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Thread: Indentations from Lasers

  1. #1
    Senior Member banshee's Avatar
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    Default Indentations from Lasers

    I was very disheartened to discover lately that I have an indentation on the side my nose toward the bridge. I've never had any scars or pocks on my face, so I'm certain it's come on relatively recently. My last treatment being 4 months ago.

    I had mainly been getting only Laserscope Lyra 1064nm Yags (@ 30 joules), spaced 6-8 weeks apart for 4-5 years, then cut down to 2-3 a year. These helped my severe flushing considerably. It wasn't until I added a pass of the 532nm KTP (6 j's) a couple summers ago though that I truly felt I had made headway.

    I was disturbed to read old posts and comments by Dr. Crouch, that unbeknownst to me the 532 KTP shouldn't be used on the top of the nose due to the thin skin/cartilage.

    I've advocated light therapy as generally the best way to arrest Rosacea, and believe it still is...but IPL/laser are high energy devices so the risks are always there. I have considered myself pretty lucky with limited side effects (a burn or 2) from having significantly more laser than the average person. However, I've often wondered if there was a limit a face could take.

    For those of you who have experienced fat loss/collagen/cartilage destruction, have you found the indentations to lessen over time? Did you continue on with laser therapy and avoid those areas? Find any topicals to help the impressions?

    My flushing has gradually been returning, and I have always had extremely powerful internal and hormonal flushes that have not responded well to medications. So I'm very worried about what this means for my future if I can't get anymore laser. On a sidenote, I have not regularly been using RLT for the last couple years...

    Thanks for listening and any advice-
    Kristen
    Last edited by banshee; 19th April 2010 at 04:21 AM.
    My weapons :

    Aura/Lyra lasers-70+txs
    RLT (DPL)
    Modified OCM using; microfiber cloth, jojoba/safflower oil, & cool water
    Everyday Minerals
    Bare Minerals Primetime
    Linda Sy Oatmeal & Goodskin All Calm Cleanser
    Replenix Green Tea Serum
    homemade moisturizer w/dimethicone
    Ester C, NSI brand SOD
    Thera Tears supplement & PF gel drops

    "Mornie utķliŽ (darkness has come)..Believe and you will find your way.
    Mornie alantiŽ (darkness has fallen)..A promise lives within you now."

  2. #2
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    Post Hello my friend!

    Hello Kristen,

    I too was a firm believer in IPL, my last treatment was in June 2009.

    I have had about 14 treatments ( 6 the first year and once per year afterwards).

    Sadly, the last treatment seemed to have little effect, hence my RLT journey.

    I cannot offer any advice re indentations, but just wanted to send you a !

    I too am certainly an emotional/hormonal flusher and sometimes feel that I am battling

    against my own feelings!

    Is there any reason you have reduced your use of RLT?

    I hope someone comes along to offer you reassurance as you do to us so often!

    Hugs Jx
    SUFFER FROM NEUROPATHIC ROSACEA & OCULAR ROSACEA SINCE 2002.


    *Vit D3,Theratears Omega 3.



    *LDN since October 2018.

    *REN skincare range. TARTE cosmetics.

    *Tried Clonidine, Moxonidine & Atenolol (None being taken at present ).

    *Yearly IPL treatments until 2009.

    * RLT Journey!" (Sept 09) **Using Britebox Revive..(Stopped ).



    History of Hyperthyroidism (Graves) Lichen Planus (oral)
    PROUD TO BE DIFFERENT






    .

  3. #3
    Senior Member banshee's Avatar
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    Hi Judworth-

    I'm afraid I have no good excuse....I think in part I was doing so well from the lasers I just got lazy to do RLT everyday, but I also allowed doubt to creep in about it despite noticing on several occasions I was better with than without.

    I don't want to scare ppl away from laser/IPL. I had close to 70 txs over an 8yr period compared to a dozen! I had such bad flushing I wanted to knock it back to last week. Antibiotics for over a decade took a toll on my immune system, Accutane at high dose before they knew better I believe primed me for severe flushing, and clondine made my Raynaud's horrible. So I felt like I was out of options...

    I want to point out there are others who have had just as many treatments as I have w/o incident, and I got pretty far before I did. Just please exercise caution.

    I've never believed my way is the only way, it's just the Beast of this condition is hard to pin down when it gets out of control.

