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Intense Pulsed Light


Photorejuvenation with IPL is the most versatile of all treatment options. Patients often schedule appointments during their lunch hour. IPL can treat numerous skin conditions at once. IPL is effective on red blemishes that originate from blood vessels. At the same time, IPL can treat brown pigment blemishes in the form of freckles, age spots and other sun damage. IPL also treats the neck, the chest, and the hands as well, where sun damage is often most visible.

What is intense pulsed light?

Intense Pulsed Light (IPL) also known as photo-facial, fotofacial, and photo rejuvenation is a state-of-the-art system and the latest technique in photofacial therapy. The IPL system delivers high intensity, smooth and powerful pulses of light (not lasers) that greatly enhances the results of your skin rejuvenation. For skin therapy, IPL stimulates new collagen growth resulting in smoother, more even, healthier skin how does it work? A highly advanced computer regulates the light pulse to a specific wavelength range, which in turn heats a portion of the skin. This removes the unwanted tissue while it spares or avoids the surrounding healthy or "normal" tissue. The penetration depth and degree of heat is highly controlled to minimize complications. With IPL fotofacial rejuvenation the light pulses are directed at the blood vessels, age spots, freckles, flat pigmented birthmarks and other types of discolorations. Depending on the wavelength used, the tissue targeted is either hemoglobin (red blood cells) in the dermis (deeper layer of the skin) or melanin pigment in the epidermis (uppermost skin layer). The unwanted tissue is heated and damaged or destroyed, thereby eliminating it. An additional bonus is that the treatment causes inflammation of tiny blood vessels in the skin which stimulates the production of new collagen. It is possible to shrink sebaceous glands (oil glands), and pore size, with repeated treatments. The number of treatments necessary to achieve this result varies from patient to patient. Most patients require 5 treatments on average.

How is the ipl photorejuvenation different from co2 or erbium laser resurfacing?

IPL photo rejuvenation is a noninvasive, safe method to improve the look and feel of the skin without undergoing the pain and downtime associated with deep laser resurfacing. Deep laser resurfacing removes the entire epidermis leaving the skin vulnerable to infection and requires 3-4 weeks of patient downtime and post healing. We also combine fotofacial with Levulan in a procedure called PhotoDynamic Skin Rejuvenation. This is the ideal treatment for moderate to severely sun-damaged skin. If you have pre-cancerous skin lesions (Actinic Keratoses) or if you have had them treated in the past this is an excellent way to improve your skin.

Who is a good candidate?

IPL is an excellent choice for men and women of all ages considering treatment for various hair or skin problems including: Brown or age spots Facial spider veins Rosacea Skin pigmentation Reducing Pore Size Shrinks enlarged oil glands (sebaceous hyperplasia) If you are prone to keloids, increased or decreased skin pigmentation, are dark-skinned, darkly tanned or do not react well to burns you may not be an ideal candidate for Intense Pulsed Light Therapy. Many shades and types of skin can be treated successfully, Dr. Hester can determine if you are eligible for treatment. Mediterranean and darker skin shades need to be treated more gently with IPL to minimize the risk of lightening or darkening of the skin following treatment.

What are the advantages of ipl treatments?

The treatment is gentle, there is no interruption of routine activities. There is no recovery time. No time needs to be taken off work. There are no stitches, cuts, bleeding to worry about. Bruising is very rare. The treatments make the skin look younger by improving and removing age spots (sun-induced freckles) and telangiectasia (broken blood vessels). Improvement is subtle. In this way your friends, family and spouse don't have to know that you're having treatments, unless you want them to. how are the treatments done? During the fotofacial procedure you will wear protective eyewear. A topical anesthetic cream will be applied to the area that is being treated. After the treatment area is "numb" a cold, soothing gel will be applied and a glass prism (pyramid) will then be placed over the gel and treatment area. An intense flash of light, or pulse, is flashed through the prism where it is directed at the area to be treated. This initial treatment may not be as aggressive as your following treatments so as not to possibly damage the skin and to determine your skin's tolerance for further fotofacial treatments. Fotofacial treatments are usually performed every 3-4 weeks. Any area such as the face, neck and hands can be treated. You may need a spot or test patch to make sure there are no negative reactions. Your treatments are conducted only after your skin has been assessed by Dr. Hester. He will select the treatment protocol that best suits your skin type.

What are the risks?

IPL is a simple and fast technique. There is minimal discomfort. You may feel some warm sensations or a very mild stinging during treatment. After treatment, you can resume your normal activities. There is no down time. Although rare, blistering or slight bleeding is possible as is hypo- or hyper-pigmentation (lightened or darkened areas of skin). If pigmentation problems occur, it may be anywhere from 3-12 months before normal skin tone returns. This is especially so with hypo-pigmentation (lack of colour). Some patients may experience permanent skin pigmentation changes. Scarring has never been reported after an IPL treatment. what can you expect after the treatment? Since there is no real "downtime" you may resume your normal activities after an IPL treatment. You may have some pinkness or redness in or around the treatment area immediately after the treatment. Also, there may be some mild swelling, crusting or bruising which will go away after a few days, and if not you should inform your doctor. In addition, you will need to protect the treated area from sunlight, tanning beds, or other UV light.

