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Thread: IPL instead of more v-beam??

  1. #1
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    Default IPL instead of more v-beam??

    Hi All. I had v-beam at start of November last year. It worked well for the burning sensation, a little for the flushing but made my P&P's (predominately papules) a lot worse. I have been told this is normal for approx 3-6 months post. But the inflammation and red marks from the papules seems to make the laser a bit pointless. Like it would be an endless cycle of swapping one prob for another.

    Anyway I am now thinking a more gentle approach with Lumenis One IPL may be better. I am concerned however that it will stir up more P&P's. I can't take any antibiotics either.

    I am having a consult tomorrow for the IPL. I am nervous. I have olive skin tones and some melasma and am worried I may just make more of a mess of things.

    Anyway I know there is no definitive answer and it is all a bit of trial and error but in your experience would IPL be better in regards to the post inflammatory P&P response?

    I have also started mirtazapine. Should I wait it out and see whether that is enough to stop the inflammatory cycle for a while?

  2. #2
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    Do you suffer from more subtype 2 rosacea or subtype 1, or both? Because if you mainly have papules and some associated redness you may not want to undergo laser/IPL for it, and try oracea, finacea, pyratine xr first for those symptoms. IPL CAN improve p&p's, but these other treatments have had good efficacy against them. In my experience Laser/IPL is best suited for erythema/Flushing. If you do decide to undergo IPL for subtype 1 symptoms may I recommend the sciton bbl for erythema, its one of the newer machines and was better for me at removing redness than the older IPL's. The machine used could make a huge difference, and it uses less than half the fluence.

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    If you have olive skin tones I don't believe you should have IPL. It could result in hyperpigmentation. I suffered facial fat loss and terrible scarring from IPL. I had 3 sessions. First two were fine, last one ruined my face. There are many others like me out there. Please be careful. Even on low settings you COULD end up scarred.

  4. #4
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    Thanks for the responses. I think I am going to hold off on IPL for now. But my derm does have BBL so may investigate that in the future or just do more v-beam.

  5. #5
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    How was the consult with the Sydney clinic?
    Did you not feel comfortable with them, or chose not to go ahead with IPL for other reasons?
    Previous Numerous IPL.
    Supplements: Niacinamide, Vit K2, low D3, Moderate Dose Vit C, Iodine, Taurine, Magnesium. Very low dose B's. Low dose zinc (to correct deficiency).
    Skin Care: No Cleanser, ZZ cream mixed with Niacinamide gel 4% and LMW HA.

    Treating for gut dysbiosis under specialist care. (This is helping).
    Previous GAPS diet. Testing tolerance of resistant starch.
    Fermented Foods. 2 to 3 days per week, Intermittent fasting -16-18 hours.

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    valby....I would take the antibiotic for a few weeks at least and see if you improve before you do more laser.....this will give you a chance to assess if this is a good med for you otherwise if you have laser right now and flare you may not be able to tell if the med is doing it or the laser JMO

    You can always go do the laser next month.
    Dx 1998

  7. #7
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    Hi All. I chickened out on the consult. I just don't think my face is up for more torture right now. Not until I can calm down the outbreaks etc.

    I wasn't able to take the clarithromycin --got some severe nausea etc.

    I have been dabbling with low dose accutane--taking one or two 20mg tabs per week but even at that low dose experience side effects and think it may have flared up some perioral dermatitis.

    I posted about a topical I am trying (which is somewhat controversial I guess) in the topical section.

  8. #8
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    I have had 13 IPL treatments over the last 5 years and have never had any ill effects, i have even been treated when still somewhat tan.But if you are worried about IPL treatments causing too much trauma definitely go with a newer generation machine that uses less fluence with more efficiency. IPL is not always a perfect slam dunk for most people, but in my experience it can offer moderate to good clearance of redness and general inflammation with multiple treatments for at least 3/4 of the people who try it. Like I said earlier there are some good proven treatments that can effectively clear subtype 2 rosacea. Some people have a bad reaction to IPL because their redness may not really be rosacea, they may have a dermatitis that flares as a result of the treatment.

  9. #9
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    Thanks SP. I can't take any of the antibiotics, including low dose Doxy. I tried Finacea but it irritated my skin. I will be keeping an eye out for the new Pyratine. I have just started metrogel and whilst I have only used it a few times, it seems to have a calming effect, which is good.

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