I didn't wear sunscreen in my youth and had pretty intensive dark spots at 40. Did three IPL sessions and felt like the results were miraculous! I now wear sunscreen always and use eucerin anti pigment products to protect my 48 year old skin. Thanks for the great video!
Can you please teach us all about laser/in-office treatments for rosacea and blood vessels on the face? No one seems to be addressing this topic but the redness really affect the apperance of the skin and self-confidence as much as it does the brown of melasma alas :(
Hello..try to search for yellow laser ADVATX ...i saw significant improvements for the clients with rosacea ..some improved after 3- 4 sessions and some need more ...
I have rosacea and looked into that. IPL is widely used for office and even at home treatments. There are great videos out there. I personally opted for medical (soolantra) and cosmetic (azelaic acid) topical treatments and at home IPL device. It worked for my type of rosacea on my pale mature skin. With different setting I also managed to fade few sun spots. So win win 😊 Please take time to assess all risks. I put in hours of research before trying this at home in my face. Good luck ❤
I recently did Moxi at a Med Spa and felt like it made my rosacea worse. In the past at my dermatologist’s office, she recommended Aerolase. Super minimal downtown (red for the day only), not painful, and I felt like it worked really well!!
I just had 5 sessions of laser genesis for diffuse redness and collagen production in combination with 3 sessions of Cutera for the million visible capillaries on my cheeks and chin and I’m really happy with the results. The genesis was expensive and I probably would have gotten passable results just targeting the capillaries with the Cutera, but I wanted to throw everything at it. I have fair skin, so I don’t know if these lasers are suitable for all skin tones, but I’d heard some things about IPL that made me nervous. IPL would probably be fine and I might try it in the future (as rosacea isn’t curable and I will have to maintain my results for the rest of my life). The downside with the Cutera is that you do swell pretty badly for 2-3 days, but antihistamines help, and your skin looks amazing afterwards!
I never had Melasma UNTIL I had a BBL treatment. Even while pregnant. Was doing it for overall brightening and sun damage on my nose/cheeks and after 2 sessions I had horrible Melasma on my forehead and outer area of the face. Took forever to get it under control!
Yess! Lasers for other issues, like large pores, anti-aging, red marks etc. Also, maybe another topic that would be interesting to cover: there is a lot of talk and conflicting info about fillers never disolving or/and migrating. Maybe interesting to adress these concerns/fears?
Had 3 sessions of IPL for melasma, good result. Cost $1000 in Houston area. Continue with skincare maintenance. Started microneedling using Dr. Pen, saw bigger improvement.
Mine costed 250 EUR per session and I found that so so expensive even though I only needed two sessions 🙈 I think it spoiled my idea on how much money is needed to take care of my skin. If other people here were I live would know about it they would be shocked to the core. I don't even think I spend that much overall in comparison to most interested people 😅
I had fraxel laser for those brown age spots that start to appear from sun damage. It worked amazingly well for that, as well as getting rid of red scaly patches which are actually pre-cancerous. I'm very fair skinned so I wasn't worried about melasma. I wish I had never sun tanned, but I'm so glad we have fraxel to treat it. It's not painful since my doctor used numbing cream for a full hour prior to the laser. I highly recommend fraxel.
Thank you for being so honest and telling us there is no cure for melasma. I have been getting laser treatments for about 10 years which did help me remove brown spots and gave me a brighter even skin tone . BUT is an ongoing process - I started with a treatment every 2 weeks and after years and years can now reduce to once a month complimented by skin care and sunscreen every day.
As a non-derm physician who takes your advice to care for my own skin, this would be extremely helpful. It would be useful info without in any way being advice. Thanks for all your work, here and in the physical world.
I had two clear & brilliant sessions, and it actually made my melasma worse so that was discouraging. No more lasers for me, and I'll stick to topicals and oral Tx acid.
@@elizabethwilk9615 thankfully my derm agreed with me that it made my melasma worse after the second one. She had me do a chemical peel instead of a third clear & brilliant, which was so much better, and I convinced her to put me on oral Tx acid to get back to baseline within 2-3 months. I will never do lasers again. Sticking to chemical peels, hydroquinone, and oral Tx acid from here on out for melasma. Hope you found a better solution for yourself too!
Dr Sam this was by far the most educational explanation for pigmentation etc. Also explaining the costs is very very helpful... Thank you for that . have done Dual Fraxel several time and have been very very happy. U explained in comparison to Ablative Fractional Co2 the Dual Fraxel is the Baby treatment , very well explained. As Dual Fraxel has more or less no downtime but great results. Im thinking now to go for a Non Ablative Co2 Fractional as sun damage is now agin very visible including Actinic Keratosis .
I have had good results with dual fraxel and also a combination as you suggested. Recently had my second moxie that was 4 different lasers and my skin felt like sand paper for about a week then soft and new born baby skin without dark spots. Would love your opinion on the moxie treatment too! Thanks for your amazing content Dr. Sam!
Would love to hear about Moxi as well. My derm recommended it for me; large pores, lines, and wrinkles. I haven't had it done yet, but planning on it towards the end of the year.
