Sciton: Joule & BBL > Sciton Micro Laser Peel Parameters
What skin type is your typical patient? Asian? On darker skin types are you using a hydroquinone or hydroquinone like product?
Why the change in overlap?
We commonly go deeper than this, but we have moved quite a bit of mlp's to profractional. Do you have the profractional?
Dexter:
I am considering the profractional for now.
The majority of patients I see are type II-IV skin. Most of my patients are on Hydroquinone 4% 1 week prior to MLP and continuing for 2 additional months after MLP.
I can feel the difference between 20% and 30% overlap on the MLP treatments. Patients with 30% overlap need an additional day or two to recover from the redness. I haven't seen any PIH from these treatments yet. But I am affraid to go deeper than 15 micron for MLP.
What are your parameters for Sciton MLP procedures?
Thanks
The best results we see are doing a MicroLaser Peel and ProFractional together. With a zimmer chiller and proper use of a topical AFTER a light ablation, we do these txs pain free. We choose the depth based on downtime. This combo tx has a very high patient satisfaction.
I typically do a tx of MLP at 20-30 microns with 30% overlap followed by Profractional with 200micons and about 10% area coverage. pt's tend to be very pleased and have nice results with this combo
I have never tried a 4 micron MLP before so last night I thought I would try one on my wife and see what the results would be like. I usually do 10 or 20 micron peels. When I tried doing the 4 micron peel it would stop after a second and give me a warning of low energy or low intensity pulse. I would clear the screen and tried to continue and it kept warning me. Has anyone else had this problem. My joule seems to be working well with level 1, 2 or 3 peels.
My protocol for Sciton's 2940 Micro Laser Peel.
1st treatment at 4 - 8 micron with 30% overlap
2nd treatment at 10 micron with 20% overlap
3rd treatment at 10 micron with 30% overlap
I may use the resurfacing mode if I need to get deeper.
The treatment sessions are spaced 1 month apart. I encourage patients to use vaseline on the skin surface after MLP procedures.
I am hesitant to go deeper than 15 micron on these MLP procedues for my skin type 4 patients. The down time typically last 4-5 days on my treatments.
What are your thoughts and your personal parameters for the sciton microlaser peel