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Thread: Dr. Bitter Sr. -- Derm and Laser Specialist -- next intervie

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    Default Dr. Bitter Sr. -- Derm and Laser Specialist -- next intervie

    Hello Group,

    Dr. Patrick Bitter Sr. who is a dermatologist and Laser Specialist will be our next Physician Q and A member.

    Please start listing any questions under this thread for him. Utilize his dermatology background and his laser experience with rosacea. Fire away.

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    Senior Member Steve95301's Avatar
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    Hi Dr. Bitter, I've had 4 treatments with you already and the results have been excellent. I'll be back on August 19th for my fifth.

    I have two questions,

    1.) What's your take on the macrolide antibiotics post-IPL to reduce angiogenesis? I almost ordered some roxithromycin, but I wanted to get your take on it first.

    2.) Everyone on these boards talks about the machines involved, so I'm wondering what machine you use in the Los Gatos office? (Whatever it is, it works great- I'm more than satisfied with my progress.)

    Thanks!

    -Steve

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    Dr Bitter,

    Thank you for contributing to our forum!

    What do you think has been the most significant step forward since you pioneered the IPL treatment for rosacea? What would you predict will be the next major stride?

    Many thanks,

    Bob Bear

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    Dr. Bitter,

    In your opinion, what would be the best way to try to re-build skin which have been thinned, by a high dose Accutane for example, and has become ultrasensitive. Is there a way back to it's former, original thickness and thougher barrier?

    Thanks,
    Andy

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    Hey Group,

    Lets take advantage of his dermatology experience:

    How do you treat acne with rosacea

    How do you treat seb derm with rosacea

    How do you treat enlarged pores

    How do you treat sebaceous gland hyperplasia

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    Senior Member Mermaid's Avatar
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    Welcome Dr Bitter and thank you for your time. Some of these questions pertain to myself but others are questions I know will be of interest to others suffering.

    1) In your opinion, what is the best way to treat and hopefully reverse irritant dermatitis caused by the use of harsh skin care products?

    2) Many have been devestated by either Steroid induced rosacea or the use of the CO2 laser. Would your treatment approach be similar in order to repair some of the damage caused and if not how would you approach each case individually?

    3) How important is it to avoid flushing of any type in the 2 weeks after IPL/Laser treatment and if it is important, how do we stop spontaneous flushing in it's tracks?

    4) What is your treatment approach with regards to treating Acne which is independent of Rosacea but merely co-exists and is not a result of rosacea? How do you determine whether the Acne is independent? How do you determine that the papules and pustules are actually caused by the rosacea itself?

    5) For those who can only use bottled water on their faces, what can be done to ease them back into a healthy skin care routine? Is daily cleansing, very gently a must in your opinion?

    6) In your opinion, do you think that the current research and advances made in areas such as psoriasis, dermatitis, seb derm etc and other inflammatory skin conditions, will eventually become the platform which will allow for much better treatment options and perhaps even a cure for rosacea? What can we learn from these skin conditions and apply them to ourselves?

    7) How do you think we can improve communication between dermatologists and other physicians such as vascular specialists etc in order to receive optimum treatment methods from the various specialties?

    Thank you Dr Bitter.

    Mermaid

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    Hello Dr Bitter

    Is there a danger in aggressive pre-flushing? Might an abundance of dilated and angry vessels somehow cause the energy to dissipate?

    Thankyou
    GJ

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    Lets see if I can make this sound coherent:

    Right now to actually attack the root of Rosacea rather than just the symptoms it looks like our best options are Laser/IPL and Accutane (low dose).

    Both of these are really shotgun approaches, and each is a radical treatment in its own way. Do you see anything on the horizon that would allow us to normalize our skin /blood vessel response without going to such drastic measures. Perhaps a topical treatment that is aimed specifically at the underlying disfunction(s)?

    I am kind of hoping tha some day there will be a simpler way to keep this under control, or ideally retrain my skin, vessels and nervous system to act more "normally".

    For consideration.

    KHM

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    Dr. Bitter,

    When using a laser on a patient that has symptoms in a specific area of the face (e.g. nose, chin, cheeks), do you recommend that the patient have just that area treated, or do you prefer to still do a full-face treatment?

    Thankyou.
    ---------------------------
    Currently using skinbiology copper peptides

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    Hello Dr. Bitter!

    1) Can you explain what causes the enlarged pores which accompany Rosacea?

    2) As my Rosacea progresses my skin is now extremely oily, causing clogged pores, blackheads and breakouts. Can IPL treatments stimulate this oil production?

    3) What regimen do you recommend to your Rosacea patients who cannot use exfoliants yet want to control the oilyness?

    Thank you for your support and willingness to participate in this Q & A.

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