Thank you Dr Ellis for such an excellent, informative and clear explanation of the treatments for hyperpigmentation. First time on your Chanel and I'm hooked!
Super excited for part 2! Dr Sam is there any source where we can learn more about lasers for medical doctors! A website? Online course? I would be super greatful for any recommendation!
Thank you for this video. Can you please teach us how to take care of the skin, when it starts to flake and peel after the treatment. How to wash face and what to use during peeling, redness etc.
I’ve done IPL, bbl, vbeam and clear and brilliant since I was 40. I’m 52 now. I experienced good results from all of them. My down time is always more than they say, I have a reactive type 1/2 skin type. I feel less is often more when you’re younger and these treatments over time with good skin care have helped me a lot to not look my age. I’m fearful of deeper lasers or hotter, especially Morpheus8, as I think they can melt fat and leave you looking hollow or with cheek wrinkles. Hopefully the Dr can speak to that. I also do some Botox but again prefer a less is more approach. My skin isn’t perfect and I’ll always battle these sun spots (early childhood burns etc) but lasers have helped me so much to improve my appearance.
I had IPL done for Rosacea. My dermatologist said I would benefit from it and gave me a place to go to. I went and it was painful! But nothing that I couldn't handle, and it was very quick. Unfortunately, it didn't do anything for me! I came back in for a 2nd session, and the girl said she's never had it, not work. I also have hormonal problems, and she thinks that could have caused it not to work. So I have an app next month with my Derm to figure out what is going on. Hoping for the best.
Is there a resource where we can go and try and find a provider that offers the laser you mentioned? Seems like every provider has a nickname for lack of a better term for the laser they offer and it's hard to narrow down who is offering what.
I would love to get more specific details on what is safe to use on people with deeper skin tones Fitzpatrick 5/6 and what you’ve had the most experience with and before and after if you can
Thanks for your videos and knowledge, I’m learning lots. I’ve had two Clear and Brilliant Original treatments recently and I’m liking the results. Might step it up a notch and get a fraxel jewel next time.
I've had great experience with Excel V (now the Excel V+) laser, which I think is IPL. With different settings it does brown and red spots. I have that relatively youthful skin with brown spots that you mentioned and a doc in NYC got me hooked! Results were instant the first time, no downtime. I've gone elsewhere in the country to get followup treatments with a little scabbing afterwards and less instant results. It would be the older skin I have or the less experienced laser driver I think. My first driver was an MD, the last one was an aesthetician. After searching everywhere for Excel V recently I'm annoyed with the laser nicknames that places choose to use rather than the machine name! The front desk people often didn't know the name of the treatment when I called to ask the device name. For the record I got 15 min of Excel V spot treatments for about $200 in Salt Lake City UT.
Doing a series of 5 Clear & Brilliant as a “step up” to my typical micro needling. Doing three in a row every 4-5weeks, taking a break for 8 weeks due to a holiday, then two more. If it is similar to micro needling, I see my best results when I do a few treatments back to back. I am 56, decent skin and good skin care practices. It is more affordable than the other laser treatments I looked into (at least in my area north of Toronto) so I can do several and other than red the day of treatment I had no real downtime. Hoping to continue to bank some collagen while improving over all texture, pore size and tone of my skin.
Do you do mico needling with prp or just on its own and at a clinic Im assuming. So did you choose clear and brilliant because its less downtime vs a bit more aggressive laser ? What do you think of the overall results of it ?
@@vroomgc in all honesty, I haven’t been as impressed with C&B as I thought I would be. But maybe that is because much of my skin care already addresses pigmentation so I feel on top of that issue. I think I get better collagen stimulation from micro-needling. Don’t get me wrong, my pores and skin do look improved after a clear and brilliant session, it just isn’t as great as I hoped it would be and zero tightening on my skin. Maybe younger skin does best with this treatment. I did not notice any difference with prp micro-needling outside the price tag and have only done it once! I’ve done in office micro-needling 3 sessions, next time I’ll do 4 sessions as this is shown in studies to give good collagen production…and that is my goal. Hope that is helpful.
@@marcyjackson7577 Very helpful thx. Im also looking for the same goal and probably will look into some micro-needling , I did think I could use some help with pigment (light) issues so thus the C&B idea but could also just do some peels to help that instead. I'm a few years older and a guy so it helps to know what others have done and my lifestyle (work, etc) I dont want to do a CO2 type downtime solution.
I have dark skin and personally the ND YAG laser has helped my skin tremendously! My hyperpigmentation cleared up & It also helped to clear my hormonal acne
I've done Clear & Brilliant $400 and Fraxel $1000 a few times. Still got a ways to go but it's worth it, if one can afford it. It's been 4 years since I've done laser facials, but doing one again soon.
I had back in 2018 IPL done 3x on my olive tone skin. IT MADE MY BROWN SPOTS WORSE!! I wish the esthetician knew better than to use it on my type of skin. Here we are 2024 and I am still trying to get those spots disappear. I do get facials now every month and she has been working hard at getting my spots to fade with different non invasive treatments and using mostly serums that address melasma. I spent so much money with IPL only to make things worse. So…please be careful everyone. Do your research. I thought I did. The person that did my IPL is the daughter of the owner of a place for over 30 years.
