Blog with Dr. IrwinTag >> Lasers WHAT I LEARNED AT THE EUROPEAN CONFERENCE (IMCAS)Posted in Skin Care, Lasers, 2012 on Feb 04, 2012 | Permalink In the next few weeks, I'll be sharing some of the information and new tips that I learned at the Paris conference this past week. Stay tuned! Topics I'll be discussing include pigmentation problems, how to find good doctors in Europe, Asia, Middle east, etc., new information on lasers and various products. Dr.... more
What is the best treatment for sun damage on the chest and hands?Posted in Lasers, Hands, Brown Spots, 2011 on Dec 26, 2011 | Permalink Hi,
Which treatment is best to treat sundamaged skin on the hands and upper chest area? IPL, or LED rejuventation?
Okay - so this is a complicated question because I don't know your age or exactly what's bothering you. Sun damage has a lot of different problems it can cause. It can make the skin... more How long do I need to wait after Accutane treatment before I can have my scars treated.Posted in Lasers, Fraxel laser, Carbon Dioxide Lasers, Acne Scars, Acne, 2011 on Dec 08, 2011 | Permalink I got off of Accutane in June. I have some acne scars and would like to use the Fraxel laser. How long do I have to wait? I don't want there to be any complications.
The short answer is this that if you are thinking full face traditional ablative CO2 resurfacing, then you need to wait a full year. If you are considering the Fraxel or the I don't have all the money in the world so I can't afford to do everything. However, if I should choose just a couple of lasers for wrinkles and overall appearance, what are the best ones. My doctors office just started offering Pearl Fractional, but there are so many different lasers, my head spins. What is the best types of lasers and specifically what are the best names of lasers for wrinkles. I'm in my mid 30s.
I think a lot of people have the same "my head is spinning" problem on this. There's so much marketing and not a lot of good, real information. Here's how to start. First, what kind of... more What is the most effective interval between Fraxel laser treatment?Posted in Melasma, Lasers, Fraxel laser, 2011 on Nov 13, 2011 | Permalink What's the most effective intervals between fraxel laser treatments?? tnx
The answer to this really depends on your goals and your timeline. If you have a wedding in 3 months it might change your planning. In general though, 4-8 weeks is optimal. You'll see... more What is the most effective interval between Fraxel laser treatments?Posted in Lasers, Fraxel laser, 2011 on Nov 04, 2011 | Permalink What's the most effective intervals between Fraxel laser treatments??
The answer to this depends a little on what your goals are? Are you treating acne scars, wrinkles, texture problems, or sun damage for example? And most studies were a series of two... more Who performs Fraxel an aesthetician or an MD?Posted in Lasers, Finding a Good Doctor, Carbon Dioxide Lasers, 2011 on Oct 24, 2011 | Permalink Who performs Fraxel an aesthetician or an MD?
I know this is really confusing to consumers because the use of cosmetic lasers are governed by laws and statutes controlled by the states in the United States. In other countries, legal... more Would it be a good idea to use the DOT CO2 laser on the legs for wrinkles/lines?Posted in Wrinkles, Lasers, Body Treatments, 2011 on Sep 24, 2011 | Permalink Hi Dr. Irwin.. I'm now 40 years old. I had written a long time ago about DOT Therapy. Also I know there are different machines out there-which ones the best? Do you suggest having it done on the thighs and lower legs for crepiness/skin lines? I have tried everything other then lasers. I'm extremely embarassed of the way my legs look. I had a test spot done but not sure if one time testing will actually show me any difference. What's your thought and do you know of a good doctor in the Thousand Oaks/Los Angeles area that is reasonable. Thank you - thank you....i am so thankful for your input-
This is a tough one because the answer to this really isn't known. I think there are a LOT of women (include me on this one) who would love to get rid of the sun damage, and some of that... more Fractionated laser systems vs. radiofrequencyPosted in Thermage and Radiofrequency Devices, Thermage, Radiofrequency systems, Lasers, Carbon Dioxide Lasers, 2011 on Sep 03, 2011 | Permalink Hi there --
I thought your comparison of fractionated laser systems was very interesting. Could you compare these results with results/downtime of the eMatrix sublative rejuvenation system (radio frequency waves)?
