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Thread: 2009-Q&A-Interview with Dr Crouch

  1. #1
    Moderator phlika29's Avatar
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    Default 2009-Q&A-Interview with Dr Crouch

    Dr Crouch has once again kindly offered to do another question and answer session.

    So for the next three weeks this thread will be open to anyone with questions concerning the treatment of rosacea with lasers, IPL, etc.

    If you haven't read the previous Q& A by Dr Crouch I would suggest you have a look here. You might also want to have a look at Dr Crouch's Triple C website

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    Senior Member mattdog323's Avatar
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    hi dr crouch, I had a bad experience with ipl in 2007,I received 6 treatments,At the time i didn't now wiser and got sun burnt badly after two sessions of ipl,Ive developed a very rough skin texture as a result,Currently I'm trying higher filters on the lumenis one to produce more collagen and try to smoothen my skin,My texture is very keritosis pilaris like,How do u go about treating rough texture?Have u ever seen ipl mishaps which give a huge texture change?Does it come down to a chemical reaction?
    Is producing collagen the key?Is the 695 filter capable off doing this?
    Thank you very much,Matt

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    Moderator phlika29's Avatar
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    Dr Crouch

    Many thanks for helping us out with another Q&A. Has there been any new developments in the use of lasers for rosacea over the last year or so? any new products that are in the pipeline?

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    Moderator Melissa W's Avatar
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    Hi Dr Crouch,

    Thanks so much for taking the time to help the RF with another Q and A.

    Is there any laser/IPL or any other treatment you would recommend for the enlarged pores that seem to be associated with ongoing rosacea? I used to have invisible looking pores and now I definitely notice them on my cheeks. Though I know these can change as we get older I am guessing this has to do with my rosacea since it seemed to happen overnight.

    Thanks very much and I hope all is going well with you and your family.

    Best wishes,
    Melissa

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    Hi Dr. Crouch,

    Do you prefer IPL or V-Beam to help rosaceans, and why, please?

    Thank you for your time.

    -WC

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    Moderator phlika29's Avatar
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    In the last year or so we have been seeing more reports of side effects that people have associated with laser/IPL (such as fat loss). Could you perhaps shed any light on this issue-studies, anectodal reports, etc.

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    Moderator phlika29's Avatar
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    If you were new to an area and looking for some one to treat your rosacea with laser/IPL how would you go about choosing (would you want them to be medically qualified, etc,etc)? What questions would you ask when you had your initial visit?

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    Hi Dr. Crouch,

    Thank you for another Q &A session. Your feedback and information is always helpful and appreciated!

    I wanted to ask you a few questions regarding Accutane.

    For reference, I was on low dose Accutane two years ago. It worked great within a month on it (super clear and soft skin) and for eight months off. Then out of nowhere, I experienced bad acid reflux and found out I had a gluten sensitivity - my face went mad!! Prior to Accutane, I had mild acne (but persistent) and I have mild-moderate Rosacea. I can take another course, but have been getting IPL for now and it's helped a lot. So, mainly my questions are for those curious about Accutane or for general information.

    1) What is your opinion for treating Rosacea, those with papules/pustules/acne with low dose Accutane (ie. if other antibiotics have failed)?
    2) Would you recommend low dose Accutane for persistent flushing only, without papules/pustules/acne? *Most of us here feel type I Rosacea is better treated with lasers and not Accutane, however, your input is appreciated for those curious.*
    3) What treatment length do you normally recommend for Accutane?
    4) Have you ever performed laser on someone who is on very low dose Accutane? Personally, I wouldn't have laser done while on Accutane, however, there are a few folks on very low dose (ie. 5mg two/three times a week) that have had laser done. What are your thoughts.

    My question personal questions are :

    1) I have a few stubborn veins outside my nose and above my lip area that IPL hasn't been able to blanche or clear. My nose and cheeks are lighter pink, but if there is a better treatment that can help more my ears are listening.... One Derm. suggested Vbeam, Diode laser or schlerotherapy and another said VersaPulse laser (he doesn't have Vbeam - just IPL and VersaPulse)? Please tell me about these treatments and which is best. I did have two Vbeam treatments last year before my skin went haywire (acid reflux and gluten allergy) so I couldn't really see the effects since my skin went bad. Nervous to try to get the stubborn veins now as I don't want to undo the "good" that has been done with the IPL treatments.

    2) I still get papules or that sandpapery feeling (likely small comedones) on my jawline. I'm on Oracea - it helps a little. I hear jawline breakouts are often hormonal (I'm a gal) and can also be part Rosacea. Sometimes too, I notice a "pinching sensation" and then a papule is born! For reference, IPL treatments has diminished this sensation quite a bit as it did the papules - maybe I had some "extra" aggressive mites in my skin? Anyway, what other recommendations do you have in keeping this area clearer? I'm allergic to sulfa/sulfur and birth control pills aren't an option, unfortunately. Also, any input regarding mites and their correlation with Rosacea and papules? Feel free to share your thoughts - this topic surfaces a lot.

    Many thanks foryour input and expertise!!

    Sincerely,
    Yvette
    Last edited by Yvette; 3rd August 2009 at 08:19 PM.

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    Hi Dr. Crouch, thank you for taking the time to again answer our questions.

    My question concerns post vbeam hyperpigmentation. I had purpuric vbeam 8 weeks ago and when the bruising faded I was left with hyperpigmentation. I have read that this can be a side effect of vbeam and can persist for months. Is there anything I can do to speed up the lightening? (especially since many of the lightening agents are aggressive and would irritate my skin). Will this hyperpigmentation improve on its own in time? Would a different type of laser or IPL help speed this up?

    thanks so much.
    Iris

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    Moderator phlika29's Avatar
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    Sorry Dr Crouch I have another question!

    What do you think of the use of botox for the treatment of flushing?

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