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Ipl Laser For Melasma

Ipl Laser For Melasma

Brown, uneven darkening of the face is a common symptom of melasma, a skin disorder. Women are disproportionately affected by the illness, and sun exposure is a prominent cause. It’s crucial to note that while melasma can be treated with lasers and lightening lotions, doing so can be time-consuming and costly. In addition, many of these remedies focus solely on the skin’s outermost layer, leaving the underlying causes of melasma unaddressed.

Ipl laser therapy is an option for treating melasma. To prepare your face for ipl laser treatment, you will apply a gel containing arbutin (an extract from bearberry leaves) to the afflicted areas. Then, you’ll use a portable tool that shoots bursts of powerful light into those spots. Over the course of several weeks, you will repeat this process multiple times.

Intense-pulsed light treatment for melasma uses a broad spectrum of light to generate heat to target and remove pigment. But the heat diffuses to all the surrounding tissues. That can lead to complications, including a condition known as post-inflammatory hyperpigmentation, which causes more dark patches to appear. Read on to learn more on ipl melasma worse/fraxel or ipl for melasma.

Ipl Laser For Melasma

Ipl Laser For Melasma

Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three types: epidermal, dermal, and mixed melasma. In each there are increased amounts of melanin, melanocytes, and melanosomes.

In addition to increased superficial and / or deep pigmentation, increased vascularity is often present. Combination therapy involving light and topical therapy is the preferred mode of treatment for the synergism and reduction of untoward effects. As long-term topical therapy is often required to manage recurrences, patient compliance can become an issue due to disappointing results. The solution is a treatment providing a quick improvement of melasma resulting in patient’s immediate satisfaction, which then promotes a long-term compliance for topical treatment to maintain the improvement.

Intense pulsed light (IPL) is a broad wavelength light source that can target a wide range of cutaneous structures, including deeper pigmentation and increased vasculature. It also has a lower incidence of side-effects compared to other devices. The Candela Selective Waveband Technology (SWT®), used on NordlysTM system, is a new and unique technology, defined by a patented dual filter, as well as sub-millisecond pulses. The dual filter permits filtering light more effectively, removing the lower and the higher wavelengths and concentrating emitted energy in a defined range. This feature ensures more effective and safer treatment. Due to the dual filter, the use of SWT® with the 555nm filter on melasma patient ensures greater results on the pigment component compared to what other IPL systems could do.

Case report

A 43-year-old Caucasian female presented with a history of several years of facial melasma, previously managed by topical treatments (Figure 1).

Figure 1.

Wood’s lamp examination revealed mixed melasma with a significant epidermal component. The patient was treated with Candela SWT® on Nordlys using a 555nm filter and a double-pulse technique with 4.5ms pulse duration, 10ms delay, and a fluence of 12J/cm2. The patient was followed up 30 days after the IPL treatment: clinical improvement was excellent and she was pleased with the results (Figure 2).

Figure 2.

Maintenance treatment with depigmenting cream and sunscreen high in minerals was then prescribed. Follow-up visits were performed every month for one year after the initial SWT® session. The patient’s condition continued to improve and she hasn’t had any problems adhering to her daily topical treatment regime (Figure 3).

Figure 3.

Discussion

Dyschromia is a leading cause for cosmetic consultations. Melasma is a kind of dyschromia that is very difficult to treat due to the complex pathogenesis and frequency of recurrence. A review of the literature suggests that laser and light source treatments can often result in rebound hyperpigmentation, relapse, and darkening of melasma [1-4]. Thus, topical therapy between light-based treatments is essential to control any relapses. Topical therapy, however, requires adherence and persistence if it is to be effective. Patients’ compliance is often compromised due to disappointing results. The ideal situation is a light treatment inducing a quick improvement of the melasma which achieves patient satisfaction and encourages compliance with subsequent topical treatment. IPL is a noncoherent filtered flashlamp light source, emitting light between 515 and 1200nm. Filters allow for selective photothermolysis of chromophores, including melanin and haemoglobin. With the patented dual filter, the Candela SWT® on Nordlys permits selecting light more efficiently, directing all the energy on the selected target. This innovative technology complies exactly with our strict requirements of managing melasma: just one session with the 555 filter allows for a quick and successful result as demonstrated in this case.