Thanks,
Ginge I've never seen a radiofrenquency system that equaled the overall results of a well done fractionated CO2 treatment with a good system (like Deka or the new Cynosure CO2). BUT, if you are... more
A question about the home skin renewing device - Palovia.Posted in Lasers, Home use devices, 2011 on Aug 23, 2011 | Permalink Hello,
I read your blog post regarding at-home laser devices, which you said usually do not work. However, I have been hearing about the Palovia Skin Renewing Laser on Paula Begoun's radio show and on QVC. Here is what the brochure says about the device:
Wavelength 1410 (+/- 20) nm
Beam Divergence 0.15 (+/- .03) mrad
Pulse Duration 10ms
Maximum Output Energy 15mJ
Would you mind giving your thoughts on this? It's expensive but so tempting to buy.
Dear reader - my apologies for taking awhile on this one. And, dear readers, we are going to see more and more of these home ("laser-like") devices over the next few years. In my... more I had IPL 5 days ago - I notice the flaking...should I be patient or can I loofah?? I have only been washing my face fently with my fingertips
In general, after any laser procedure, including the IPL, you want to treat your skin very gently to avoid irritating it while it's healing. Even though it doesn't look like it... more
For men, is there a way to avoid looking feminine when work is being done?Posted in Lasers, Finding a Good Doctor, Fillers, Botox, 2011 on Jul 24, 2011 | Permalink Dear Dr. Irwin,
I've found your website very informative. I appreciate all your posts and articles, they have been quite helpful. I have one question I would like to ask though. I am a man and I have been considering fillers and a good maintenance program so that I can stay looking as young and fresh as possible for as long as possible. So my main concern is going to a qualified doctor that knows the appropriate way to administer fillers to a masculine face and keep it looking masculine and not "enhanced" or "feminine". I say this because I see men that look like they have been overdone and that isn't the look I'm going for. I'm guessing you are informed about the medical community and who does good work with men in keeping them young and fresh so I had to ask who you might recommend me to go see to have these procedures, or Botox and dermal fillers. The goal for me is to retain my natural features and prevent further wrinkles and restore the fullness to my face lost from years of exercise and of course sagging from age. Any suggestion on a doctor in the Orange County or Los Angeles area that is qualified and known for working well with men and keeping their facial features masculine would be greatly appreciated. Doctor, thank you again for your informative and educational articles and I look forward to hearing your input.
In Health,
M
You raise a good point. There are some facial characteristics that are culturally labelled masculine or feminine traditionally. So if the doctor doing your work isn't sensitive to... more --------------------------------------------------------------
Hi Dr. Irwin!! I am planning on having an IPL treatment in June. Is this a good idea since summer is fast approaching?? I will be diligent with sunscreen but is it worth it? I will be at the beach for two weeks in July but will be careful to wear sunscreen/hat, etc. Will spots appear??? Help!!! Thanks!
There are really two issues here. Is it safe? And is it worth it? On the safety issue first, as long as you don't have melasma, are a lighter skin type and really use your... more Anyone know a doctor in Chicago who's an artist with lasers and injectibles?Posted in Lasers, Finding a Good Doctor, Fillers, Botox, 2011 on Jun 04, 2011 | Permalink I live in chicago and am trying to find and "artist" who is good with all fillers, botox etc. I am a redhead and I have had a fat transfer where placement is not ideal. It is important to have someone who can help with volume and poor skin tone(large pores, fine lines etc.). I am 48 and my skin looks much older than it should. I have had some great things done and some bad things done and would like to just find one person to work with in all areas. Thank you
This is such a tough one and I know women all over the country/world are struggling with this right now. I think demand for high quality services in this "new beauty" area has outstripped... more There is not much information of the ulthera laser in terms of results.
THe only thing I have read is that it is very painful. I wanted your
opinion on the "dot" fractionated laser versus the ulthera and what results you are seeing with both. I noticed that Dr Perry is now advocating for the ulthera. I am interested in delaying a face lift
and am looking for a procedure that can tighten the skin. I am looking
and investigating a fraxel restore --? treatments with little down time, vs the deka smartxide "dot", vs ulthera. Which would you
recommend for fair skin 55 year old female with skin that is starting
to give(could use subtle tightening) with fine wrinkling mostly around mouth and marionette
lines. I would opt for the fraxel nonablative 2-3 treatments that is
less downtime if I thought that would be worth it. Would appreciate
your feedback. I could send you a picture or maybe go to Seatle for a vacation and come to see you. THanks so much Maggie
I'm hoping I summarized that well! Things to consider are these. If you are a 55 yo female with a little sagging and mild wrinkles, remember that the Fraxel Restore (erbium) does not... more
What is better for antiaging-Thermage or Fraxel?Posted in Thermage and Radiofrequency Devices, Thermage, Lasers, Fraxel laser, Carbon Dioxide Lasers, 2011 on May 22, 2011 | Permalink What is the best anti aging for face & neck ... thermage or fraxel. I'd like to prevent or improve sagging and wrinkles. My eyelids are bad and I'm starting to get wrinkles over my lips. I've been using Botox & restylane but am thinking after reading your article that Sculptra may be better.