I’m so sorry that happened. I’m a laser tech and I won’t treat anyone with olive skin or darker for this reason or hypopigmentation. They aren’t happy with my answer but I don’t want to cause bigger issues.
Oh no! IPL is not a real laser anyways. I had one for vessel removal and that worked but I also got brown spots. I heard Pico laser is safe for darker skin tones because it doesn't generate any heat. I will do that for sure one day. I will save for it instead of using mediocre things like IPL
Thank you for this, Dr. Ellis. I appreciate you weighing in on the pico being safe for darker skin tones. In your estimation are either the Fraxel or IPL safe for those of us who are not Anglo? I found the Pico a bit underwhelming in lightening my brown/liver spots, but I guess that’s better than turning my face white.
So sorry IPL didn’t work on you. It worked on my Fitzpatrick 4 but I did hyperpigment one forehead and neck, but used Obagi discoloration line, seemed to work and used 2 bottles of Good Molecules Niacinamide Brightening Toner from Ulta. Lots of sunscreen . Prob won’t do IPL again, but the results were amazing, im too dark.
I don’t have hyperpigmention but like to get laser rejuvenation treatment with ND yag 1064, I’m a Fitzpatrick 5 and still very young. I’ve been doing facials since I was 12 due to Acne and became an Esthetician. I’ve gotten the carbon laser treatment which I like for an instant glow. In my case consistency with my Renoic acid and skin care regime is almost the same. I’ve never gotten Botox or fillers at age 37 and I think all the lasers I’ve done, has help with that. I stop in the summer and start again around November with my laser sessions.
Incredibly informative video. Now, my concern is more redness (due to sensitivity, not acne prone skin) and supporting collagen and elastin through fibroblasts. For the redness IPL has had the best results so far, but for the second concern I'm somewhat lost in regard to the possibilities. What's most effective there? BBL, fractional laser, combined with micro needling? Could you maybe address this in on of you next video's on laser treatments?
really intrigued by pico/fraxel two in one and done for the day. Contemplating making an appt with Dr Ellis, but looks like I need to take 1 week vacation time to stay at home due to significant downtime.
After years of fighting my melasma with multiple topicals, SPF 50 on a daily basis and several laser treatments, I can say that the only thing that actually made a significant improvement in it was oral tranexamic acid that my doctor prescribed.
I hated the sun damage on my chest so I decided to do something about it. After seeing a dermatologist they suggested BBL treatment, I had multiple sessions and didn't see any improvement, it was disappointing as it was costly. I now use a retinol cream and can finally see some benefits. Maybe my expectations were too high, but I found the experience time-consuming, costly and a huge waste of money. The worst part it has put me off having in-office treatments.
@@michellecummins3395 I can totally understand how frustrating that would be! Shocked you didn’t see results, as BBL tends to be so effective for reducing sun spots!
I'm getting IPL for dry eye disease which is being done by my eye doctor. She also offers the photo facial and another eye treatment meant to depuff and treat fine lines and wrinkles. I'm getting it all. I'm really hoping for better quality of life when it comes to my dry eyes which are often red, burning and, weirdly, sometimes watery. I have nice skin with a few fine lines around my eyes, but in the past year, I've had a lot of brown spots. I'm am SO EXCITED to get rid of those brown spots!! I've also heard the IPL treatments address rosacea and those red spider veins. I have some on my cheeks and on the sides of my nose. I'm really excited about being able to wear less makeup. I'm getting four sessions at $700 each. Dr. Ellis, I have a question for you about the Omnilux red light therapy. After seeing your video, I purchased the face mask, neck/chest and hand. I've been using them every day and I've noticed some brown spots developing on the sides of my eye area. Is it possible the mask is causing these and should I stop using them? I spent so much money on them and it's too late return them. I'm afraid to continue using them.
Will you please address if the heat from the dual laser and increase your melasma and what are the steps before hand from worsening the plasma if you want to get treatment? I would assume a series of hydroquinone applications, but are there other anti-inflammatories internally or externally that can benefit prophylactically? Thank you
Dr I see you passed the laser over the neck, I was under the impression that lasers should never be used on the skin under the chin or on the neck. Please explain.
Thank you, this was very helpful. I have some dark spots that I’ve wanted to get removed by laser. I have olive skin so I was a little nervous because I heard certain lasers are not appropriate for darker skin. So I’ve been putting it off.
I got laser treatment for my melasma last spring. two sessions at €300 each. it helped a little bit with the melasma, but one month later it was back even worse. I am so mad that I believed them.
Can you please discuss more about nevus of ota or hori nevus? I noticed most of the doctors here in TH-cam don’t really discuss it. I watched only one doctor who gave information about it and it was Dr. David Lim.
Please don’t do it! I’ve done so many different lasers over the years (clear and brilliant, affirm, Ipl) and my skin was so beautiful and spotless. Until I’ve done three moxi lasers…. It literally ruined my skin. My face is so brown now and all spotty (I’m very pale) and nothing helps! It’s been 4 years now, I’ve tried chemical peels, ipl, hydroquinone etc to get rid of it, but nothing helps..😢 please don’t do the mistake I did! I’ve never had any problems with my skin until the moxi laser!
