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※Starting from 2min30sec※
[Even Dr.Lee is struggling with these types of melasma and freckles?]

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[Clinics that try to convince you that it will be better after a couple of visits?]

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[Lie]
It's a lie

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[No clinics can make dramatic changes with one or two visits]

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IPL is bad for melasma?
[melasma/freckles treatment case study]

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After the end of hot summer

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The time for 'melasma and freckles' treatment has come

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PD: So I did some research

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PD: I get freckles and melasma

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PD: But I hear people saying 'melasma, freckles, and spots'

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PD: Is 'spots' a bigger term that refers to the other two?

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<1. What can be referred to as spots?>
'spot' is a term that is only used in Korea

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[But surprisingly, melasma can't be called as a spot]

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Things other than melasma like lentigines, freckles, senile warts, and moles

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are mostly called spots

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To give an overall brief explanation

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<2. Lentigines, Senile warts? What are the differences?>
Lentigines are usually caused by 'UV rays'

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or for reasons related to 'genetics'

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*Overall distribution
They're scattered everywhere rather than specific body parts

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For cases of lentigines caused by UV rays

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there're many instances in which the skin is damaged

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[The skin feels 'thin' due to the damage]

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That's the difference between lentigines and senile warts

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The border of the senile warts are very clear

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*Clear border
[Clear border and bulging compared to lentigines]

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<3. The difference between Nevus of Ota and ABNOM>
It's time to cover ABNOM(Acquired, Bilateral Nevus of Ota-like Macules)

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Before explaining the ABNOM

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Let's have a look at Ota's Nevus

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There can be symptoms of Ota's Nevus from a very young age

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[Congenital disease shown from 'birth- teenager']

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[Ota's Nevus: Congenital, Unilateral]
Black nevus is formed widely

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[Bluish in large areas, even at oral or inner eye mucous membranes]
Unilateral! Usually shows up on one side

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[Refractory pigmentation disease]
[It's not easily cured]

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Strong treatment was used in the past

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['Long-term light treatment' is used nowadays]

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The next thing is ABNOM

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It looks similar to Ota's nevus

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[ABNOM shows up after 20s]
It doesn't show up during the teenage years

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but after 20s

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['Bilateral', Clear borders]
In bilateral forms

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And it doesn't show up as a plane but instead

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*Clear border
More like a circle

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And the borders become clear

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[Not easily cured either]

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*Maximum over an year
If it takes long, it may take the whole year

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One positive aspect is unlike melasma which is relapsable

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[ABNOM is not easily relapsed]

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But still there is a case of relapse

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If they use strong treatment which is too much

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the skin can be damaged

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The ABNOM is removed but

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[But the area you had the treatment on might turn red after a drink]

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So there are different treatment processes depending on the condition

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If you get the wrong treatment or get one too strong

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It can get even worse

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*Important
[Accurate diagnosis! Accurate treatment!]

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Shh! Only for you!

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<4. First: Solar lentigo(Pico toning)>
PD: Can you analyze the types?

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Like I told you at the beginning 

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It’s hard to make a diagnosis before meeting the patient in person 

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[Because few people have only one condition]

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[For accurate diagnosis
I need to meet the patient and talk about their history]

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[First type analysis]
So judging from the picture

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I would say they have solar lentigo

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[Type analysis and personalized diagnosis *Solar lentigo, freckles]
You can see some slight melasma

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(*Analysis based on the photo may differ from the actual diagnosis)
But I’m unsure whether it’s just in the photo

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or if it’s actually on their skin

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[Pico toning with ND Yag laser]

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*532nm wavelength 
Then using a 532nm wavelength band

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*Freckles/spots/lentigo/age spots
to burn out the pigmentation here and there

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to remove it from the skin

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[Pico toning treatment seems to be suitable]
I expect a decent prognosis

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<5. Second: melasma type(Pico toning, Vitamin treatment)>
For the second case,

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this is what we call a typical case of melasma

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The traits of melasma?
[Spread out like a watercolor painting]

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Then there are ones with blurry lines here and there 

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*Blurry lines
The ones without a clear borders

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are scattered around like this

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When it’s a case of melasma I try to bring their expectations down 

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[Melasma isn’t for treatment but for skin care]

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Why the low expectations?
[Because the toning process takes a long time]

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So if you want a faster process

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[Tip for treating melasma! Use vitamin C treatment alongside]
Vitamin C prevents pigmentation 

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So there're often cases where melasma treatment and vitamin treatment go together 

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[Consuming your vitamins helps boost the results!]

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[Type analysis and personalized diagnosis]
When you have severe melasma like this

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(*Analysis based on the photo may differ from the actual diagnosis) 
I would recommend Genesis laser over just toning

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* Genesis laser - Helps skin regeneration 
[Boost results with Pico toning   Genesis laser]

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To put it in a simple way

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Healthy skin shows less pigmentation

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If the regeneration goes well

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The pigments that have been split up with Pico toning

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will be expelled easily

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[Well-regenerated skin shows better Pico toning results and improved reddening]
So when the reddening is alleviated, the skin looks brighter as well

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Based on the photo I don’t remember who this is

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But I think they’ve been through a long process 

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If you think this can be achieved with a couple visits 

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[Lies]
That’s a lie!

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[No clinics can make dramatic changes with one or two visits]

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<6. You can’t use IPL treatment for melasma>
This person would come and say

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When I got IPL last time…

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I really liked it because all my melasma were gone

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but now they’re back😭

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I would like another IPL treatment please!

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Before toning machines were developed

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IPL was, in fact, used to treat everything

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But these days for patients with melasma

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[IPL is actually a ‘Prohibition’]

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[IPL stimulates pigmented areas with intense light]
Because the light used to stimulate is too strong

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the Melanin cells, which create melasma, are even more stimulated

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The melasma may be stimulated and show up even more…

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Therefore there is a high probability of the melasma becoming darker

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and rise to a deeper level of skin

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Cases like this are harder to treat

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<7. Lastly: Combination of Freckles   Blood Vessels etc. (IPL)>
These types of patients are a bit difficult

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[Type analysis and customized diagnosis will be?]
There is a light wash of freckles

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(*Analysis through the image may differ from actual diagnosis)
and some blood vessels show through

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IPL is surprisingly good for combinations like this

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IPL is short for Intense Pulsed Light

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Laser is made of shorter wavelengths

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*Wavelengths of 500~1200nm
[IPL is useful for a wide range of treatments through its wide wavelengths]

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So if IPL’s wavelength is set accurately

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[Other than blemishes, blood vessels, pigmentation, 
skin regeneration, pores, etc. can also be treated widely]

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When the intensity is set accurately in the beginning, this can be removed at once

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Usually, the intensity is set through two to three attempts

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*Improvements in Vascular Lesion as well!
So vascular lesion like this on the outer side

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becomes a lot brighter

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Shhh! Keep this to yourself!

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Today we look over some pigmentation analyses

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The few images I showed

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merely represents a small part of pigmentation cases

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‘My friend got Pico Toning like 50 times and still wasn’t able to be cured’

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If the treatment process is different~!
That could be the case!

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If the clinic is open and honest to things like this

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it will help in deciding

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whether to invest my money and get the treatments

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or think ‘I don’t think it will be worth all the hassle’

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and decide not to get the treatments

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So if anyone is curious

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I recommend you to visit a clinic nearby

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please like, subscribe and turn on your notifications

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and fun video

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Thank you, you will all become prettier ❤️

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