Hi, I have rosacea w/broken capillaries on my cheeks and sides and nare area of my nose and slight redmess on other areas of my face. It really bothers me a lot. I have been doing a little research online and I am going back and forth between going to a facility that wants me to get 2 photofacials w/ IPL and then smaller area treatments there after and the other facility that feels I should start out with the Diolite laser. What do you suggest? Any suggestions will be appreciated. Also, in both facilities a doctor would not be administering the treatment: one of the places utilizes a paramedical estetician and the other uses a registered nurse. What would be the difference in the training? Are these both safe options?

Thank you

sheradent,

As a physician, I like to treat the larger vessels first using a laser then use an IPL to work on the smaller diffuse redness. I do not think that the IPL's do a very good job on the vessels that are easily seen with the naked eye and the lasers do not do as good of a job for the flushing/redness.

I prefer that the treatments are done by a nurse at minimum. An aesthetician has about 12 weeks of schooling and then some "laser" classes and the nurse has 4 years of schooling. I would chose a clinic where the physician is on site and has seen you as a client.

Thank you so much for your advice. Do you feel that the diolite is one of the better laser systems for my broken capillaries? And can you recommend some of the better, more up to date, IPL systems.

Thanks

Sheradent,

The diolite should work fine in the right hands. If you look at this site foe discussions of IPL the top 2 are the Palomar Starlux and the Sciton BBL.

Hope this helps.

Best laser for facial vessels is the Iridex Varilite 532/940. Larger deeper facial vessels are best treated with 940nm, smaller vessels with 532nm. 532nm with the scanner is great for general redness and brown spots too. Can also be performed with IPL. Would not give this procedure to your nurse.

Sheradent,

Just so you know. The Varilite is a newer version of the diolite. The diolite has a single wavelength at 532nm where the Varilite has 532nm and 940. As for this laser being the "best", I would question that but it will work. The diolite should work just fine.

in my opinion most of these lasers will be replaced by home diode system. two will be out within the next year: FDA approval pending by Gillete and Spectragenics in Pleasonton CA. See their clinical efficacy in this months issue of ASLMS !!!!! > 60 reduction , it will be a Class I device - very safe for home use. Laser Hair removal offices say bye...bye...

You can purchase this in Europe or via internet: TRIA

laserhairreplacedbyhomediode,

I would be very cautious with this home device. The author of the article receives contract grant from the company and that always makes me wonder about the study conclusion. Also if you look at among the 100 subjects in the treated group, 36% of this population has no response to the laser (with 3% get worse). My experince with other devices tells me that efficacy is always lower after marketing. Granted that the data is accurate, would you buy a device that only works slightly more than half the time? Also, this device is not recommended for Type V and VI skin. I think there is still a place for the laser hair removal clinic although I predict there will be a significant drop in the business they do.

I have small broken capillaries on my cheeks & sides of nose which I had treated with the Palomar Medilux green head fluence 30 J/cm2. Six treatments 7 days apart. I really haven't noticed any improvement. Is this because from what I can gather the fluence level needs to be at least 45J/cm2 to treat effectively or is IPL not as effective as other treatments? Thank you for any help you can provide.

I also have several broken blood vessels on my face and want to get a procedure done. Does anyon know anyone in the Southern New Jersey area that could treat this?