This depends on many factors like your age, the amount of sagging you have, severity of wrinkles, and your facial contours, etc. As a general guideline, if you are under 45ish and you... more
I was wanted to know if I can use a laser on my face due to the fact that I have a silcon chin implant and a small drop of silcon on the bridge of my nose.
Generally the silicone, both the implants and the injectible forms, are placed quite deeply. Below the dermis or in the deep dermis. Depending on the laser, the level of would be higher... more
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Hello what can I do or use for a few blisters that I have on my face after getting a laser treatment. I am afraid that these blisters are going to scar and I am very upset.
You must absolutely call your doctor's office where you had the laser performed. Only they know exactly what was done and can help you make sure you heal properly. If you don't get a... more
Can a laser be used safely if I'm on a medication that makes me photosenstive?Posted in Rosacea, Lasers, IPL, 2011 on Apr 16, 2011 | Permalink I'm 47 and I am seeing a dermatologist/aesthetician, I have red broken vessles or capalaries on my face and laser therapy is being recommended, but I'm on a medication that causes photosensitivity.(It's not an option to stop the medication it is for diabetes(glyburide). I really want those blood vessles gone, what are your recommendations? Can a laser be used safely??
Usually lasers and IPL systems can be used safely in this circumstance. The key is for the nurse, PA-C or doctor to do several test areas on your face before treating the entire face. ... more
How can I sort out all the different laser technologies and find a good doctor?Posted in Lasers, Finding a Good Doctor, Brown Spots, Blotchiness, 2011 on Apr 16, 2011 | Permalink I am considering a laser treatment for my face to just rejuvenate and even out the skin tone. I would also like to fix some broken blood vessels. I have no idea what type of laser procedure to look for and how to make sure the doctor is qualified to perform it. Is it a dermatologist or a plastic surgeon that I need to find? Any advice would be appreciated. Thank you.
Okay - to start, read my articles on lasers to learn what type of results each laser can provide. Also, look at my directory of excellent cosmetic dermatologists in the U.S. to help you... more Is it okay to do the DOT laser before treating rosacea?Posted in Rosacea, Lasers, Carbon Dioxide Lasers, 2011 on Mar 23, 2011 | Permalink Hello Doctor Irwin, Fantastic site! I'm 39, fair skinned with plenty of sun damage and considering your DOT laser treatment. However, I do have rosacea on my nose and a bit on my cheeks. Nothing over the top, just redness and some broken blood vessels on my nostril areas. Is it necessary to take care of my rosacea before your DOT laser treatment?
Thanks so Much!
DC
In general, it's nice for your rosacea to be under control at least before undertaking a fractionated CO2 laser treatment like the DOT. I'm assuming you're avoiding your particular... more Are there any treatments which prevent the use of other treatments in the future?Posted in Sculptra, Restylane, Lasers, JuvedermRestylane, Juvederm and Restylane, 2011 on Mar 16, 2011 | Permalink Does use of any treatment (for example -- laser - co2, fraxel, etc..., or injectibles - sculptra, rejuvaderm, etc.) prevent use by any other treatment (either same kind, ie. laser to different laser or different, ie. laser to injectable or vice-versa, etc.) at any point in the future?
Good question. This is a little complicated for a blog but in general, no. The exception is anything permanent like silicone, Artecoll/Artefill, and others available outside the United... more What would you recommend as a first step to enlarged pores on the cheeks?Posted in Lasers, Large Pores and Texture, Large pores, Fraxel laser, Carbon Dioxide Lasers, 2011 on Jan 22, 2011 | Permalink What would you recommend as a first step to enlarged pores on the cheeks. I am 48.
Thanks
Deanna
Hi Deanna. If they aren't too large, I would recommend Fraxel (the original - not the Fraxel CO2). You will probably need to do a series of at least 3 to see a real difference. If they... more
I'm starting 8 treatments of one of Syneron's products (not eMatrix). The Doctor calls it "ST". It's called sublative rejuvenation. I'm hoping to rejuvenate my skin, improve wrinkles and help with a drooping jowl line. I didn't see any information on Syneron's products on your website and was wondering what you thought? The Dr. is not a dermatologist; he's a family practioner.