Thank you, Dr. Sam. Could you make a video or series of shorts on yellowish or dark underarms? I have fair-light skin with dark hair and sensitivity to Benzoyl Peroxide. Despite showering nightly, using salicylic wash twice a week (leave it for 5 min), hypoallergenic Almay deodorant, a weekly sulfur mask, and once a week of glycolic acid, my underarms remain itchy and dark with a yellow hue. I trim instead of shaving and plan to use an IPL device at home to reduce hair density. thank you!
Doc how long does fractional co2 laser results last in your opinion. I do know you need to incorporate a good skin care routine before and after and stay out of the sun ❤. Thanks 🙏
I had a CO2 laser on my face and neck 1.5 yrs ago, 2 week down time & lots of redness to the neck but it was worth it. Really helped with the brown spots and fine lines. It was $1500 in So CA. This year I have been touching up with 3 IPL treatments and it works great too (it even got rid of my freckles). I wear 50SPF & PA++++ daily and wide brim hats to prevent them from returning. I also use fade bright from platinum skincare and the combination has worked well to keep the spots away.
I received 3 Picosure Laser treatments which did a great job at removing some sun spots, however, it didn’t get most of them. I got those white spots afterwards, my face is more red now, and my skin is thinner. They want me to come in for a BBL….I’m leary.
I’ve done Vbeam and pico now three times, 6 weeks apart, and I haven’t noticed much difference. My dermatologist and clinic are awesome, I’m just wondering if there’s something I need to have done differently. I have rosacea so we’re treating the redness with that, plus dark spots. Wondering if I’m just a problem child and need something different and stronger!😅
I've never wanted to live in northern CA more. 😭 Would love to be treated by you Dr. Ellis. Great video! Sending love from FL.
Something I love about you Dr. Sam is you’re not all about money. You will intervene with skincare and medical intervention. I really appreciate this
I didn't wear sunscreen in my youth and had pretty intensive dark spots at 40. Did three IPL sessions and felt like the results were miraculous! I now wear sunscreen always and use eucerin anti pigment products to protect my 48 year old skin. Thanks for the great video!
You probably are fair but for skin tone 2-3 it can do more damage than good. I am close to olive skin and it made my brown spots worse
Can you please teach us all about laser/in-office treatments for rosacea and blood vessels on the face?
No one seems to be addressing this topic but the redness really affect the apperance of the skin and self-confidence as much as it does the brown of melasma alas :(
Hello..try to search for yellow laser ADVATX ...i saw significant improvements for the clients with rosacea ..some improved after 3- 4 sessions and some need more ...
I have rosacea and looked into that. IPL is widely used for office and even at home treatments. There are great videos out there.
I personally opted for medical (soolantra) and cosmetic (azelaic acid) topical treatments and at home IPL device. It worked for my type of rosacea on my pale mature skin. With different setting I also managed to fade few sun spots. So win win 😊 Please take time to assess all risks. I put in hours of research before trying this at home in my face. Good luck ❤
@@amberandrews4839 what at home ipl did you buy? I have the same issues. Ty
I recently did Moxi at a Med Spa and felt like it made my rosacea worse. In the past at my dermatologist’s office, she recommended Aerolase. Super minimal downtown (red for the day only), not painful, and I felt like it worked really well!!
Can you do a video about chemical peels ?
I have melasma, acne prone, rosacea skin and BBL with Halo is my favorite and my skin responds beautifully to this combo!
Love a good Halo treatment!
Could you do talk about lasers for getting rid of Roseacia issues?
VBeam ❤
I’m doing IPL for roseacea
ADVATX
I just had 5 sessions of laser genesis for diffuse redness and collagen production in combination with 3 sessions of Cutera for the million visible capillaries on my cheeks and chin and I’m really happy with the results. The genesis was expensive and I probably would have gotten passable results just targeting the capillaries with the Cutera, but I wanted to throw everything at it. I have fair skin, so I don’t know if these lasers are suitable for all skin tones, but I’d heard some things about IPL that made me nervous. IPL would probably be fine and I might try it in the future (as rosacea isn’t curable and I will have to maintain my results for the rest of my life). The downside with the Cutera is that you do swell pretty badly for 2-3 days, but antihistamines help, and your skin looks amazing afterwards!
For clarification, Cutera is an IPL treatment - not a true laser treatment.
I never had Melasma UNTIL I had a BBL treatment. Even while pregnant. Was doing it for overall brightening and sun damage on my nose/cheeks and after 2 sessions I had horrible Melasma on my forehead and outer area of the face. Took forever to get it under control!
SAME EXACT THING!!!!!!
I didn’t get melasma until I had pico laser. And now it’s on my forehead and cheeks. ☹️
Yess! Lasers for other issues, like large pores, anti-aging, red marks etc.
Also, maybe another topic that would be interesting to cover: there is a lot of talk and conflicting info about fillers never disolving or/and migrating. Maybe interesting to adress these concerns/fears?
Had 3 sessions of IPL for melasma, good result. Cost $1000 in Houston area. Continue with skincare maintenance. Started microneedling using Dr. Pen, saw bigger improvement.
