Page 8 of 8 FirstFirst ... 678
Results 71 to 76 of 76

Thread: Question please, Dr. Crouch

  1. #71
    Senior Member peter.crouch's Avatar
    Join Date
    Jul 2005
    Posts
    162

    Default Re: Thin Skin

    Quote Originally Posted by Strive
    Dr. Crouch,

    Is there any objective measurement to determine thin skin caused by steroid overuse, or it is just a matter of assuming two and two make four, when told that the patient used steroids for a long period of time?

    Thank you,

    Strive
    There isnt any easy measure - no meter for example - you have to go by history initially but the real test is examining the skin - steroid damaged skin has a reasonably distinctive often "translucent" look and blood vessels can be more prominent. I think the best comparison is that it can look like skin many decades older and thinner.

    Hope this helps,

    Kind regards,

    Peter

  2. #72
    This user has been banned from this forum
    Join Date
    Jun 2005
    Location
    Philly
    Posts
    462

    Default Re: Thin Skin

    Quote Originally Posted by peter.crouch
    Quote Originally Posted by Strive
    Dr. Crouch,

    Is there any objective measurement to determine thin skin caused by steroid overuse, or it is just a matter of assuming two and two make four, when told that the patient used steroids for a long period of time?

    Thank you,

    Strive
    There isnt any easy measure - no meter for example - you have to go by history initially but the real test is examining the skin - steroid damaged skin has a reasonably distinctive often "translucent" look and blood vessels can be more prominent. I think the best comparison is that it can look like skin many decades older and thinner.

    Hope this helps,

    Kind regards,

    Peter
    Peter,
    Thanks again for your comments.

    How does one test whether they have thin skin?

    All the best,
    Trey

  3. #73
    This user has been banned from this forum
    Join Date
    Jun 2005
    Location
    Philly
    Posts
    462

    Default Re: Thin Skin

    Quote Originally Posted by clsykes00
    Quote Originally Posted by peter.crouch
    Quote Originally Posted by Strive
    Dr. Crouch,

    Is there any objective measurement to determine thin skin caused by steroid overuse, or it is just a matter of assuming two and two make four, when told that the patient used steroids for a long period of time?

    Thank you,

    Strive
    There isnt any easy measure - no meter for example - you have to go by history initially but the real test is examining the skin - steroid damaged skin has a reasonably distinctive often "translucent" look and blood vessels can be more prominent. I think the best comparison is that it can look like skin many decades older and thinner.

    Hope this helps,

    Kind regards,

    Peter
    Peter,
    Thanks again for your comments.

    How does one test whether they have thin skin (more of a binary test [thin skin or not] vs. a test of the degree of thin skin)?

    All the best,
    Trey

  4. #74
    Senior Member peter.crouch's Avatar
    Join Date
    Jul 2005
    Posts
    162

    Default Re: Thin Skin

    Quote Originally Posted by clsykes00
    Quote Originally Posted by clsykes00
    Quote Originally Posted by peter.crouch
    Quote Originally Posted by Strive
    Dr. Crouch,

    Is there any objective measurement to determine thin skin caused by steroid overuse, or it is just a matter of assuming two and two make four, when told that the patient used steroids for a long period of time?

    Thank you,

    Strive
    There isnt any easy measure - no meter for example - you have to go by history initially but the real test is examining the skin - steroid damaged skin has a reasonably distinctive often "translucent" look and blood vessels can be more prominent. I think the best comparison is that it can look like skin many decades older and thinner.

    Hope this helps,

    Kind regards,

    Peter
    Peter,
    Thanks again for your comments.

    How does one test whether they have thin skin (more of a binary test [thin skin or not] vs. a test of the degree of thin skin)?

    All the best,
    Trey
    Afraid its just a matter of experience and how it looks and handles.

    Kind regards,

    Peter

  5. #75
    Junior Member
    Join Date
    Jan 2006
    Posts
    21

    Default

    Hi Dr. Crouch,

    Has anyone solved the riddle as to why some people have a bad reaction to laser and causing the problem to worsen? Someone mentioned that photosensitivity may be the problem but is that just a guess? Also have you noticed any similarities in people who don't respond well? Thank you.

  6. #76
    Senior Member
    Join Date
    Dec 2005
    Posts
    118

    Default

    Good question, and one to which I would like to know the answer. I suspect that there is no one black letter answer, but issues such as the agreesiveness of the treatments; the type of laser used; the time inbetween treatments; and the skill of the practitioner all play a role. You hear stories of people have great sucess; others have no sucess and either getting worse or staying the same; or, as in my case, a mix of all -- some treatments which were helpful, but temporal; some that were not helpful, but did not make matters worse; some that were very helpful with lasting results (should of stopped there); and those that worsened the rosacea. Go figure?

    It does seem to me, however, that if a treatment makes you worse, then that means the treatment was too aggressive. Just my speculation.

    I'm starting to believe that some folks probably need more then the standard 4-6 weeks inbetween treatments.

    But I would love to hear Dr. Couch weigh in on this issue.

Similar Threads

  1. Question about Dr Crouch
    By denny3 in forum General rosacea questions
    Replies: 5
    Last Post: 4th August 2009, 08:14 PM
  2. Question for Dr Crouch please, re: possible IPL/RF rebound
    By glamormom in forum Intense pulsed light and laser
    Replies: 17
    Last Post: 3rd May 2007, 12:55 PM
  3. Question for Dr. Crouch
    By hisightes in forum Intense pulsed light and laser
    Replies: 2
    Last Post: 10th February 2007, 12:07 AM
  4. Another question for Dr. Crouch if possible
    By Eric in forum Intense pulsed light and laser
    Replies: 7
    Last Post: 9th February 2006, 09:01 PM
  5. Question for Dr. Crouch -- Treatment of Thinned Rosacea Skin
    By drnase in forum Intense pulsed light and laser
    Replies: 4
    Last Post: 13th September 2005, 11:45 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •