#spectralaser

New LaseMd is used for resistant #melasma . . 🔬Skin Science: Subcellular selective settings are the safest. First line mx of melasma is always medical, adjunctive treatments are lasers & #chemicalpeels . . 🔫LaseMD is 1927 Thulium, used in conservative settings. I use this laser for those patients who fail to improve on the #Spectralaser . This patient had fractional laser plus topical t.acid serum as a f hx of blood clot is an absolute contraindication. Technique is different from #fraxel laser as I do not want bulk heating when treating melasma. Cool air, pre and post chilling, plus CS post can decrease PIH or rebound melasma . . 👊For simple cases of melasma, book a consult with my clinical team @cliniccutis . . 😎Dr Davin Lim @drdavinlim Brisbane, 🇦🇺 #skinscience #skinpigmentation #pih #skinuniversity #PIH #pigmentationtreatment #skinlightening #skinwhitening #melasmatreatment #cosmelan #fractionallaser #chloasma #davinlim #drdavinlim #lasemd (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CIWyU_XjFQm/?igshid=1voamkpjocfhr

The 2008 picture was primarily dermal melasma based upon Wood 365nm light & dermatoscopic findings of grey dots. The 2020 picture shows good spontaneous clearance, most recently over the past 2 years . . 🔬Skin Science: The action spectrum for melasma is UVB, UVA, Visible light (Blue> others), all the way to IR. Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides). Dermal melasma is humbling because almost everything fails . . 🔍Why the clearance? NFI. Possibly a genetic signal for the immune system to clear up the pigment? Possibly because hormone input is decreased. Sure as hell not due to tech as she has had the same nano treatments limited to 5 - 8 a year over the past 8 years. Not due to ochronosis as I am pretty vigilant monitoring for caviar spots, plus rotational therapy. I should have taken a biopsy from the beginning . . 🤪Thought I was hot sh*t in 08 reading all the papers on melasma, scholarship to the AAD the year before in Washington, training in South East Asia seeing all dermal toning before it got popular in the West. How little did I know back then. Melasma treatment is humbling for all, most times I win but not in all cases. For 10 years we treated her with lasers & medical therapy with minimal gains, then just like that it improved . . 👊Peels: I looked through my peel notes, back in 08 it was glycolic gentle up to 50% in her skin type. TCA not a sane option in her skin type. Peels plus tyrosinase inhibitors up to 8% did not shift things . . 🌤Sunscreens form the foundation of treating #melasma, from there the aim is to reduce pigment output from your pigment cells with tyrosinase inhibitors. My third tier is to modulate vasculature feeding the pigment cycle (if there are no contraindications), the fourth tier is with suitable lasers & peels . . 🔫Lasers & peels include #spectralaser , #revlite #picolasers, #pastelle #C6 #picoplus #picoway etc… On occasion I do use 1927 Diode #fractoinallaser. Peels include #dermamelan, #cosmelan, #TCApeels & #retinoicacid peels. New LaseMD is here, gonna go vvv slowly in the context of #melasma . . 😎Dr Davin Lim Dermatologist. Brisbane 🇦🇺 (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CHUx_WhD19o/?igshid=15s7yofle83ne

👉WebinarLink:https://us02web.zoom.us/webinar/register/WN_amOEditzRUCHBMi6jvH5Bg . 💯Clinical pigment identification via clinical examination is an important step in the management of #melasma This will give an accurate picture of what types of pigment will respond to the prescribed treatment/s . . 🔬Skin Science: The action spectrum for melasma is UVB, UVA, Visible light (Blue> others), all the way to IR. Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides). . . ☀️👊Sunscreens;how to use? Apply 3mls twice a day. Face & neck. Form a habit, first in the morning & re-apply at lunch time. Two rule to be cool- twice a day, 2 finger amount, 2 types of sunscreen (daily & sport/outdoor) . . 🙄Where to go from there? Sunscreens form the foundation of treating melasma, from there the aim is to reduce pigment output from your pigment cells with tyrosinase inhibitors. My third tier is to modulate vasculature feeding the pigment cycle (if there are no contraindications). Note the improvement of erythema pre & post, no vascular lasers were employed . . 🧒🏻This patient: Had one round of QSL using the time tested Spectra laser protocols (subcellular selective photothermolysis) devised by the Korean dermatologists circa 2012-2013. Primary treatment was with the standard tyrosinase inhibitors & VEGF modulators. Note, lesions incl. seb k & banal naevi remain, as expected. Second round treatment should improve the clinical picture even further . . 🔫🍌Lasers & peels are considered ONLY if tier one & two are fulfilled. Lasers include #spectralaser , #revlite #picolasers, #pastelle #C6 #picoplus #picoway etc… On occasion I do use 1927 Diode #fractoinallaser. Peels include #dermamelan, #cosmelan, #TCApeels & #retinoicacid peels . . 😎Dr Davin Lim Dermatologist. Brisbane AU🇦🇺 . #melasmatreatment #melasmacure #dermatologist #brisbanedermatologist #melasmabrisbane #melasmasupport (at Cutis Clinic) https://www.instagram.com/p/CE48CEADHu0/?igshid=1ok0zeeqaapqt