When will you notice improvement?

You will start to see results after one or two treatments, depending on the nature of the problem. Some skin problems will require several treatments before you see any difference.

What areas can be treated?

Any area can be treated. This includes the face, neck, chest, back, hands, arms, legs and feet.

How many treatments should I have?

A series of 5 treatments is usually recommended for most skin types and body areas. Dr. Hester will determine the number of treatments that your specific skin type and condition will require at the time of your consultation or treatment. what specifically should be my skin care after an ipl treatment? I have included below the contents of my after-care handouts for 3 different skin concerns that are treated with IPL. The content between them varies slightly.




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Dr. Hester talks about skin care after IPL treatment for rejuvenation

For the first seven days after your IPL treatment for redness:

1. Avoid contact between hot water and the treated area.
2. Keep the area moist and protected with Anthelios 60 sunscreen.
3. Keep the treated area out of the sun. If sun is unavoidable, use Anthelios 60 sunscreen for at least 4 weeks following treatment. Sun exposure may lead to the production of blotchy dark pigmentation which may take several months to fade.
4. Avoid any aggressive skin care products such as scrubs, exfoliants, alpha or beta hydroxy acid products.
5. Avoid excessive heat exposure such as saunas, steam rooms, hot showers or baths, and strenuous exercising for 24 hours. This prevents the risk of blistering.
6. Keep clothing from rubbing the treated area and avoid other irritation to the area.
7. Do not get hairspray on the treated area.
8. Notify the office should you have any prolonged redness, excessive puffiness, or other unusual side effects.

What should I expect after my treatment?

1. There will be redness, and occasionally, mild blistering or bruising of the treated areas lasting from several hours to 3-14 days. This will depend on the sensitivity of your skin and the severity of the problem being treated. Most people are completely healed within 7 days.
2. The dark areas of freckles may crust, turn black and "peel off'. This is normal and should resolve within 7 to 10 days.
3. Each area is usually treated 3 weeks or more apart for 5 treatments.
4. It is impossible to get permanent results. Even though the skin may be "rejuvenated" for long periods, the aging process continues. The skin will usually improve with further treatment.
5. Your skin will be more sensitive for a few days up to a couple weeks after your treatment.

Skin Care Regimen - immediately after treatment and between your treatments

Morning

1. Step 1 - To cleanse your skin, use a small amount of Toleriane Dermo Milk Cleanser and a soft cloth to remove it. You may use lukewarm water with it. If your hands or body has been treated, use Lipikar Syndet as a cleanser.
2. Step 2 - Gently mist La Roche Posay Eau Thermale (Thermal Water) on the treated area. The antioxidant and anti-irritant properties of the water will help calm the redness and promote healing.
3. Step 3 - For the first 2 weeks apply Rosaliac to area treated to reduce redness from treatment. After two weeks the Rosaliac can be replaced with Reversa 8% anti-wrinkle cream.
4. Step 4 - *Important* Apply Anthelios 60 sunscreen to the treated areas 20 minutes before going outside, every day for 4 weeks. Use it even if there is little or no sunshine out.
5. Step 5 - Apply foundation/make-up.

Evening

1. Repeat steps 1 through 3.
2. Step 4 - After 2 weeks apply Active C eye cream to dark circles and puffiness under the eyes, and Active C Anti-Wrinkle cream to the remainder of the face.

Remember on The Day of Your Next Treatment

1. Absolutely No tan coming into treatment . Treating skin with a tan can produce white "striping" which can take several months to fade. Your skin MUST NOT BE TANNED.
2. Stop the use of all Retin-A, Reversa products and toners a week before your treatment

All of the products which I recommend are available in my office.


Dr. Hester talks about skin care after IPL treatment for brown discoloration

For the first seven days after your IPL treatment for redness:

1. Avoid contact between hot water and the treated area.
2. Keep the area moist and protected with Anthelios 60 sunscreen.
3. Keep the treated area out of the sun. If sun is unavoidable, use Anthelios 60 sunscreen for at least 4 weeks following treatment. Sun exposure may lead to the production of blotchy dark pigmentation which may take several months to fade.
4. Avoid any aggressive skin care products such as scrubs, exfoliants, alpha or beta hydroxy acid products.
5. Avoid excessive heat exposure such as saunas, steam rooms, hot showers or baths, and strenuous exercising for 24 hours. This prevents the risk of blistering.
6. Keep clothing from rubbing the treated area and avoid other irritation to the area.
7. Do not get hairspray on the treated area.
8. Notify the office should you have any prolonged redness, excessive puffiness, or other unusual side effects.

What should I expect after my treatment?

