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Thread: New Q&A with Dr Crouch

  1. #1
    Moderator phlika29's Avatar
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    Exclamation New Q&A with Dr Crouch

    Dr Crouch has kindly offered to do another Q&A for the forum. So if you any questions about the treatment of rosacea with lasers or IPL please post them in this thread. We will then pass them onto Dr Crouch.

  2. #2
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    i have v beam laser for ten days ago...i have purpuric in my face...i seem fading away but in the 8 th days until now , not seem fading away..it look like the same...what should i do?thx anyway...its normal?

  3. #3
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    Default mild rosacea, treat with lasers?

    Hi Dr. Crouch. I just was diagnosed with rosacea and it is mild. I have a lot of burning annd redness that comes and goes at it pleases. My nose also flushes for no reason. I'm trying to be proactive and want to treat my skin before it gets worse. Do you recommend doing. Laser treatments on mild rosacea? Could that keep it at bay? I have flushing and burning.

    Thank you,
    pam

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    Default 2 months post V Beam

    I had the bruising pretty severely and now I am left with brown spots across the cheek bones on both sides of face. I would like to know if Dr Crouch thinks another light v beam or ipl would be appropriate to remove these pigment spots? or any other suggestions ?
    thanks
    M

  5. #5
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    Default Lyra laser for rosacea

    I manage to keep my rosacea under control except for one patch on my cheek. It's about 3cm diameter, angry red and sometimes (like now) has pustules. I decided to try the laser route and recently had an IPL treatment combined with Lyra laser
    targetting this stubborn redness.
    That was exactly a week ago. The patch now looks worse than ever - the pustules have expanded in size, the area is dry and a bit crusty and very red. Worst of all, it caused a fair bit of swelling - I looked like I had a black eye. The swelling has gone down a bit but has not gone completely - my face still looks lop-sided. Is it normal for swelling to last this long? And is Lyra suitable for treating rosacea with pustules?

    Thank you for any advice.
    Female, age 42. Using Zia Fresh Cleansing Gel, emu oil and ZZ cream.

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    Default Early stage rhinophyma

    I'm a 48 year old female diagnosed with mild Rosacea earlier this year. About 3 years ago I noticed a lumpy area on my nose which gradually spread. At the same time tip of my nose became more prominent and weird looking. When I initially went to see a private derm she was not entirely convinced it was Rosacea as I had no history of it and not really suffered with pustules etc though It was prone to getting hot, red and more inflamed undercertain conditions. She did a biopsy on my nose to rule out anything sinister. Where the swelling spreads I'm left with what feels like a hard compressed lump and little hairs The biopsy confimed mild Rosacea and I was then put on Isotretinoin, 4 months on that and no result but lots of side effects it was promptly stopped. I was told at this point we can't do anything more for you your next option is private laser treatment. I am very self consious of the rapidly changing appearance of my nose. You can clearly see the enlarged subaceous glands Everyday it feels like its grown a little bit more and the realiseation its only getting worse is scary and depressing. Everything I've read tells me the earlier I can treatment the better. Yesterday I visited the derm department for another matter, I metioned my situation to the nurse who went and asked my derm who I should contact re laser treatment she advised these people www.sknclinics.co.uk but having looked at their site I dont think they treat Rhinophyma. What I need to know is who do I go to now. Do i need to see a plastic surgeon privately, I don't want to waste to much money finding the right person as I'm going to need it to pay for the treatment. Any advice would be greatly appreciated
    as I feel pretty desperate

    Thank you

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    Default Early stage rhinophyma

    Re my earlier post. I forget to say I am in Derby East midlands uk. Though I am willing to travel for the right specialist

    M-lou

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    Default Post v beam perfecta swelling

    How long after having non purpuric v beam treatment, can you expect swelling and lumpiness in cheek area? What is the lumpiness from?

  9. #9
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    Hi Dr Crouch

    I have had 2 IPL treatments with an Alma Harmony machine - one at 13 joules and one at 15 joules at 4-week intervals. I have redness on cheeks and nose, but no p and ps. I have been diagnosed with a combination of seb derm and rosacea. My derm has recently prescribed efracea (European oracea) in the hope that this will help my skin.

    When should somebody start seeing results from IPL? Is it worth carrying out the full 5 treatments? I stopped because I felt I couldn't justify the cost after having 2 treatments with no obvious improvement. Was this foolish?

    Many thanks for all of your efforts.

  10. #10
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    Default hyper pigmentation and also broken capillaries?

    In advance thank you for your time and response.
    my cheeks flush heavily from emotions, exercise, food, the sun, and alcohol. i have flushed at times since i was a teenager. now i am 28 and i flush more than ever and longer than ever. i now also have broken capillaries and some hyper-pigmentation on my upper cheek bones. Aside from the adjusting of my diet, cutting exercise, and limiting sun exposure, should i do a lazer, and if so what kind etc? will lazer make me more photo sensitive? will it block flushing? what can i expect realistically?
    thank you

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