Conclusion

Well-designed, controlled treatment is needed to tackle the challenging management of melasma. The results obtained in our patient’s case, using just a single SWT® session, were crucial in ensuring the patient’s adherence to long-term topical treatment. Follow-up after a year post one SWT® treatment showed persistent and additional improvement of the clinical status.

Ipl Melasma Worse

Intense-pulsed light also carries a risk of heating the surrounding skin, which is thought to worsen melasma. To treat melasma, sun protection, topical medications and cosmetic procedures often are combined to achieve the best results.

IPL laser treatments are very flexible and can be adjusted to suit a variety of patient needs. They use varying frequencies, pulse duration, and a wide spectrum of light in order to target specific areas in the skin (Arora). In the case of melasma, IPL treatments target pigment.

Laser treatment, in general, is considered a second or third-line treatment. Your dermatologist may recommend IPL to address melasma that is resistant to other treatments.

How Effective Is The IPL Laser For Melasma?

The effectiveness of IPL laser treatment for melasma depends on different variables, from frequency to combined use with topical creams.

Most current studies involve IPL treatment combined with other types of treatment, especially topical treatments. Several studies have found that although IPL can treat melasma on its own, it is more effective when combined with other treatment types, such as topical creams (Shah).

What Are The Side Effects of IPL Laser Treatment?

The side effects of IPL laser treatment are generally mild and limited to the treatment area. Side effects include:

  • Redness
  • Itching
  • Peeling
  • Scabbing
  • Swelling

IPL laser treatment for melasma isn’t right for everyone and can actually make this condition worse in some skin types. It’s important to consult with your dermatologist to make sure that IPL is right for your skin. They will assess your skin type and help you make the best decision to clear up your melasma.

Importance  Keratosis pilaris (KP) is a common skin disorder of follicular prominence and erythema that typically affects the proximal extremities, can be disfiguring, and is often resistant to treatment. Shorter-wavelength vascular lasers have been used to reduce the associated erythema but not the textural irregularity.

Objective  To determine whether the longer-wavelength 810-nm diode laser may be effective for treatment of KP, particularly the associated skin roughness/bumpiness and textural irregularity.

Design, Setting, and Participants  We performed a split-body, rater-blinded, parallel-group, balanced (1:1), placebo-controlled randomized clinical trial at a dermatology outpatient practice of an urban academic medical center from March 1 to October 1, 2011. We included all patients diagnosed as having KP on both arms and Fitzpatrick skin types I through III. Of the 26 patients who underwent screening, 23 met our enrollment criteria. Of these, 18 patients completed the study, 3 were lost to or unavailable for follow-up, and 2 withdrew owing to inflammatory hyperpigmentation after the laser treatment.

Interventions  Patients were randomized to receive laser treatment on the right or left arm. Each patient received treatment with the 810-nm pulsed diode laser to the arm randomized to be the treatment site. Treatments were repeated twice, for a total of 3 treatment visits spaced 4 to 5 weeks apart.

Main Outcomes and Measures  The primary outcome measure was the difference in disease severity score, including redness and roughness/bumpiness, with each graded on a scale of 0 (least severe) to 3 (most severe), between the treated and control sites. Two blinded dermatologists rated the sites at 12 weeks after the initial visit.

Results  At follow-up, the median redness score reported by the 2 blinded raters for the treatment and control sides was 2.0 (interquartile range [IQR], 1-2; P = .11). The median roughness/bumpiness score was 1.0 (IQR, 1-2) for the treatment sides and 2.0 (IQR, 1-2) for the control sides, a difference of 1 (P = .004). The median overall score combining erythema and roughness/bumpiness was 3.0 (IQR, 2-4) for the treatment sides and 4.0 (IQR, 3-5) for the control sides, a difference of 1 (P = .005).

Conclusions and Relevance  Three treatments with the 810-nm diode laser may induce significant improvements in skin texture and roughness/bumpiness in KP patients with Fitzpatrick skin types I through III, but baseline erythema is not improved. Complete treatment of erythema and texture in KP may require diode laser treatment combined with other laser or medical modalities that address redness.

