Tag Archives: laser

Lasers and Intense Pulsed Light (IPL)  – Austin, TX

Lasers and Intense Pulsed Light (IPL) Austin, TX

 

 

 

 

 

 

 

Lasers and Intense Pulsed Light (IPL) can provide excellent results in the treatment of a long list of skin problems.

  • Rosacea
  • Fine Lines and Wrinkles
  • Sun Damage
  • Loss of Skin Tone
  • Spider Veins
  • Cherry Angiomas
  • Port Wine Stains
  • Melasma or Hyperpigmentation
  • Keloids/Scars
  • Freckles
  • Tattoo Removal
  • Pigmented Lesions
  • Blood Vessels on the Face, Neck and Chest
  • Hair Removal
  • Precancerous Cells
  • Acne and Acne Scarring

There are many lasers and IPL choices. A laser is a source of high-intensity light tuned to a specific single wavelength. IPL, on the other hand, delivers a broader spectrum of wavelengths, rather than the single wavelength of a laser. The light energy is preferentially absorbed by target tissue selected for treatment, such as blood vessels, tattooed skin, a brown spot, or hair follicles, for example (see list above). The absorbed energy produces heat in the target tissues.

Optimal treatment requires not only the selection of an appropriate laser or IPL, but also proper settings and technique. Here are 7 factors your doctor should be thinking about carefully when planning your treatment.

1.    Are You a Good Candidate?

Your doctor, in consultation with you, must establish that you are likely to benefit from treatment. Then, in addressing your particular requirements, your doctor will customize your procedure.

2.   Are We on the Right Wavelength?

Your doctor must choose the correct light device to obtain the best outcome. The optimal wavelength will be well absorbed as it is pulsed over the target. The aim is to destroy the target, but not harm surrounding tissue. Also, as different wavelengths penetrate to different depths, the depth of the target must also be considered.

3.   How Much Light Energy?

How much energy to apply to the pulse of light? Too little energy will not adequately destroy the target or deliver long-term success. Too much will cause collateral damage to surrounding tissues. Your optimal energy level should be within the therapeutic window, giving good results but not causing collateral damage.

4.   Shorter or Longer Pulse Duration?

The duration of the light pulse should be selected based on what’s being treated, the size of the target, and type of laser.

5.   What’s Your Skin Type?

Your skin type is important is determining wavelength, pulse duration, and light energy level. Darker skin colors tend to absorb more light energy. This tendency increases the risk for burns, unless appropriate adjustments are made. This pertains especially to patients with a tan. If you have a tan, you will get better results with less risk of complications if you schedule your treatment after the tan fades.

6.   How to Stay Cool?

Cooling techniques are used in most laser and light procedures to reduce discomfort as well as the risk of skin injury. The most common methods of cooling include chilled air, cryogen spray, and contact cooling.

7.   What Are Potential Side Effects and Risks?

Your doctor will inform you of potential side effects and the likelihood of their occurrence for your specific situation and procedure. Some possible side effect include:

  • Temporary pain, redness, bruising, blistering and/or crusting
  • Infection, including reactivation of herpes simplex
  • Pigment changes (brown and white marks), which may be permanent
  • Scarring, rare when treatment is performed properly
  • Eye injury, which is why appropriate goggles must be worn

In expert hands, the risks of a laser and IPL treatments are small. Be sure you are treated by a qualified and experienced practitioner to avoid the more severe risks associated with treatment by untrained, inexperienced, or unethical personnel.

If you’re considering laser treatment, Zimmet Vein & Dermatology can help determine if laser is a good option for you. We have years of training and experience in the use of medical lasers for dermatology and vein conditions. Contact us today to make an appointment.


					

Here's one of my "before" shots.

Another "before."

The first "after." Dr. Zimmet took this one in his office.

Still Tuesday, July 27

See the Active FX Laser Resurfacing Video, part 1.

It’s the evening of the procedure day and I want to give a quick recap. First we shot some “before” pictures. At about an hour before the actual procedure began Dr. Zimmet’s aesthetician, Hadley, covered my face with a topical anesthetic and gave me a Xanax (mild tranquilizer) and a Vicodin (pain reliever). After about 30 minutes my face started to feel quite numb. After 60 minutes, Dr. Zimmet came and in and administered shots (nerve blockers) to my forehead, near my eyes, and near my mouth. The shots weren’t too bad; Dr. Zimmet “shakes” the area so the shot doesn’t pinch much. And by this time I was feeling the Xanax, which tends to make everything easier. I tied my hair back and Hadley gave me a headband to get all of my hair off my face. They started the chiller—chilled air was blowing on my face the entire time, which felt really good, because the primary feeling from the laser was heat.

Dr. Zimmet started the laser treatment around the edges of my face—he called that “feathering,” I’m not sure why. I think he starts there because the sensation is the least strong. The most sensitive place was around my mouth. It reminded me a little of the sensation with Thermage, which is kind of like being zapped with something hot. He did my eyelids last, and I think using a different tip. I expected that area to be the most sensitive but it wasn’t bad at all. The whole procedure took maybe 30-35 minutes. Afterwards, they gave me a mirror. My face was already kind of brown with little spots all over my skin. We took some more pictures, and then Hadley covered my face with ointment. Dr. Zimmet had told me that it would feel like a major sunburn, and having had some bad sunburns in my teens I remember what that feels like, but I think this may have been even hotter. They gave me some ice to hold to my face, and I did so all the way home. (I went through P. Terry’s–best veggie burgers in Austin!–drive-through on the way home, and I’m sure the guy thought I looked freakish, but I was starving and didn’t really care).