The most amount of time I spend in a melasma consultation is talking about sun protection. If you can not do it, I can not help you, please photoprotect 🙏🏼 . . 🔬Skin Science: The action spectrum for melasma is UVB, UVA, Visible light (Blue> others), all the way to IR. Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides). Do what you can to protect the wavelengths that can be attenuated with sunscreens . . 🌤Sunscreens. How to apply? Apply 3mls twice a day. Face & neck. Form a habit, first in the morning & re-apply at lunch time. If you travel to work in a car, bus, train, helicopter, walk or in a boat- you will have incidental exposure to & from work. Do not get hung up over the brand of sunscreen, just use it properly. Hats not caps for adjunctive protection . . ☀️☂️👉Where to go from there? Sunscreens form the foundation of treating melasma, from there the aim is to reduce pigment output from your pigment cells with tyrosinase inhibitors. My third tier is to modulate vasculature feeding the pigment cycle (if there are no contraindications). See previous posts on how to use #hydroquinone & how I employ T.acid . . 🔫Lasers include #spectralaser , #revlite #picolasers, #pastelle #C6 #picoplus #picoway etc… On occasion I do use 1927 Diode #fractoinallaser. Peels include #dermamelan, #cosmelan, #TCApeels & #retinoicacid peels I can improve most, but not all cases of melasma . . 😎Dr Davin Lim @drdavinlim @cliniccutis Dermatologist. Brisbane 🇦🇺 #melasmatreatment #melasmacure (is not possible) #dermatologist #brisbanedermatologist #melasmabrisbane #melasmasupport (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CE2XXQuDOeY/?igshid=161s1elkowrwu

Melasma management is medical. It is never monotherapy. Lasers & peels are adjunctive modalities. The majority of melasma can be improved. Dermal > epidermal melasma is much more challenging to treat. This before & after was achieved with novel peels. Remaining pigment to be treated with QSL. Credit: Alison & Bec @clinicutis . . 🔬Skin Science: The action spectrum for melasma is UVB, UVA, Visible light (Blue> others), all the way to IR. Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides) . . ☀️Sunscreens;how to use? Apply 3mls twice a day. Face & neck. Form a habit, first in the morning & re-apply at lunch time. If you travel to work in a car, bus, train, helicopter, walk or in a boat- you will have incidental exposure to & from work. Do not get hung up over the brand of sunscreen, just use it properly . . 👩🏽This patient: Had a modified #dermamelan #chemicalpeel. Remaining pigmentation to be treated with QSL, nano settings over #picolaser . . 👉🔫🍌Where to go from there? Sunscreens form the foundation of treating melasma, from there the aim is to reduce pigment output from your pigment cells with tyrosinase inhibitors. My third tier is to modulate vasculature feeding the pigment cycle (if there are no contraindications) . . 👍🏻🔫Lasers include #spectralaser , #revlite #picolasers, #pastelle #C6 #picoplus #picoway etc… On occasion I do use 1927 Diode #fractoinallaser. Peels include #dermamelan, #cosmelan, #TCApeels & #retinoicacid peels . . 😎Dr Davin Lim Dermatologist. Brisbane AU🇦🇺 . #melasmatreatment #melasmacure (is not possible) #dermatologist #brisbanedermatologist #melasmabrisbane #melasmasupport (at Cutis Clinic) https://www.instagram.com/p/CEVLEm6D57X/?igshid=17rtw89kjwen3