    You have given me some comfort Judy I'm hoping I can find another way as you did. I'll probably turn once again to RLT, and will have to reconsider medication.
    Last edited by banshee; 19th April 2010 at 08:50 AM.
    My weapons :

    Aura/Lyra lasers-70+txs
    RLT (DPL)
    Modified OCM using; microfiber cloth, jojoba/safflower oil, & cool water
    Everyday Minerals
    Bare Minerals Primetime
    Linda Sy Oatmeal & Goodskin All Calm Cleanser
    Replenix Green Tea Serum
    homemade moisturizer w/dimethicone
    Ester C, NSI brand SOD
    Thera Tears supplement & PF gel drops

    "Mornie utķliŽ (darkness has come)..Believe and you will find your way.
    Mornie alantiŽ (darkness has fallen)..A promise lives within you now."

  4. #4
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    Post

    Quote Originally Posted by banshee View Post
    Hi Judworth-

    I'm afraid I have no good excuse....I think in part I was doing so well from the lasers I just got lazy to do RLT everyday, but I also allowed doubt to creep in about it despite noticing on several occasions I was better with than without.

    I don't want to scare ppl away from laser/IPL. I had close to 70 txs over an 8yr period compared to a dozen! I had such bad flushing I wanted to knock it back to last week. Antibiotics for over a decade took a toll on my immune system, Accutane at high dose before they knew better I believe primed me for severe flushing, and clondine made my Raynaud's horrible. So I felt like I was out of options...

    I want to point out there are others who have had just as many treatments as I have w/o incident, and I got pretty far before I did. Just please exercise caution.

    I've never believed my way is the only way, it's just the Beast of this condition is hard to pin down when it gets out of control.

    You have given me some comfort Judy I'm hoping I can find another way as you did. I'll probably turn once again to RLT, and will have to reconsider medication.
    Hello Kristen,

    That's one of the many things I Ioathe about the rosacea beast, despite our collective

    treatments, drugs, topicals, home remedies etc, not one solution fits us all!

    I have gone back to RLT after a 3 week break today ( I will be doing just one treatment

    of 5 minutes the day I do my honey mask).

    I do believe in RLT, despite being sensitive to the infared part.

    I have 'resting' hyperthyroidism, so I know that my immune system is 'troubled' to say

    the least.

    Something I am getting back into in a BIG way is my working out; I don't appear to get

    flushed from this and it lifts my mood considerably (being sad is my roascea's best friend!).

    I know that you certainly were not intending to put anyone off laser treatment; we all have

    to find our own way.

    BTW I love your sayings in your signature.

    Thinking of you!

    Judyx
    SUFFER FROM NEUROPATHIC ROSACEA & OCULAR ROSACEA SINCE 2002.


    *Vit D3,Theratears Omega 3.



    *LDN since October 2018.

    *REN skincare range. TARTE cosmetics.

    *Tried Clonidine, Moxonidine & Atenolol (None being taken at present ).

    *Yearly IPL treatments until 2009.

    * RLT Journey!" (Sept 09) **Using Britebox Revive..(Stopped ).



    History of Hyperthyroidism (Graves) Lichen Planus (oral)
    PROUD TO BE DIFFERENT






    .

  5. #5
    Senior Member banshee's Avatar
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    Thank you again Judy

    My signature is from Lord of the Rings, one of my favorite songs by Enya "May It Be".

    I'm so glad you've found success w/RLT and honey...I know what you mean about battling your own emotions. Rosacea is very dehumanizing like that, don't feel or you get punished.

    In a kind of open letter to the forum, I've always been concerned that in the time I've been posting, I seemed like a know-it-all as opposed to someone who has had many years of experience with severe rosacea. It was only ever my intention to help as many people struggling as I could.

    I was hoping someone who experienced these issues from lasers could offer some hope they might heal a bit, but doing reading on these scars it's not looking very good.

    It's going to take me some time to accept this and figure out what do. So if anyone else comments and it takes me some time to reply, my apologies.

    best wishes-
    Kristen
    Last edited by banshee; 19th April 2010 at 09:10 PM.
    My weapons :

    Aura/Lyra lasers-70+txs
    RLT (DPL)
    Modified OCM using; microfiber cloth, jojoba/safflower oil, & cool water
    Everyday Minerals
    Bare Minerals Primetime
    Linda Sy Oatmeal & Goodskin All Calm Cleanser
    Replenix Green Tea Serum
    homemade moisturizer w/dimethicone
    Ester C, NSI brand SOD
    Thera Tears supplement & PF gel drops

    "Mornie utķliŽ (darkness has come)..Believe and you will find your way.
    Mornie alantiŽ (darkness has fallen)..A promise lives within you now."

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    Moderator Melissa W's Avatar
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    Dear Kristen,
    I am just writing to you in offer of support and love. I have no info to add or advice to give. Just that I hope in time it will heal and become unnoticeable.