Mine costed 250 EUR per session and I found that so so expensive even though I only needed two sessions 🙈 I think it spoiled my idea on how much money is needed to take care of my skin. If other people here were I live would know about it they would be shocked to the core. I don't even think I spend that much overall in comparison to most interested people 😅
Thank you for this video! Do you have tips to recognize melasma vs dark spots?
I had fraxel laser for those brown age spots that start to appear from sun damage. It worked amazingly well for that, as well as getting rid of red scaly patches which are actually pre-cancerous. I'm very fair skinned so I wasn't worried about melasma. I wish I had never sun tanned, but I'm so glad we have fraxel to treat it. It's not painful since my doctor used numbing cream for a full hour prior to the laser. I highly recommend fraxel.
Thank you for being so honest and telling us there is no cure for melasma. I have been getting laser treatments for about 10 years which did help me remove brown spots and gave me a brighter even skin tone . BUT is an ongoing process - I started with a treatment every 2 weeks and after years and years can now reduce to once a month complimented by skin care and sunscreen every day.
Best all around summary of the various lasers and when to use them. Thanks so much!
Wish you could make a laser cheat sheet/one pager. Type: name: mechanism of action: benefits
I love that suggestion!
@@LisaWorgan-fq1ke thank you 😊
As a non-derm physician who takes your advice to care for my own skin, this would be extremely helpful. It would be useful info without in any way being advice. Thanks for all your work, here and in the physical world.
@@littlevoice_11 check out the description box! Hope that helps a bit!
I have had several IPL treatments but it doesn’t seem to do that much. Still have brown spots. I’m 67 and got a lot of sun in my youth.
I had two clear & brilliant sessions, and it actually made my melasma worse so that was discouraging. No more lasers for me, and I'll stick to topicals and oral Tx acid.
Lasers should never be used for treatment of melasma. VI peel or Cosmelan peel is best to help mitigate
@@Lee73Lee same for me I had two. First one I thought made things better second made everything worse ! Spa convinced me on getting a package.
@@elizabethwilk9615 thankfully my derm agreed with me that it made my melasma worse after the second one. She had me do a chemical peel instead of a third clear & brilliant, which was so much better, and I convinced her to put me on oral Tx acid to get back to baseline within 2-3 months. I will never do lasers again. Sticking to chemical peels, hydroquinone, and oral Tx acid from here on out for melasma. Hope you found a better solution for yourself too!
That's a great video. I've had a few different treatments you mentioned and this is the first time I've actually understood the difference.
I had co2 laser done 3 x in Evans Georgia at Vitality health and wellness. The results were amazing, so was the cost. Best decision I ever made.
Dr Sam this was by far the most educational explanation for pigmentation etc. Also explaining the costs is very very helpful... Thank you for that . have done Dual Fraxel several time and have been very very happy. U explained in comparison to Ablative Fractional Co2 the Dual Fraxel is the Baby treatment , very well explained. As Dual Fraxel has more or less no downtime but great results. Im thinking now to go for a Non Ablative Co2 Fractional as sun damage is now agin very visible including Actinic Keratosis .
I have had good results with dual fraxel and also a combination as you suggested. Recently had my second moxie that was 4 different lasers and my skin felt like sand paper for about a week then soft and new born baby skin without dark spots. Would love your opinion on the moxie treatment too! Thanks for your amazing content Dr. Sam!
Would love to hear about Moxi as well. My derm recommended it for me; large pores, lines, and wrinkles. I haven't had it done yet, but planning on it towards the end of the year.
Thank you Dr Ellis for such an excellent, informative and clear explanation of the treatments for hyperpigmentation. First time on your Chanel and I'm hooked!
Super excited for part 2! Dr Sam is there any source where we can learn more about lasers for medical doctors! A website? Online course? I would be super greatful for any recommendation!
Thank you for this video. Can you please teach us how to take care of the skin, when it starts to flake and peel after the treatment. How to wash face and what to use during peeling, redness etc.
One of the most informative videos I’ve ever watched!
I’ve done IPL, bbl, vbeam and clear and brilliant since I was 40. I’m 52 now. I experienced good results from all of them. My down time is always more than they say, I have a reactive type 1/2 skin type. I feel less is often more when you’re younger and these treatments over time with good skin care have helped me a lot to not look my age. I’m fearful of deeper lasers or hotter, especially Morpheus8, as I think they can melt fat and leave you looking hollow or with cheek wrinkles. Hopefully the Dr can speak to that. I also do some Botox but again prefer a less is more approach. My skin isn’t perfect and I’ll always battle these sun spots (early childhood burns etc) but lasers have helped me so much to improve my appearance.
I’ve had 3 Halo treatments and it is the best. Gets rid of fine lines and pigmentation and makes you have a glow afterwards. Love it!
I had IPL done for Rosacea. My dermatologist said I would benefit from it and gave me a place to go to. I went and it was painful! But nothing that I couldn't handle, and it was very quick. Unfortunately, it didn't do anything for me! I came back in for a 2nd session, and the girl said she's never had it, not work. I also have hormonal problems, and she thinks that could have caused it not to work. So I have an app next month with my Derm to figure out what is going on. Hoping for the best.