Okay - so here's where I really need your age, your approximate weight, and the degree of sagging at your jowl line. The answer really depends on that so please write back. Dr.... more
I have very old hands! They have age spots, wrinkled and thin skin, and show very large blood vessels. What can I do to get a fresh start with them? I take great care to eliminate sun damage to any exposed skin, consistently, every day, no matter what. So I would like to reset my hands to a much much earlier time and I WILL ensure that they never get sun exposure again.
I sometimes joke with my patients that hands and neck are now the "holy grail" of skin because it's tough to really improve these areas. Progress on "deaging" hands is being made... more I am 46, what is best way to treat the loose, slightly crepey skin up and down the neck?Posted in Necks, Lasers, 2010 on Nov 28, 2010 | Permalink | View Comments (1) I am 46, what is best way to treat the loose, slightly crepey skin up and down the neck?
In my opinion, the best way to treat this skin non surgically is the fractionated/pixilated CO2 laser. Think 1-3 treatments with 2-6 months in between treatments. Full results are... more Is a fractionated CO2 laser safe on darker skin types to treat acne scarring?Posted in Lasers, Carbon Dioxide Lasers, African american skin, Acne Scars, 2010 on Nov 28, 2010 | Permalink Hi Dr Irwin
I was just browsing your website doign research on Fractionated CO2 lasers. I see it mentiond that it can be adjusted on more darker skin types to be safe. Can you elaborate if this is a viable and safe option for treatment of acne scars (ice pick/rolling types) on darker skin types? I see various websites listing CO2 as not safe on darker skin types though so i am curious if you can shed some more light on how it works on darker skin types and what are potential complications and recovery times especially for acne scars
Thank you for asking this. The answer is yes with some restrictions. First, you must go to an expert who has a lot of experience because the right settings really matter. They need to... more
What do you think of Dot therapy for skin tightening on the face and neck?Posted in Lasers, Carbon Dioxide Lasers, 2010 on Nov 20, 2010 | Permalink What do you think of Dot therapy for skin tightening on the face and neck?
I've been working with this laser for about 7 months now fairly intensively and I am very impressed. It's actually exceeded my expectations and those of you who read me frequently know I... more What do you think about sublative rejuvenation? It claims to promote collagen growth.Posted in Radiofrequency systems, Lasers, 2010 on Oct 17, 2010 | Permalink | View Comments (1) What do you think about sublative rejuvenation? It claims to promote collagen growth.
I'm glad you asked about this because there are a couple of good issues that you raise. The first is about collagen growth. All laser and radiofrequency (sound wave) technologies... more Can skin on the neck be tightened non surgically?Posted in Necks, Lasers, Carbon Dioxide Lasers, 2010 on Oct 09, 2010 | Permalink Is there anything sort of a face lift to tighten the skin on the neck. I had a neck lift (muscle too) 5 years ago and there is still loose skin on one side. Surgeon said a face lift will fix it but I do not need a face lift.
Even a year ago, I probably would have said "no, don't waste your money." But the newer fractionated CO2 lasers look promising, although the data is early and sparse. It can often... more HI Dr. I, I was wondering what you recommend for overall volume for my face? I lost about 20 pounds 3 years ago, along with turning 40. I have high cheek bones but my eyes and mouth area make me look gaunt and older. I have used fillers for the smile lines and that does help but I need an overall plumping. From your sight I know a laser would be the next thing to do, but which one would give the most volume? I have a month off coming up incase downtime is required but I am interested to get your opinion since I follow your sight closely ;) Thanks for your help.
I think this is a common misconception - that a laser can create volume - so thanks for asking this! Lasers are best used on the face for color problems (too red, brown spots), or
Which laser is best in my situation?Posted in Lasers, Carbon Dioxide Lasers, 2010 on Oct 03, 2010 | Permalink I am a 61 yr old female with fairly decent skin. I would like to get rid of lines on my cheeks and other fine lines on my face. I get Botox several times a year and I am using all of your recommended products. I do not have brown spots or acne.
What lasar would be appropriate for me?
At 61, you'll get the most result with a fractionated carbon dioxide laser like the DEKA DOT or the Lumenis Active/Deep Fx. Please see our section section on Finding a Good... more
I'm having difficulty finding a good cosmetic dermatologist where I live.Posted in Skin Care, MedSpa, Lasers, IPL, Fraxel laser, Finding a Good Doctor, 2010 on Sep 26, 2010 | Permalink I am trying to find a cosmetic dermatologist in Vancouver, BC. I have discovered in my research that most of the clinics have technicians doing the laser procedures rather than the dermatologist. In addition, many of the anti-aging clinics are headed by medical doctors that have "a special interest in cosmetic procedures." Is this the norm?
