#laserdermatologist

In my practice, the most commonly used lasers are ablative- either a CO2 or erbium. This before and after was taken 4 weeks post fully ablative laser resurfacing. Downtime about 9 days. Collagen will continue to increase till about month 3-6 (hence this photo is not the final result) . . 🔬Skin Science: Lasers are merely tools to get the job done. Practicing in Brisbane, Queensland I see an extraordinary amount of #sundamage & elastosis, hence when I pick up a laser, it is most frequently an ablative one . . 🔫👉Other lasers I use include vascular lasers in the 595, 755 & 1064 wavelengths, together with non-ablative lasers in the 1927 (most frequently used), 1440 & 1550 wavelengths. My goto pigment lasers are usually nano lasers. Other energy devices in my practice include #HIFU, RF devices, RFM #microneedling devices, & many others . . 🔫👍🏻💉🔪Lasers as tools: Not everyone requires a laser, in some cases injectable dermal fillers can give great results with minimal downtime, in others a chemical peel may suffice. Tailor treatments based upon skill sets NOT equipment . . 😎Dr Davin Lim, Dermatologist Brisbane Australia🇦🇺 #laserdermatology #laserdermatologist #fraxel #fractionallaser #laserresurfacing #skinrejuvenation #skinbrisbane #brisbaneskin #cliniccutis #cutis (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CEIIR3CDPm-/?igshid=1saozmcwhxyxa

Syringomas are common benign tumors of the skin . . 🔬What causes syringomas? The name “syringoma” is derived from syrinx, the Greek word for tube or pipe. Syringomas are benign tumours of the sweat ducts (eccrine glands). These tumours lie in the mid to deep (dermal) layers of the skin. The eyelid skin is most frequently affected, this case shows syringomas affecting the upper lip. Eruptive #syringomas can affect the body . 👉Diagnosis: Most cases are diagnosed by their appearance. A biopsy may be needed to exclude other similar kinds of tumours such as trichoepitheliomas, trichodiscomas, fibrofolliculomas as well as milia and basal cell cancers. Biopsies of syringomas show comma-shaped sweat ducts in the dermal (deep) layers of the skin. . 🔫Treatments: Fully ablative or fractional ablative devices including CO2 and erbium laser are most commonly used. #Dermatologists may combine fully ablative with fractional laser treatment in the same session allowing treatment to the deeper component of the syringoma; as in this case. Diathermy, excision & Botox (modulates eccrine gland) are other treatment options. Recurrence following treatments are not uncommon . 👇🏻📚📖More on syringomas https://www.dermcoll.edu.au/atoz/syringoma/ . 😎Dr Davin Lim, Dermatologist Brisbane🇦🇺 @drdavinlim @cliniccutis #laserdermatologist #dermatology #skindoctor #lasersurgery #fractionallaser #laserresurfacing (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CDien2TDSbj/?igshid=10gv7ya4iv6si

Deep static wrinkles can be treated with lasers . . 🔬Skin Science: The laser of choice is CO2, erbium ablative lasers can also be employed. Downtime following fully ablative laser resurfacing varies from 7-14 days. For mild cases of #wrinkles, I also employ fractional lasers, both ablative & NA (Non-ablative) . . 👉Guide 30s-40s : #fraxel in the 1927 wavelength. If mild wrinkling, nano or pico lasers, especially in skin types 3 and above. Clear & Brilliant is also one of my favourite lasers . . 👉Guide 40s +: Fractional CO2 or erbium, sometimes combined with high density non-ablative lasers . . 👉Guide 50+: Ablative lasers, CO2 or Erbium. Higher density, in cases of sun damage, I prefer fully ablative. Downtime is 7-14 days. Redness can ensure for 2-5 months, depending on the depth of ablation . . 🍌Chemical Peels: Medium depth TCA with Jessner, Phenol Croton Oil deep peels . . 💉👀Volume, tone & lasers: So much crap on the internet with ‘laser lifting’- especially on Google Ads! Lasers improve skin quality, they do NOT give a predictable lift, nor do they ‘volumise.’ Approach skin rejuvenation by addressing the patient’s clinical findings and balance the expectations of improving skin texture (palate of skin), tone (how tight skin is) & volume (age related volume loss) . . 😎Dr Davin Lim, Dermatologist Brisbane🇦🇺 . . #wrinkles #lasersurgery (is an overused term) #laserdermatologist #skinrejuvenation #healthyskin #sundamage #skincare #rejuvenation #skinpigmentation #sunspots #co2lasers #Fractionallaser #picolaser (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CC1pBPhjUn1/?igshid=1k1n6flnwshrk