What an outstanding and informative video. Thank you.
It’s just wild how expensive it is here in the US. I got PICO done in Korea & it was $20
Korea is the place to go. The US is extremely expensive.
Can I ask where in Korea?
@@misuumisuu I went Lienjang
Is there a resource where we can go and try and find a provider that offers the laser you mentioned? Seems like every provider has a nickname for lack of a better term for the laser they offer and it's hard to narrow down who is offering what.
Good question!
Ipl caused my melasma to explode please do not forget to talk about this
Explode? Hmmm
I have dermal melasma and she is correct. I have used so many topicals, peels, dermabrasion, and lasers. It is exhausting to treat.
Such great information! Thank you! Looking forward to part 2 😊
I would love to get more specific details on what is safe to use on people with deeper skin tones Fitzpatrick 5/6 and what you’ve had the most experience with and before and after if you can
I have bewtween 2-3 and IPl , pico and micro needling made things worse! It was so demoralizing and a waste of money
This was useful to hear, esp your targeted approach. I love that ribbed sweater, Dr. Ellis. Do you recall where it’s from or who makes it?
Thanks for your videos and knowledge, I’m learning lots. I’ve had two Clear and Brilliant Original treatments recently and I’m liking the results. Might step it up a notch and get a fraxel jewel next time.
Dr Ellis I love your skincare! Can you do a video about lasers for broken capillaries? Thank you
What are the medical interventions for melasma? Thanks!
Lake worth FL, much less cost! I’ve been getting all these done and they are amazing! 🤩 with sunscreen of course.
I've had great experience with Excel V (now the Excel V+) laser, which I think is IPL. With different settings it does brown and red spots. I have that relatively youthful skin with brown spots that you mentioned and a doc in NYC got me hooked! Results were instant the first time, no downtime. I've gone elsewhere in the country to get followup treatments with a little scabbing afterwards and less instant results. It would be the older skin I have or the less experienced laser driver I think. My first driver was an MD, the last one was an aesthetician. After searching everywhere for Excel V recently I'm annoyed with the laser nicknames that places choose to use rather than the machine name! The front desk people often didn't know the name of the treatment when I called to ask the device name. For the record I got 15 min of Excel V spot treatments for about $200 in Salt Lake City UT.
@juliehreitz4668 Thank you! Can you please share the name of the doctor you saw in NYC? I'm on the hunt!
@@holly939 New York Dermatology Group, not sure of the provider
@@juliehreitz4668 Thank you!
Julie, would you share who you used in Salt Lake City? Thanks so much!
Doing a series of 5 Clear & Brilliant as a “step up” to my typical micro needling. Doing three in a row every 4-5weeks, taking a break for 8 weeks due to a holiday, then two more. If it is similar to micro needling, I see my best results when I do a few treatments back to back. I am 56, decent skin and good skin care practices. It is more affordable than the other laser treatments I looked into (at least in my area north of Toronto) so I can do several and other than red the day of treatment I had no real downtime. Hoping to continue to bank some collagen while improving over all texture, pore size and tone of my skin.
Do you do mico needling with prp or just on its own and at a clinic Im assuming. So did you choose clear and brilliant because its less downtime vs a bit more aggressive laser ? What do you think of the overall results of it ?
@@vroomgc in all honesty, I haven’t been as impressed with C&B as I thought I would be. But maybe that is because much of my skin care already addresses pigmentation so I feel on top of that issue. I think I get better collagen stimulation from micro-needling. Don’t get me wrong, my pores and skin do look improved after a clear and brilliant session, it just isn’t as great as I hoped it would be and zero tightening on my skin. Maybe younger skin does best with this treatment. I did not notice any difference with prp micro-needling outside the price tag and have only done it once! I’ve done in office micro-needling 3 sessions, next time I’ll do 4 sessions as this is shown in studies to give good collagen production…and that is my goal. Hope that is helpful.
@@marcyjackson7577 Very helpful thx. Im also looking for the same goal and probably will look into some micro-needling , I did think I could use some help with pigment (light) issues so thus the C&B idea but could also just do some peels to help that instead. I'm a few years older and a guy so it helps to know what others have done and my lifestyle (work, etc) I dont want to do a CO2 type downtime solution.
Awesome video, thank you. Does Halo provide any tightening of the skin as well?
Grateful for this info., thank you!!
Can you please do another video explaining the details of radio frequency treatments, such as Morpheus8 and Virtue RF?
I have dark skin and personally the ND YAG laser has helped my skin tremendously! My hyperpigmentation cleared up & It also helped to clear my hormonal acne
What about a Moxie?
Outstanding video!!!!! I can’t thank you enough! Wow! ❤
What topicals would help fade and keep malasma and sun spots at bay?
Big fan! Thank you for this video. Please consider an in-depth video re RF Microneedling. TYA.
I've done Clear & Brilliant $400 and Fraxel $1000 a few times. Still got a ways to go but it's worth it, if one can afford it. It's been 4 years since I've done laser facials, but doing one again soon.