Thanks,Lisa
Okay so good questions! I'll try to clarify. Many good dermatologists or plastic surgeons will delegate procedures. I don't have a problem with this as long as the laser provider has a... more I have to have V-Beam treatments for the broken blood vessels I get on my face from Rosacea. So my question is, does the V-Beam help build collagen? Thanks for any info.
The short answer is no. The reason is that it is a "true" laser which has only 1 wavelength. The IPLs remove blood vessels, remove brown spots AND build collagen because they light... more
What are the best laser options for light/olive/Hispanic skin with minor discolorations and a few broken capillaries?Posted in Lasers, IPL, Fraxel laser, 2010 on Sep 14, 2010 | Permalink Dear Dr. Irwin,
What are the best laser options for light/olive/Hispanic skin with minor discolorations and a few broken capillaries?
You are wise to be a bit careful! If you can do it in the winter and not be tan at all, you might do well with an IPL (photorejuvenation). BUT......... you must go to an expert... more
For a 44 yo female, what would be the best laser to tighten after weight loss?Posted in Thermage and Radiofrequency Devices, Thermage, Lasers, Carbon Dioxide Lasers, 2010 on Sep 11, 2010 | Permalink Hi Dr. I,
Your website is fantastic! Thank you for taking time out of your very busy life and answering our questions. I am a Vietnamese 44 y/o female, and have lost 20 lbs. over the past 4 mo. I have very good skin with no wrinkles, or discoloration. My facial skin is now lax on the cheek and neck. what is the safest and best laser treatment for this? There are so many types out there?
Thank you! The answer to this really depends on how much extra skin you really have. If you have a lot, surgery could be the best answer. But at 44, Thermage could be a great option for... more
Do you perform needling/subcision on skin that has been scarred from acne?Posted in Lasers, Acne Scars, Acne, 2010 on Sep 06, 2010 | Permalink Do you perform needling/subcision on skin that has been scarred from acne?
Yes. Like all treatments for acne scarring no single type of treatment will take care of all the scarring. We often use subcision occasionally alone but more often in combination with... more
Which treatment should I have next?Posted in Thermage and Radiofrequency Devices, Thermage, Sun Damage, Skin Care, Sculptra, Lasers, Fraxel laser, 2010 on Sep 06, 2010 | Permalink Hi Dr. Irwin,
In what order would one consider the following treatments in your clinic:
*Thermage
*Fraxel or recommended laser tx.
*Sculptra
I'm 51 and have had Botox, Restylane, and some Laser treatments over the past 4 years with good results. I'm considering these other treatments down the line, so to speak!!
Thanks!!
Your question brings up two good issues: customization and maintenance. First, the answer to your question really depends on your particular skin. I think it would be bad medicine to... more Can I get good results with the Fraxel without the downtime?Posted in Lasers, Fraxel laser, 2010 on Aug 20, 2010 | Permalink I recently had two profraxional laser treatments done and am seeing some improvements in tone and texture, however the downtime was extreme. For 6 days I had red blood marks all over my face. I would like to continue my treatments but am not able to take time off. What kind of results should I expect with Fraxel? And is there a reason profraxional should be recommended over Fraxel?
Thanks,
Dave
There are now A LOT of copy cat laser systems in existence who use the words fractional or some like that in their titles or their marketing. Everyone please pay a lot of attention to... more Is there anyone in VirginiaPosted in Skin Care, MedSpa, Lasers, Finding a Good Doctor, Fillers, Botox, 2010 on Aug 10, 2010 | Permalink Dr. Irwin,
I have been a regular visitor to your website since hearing you on Paula Beguon's radio show. I feel like I can't go wrong having the both of you in my corner. I'd really like to pursue getting dermal fillers. However, you have not included any Virginia cosmetic dermatologists on your 'trusted' listing. I did take a virtual tour of the Washington D.C. 'trusted' facility because I reside in Northern Virginia. What makes me hesitant about the D.C. facility is that they list so many things they specialize in. I've read almost every blog you've responded to and what stays with me the most is your insistence that it all goes back to the injector and his/her skill. I don't see how anyone can be skilled in so many procedures?