Deep static wrinkles can be treated with lasers . . 🔬Skin Science: The laser of choice is CO2, erbium ablative lasers can also be employed. Downtime following fully ablative laser resurfacing varies from 7-14 days. For mild cases of #wrinkles, I also employ fractional lasers, both ablative & NA (Non-ablative) . . 👀Guide 30s-40s : #fraxel in the 1927 wavelength. If mild wrinkling, nano or pico lasers, especially in skin types 3 and above. Clear & Brilliant is also one of my favourite lasers . . 👱🏻‍♀️Guide 40s +: Fractional CO2 or erbium, sometimes combined with high density non-ablative lasers . . 👩‍🦳Guide 50+: Ablative lasers, CO2 or Erbium. Higher density, in cases of sun damage, I prefer fully ablative. Downtime is 7-14 days. Redness can ensure for 2-5 months, depending on the depth of ablation . . 🍌Chemical Peels: Medium depth TCA with Jessner, Phenol Croton Oil deep peels . . 👌🏻👉Volume, tone & lasers: So much crap on the internet with ‘laser lifting’- 🐂💩especially on Google Ads! Lasers improve skin quality, they do NOT give a predictable lift, nor do they ‘volumise.’ Approach skin rejuvenation by addressing the patient’s clinical findings and balance the expectations of improving skin texture (palate of skin), tone (how tight skin is) & volume (age related volume loss) . . 😎Dr Davin Lim, Dermatologist Brisbane .🇦🇺 . #wrinkles #lasersurgery (is an overused term) #laserdermatologist #skinrejuvenation #healthyskin #sundamage #skincare #rejuvenation #skinpigmentation #sunspots #co2lasers #Fractionallaser #picolaser (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CCnEZ7pjw4g/?igshid=1stnmlwxb7sld

Deep static wrinkles can be treated with lasers as well as injectables . . 🔬Skin Science: The laser of choice is CO2, erbium ablative lasers can also be employed. Downtime following fully ablative laser resurfacing varies from 7-14 days. For mild cases of #wrinkles, I also employ fractional lasers, both ablative & NA (Non-ablative) . . 👉Guide 30s-40s : #fraxel in the 1927 wavelength. If mild wrinkling, nano or pico lasers, especially in skin types 3 and above. Clear & Brilliant is also one of my favourite lasers . . 👉Guide 40s +: Fractional CO2 or erbium, sometimes combined with high density non-ablative lasers . . 👉Guide 50+: Ablative lasers, CO2 or Erbium. Higher density, in cases of sun damage, I prefer fully ablative. Downtime is 7-14 days. Redness can ensure for 2-5 months, depending on the depth of ablation . . 🍌🍌🍌👌🏻Chemical Peels: Medium depth TCA with Jessner, Phenol Croton Oil deep peels . . 💩🔫Volume, tone & lasers: So much crap on the internet with ‘laser lifting’- especially on Google Ads! Lasers improve skin quality, they do NOT give a predictable lift, nor do they ‘volumise.’ Approach skin rejuvenation by addressing the patient’s clinical findings and balance the expectations of improving skin texture (palate of skin), tone (how tight skin is) & volume (age related volume loss) . . 😎Dr Davin Lim, Dermatologist Brisbane .🇦🇺 . #wrinkles #lasersurgery (is an overused term) #laserdermatologist #skinrejuvenation #healthyskin #sundamage #skincare #rejuvenation #skinpigmentation #sunspots #co2lasers #Fractionallaser #picolaser (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CBjWYUUjfw6/?igshid=1o4jubig4ys1

Ablative lasers are still relevant in dermatology - especially in the mx of some forms of #acnescars. This patient was treated with deep peels 🍌🍌followed by one session of fully ablative CO2- old school method. Downtime 2 weeks📆 . . 🔬Skin Science: Ablative lasers include erbium and CO2. These lasers can be delivered in fractional format (fractions of skin treated ranging from 1-70+%) as well as fully ablative mode (100% of skin treated). The target is water. In this case I raised the scars up with TCA & old fashioned phenol croton oil peels (applied focally) prior to ablative laser resurfacing . . 💯Indications for lasers and peels: Superficial acne scars, namely box car scars, pick scars, mild atrophic superficial scars. Deep peels & lasers are also great for wrinkles- see photo . . 🔫Ablative lasers I use: Erbium Sciton Joule (fully ablative - fractional), CO2 by Lumenis Ultrapulse, CO2 by Syneron Candela CORE, CO2 by Lasing USA, #Mixto, CO2 by Lutronic eCO2 (shortly, hopefully) . . 👍🏻Why I like CO2 lasers: Because if you need to do the job correctly the first time around, CO2 lasers deliver. I use different pulse durations & focal lengths based upon the job. No proprietary DrL method (LOL), just old school CO2 resurfacing. Timeline of 6 months between photos . . 😎Dr Davin Lim Brisbane Dermatologist Australia .🇦🇺 #laserdermatologist #laserspecialist #lasersurgeon (overrated title) #dermatologistbrisbane #acnescartreatment (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CA89Bb0jb-F/?igshid=vbk4xuv1lv91