I had back in 2018 IPL done 3x on my olive tone skin. IT MADE MY BROWN SPOTS WORSE!! I wish the esthetician knew better than to use it on my type of skin. Here we are 2024 and I am still trying to get those spots disappear. I do get facials now every month and she has been working hard at getting my spots to fade with different non invasive treatments and using mostly serums that address melasma. I spent so much money with IPL only to make things worse. So…please be careful everyone. Do your research. I thought I did. The person that did my IPL is the daughter of the owner of a place for over 30 years.
I’m so sorry that happened. I’m a laser tech and I won’t treat anyone with olive skin or darker for this reason or hypopigmentation. They aren’t happy with my answer but I don’t want to cause bigger issues.
Oh no! IPL is not a real laser anyways. I had one for vessel removal and that worked but I also got brown spots. I heard Pico laser is safe for darker skin tones because it doesn't generate any heat. I will do that for sure one day. I will save for it instead of using mediocre things like IPL
Thank you for this, Dr. Ellis. I appreciate you weighing in on the pico being safe for darker skin tones. In your estimation are either the Fraxel or IPL safe for those of us who are not Anglo? I found the Pico a bit underwhelming in lightening my brown/liver spots, but I guess that’s better than turning my face white.
So sorry IPL didn’t work on you. It worked on my Fitzpatrick 4 but I did hyperpigment one forehead and neck, but used Obagi discoloration line, seemed to work and used 2 bottles of Good Molecules Niacinamide Brightening Toner from Ulta. Lots of sunscreen . Prob won’t do IPL again, but the results were amazing, im too dark.
@@Silvie.1pico was awful for my brown spot on my cheek.
I don’t have hyperpigmention but like to get laser rejuvenation treatment with ND yag 1064, I’m a Fitzpatrick 5 and still very young. I’ve been doing facials since I was 12 due to Acne and became an Esthetician. I’ve gotten the carbon laser treatment which I like for an instant glow. In my case consistency with my Renoic acid and skin care regime is almost the same. I’ve never gotten Botox or fillers at age 37 and I think all the lasers I’ve done, has help with that. I stop in the summer and start again around November with my laser sessions.
Incredibly informative video. Now, my concern is more redness (due to sensitivity, not acne prone skin) and supporting collagen and elastin through fibroblasts. For the redness IPL has had the best results so far, but for the second concern I'm somewhat lost in regard to the possibilities. What's most effective there? BBL, fractional laser, combined with micro needling? Could you maybe address this in on of you next video's on laser treatments?
I have the same issues! I have been having good results with v beam
Hi Dr Ellis. Any thoughts on large pores and what treatment is best to reduce or eliminate them?
Which laser would you recommend for widespread facial redness/PIE spots?
V beam!
What are your thoughts on Tixel?
I’d love to hear a video on v beam vs bbl vs ipl laser all for sun damage and rosacea
Would an at-home device like the Nira help fade sun spots? I’m assuming it would take a lot longer if it would.
really intrigued by pico/fraxel two in one and done for the day. Contemplating making an appt with Dr Ellis, but looks like I need to take 1 week vacation time to stay at home due to significant downtime.
After years of fighting my melasma with multiple topicals, SPF 50 on a daily basis and several laser treatments, I can say that the only thing that actually made a significant improvement in it was oral tranexamic acid that my doctor prescribed.
I started the transexemic acid 2 weeks ago I’m excited to see it work
@@paleobrownie1474 good luck!Be consistent, I took it for four months and I think it took about three months until I started seeing results.
hi. did it whiten your entire body?
No, it just lightened my hyperpigmentation. But I have very fair skin to begin with and don’t know what the outcomes may be for other skin tones.
@@galikatan5591 thanks for the response
I hated the sun damage on my chest so I decided to do something about it. After seeing a dermatologist they suggested BBL treatment, I had multiple sessions and didn't see any improvement, it was disappointing as it was costly. I now use a retinol cream and can finally see some benefits. Maybe my expectations were too high, but I found the experience time-consuming, costly and a huge waste of money. The worst part it has put me off having in-office treatments.
@@michellecummins3395 I can totally understand how frustrating that would be! Shocked you didn’t see results, as BBL tends to be so effective for reducing sun spots!
I love your honesty. Thank you!
I'm getting IPL for dry eye disease which is being done by my eye doctor. She also offers the photo facial and another eye treatment meant to depuff and treat fine lines and wrinkles. I'm getting it all. I'm really hoping for better quality of life when it comes to my dry eyes which are often red, burning and, weirdly, sometimes watery. I have nice skin with a few fine lines around my eyes, but in the past year, I've had a lot of brown spots. I'm am SO EXCITED to get rid of those brown spots!! I've also heard the IPL treatments address rosacea and those red spider veins. I have some on my cheeks and on the sides of my nose. I'm really excited about being able to wear less makeup. I'm getting four sessions at $700 each. Dr. Ellis, I have a question for you about the Omnilux red light therapy. After seeing your video, I purchased the face mask, neck/chest and hand. I've been using them every day and I've noticed some brown spots developing on the sides of my eye area. Is it possible the mask is causing these and should I stop using them? I spent so much money on them and it's too late return them. I'm afraid to continue using them.