Any suggestions? Linda
Thank you!!! As you all know, I am revising the regional guide but it's SLOOOOW because I feel like I need to check possible additions with several different sources. In Virginia, I'm... more Is there any type of laser procedure that will lighten dark undereye circles?Posted in Lasers, Eyelid Treatments, Carbon Dioxide Lasers, 2010 on Jul 19, 2010 | Permalink Is there any type of laser procedure that will lighten dark undereye circles?
Lasers don't always work for this but a series of 2-3 fractionated CO2 (like the DEKA DOT or Lumenis Active/Deep Fx) laser treatments would be your best choice. Be sure to go to an... more
I'm concerned about possible side effects of photorejuvenation - what should I watch out for?Posted in Lasers, IPL, Brown Spots, Blotchiness, 2010 on Jul 08, 2010 | Permalink Dr. Irwin: Your website has been extremely helpful - thank you! I have been thinking about Photorejuvenation for brown spots on my face. I have them on my upper lip & a few on my cheeks. Just as you said in the video - "many people are scared of lasers" well I am one of those people. I have read a great deal online & have discussed the treatment with a local doctor, but still have concerns. First, I have read about the "striping" that can occur after - how common is this; what % of people would you say this happens to; how long does this effect last; what's done to correct it? Is there typically any crusting of the brown spots after a treatment, if so what % of people experience this? Finally, what % of people actually see results from the treatment, if done properly? I guess, my fear is making the "problem" worse because of the "striping" & is the cost worth it?
I looked at your recommendations for local doctors - do you know of anyone in the Cleveland, Ohio area? Thanks so much....
These are all good questions. My concern is that when you saw your local doctor these questions weren't answered. I would recommend getting a second opinion from another office and... more Why didn't my brown spots light up after my IPL treatment the way they usually do?Posted in Pigment problems, Lasers, IPL, Brown Spots, 2010 on Jun 01, 2010 | Permalink Hi Dr. Irwin
I just had an IPL treatment for my brown spots at a new clinic. This was my 4th treatment over the span of 2 years. I didn't feel the "zapping" that I did in my previous treatments and my brown spots have not gotten darker like past times- immediately after the treatments. I was expecting the pinkness on my cheeks,the slight scabbing for a few days and then the spots disappear or are much lighter. This experience was very different. Do you think it can have the same results if I didn't experience any of my expected/usual things? I know the settings must have been different and probably the machine. I hope I didn't waste money trying to find a new place closer to home. I know time will tell ...I was just wondering if there is somewhat of standard experience for the IPLs? Thank You
Excellent question! There are many different companies making IPLs now and they are not all created equally. The ones sold to salons and medispas tend to be less powerful and therefore... more Is it better to do Botox before or after Thermage?Posted in Thermage and Radiofrequency Devices, Thermage, Lasers, Botox, 2010 on May 18, 2010 | Permalink Should botox or other injectables be done before or after thermage?
Since the purpose of Thermage is to tighten a little, maintain the jawline and eyebrow position, and build collagen, the timing of Botox with it really isn't important. But, if you're... more
What is the best treatment for under eye crinkles?Posted in Thermage and Radiofrequency Devices, Thermage, Lasers, JuvedermRestylane, Juvederm and Restylane, Fraxel laser, Eyelid Treatments, Eye Creams, Crows Feet, Carbon Dioxide Lasers, 2010 on May 06, 2010 | Permalink What is the best treatment for the under eye crinkles? Is it thermage or fillers or retin a or something else? Thanks, Bonnie
This is such a complicated question because it depends on sooooo many factors. I'll try to make a long story short! But, please see the section on eyes on this site. If you just have a... more How can I get rid of crepey eyelid skin?Posted in Lasers, Eyelid Treatments on Apr 24, 2010 | Permalink Hello Dr. Irwin, I just listened to you on Paula\'s talk show and am excited to ask you about a facial aging skin issue I have. I am 51 yrs. old and have battled facial edema under the eye area right on the cheek bones for years. A couple years ago, I started taking armour thyroid for autoimmune disease and the edema has improved greatly. But as a result, I have crepey skin only in this area. The rest of my skin is in pretty good shape. Is there anything that can help this? What would your recommendations be? I never see this issue addressed and would appreciate your expertise.
Thank you. Roberta
Hello Roberta - I'm not sure how old you are (the elasticity issue) and you'll want an opinion from a good cosmetic dermatologist. But, if you your lower eyelid skin is really just... more
Who should I see - a dermatologist or a plastic surgeon?Posted in Lasers, Finding a Good Doctor, Fillers, Botox on Apr 12, 2010 | Permalink The advice I usually here is to see a "cosmetic or plastic surgeon" rather than a dermatologist for many of the procedures you recommend. Besides being more costly, why wouldn't I see what seems to be a more skilled physician when I'm thinking about altering my face. I know that they do do botox, and laser resurfacing, etc. I'm quite confused about the best physician.