    There is so much we just don't know about rosacea and its treatments and we are all just doing the best we can. I think at the time you had little choice as your severe flushing and burning made it impossible to do nothing and the laser gave you much relief. So there is no way you should feel at all responsible for what has happened. Unfortunately we all have tough decisions to make and I can totally empathise and relate to you with regards to the severe burning and flushing. When I am at my worse I would do (almost) anything to obtain relief. And that is what the laser provided for you.

    Now, you just need to get advice from a laser specialist before deciding if more treatments are OK. I think Dr Crouch would be just the person to ask and he is so kind and so knowledgeable that I am sure he would be happy to share his advice with you.

    I am thinking of you and hoping that your rosacea stays calm and that your face heals fully.

    Big hugs,
    Melissa

    ps I love Enya

  7. #7
    Moderator Melissa W's Avatar
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    I've always been concerned that in the time I've been posting, I seemed like a know-it-all as opposed to someone who has had many years of experience with severe rosacea. It was only ever my intention to help as many people struggling as I could.
    Dear Kristen,
    If I just may add a comment addressing this part of your post...
    Absolutely no one could possibly think anything bad about you. Ever. You have only been so helpful and forthcoming sharing your experiences and always adding info and comfort and wisdom to those most in need. When I first joined you were such a big help to me and such an inspiration and I want you to know that you are an invaluable part of the RF. You are a huge source of comfort, support and help to everyone here. You are truly an angel.

  8. #8
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    Quote Originally Posted by Melissa W View Post
    Dear Kristen,
    If I just may add a comment addressing this part of your post...
    Absolutely no one could possibly think anything bad about you. Ever. You have only been so helpful and forthcoming sharing your experiences and always adding info and comfort and wisdom to those most in need. When I first joined you were such a big help to me and such an inspiration and I want you to know that you are an invaluable part of the RF. You are a huge source of comfort, support and help to everyone here. You are truly an angel.


    You are quite wonderful, Kristen. Don't forget that.




























    PS Enya sucks

  9. #9
    Senior Member banshee's Avatar
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    Melissa-

    I can't thank you enough for your support and kindness. I'm emotional at the moment, but I think I would have teared up anyway. You always have a hopeful and encouraging word for everyone, and know just the right thing to say. I feel it's you who have been an angel to this forum, but I thank you for saying that just the same.

    I think it's the uncertainty which is most unnerving. No one can ever know what tomorrow will bring, and that's especially true in Rosacea and chronic illness. Others have suffered far worse and carried on, so I'll have to do my best to do the same. I'm hoping RLT will stimulate some new collagen to heal the area, but only time will tell.

    Again thank you and many blesses-
    Kristen

    ETA: GJ I'm amazed at your ability to have such impact in so few words. Cheers. And lol, to each their own. I think I'll forever be an Enya groupie.
    My weapons :

    Aura/Lyra lasers-70+txs
    RLT (DPL)
    Modified OCM using; microfiber cloth, jojoba/safflower oil, & cool water
    Everyday Minerals
    Bare Minerals Primetime
    Linda Sy Oatmeal & Goodskin All Calm Cleanser
    Replenix Green Tea Serum
    homemade moisturizer w/dimethicone
    Ester C, NSI brand SOD
    Thera Tears supplement & PF gel drops

    "Mornie utķliŽ (darkness has come)..Believe and you will find your way.
    Mornie alantiŽ (darkness has fallen)..A promise lives within you now."

  10. #10
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    Hi banshee,

    So sorry to hear you are going through this. Did you discuss it with your doctor?

    I know there are fillers that can be used to even out indentations but I have no idea if that would be an appropriate treatment option for a patient with rosacea.

    I had a bad experience with IPL last year w/ settings that were too high (this was before I was diagnosed w/ Rosacea) and I have a permanent mark on my left cheek. It's kind of dark (hyperpigmentation) and it creates a slight, dimpling effect when I smile. It's not disfiguring or anything, but it's there. I was very distressed when it first happened but I have learned to live with it.

    As far as your indentation, it could get better over time. I will say, mine is less noticeable as time goes on. I was putting emu oil on it when I first noticed it but my rosacea got so bad at that time, I really couldn't continue with that. I was dealing with so much inflammation at the time, I could barely tolerate any product on my face. Also, I was on about the same time frame as you when I noticed my little "dimple" - about 4 months after my IPL treatment.

    I think the RLT is a good idea. It seems like the least invasive thing you could do right now. I do not have RLT but after all I have read about how beneficial it is, I am really interested in getting one.

    I don't know that I would ever want a laser treatment done again so I have no idea what I would do if my rosacea got to a point where it was my only solution. Unfortunately, I associate them now w/ pain and distress, so it's hard to say.

    Maybe some others will chime in here with some advice. I wish I could offer you more.
    You do have my sympathies and I know this is a rough time for you.

    Take care.

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