Great job Dr. Sam
Are any of these treatments risky for people who have a history of skin cancer : melanoma, squamous cell carcinoma ? Thanks!
Great overview! Need a chart 😅
Will you please address if the heat from the dual laser and increase your melasma and what are the steps before hand from worsening the plasma if you want to get treatment? I would assume a series of hydroquinone applications, but are there other anti-inflammatories internally or externally that can benefit prophylactically? Thank you
Great question anything with heat makes my brown spots worse
I am interested in lasers for the reds please. Also, would love to hear your input on Aerolase laser. Thanks!
Dr I see you passed the laser over the neck, I was under the impression that lasers should never be used on the skin under the chin or on the neck. Please explain.
Laser recommendation on broken capillaries and mild rosacea? Plus discoloration.
Thank you, this was very helpful. I have some dark spots that I’ve wanted to get removed by laser. I have olive skin so I was a little nervous because I heard certain lasers are not appropriate for darker skin. So I’ve been putting it off.
What are your thoughts on the nira at home laser?
This video is so useful! Thank you!!
Which type of treatment is best for red spots or broken capillaries please?
Thanks for the discussion about this.❤
It would be helpful to know which lasers can be used on which Fitzpatrick skin types. Thank you so much for the video very informative! :)
In northern Virginia I paid $2500 for fractional co2 laser aggressive. Face and neck ❤
anything I can do for Sebaceous hyperplasia
I got laser treatment for my melasma last spring.
two sessions at €300 each.
it helped a little bit with the melasma, but one month later it was back even worse. I am so mad that I believed them.
Which laser did you use? Trying to find a solution to melasma as well
@@417VV I can’t remember the name
Can you please discuss more about nevus of ota or hori nevus? I noticed most of the doctors here in TH-cam don’t really discuss it. I watched only one doctor who gave information about it and it was Dr. David Lim.
Id love to see your thoughts on the aerolase laser treatments for anti-aging
Thanks, D. Sam. I was offered Moxi for spots, texture, and lines. I also have melasma. Is it the right choice for me?
Thank you 😊
Please don’t do it! I’ve done so many different lasers over the years (clear and brilliant, affirm, Ipl) and my skin was so beautiful and spotless. Until I’ve done three moxi lasers…. It literally ruined my skin. My face is so brown now and all spotty (I’m very pale) and nothing helps! It’s been 4 years now, I’ve tried chemical peels, ipl, hydroquinone etc to get rid of it, but nothing helps..😢 please don’t do the mistake I did! I’ve never had any problems with my skin until the moxi laser!
Thank you, Dr. Sam. Could you make a video or series of shorts on yellowish or dark underarms? I have fair-light skin with dark hair and sensitivity to Benzoyl Peroxide. Despite showering nightly, using salicylic wash twice a week (leave it for 5 min), hypoallergenic Almay deodorant, a weekly sulfur mask, and once a week of glycolic acid, my underarms remain itchy and dark with a yellow hue. I trim instead of shaving and plan to use an IPL device at home to reduce hair density. thank you!
In the meantime, Dr. Jenny Liu and Dr. Idriss have videos on dark underarms.
@@db-gb5xi yes, thank you! All the steps I am taking are based on the good doctor's bits of advice and still, I have issues 😊
Be aware that ablative lasers like fraxel is very painful even with numbing cream. In Michigan the cost is about 650 per session
If we opt for one of these treatments in our 30s, how often should one consider going?
I did a CO2 Lazer done in Heldsburg CA and tge down tome was 3 months! The pain was INTENSE
Oh shit
Very informative - thank you so much for thhis valuabale information
Doc how long does fractional co2 laser results last in your opinion. I do know you need to incorporate a good skin care routine before and after and stay out of the sun ❤. Thanks 🙏
Please recommend some at home devices as an alternative to these :)
I had a CO2 laser on my face and neck 1.5 yrs ago, 2 week down time & lots of redness to the neck but it was worth it. Really helped with the brown spots and fine lines. It was $1500 in So CA. This year I have been touching up with 3 IPL treatments and it works great too (it even got rid of my freckles). I wear 50SPF & PA++++ daily and wide brim hats to prevent them from returning. I also use fade bright from platinum skincare and the combination has worked well to keep the spots away.
Would love a link for lovely top?
I received 3 Picosure Laser treatments which did a great job at removing some sun spots, however, it didn’t get most of them. I got those white spots afterwards, my face is more red now, and my skin is thinner. They want me to come in for a BBL….I’m leary.
Hi dr sam...tell me about ur skincare routine
Which laser treatment would you recommend for facial tightening and lifting?
More info for us brown girls. IPL burned me.
Thanks for providing such information
How do you know if you should get dermaplaning or do a full laser treatment?
Good discussion
I’ve done Vbeam and pico now three times, 6 weeks apart, and I haven’t noticed much difference. My dermatologist and clinic are awesome, I’m just wondering if there’s something I need to have done differently. I have rosacea so we’re treating the redness with that, plus dark spots. Wondering if I’m just a problem child and need something different and stronger!😅
Is there truly anything besides Botox and fillers and threading and all that that can help fine lines and wrinkles?