Thanks,
Janis
I think this is very confusing for people. Dermatologists are specialists who are experts in the care of skin, hair and nails. We do 4 years of college, 4 years of medical school, 1-3... more Is it ok to do laser hair removal during a period?Posted in Lasers, Hair Removal, Hair on Apr 12, 2010 | Permalink -------------------------------------------------------------
is it good to have a laser hair removal (bikini) during my periods?
Thank you for your time :)
It really doesn't make any difference where you are in your menstrual cycle. If you take ibuprofen though for your period, you'll be a bit more likely to get a bruise. Dr.... more
Is there a solution for lines on the chest?Posted in Lasers, Botox, Body Treatments on Apr 06, 2010 | Permalink Hi,
I have vertical lines on my chest from sleeping on my side. My question is how to prevent this from continuing on and how to fix what has been caused from sleeping like that in the past. Thanks so much!
karen Okay so I have to do a bit of guessing here. I'm guessing you're over 40 and have some sun damage on your chest. Without seeing you, it's a bit tough. You'll need to have a good cosmetic... more
Does cryosurgery (liquid nitrogen) work for brown spots?Posted in Pigment problems, Lasers, Brown Spots, Blotchiness on Mar 27, 2010 | Permalink Dr Irwin;
Thanks for your informative internet chat with Paula Begoun. How do you feel about cryosurgery for facial brown spot removal? I have had 5 laser treatments which have worked to some degree; but I have 2 stubborn spots which were only lightened. I have had cryosurgery before, but the brown spots returned in the same location. I am 54, and am vigilant about daily sunscreen protection. I don't have any wrinkle issues; I'm lucky in that regard. But the brown spots are driving me crazy ! I have tried everything, including 4% hydroquinone. Cryosurgery seems to work more quickly than laser treatment; would you disagree? Thanks for your honest manner; I so appreciate that!
Gail Liquid nitrogen (cryosurgery) is used for a lot of different purposes in dermatology including, sometimes, removing brown spots. It does work! There are problems with it though when used... more I have brown spots and am hispanic. Is this advice good?Posted in Pigment problems, Melasma, Lasers, Brown Spots, Blotchiness on Mar 27, 2010 | Permalink Hi Dr. I
I had a consultation today regarding the brown spots/sun damage on my face and I wanted to ask for your opinion. I am a 37 years old, on birth control pills,hispanic(olive skin) and work outdoors (10 hour days).I have done the IPL 3 times and see results but not completly satisfied. I started the IPL after I had a baby. I was told that a peel would be better than a laser treatment and that I should use certain products(cosmelan).
I am using the sunscreen you recommended Zinclear but this doctor told me that I don't need Zinc in my sunscreen at my age???????? What do you suggest? I do plan to get a different opinion but I was wondering what you thought of this and what direction/questions may be more helpful in my next consultation. I know for sure that that advice about your sunscreen was not good!!! You are YOUNG - only 37 - and if you have brown spots, are hispanic, on birth control and work outside, you need a... more Will a laser work for loose skin on the abdomen?Posted in Thermage and Radiofrequency Devices, Thermage, Pregnancy, Lasers, IPL, Fraxel laser, Body Treatments, African american skin on Mar 21, 2010 | Permalink I had a baby almost three years ago. I was fortunate that I was able to loose the weight and escape stretch mark free(She weigh 10 pounds). I am 5'4 and weigh 130 pounds. I workout regularly so I'm in pretty good shape. I am thinking of trying a laser for my belly button area. The skin has lost the elesticity and that area looks so different from the rest of my abdominal area. I know you are against this type of thing incase of major weight loss but I wonder if you think that it would make a difference in my case? I have consulted with 2 doctors and of course, both said yes that it would make a significant difference. I still don't know if I trust the response. If you think it would is there a particular one you recommend? I so appreciate your honesty and straight-fowardness. Thank you again and again. Good for you for getting back into shape!! It's hard, isn't it. Well........it depends on which type of laser and how loose the skin is. If it's more like a stretch mark around your... more Can veins around the eyes look better?Posted in Lasers, Eyelid Treatments on Dec 03, 2009 | Permalink
Dr. I:
I am 50 years old and live in Missouri. I had co2 laser treatment 6 months ago under my eyes and now my skin under my eyes is thinner and you can see the veins around the lower orbital of my eye. Is there anything I can do for this? Makeup does not cover it completely or looks cakey.