1. There will be redness, and occasionally, mild blistering or bruising of the treated areas lasting from several hours to 3-14 days. This will depend on the sensitivity of your skin and the severity of the problem being treated. Most people are completely healed within 7 days.
2. The dark areas of freckles may crust, turn black and "peel off'. This is normal and should resolve within 7 to 10 days.
3. Each area is usually treated 3 weeks or more apart for 5 treatments.
4. It is impossible to get permanent results. Even though the skin may be "rejuvenated" for long periods, the aging process continues. The skin will usually improve with further treatment.
5. Your skin will be more sensitive for a few days up to a couple weeks after your treatment.

Skin Care Regimen - immediately after treatment and between your treatments

Morning

1. Step 1 - To cleanse your skin, use a small amount of Toleriane Dermo Milk Cleanser and a soft cloth to remove it. You may use lukewarm water with it. If your hands or body has been treated, use Lipikar Syndet as a cleanser.
2. Step 2 - Gently mist La Roche Posay Eau Thermale (Thermal Water) on the treated area. The antioxidant and anti-irritant properties of the water will help calm the redness and promote healing.
3. Step 3 - For the first 2 weeks apply Rosaliac to area treated to reduce redness from treatment. After two weeks the Rosaliac can be replaced with Reversa 8% anti-wrinkle cream.
4. Step 4 - *Important* Apply Anthelios 60 sunscreen to the treated areas 20 minutes before going outside, every day for 4 weeks. Use it even if there is little or no sunshine out.
5. Step 5 - Apply foundation/make-up.

Evening

1. Repeat steps 1 through 3.
2. Step 4 - After 2 weeks apply Active C eye cream to dark circles and puffiness under the eyes, and Active C Anti-Wrinkle cream to the remainder of the face.

Remember on The Day of Your Next Treatment

1. Absolutely No tan coming into treatment . Treating skin with a tan can produce white "striping" which can take several months to fade. Your skin MUST NOT BE TANNED.
2. Stop the use of all Retin-A, Reversa products and toners a week before your treatment


Dr. Hester talks about skin care after IPL treatment for rosacea/ redness


For the first seven days after your IPL treatment for redness:

1. Avoid co
ntact between hot water and the treated area.
2. Keep the area moist and protected with Anthelios 60 sunscreen.
3. Keep the treated area out of the sun. If sun is unavoidable, use Anthelios 60 sunscreen for at least 4 weeks following treatment. Sun exposure may lead to the production of blotchy dark pigmentation which may take several months to fade.
4. Avoid any aggressive skin care products such as scrubs, exfoliants, alpha or beta hydroxy acid products.
5. Avoid excessive heat exposure such as saunas, steam rooms, hot showers or baths, and strenuous exercising for 24 hours. This prevents the risk of blistering.
6. Keep clothing from rubbing the treated area and avoid other irritation to the area.
7. Do not get hairspray on the treated area.
8. Notify the office should you have any prolonged redness, excessive puffiness, or other unusual side effects.

What should I expect after my treatment?

1. There will be redness, and occasionally, mild blistering or bruising of the treated areas lasting from several hours to 3-14 days. This will depend on the sensitivity of your skin and the severity of the problem being treated. Most people are completely healed within 7 days.
2. The treated area might "crust", "flake", or look like a "cat scratch." This should resolve within 3-14 days.
3. Each area is usually treated 3 weeks or more apart for 5 treatments.
4. It might be impossible to remove a lesion forever or get permanent results. Even though a lesion may be diminished or "disappear" for long periods of 3-6 months, it might return in the future. The fact that the lesion responded to treatment but recurred usually means that it will improve with further treatment.
5. Your skin will be more sensitive for a few days up to a couple weeks after your treatment.

Skin Care Regimen - immediately after treatment and between your treatments

Morning

1. Step 1 - To cleanse your skin, apply a small amount of Toleriane Dermo Milk Cleanser to clean your skin. Use a soft cloth to remove it. You may use lukewarm water with it.
2. Step 2 - Gently mist La Roche Posay Eau Thermale (Thermal Water) on the treated area. The antioxidant and anti-irritant properties of the water will help calm the redness and promote healing.
3. Step 3 - Apply Rosaliac to area treated to reduce redness from treatment.
4. Step 4 - *Important* Apply Anthelios 60 sunscreen to the treated areas 20 minutes before going outside, every day for 4 weeks. Use it even if there is little or no sunshine out.
5. Step 5 - Apply foundation/make-up

Evening

1. Repeat steps 1 through 3.

Remember on The Day of Your Next Treatment

1. Absolutely No tan coming into treatment . Treating skin with a tan can produce white "striping" which can take several months to fade. Your skin MUST NOT BE TANNED.
2. Stop the use of all Retin-A products and toners a week before your treatment
You must avoid sun exposure for 24 hours after your treatment to avoid blistering. Avoid generating excessive heat to an area treated.

Anthelios 60, Eau Thermale, Toleriane Dermo Cleanser and Rosaliac are available in my office for your convenience.








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