Carbon laser peeling also known as the Hollywood peel or Spectra Peel can be used to treat acne, enlarged pores, pigmentation & fine wrinkles . . 🔬Skin Science: A carbon based chromophore is placed on the skin for 60-120 minutes before the procedure. In theory the carbon is concentrated in the oil gland - sebaceous gland. Laser, in the 1064nm wavelength is then applied to the area. Carbon particles are shattered, in turn (in theory) killing bacteria, & reducing sebum production. The second pass of the #spectralaser is very similar to the dermal toning settings; thus improving pigmentation, skin quality & fine lines . . 🙄Is it painful? No. Slight sting, that is about it. No numbing required . . 📆Is there downtime? No. Skin is not broken. Very slight redness in some patients. Make up can be worn after the laser . . 👉Are there any side effects? No, if performed correctly. #melasma patients should be on tyrosinase inhibitors, wavelength does not react with medications . . 👍🏻Does this ACTUALLY work? Yes & no. The carbon bit is controversial. I know it takes many hours before the carbon penetrates to the deeper layers. There are papers stating that the actual absorption into the oil gland is minimal. The flipside is that there are many scientific papers showing the efficacy of dermal toning, esp in the subcellular selective photothermolysis settings. My nurses & therapists use this particular setting to treat at least a dozen patients a day, so, if patient selection is performed correctly, it works... . . 🔫About the Spectra laser: it is made by @lutronic. It is reliable & simple to use. I have quite a few q-switch lasers, the most important aspect of q switching (apart from skill sets) is to have a laser that fires CONSISTENTLY (otherwise you will screw up your #melasma patients) . . Hope you find this video useful . 😎Dr Davin Lim Dermatologist, Brisbane. Australia🇦🇺 . #spectrapeels #laserpeel #hollywoodpeel #carbonfacials #lasertoning #skinrejuvenation #melasmatreatment #acnelasertreatments #lutronicspectra (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CAi7JuiDLT0/?igshid=7qyhmoh7kpfu

🧐 Adesivo para remover tatuagem??🧐 . ☝🏼Pessoal, vou começar esse post alertando que ainda não existem fórmulas ou cremes isolados capazes de remover tatuagens! 💸Por isso, não caiam em ciladas gastando dinheiro na internet com tais produtos: eles não funcionam!. . 🤓Entretanto, foi lançado recentemente nos EUA o adesivo DeScribe®️ que promete acelerar a remoção de tatuagem a laser e este sim parece realmente funcionar. 🤞🏼Ainda não está disponível Brasil, mas a proposta é reduzir o número de sessões do tratamento a laser. ✅O adesivo é aplicado antes das sessões, e funciona permitindo ao dermatologista a realização de múltiplas passadas do laser em cima da tatuagem ao invés de uma só (como no tratamento convencional). 👍🏼 Antes que vocês me perguntem, o tratamento a LASER ainda é o método mais seguro e confiável para remover tatuagens!. 🔦Cremes ou fórmulas milagrosas ainda não apresentam eficácia comprovada e podem fazer mal à sua saúde. . 💡Gostou da novidade? Converse com seu dermatologista sobre a melhor maneira de remover a sua tatuagem! . 🚩Dr. Fábio Gontijo - Médico Dermatologista graduado pela Universidade Federal de Minas Gerais (UFMG) e Membro Titular da Sociedade Brasileira de Dermatologia (SBD). . #dermatologista #sbd #remoçãodetatuagem #spectralaser (em Hospital Lifecenter)

Carbon peel treating acne scars at our clinic! 🌟 Also known as the “Hollywood Peel” or Hollywood Facial” due to the popularity amongst celebrities as a go to treatment. The Spectra Carbon Laser Peel is a revolutionary skin rejuvenation treatment that is safe and gentle for most skin types and produces results with little to no downtime. The Spectra Peel evens skin tone, reduces pigmentation, diminishes enlarged pores, reduces acne, improves textural irregularities, and stimulates collagen production. The Spectra Laser treatment is also FDA approved to treat Melasma.* For more information or to schedule a free consultation call us today at 786-574-9656 #DrAl . . . . #relaxspa #wellness #elos #syneroncandela #hairremoval #spiderveins #acne #rejuvenation #photofacial #skincare #wrinkles #miami #spectralaser #hollywoodpeel #carbonpeel #spectrapeel #acne #melasma #Aging (at Relax SPA)