D Was the CO2 (carbon dioxide) laser you had a traditional CO2 or a fractionated CO2? ? I'm strongly recommending to consumers that if they want want to do a CO2 laser on the eyelids it... more Can I get rid of freckles on my shoulders?Posted in Lasers, Brown Spots on Nov 05, 2009 | Permalink I'm 54 and getting lots of freckles on my shoulders. Sun damage, I guess. Which laser would be best to lessen those freckels? Is it expensive to get the whole shoulder area treated? The most cost effective, efficient laser for this would be the laser cousin - an Intense Pulsed Light system. Doing a light peel on the area about 1-2 weeks before the laser, would help... more Two days after receiving a limelight treatment at a laser center where I live, I have significant facial swelling (to the point that I cannot go out). Other than ice packs and sleeping in an elevanted position, is there anything I can do to reduce the swelling? The weekend of recovery time I expected isn\'t going to be enough, but I feel pressure to get back to work. Any advice or recommendations? I'm not sure what a limelight treatment is. I'm wondering if it's a marketing name given a to a common laser treatment by that particular center? You already listed two of the most... more
Refirme Laser TreatmentPosted in Thermage and Radiofrequency Devices, Thermage, Lasers on Oct 13, 2009 | Permalink I'm considering Refirme skin tightening for the neck/jowl area as well as fillers for nasolabial and marionette lines. Which should I do first... or does it matter? Thank you. I would suggest doing the fillers first to see how much mileage you get from those. You may change your mind about the laser. Also, you didn't mention your age. Like Thermage, if Refirme... more
Hi Dr. Irwin
i have superficial scarring from childhood on my face, i also have african american skin type, is it true that laser resurfacing is not that successful at treating my skin issue due to my skin type? If your scarring is truly superficial, than the Fraxel laser, done in a top notch center, may be a good choice for you. Without seeing you, it's not possible to say for sure. Find a... more
Choices of Laser for Brown SpotsPosted in Lasers, Brown Spots on Jul 30, 2009 | Permalink What is your take on IPL vs. Yag lasers for removing PIH brown spots on cheeks of face? Thanks for any suggestions. There are different YAG lasers so it really depends on which it is. Most of the YAG lasers in use now are designed for hair removal and not particularly good for brown spots (lentigines)... more Fraxel ResultsPosted in Lasers, Fraxel laser on Jul 27, 2009 | Permalink
Dear Dr. Irwin,
Does fractional laser causes long term side effects (ie. redness, lines, pigmentation after a certain period of time) or does it provides permanent results (glowing skin, wrinkle free etc)?
Thanking you in advance for your advice. On the side effects issue, generally there are no long term problems. Certainly there can be some temporary redness, dryness, pigmentary changes, etc for a few days to, in some cases, even... more Lasers and PigmentPosted in Lasers, Brown Spots on May 29, 2009 | Permalink 1. I work with lasers and I release that when a laser is targeting brown spots the langerhan cells in the immune system will asborb them since the laser has destroyed them. The immune system will absorb the cells just like white bllod cells do in the body. My question is will the immune systen in the skin also absorb a cell that is dead from damage from free radicals or will it go throught the whole kertinization phase. I would think that the immune system would take care of the dead cells before kertinization since langerhan cells absorb the brown cells filed with melanin that have been damaged by the laser . 2. How effective are the home-use photo-rejuvenation devices (like Omnilux New-U, DPL System, and LightStim) for wrinkles and hyperpigmentation? Worth the money? 1. I think it's great that you're thinking about how lasers work! It shows you're really thinking about what you do and trying to understand as much as you can. Remember though that... more Thin Skin and Dark Circles Under EyesPosted in Lasers, Eye Creams, Botox on May 08, 2009 | Permalink Hello, I'm in Australia and I love your site, thank you for it. I have thin skin around my eyes and also dark circles. I tried botox once but I looked like I had small hallows on the outer corners of my eyes. My Dr said it's just that I have thin skin and maybe I should consider a filler like restylane. I wondered if there are any products that can help thicken the skin around the eyes? Is botox not suitable if you have thin skin? Thanks Megan You're welcome!! Hmmm - it's a bit tough because I can't see the problem but, in general, Botox doesn't cause hollows to occur if it's injected evenly around the eye area. If it weren't... more |
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