-
David--Happy to give you what 6+ yrs of doing Photofacials many
times daily have taught me--ALL flushing is undesirable in that new
vessels(angioneogenesis)are formed--If a patient is already erythemic
(red) to start then there is very little reason to preflush--If a
patient tells me they are flushing by do not appear to have much
erythema then preflushing is done to create a larger and more
superficial target--I have attained great results even in prior
years when I never preflushed--Dr Bitter and I have compared notes
over the years and he always impressed me in that he generally only
produced gentle and mild preflushing--During the period between
treatments it is imperative to avoid as many triggers as possible--I
know that is easier said than done but every effort should be made--
Most patients will notice some improvement a week or so after IPL
then backslide--Totally normal--We try to make each backslide
shorter and often move treatment intervals shorter--Continuous icing
can be very drying and create chafing so cool mists and or/fans may
be more desirable--As further anti-inflammatory effects I like
Periostat and also sometimes use Finacea(azelaic acid 15%)--At first
it may be slightly irritating but for most it becomes quite
tolerable in about a week---All these other drugs,herbs,creams etc
are ancillary --The only true hope at controlling erythema and
flushing is a series(? actual number variable) of effective IPLs by
qualified people with good equipment--Hope that is of help--Thanks---
NSoldoMD









-- In rosacea-support@yahoogroups.com, David Pascoe <pascoedj@g...>
wrote:
> Hi Dr. Soldo,
>
> Just wondering what your thoughts were on needing to have IPL done
> with the worst flush possible ? Also any insights into `in-between
IPL
> treatments' therapy - any systemic or topical therapies that you
> recommend ?
>
> As you have treated so many patients, real world experience is
> priceless to the group at large.
>
> thanks,
> davidp.
> --
> David Pascoe, pascoedj@g...