When I got home I felt very sleepy, probably from the Xanax. (And I’m still sleepy now, so will post the recovery directions tomorrow.) When I woke up it felt like most of the ointment had soaked in, so I put some more on and took a close look at my face. It’s pretty puffy, which is normal for the first couple of days. It’s quite brown, like someone with really terrible sun damage. You can see the little dots created by the machine. I took a few pictures. I don’t really feel pain unless I touch my face; the right side feels a little bit sore. I’m supposed to put the ointment on four times a day and not let my face get dry, and I think I might need to apply it even more than that because it feels like it’s soaking in. It still feels kind of hot, and tight. All of which I expected. Can’t wait to see what I look like when I wake up in the morning!

Monday, July 26

Tomorrow is the day. I’m excited.  Yesterday I bought some inexpensive blue pillowcases at Target. Dr. Zimmet suggested old pillowcases but I don’t have any of those (except some that I used to cover up plants during winter freezes).  This evening I am planning to go grocery shopping and to the movie store.

Dr. Zimmet’s office called in two prescriptions for me and I picked them up at Walgreen’s on 45th and Guadalupe. Continue reading

Dr. Zimmet called me on Friday to discuss the pre-op instructions, and I took these notes.

“Basically, I wanted to tell you what to expect on the day of your appointment. And there are a couple of medications we might want you to take. We prescribe Valtrex to everyone whether or not you have a history of fever blisters, as a precaution; and a painkiller in case you have trouble sleeping the first night. You come in an hour before your appointment, we take some photos, you’ll review the consent form, and we’ll apply a topical anesthetic. After 30 minutes we’ll administer a local anesthetic nerve block and, if you’d like, we can give you a Xanax.” (Yes, please!) “If you do elect to take the Xanax we’d want someone to drive you home.” Continue reading

Thursday, July 22

Four days away and have to admit, I’m getting a bit nervous. Will it hurt? Will I be totally grossed out by what I look like? Will I look OK when I finally do venture out on the sixth day after the procedure? It has been challenging to keep all meetings and social activities off my calendar for five days without disclosing why. I made the mistake of telling a couple of people that I was going out of town. It just seemed easier than coming up with another excuse for people I didn’t want to tell. Now I’m worried that I won’t remember who I said that to, and that I’ll slip up later. “What a tangled web we weave . . . “ Also, as I’m pretty active on social media and it’s conceivable that they could wonder where my vacation pictures are. OK, that’s probably going too far with the worrying. Continue reading

by Clare Sargent

Wednesday, June 21

Today I arranged for a videographer to shoot my procedure. Dr. Zimmet had someone in mind who couldn’t do it on the day I wanted the procedure, so we got my colleague and friend Julia Hilder. I waited until after I’d lined her up and explained the project (filming for two hours and a couple of interviews) to tell her that I am the actual patient. I was quite surprised when she emailed back that she “knows it well” referring to laser resurfacing. Her main issue was sun spots—she’s blond and has fair skin. She said that her spots faded and her skin tightened—she described the effect as subtle. I’m counting on a lot more than subtle. I should have asked what kind of equipment was used when she did it, as according to Dr. Zimmet that can make a big difference.

When Dr. Zimmet had one of his staff perform the procedure on him, he used two different kinds of anesthetic, one on each side of his face, so that he could tell which was more effective. I’m not worried about the pain, in part because I’ve had a number of things done now and imagine that this won’t be too different. Back when I had the series of photofacial treatments I remember Dr. Zimmet saying that it would feel like my face was being snapped by a rubber band. Some of the zaps were uncomfortable but at the same time I always thought that it had to hurt a bit to be really effective.

Now that I think about it I have no idea what this will feel like and I haven’t really asked. I’ll definitely be taking a Xanax to take the edge off. The only thing I’ve had done that hurt kind of a lot was the shots in my lips, which I guess are harder to anesthetize. I still got it done a second time, though, because I liked the results so much. One thing I really, really appreciate about Dr. Zimmet is that you wouldn’t look at me and think “Oh, she had her lips done.” He even cautioned me the first time I had it done that he would be somewhat conservative. (When you have a few hours to waste, check out www.awfulplasticsurgery.com for some hideous celebrity examples of way overdone lips—Lindsay Lohan, Melanie Griffith and Carson Kressley are two that come to mind and there are many, many others.)

Monday, July 19

I went to Dr. Zimmet today for the initial consultation. He looked at my skin with a very bright light (I can only imagine what my skin—or anyone’s, for that matter—looks like with that level of scrutiny). He asked what my goals are. I’m most interested in overall tightening, improving my skin’s texture, and shrinking my pores. He said that it would definitely improve the size of my pores, and since they really bug me, that was good news. He also told me that they will perform the treatment on my eyelids, which I didn’t realize. I had thermage on my eyelids a couple of years ago, and while I could see the results I still consider my eyelids the best candidate for surgery if I ever decide to take that step. So I’m happy to learn that this treatment might improve my eyelids too; that’s a big bonus.

Dr. Zimmet describes laser resurfacing as one of his favorite treatments because of the really good results that his patients see.  There are some pretty dramatic before and after photos on the Lumenis (brand of laser equipment Dr. Zimmet uses) website. Continue reading

Here I am before laser resurfacing.

Friday, July 16

I’ve been wanting the laser FX treatment since the day that Dr. Zimmet walked into the treatment room and I could immediately tell that he’d had something done to his skin. The skin on his face looked tighter, smoother, and with a finer texture than the last time I’d seen him. I asked him and he readily told me that he’d had the Active FX procedure done a couple of weeks earlier. He showed me the pictures—before, during the healing process, and after—and they were pretty dramatic. Continue reading

Skin Vein