intense pulsed light (IPL) device was developed that treats these conditions
with success and answers the essential lifestyle criteria when used in a
carefully administered program. This new IPL skin rejuvenation technique called
Photo Facial now has a clinical history of many treatments with excellent
patient success.
IPL differs from laser light in that, rather than
monochromatic single wavelength, IPL emits a non coherent, broad spectrum light.
To customize the light energy delivery for a given procedure, the operator
employs a light guide, of designated wavelength, below which the spectrum is
selectively eliminated.
The IPL system, as used in the Photo Facial
procedure, conforms to the principle of selective photothermolysis. For dilated
vessels, as seen in patients with sun damage and rosacea, the light energy with
high absorption by hemoglobin and oxyhemaglobin reaches the dermal capillary bed
and selectively destroys the abnormal vessels.
The operator controls all
aspects of the light pulse, including cutoff wavelength (nm), energy level
(Joules/cm2), pulse duration (milliseconds), pulse pattern (single, double, or
triple), and delay time between pulses (milliseconds). This allows for precise
control of light energy, which in this procedure is utilized for customization
for skin type, procedure progress, and other variables. All controls are
computer driven.
Rosacea is a chromic skin disorder affecting the face,
characterized by redness and telangiectasias, and is punctuated by episodes of
inflammation with papules, pustules, and swelling. The underlying causes of
rosacea have not been elucidated yet. There are four basic stages through which
rosacea sufferers may progress: pre-rosacea, mild, moderate, and severe forms.
Pre rosacea refers to the stage where a person flushes or blushes to a stimulus,
but returns immediately to normal when the stimulus is removed. The progression
of pre-rosacea to bouts of flushing and blushing that do not dissipate for hours
or days is now considered to be directly related to micro vascular dysfunction
or damage. In support of this, leading dermatologists Dr Neumann and Dr Frithz
recently reported that biopsies of vascular lesions from rosacea patients
demonstrated moderate to severe damage of endothelial and smooth muscle cells.
In addition, these same biopsies showed evidence of abnormal fusion of
capillaries and angiogenesis. Taken together, rosacea-related alterations in
endothelial cells, vascular smooth muscle, formation of new inflammatory shunt
vessels, and angiogenesis could explain why the rosacea-related red face,
flushing, and blushing worsens over time. In effect, it is plausible that
alterations in micro vascular structure and function allow for more intense
bouts of blood flow and inflammation, resulting in even more micro vascular
damage -- a vicious and progressive cycle. Therefore, therapy should be centered
around the removal of damaged and dysfunctional micro vessels such that new
thicker walled micro vessels with normal plump endothelial cells are laid down.
Previous treatment of the acute inflammatory episodes have consisted of
avoidance of heat,
cheap
christian louboutin, cold, sunlight, alcohol, and stress. Physicians have
used tetracycline's, dapsone, erythromycin, chloramphenicol, metridonazole,
nike shox, clonidine and Accutane with
limited success. Topical treatments with antibiotics, sulfa preparations, and
topical steroids have also been used. Indeed, steroid use ultimately compounds
the problem by causing more reddening, flaring, and atrophy. None of these
treatments remove the abnormal vessels. Electrocautery treats only those larger
visible vessels, and not without pain, bleeding, and frustration of both
practitioner and patient.
It is extremely rare for an IPL patient to
experience purpura. Following treatment, the patient may have mild redness and
swelling overnight, but daily activities are not affected, and many patients can
return to work within a few hours.
IPL has demonstrated an improvement in
fine lines and wrinkles, as well as reduction in pore size, possibly due to new
collagen deposition in the dermis. This technique is not effective for treatment
of sagging skin which is normally treated surgical techniques. IPL has also been
used effectively to treat psoriasis of the face, to reduce erythematic following
laser skin resurfacing, and to treat acne scarring.
The Photo Facial
technique is a proprietary treatment protocol. It consists of a series of IPL
treatments, usually five to six treatments over a period of 4 months. The IPL is
performed on the full face.
Two-hundred patients with rosacea were chosen
randomly by Omlas and evaluated to determine the overall success with the IPL.
Patient satisfaction was high with dramatic improvements. The results of this
treatment have been truly remarkable. The most difficult patients to treat were
those with Fitzpatrick skin type I who have a long history of sun exposure. In
these patients, connective tissue is so fragile that IPL parameters selected for
optimal relief of redness may damage the skin, with higher incidence of
purpura,
christian louboutin
shoes, swelling, and blistering. In such cases, sub optimal parameters must
be used early in treatment until the connective tissue supporting the dermal
architecture is strengthened and the target tissue is reduced in size. The
standard five treatment program is usually extended in this patient
group.
Working with the constraints of the lifestyles of active working
patients requiring brief, relatively pain-free facial treatments with no
downtime, the IPL skin rejuvenation technique provides superior cosmetic
results. Specifically, the treatment offers relief from the redness and flushing
symptoms of rosacea, improved smoothness and texture of facial skin, remove age
spots, restoration of even color, and a dramatic reduction of fine lines and
wrinkles.