※Starting from 2min30sec※ [Even Dr.Lee is struggling with these types of melasma and freckles?]
[Clinics that try to convince you that it will be better after a couple of visits?]
[Lie] It's a lie
[No clinics can make dramatic changes with one or two visits]
IPL is bad for melasma? [melasma/freckles treatment case study]
After the end of hot summer
The time for 'melasma and freckles' treatment has come
PD: So I did some research
PD: I get freckles and melasma
PD: But I hear people saying 'melasma, freckles, and spots'
PD: Is 'spots' a bigger term that refers to the other two?
<1. What can be referred to as spots?> 'spot' is a term that is only used in Korea
[But surprisingly, melasma can't be called as a spot]
Things other than melasma like lentigines, freckles, senile warts, and moles
are mostly called spots
To give an overall brief explanation
<2. Lentigines, Senile warts? What are the differences?> Lentigines are usually caused by 'UV rays'
or for reasons related to 'genetics'
*Overall distribution They're scattered everywhere rather than specific body parts
For cases of lentigines caused by UV rays
there're many instances in which the skin is damaged
[The skin feels 'thin' due to the damage]
That's the difference between lentigines and senile warts
The border of the senile warts are very clear
*Clear border [Clear border and bulging compared to lentigines]
<3. The difference between Nevus of Ota and ABNOM> It's time to cover ABNOM(Acquired, Bilateral Nevus of Ota-like Macules)
Before explaining the ABNOM
Let's have a look at Ota's Nevus
There can be symptoms of Ota's Nevus from a very young age
[Congenital disease shown from 'birth- teenager']
[Ota's Nevus: Congenital, Unilateral] Black nevus is formed widely
[Bluish in large areas, even at oral or inner eye mucous membranes] Unilateral! Usually shows up on one side
[Refractory pigmentation disease] [It's not easily cured]
Strong treatment was used in the past
['Long-term light treatment' is used nowadays]
The next thing is ABNOM
It looks similar to Ota's nevus
[ABNOM shows up after 20s] It doesn't show up during the teenage years
but after 20s
['Bilateral', Clear borders] In bilateral forms
And it doesn't show up as a plane but instead
*Clear border More like a circle
And the borders become clear
[Not easily cured either]
*Maximum over an year If it takes long, it may take the whole year
One positive aspect is unlike melasma which is relapsable
[ABNOM is not easily relapsed]
But still there is a case of relapse
If they use strong treatment which is too much
the skin can be damaged
The ABNOM is removed but
[But the area you had the treatment on might turn red after a drink]
So there are different treatment processes depending on the condition
If you get the wrong treatment or get one too strong
It can get even worse
*Important [Accurate diagnosis! Accurate treatment!]
Shh! Only for you!
<4. First: Solar lentigo(Pico toning)> PD: Can you analyze the types?
Like I told you at the beginning
It’s hard to make a diagnosis before meeting the patient in person
[Because few people have only one condition]
[For accurate diagnosis I need to meet the patient and talk about their history]
[First type analysis] So judging from the picture
I would say they have solar lentigo
[Type analysis and personalized diagnosis *Solar lentigo, freckles] You can see some slight melasma
(*Analysis based on the photo may differ from the actual diagnosis) But I’m unsure whether it’s just in the photo
or if it’s actually on their skin
[Pico toning with ND Yag laser]
*532nm wavelength Then using a 532nm wavelength band
*Freckles/spots/lentigo/age spots to burn out the pigmentation here and there
to remove it from the skin
[Pico toning treatment seems to be suitable] I expect a decent prognosis
<5. Second: melasma type(Pico toning, Vitamin treatment)> For the second case,
this is what we call a typical case of melasma
The traits of melasma? [Spread out like a watercolor painting]
Then there are ones with blurry lines here and there
*Blurry lines The ones without a clear borders
are scattered around like this
When it’s a case of melasma I try to bring their expectations down
[Melasma isn’t for treatment but for skin care]
Why the low expectations? [Because the toning process takes a long time]
So if you want a faster process
[Tip for treating melasma! Use vitamin C treatment alongside] Vitamin C prevents pigmentation
So there're often cases where melasma treatment and vitamin treatment go together
[Consuming your vitamins helps boost the results!]
[Type analysis and personalized diagnosis] When you have severe melasma like this
(*Analysis based on the photo may differ from the actual diagnosis) I would recommend Genesis laser over just toning
* Genesis laser - Helps skin regeneration [Boost results with Pico toning Genesis laser]
To put it in a simple way
Healthy skin shows less pigmentation
If the regeneration goes well
The pigments that have been split up with Pico toning
will be expelled easily
[Well-regenerated skin shows better Pico toning results and improved reddening] So when the reddening is alleviated, the skin looks brighter as well
Based on the photo I don’t remember who this is
But I think they’ve been through a long process
If you think this can be achieved with a couple visits
[Lies] That’s a lie!
[No clinics can make dramatic changes with one or two visits]
<6. You can’t use IPL treatment for melasma> This person would come and say
When I got IPL last time…
I really liked it because all my melasma were gone
but now they’re back😭
I would like another IPL treatment please!
Before toning machines were developed
IPL was, in fact, used to treat everything
But these days for patients with melasma
[IPL is actually a ‘Prohibition’]
[IPL stimulates pigmented areas with intense light] Because the light used to stimulate is too strong
the Melanin cells, which create melasma, are even more stimulated
The melasma may be stimulated and show up even more…
Therefore there is a high probability of the melasma becoming darker
and rise to a deeper level of skin
Cases like this are harder to treat
<7. Lastly: Combination of Freckles Blood Vessels etc. (IPL)> These types of patients are a bit difficult
[Type analysis and customized diagnosis will be?] There is a light wash of freckles
(*Analysis through the image may differ from actual diagnosis) and some blood vessels show through
IPL is surprisingly good for combinations like this
IPL is short for Intense Pulsed Light
Laser is made of shorter wavelengths
*Wavelengths of 500~1200nm [IPL is useful for a wide range of treatments through its wide wavelengths]
So if IPL’s wavelength is set accurately
[Other than blemishes, blood vessels, pigmentation, skin regeneration, pores, etc. can also be treated widely]
When the intensity is set accurately in the beginning, this can be removed at once
Usually, the intensity is set through two to three attempts
*Improvements in Vascular Lesion as well! So vascular lesion like this on the outer side
becomes a lot brighter
Shhh! Keep this to yourself!
Today we look over some pigmentation analyses
The few images I showed
merely represents a small part of pigmentation cases
‘My friend got Pico Toning like 50 times and still wasn’t able to be cured’
If the treatment process is different~! That could be the case!
If the clinic is open and honest to things like this
it will help in deciding
whether to invest my money and get the treatments
or think ‘I don’t think it will be worth all the hassle’
and decide not to get the treatments
So if anyone is curious
I recommend you to visit a clinic nearby
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