Trial Registration  clinicaltrials.gov Identifier: NCT01281644

Introduction

Keratosis pilaris (KP) is a common hereditary, benign disorder of unknown etiology1 that is frequently seen in conjunction with atopy. The hereditary pattern of this skin disorder is thought to be autosomal dominant without a known predisposition based on race or sex.2 Keratinaceous plugging of follicles results in markedly visible papules, often involving the lateral and extensor aspects of the proximal extremities but sometimes also the face, buttocks, and trunk.3 Perifollicular erythema is routinely notable.4 Topical treatments for KP include emollients, exfoliants, and anti-inflammatory agents, such as urea, salicylic acid, lactic acid, topical corticosteroids, topical retinoids, and cholecalciferol. Because most patients obtain limited benefit from these treatments, less conventional treatments, including phototherapy and lasers, have been explored. Among lasers, the 532-, 585-, and 595-nm vascular devices have been used with modest success, particularly in reducing redness.58 Longer-wavelength lasers have not been studied for the treatment of KP, and lasers have not been shown to be successful for treating the textural components of KP. Our study investigates the effectiveness of the longer-wavelength 810-nm diode laser for color and texture of upper extremity KP.

Methods

Study Design

We performed a split-body, parallel-group, placebo-controlled randomized clinical trial with an allocation ratio of 1:1 and a block size of 2 at an urban academic medical center. The unit of randomization was the individual unilateral upper extremity. The study was approved by the institutional review board of Northwestern University. All participants provided written informed consent.

Patient Selection

Patients were recruited from a dermatology practice at Feinberg School of Medicine, Northwestern University, and the surrounding community. Inclusion criteria consisted of age 18 to 65 years, good health, Fitzpatrick skin types I to III, and a diagnosis of KP on both upper extremities. We excluded patients who had received any laser therapy to the arms in the 12 months before recruitment, with a concurrent diagnosis of another skin condition or malignant neoplasm, with a tan or sunburn over the upper arms in the month before recruitment, with open ulcers or infections at any skin site, or who were using topical or oral photosensitizing medications.

Study Procedures

When potential participants called or e-mailed the clinic for possible inclusion in the study, they underwent prescreening (performed by O.I.) over the telephone using the aforementioned inclusion and exclusion criteria. Once enrollment criteria were met, patients were scheduled for a total of 4 visits, 4 to 5 weeks apart, in the Department of Dermatology, Feinberg School of Medicine.

On the patient’s first visit, one of us (O.I.) reviewed the inclusion and exclusion criteria. After the patients provided written informed consent, they separately rated redness and roughness/bumpiness on each arm using a scale of 0 (least severe) to 3 (most severe) for a total maximum score of 6 per patient per arm. Next, patients were randomized into 2 groups as described below, and baseline standardized digital photographs were obtained. Each patient received treatment using the 810-nm pulsed diode laser to the arm randomized to be the treatment site. After laser treatment, both sides were treated with topical petrolatum. Treatments were repeated twice for a total of 3 treatment visits, with visits spaced 4 to 5 weeks apart. At the fourth and final visit, 12 to 15 weeks after the initial visit, the patients again rated disease severity as previously described. At this last visit, 2 blinded dermatologists (S.Y. and M.A.) also rated the roughness/bumpiness and redness of the treatment and control arms separately using the same scales, and digital photographs were again obtained.

Patient Randomization

Patient screening and enrollment were performed by one of us (M.D.), as were random sequence generation and concealment (R.K.), which were conducted by coin toss of the same fair coin, with the outcomes (1 or 2) recorded separately on individual paper cards then placed in sealed, opaque, consecutively numbered envelopes. Each patient was assigned to one of 2 groups (by W.D.). Patients in group 1 were designated to receive laser therapy on the right arm, and those in group 2 were assigned to receive laser therapy on the left arm. All study treatments were delivered by the same clinician (D.B.).

Laser Treatments

All study treatments used the 810-nm pulsed diode laser. A lidocaine and prilocaine–based cream was applied to the arms 30 to 60 minutes before treatment and washed off before treatment. Laser therapy was performed on the treatment side at a fluence of 45 to 60 J/cm2 (to convert to gray, multiply by 1) (depending on Fitzpatrick skin type) and a pulse duration of 30 to 100 milliseconds, with precise settings selected to be just below the patient’s threshold for purpura. Each treatment session entailed 2 nonoverlapping passes separated by a 1-minute delay. The patient was then instructed to minimize sun exposure and apply sunscreen with a sun protection factor of 50 to the treatment area daily until the next visit.

Outcome Measures

The primary outcome measure was the difference in disease severity score, including redness and roughness/bumpiness, between the treated site and the control site as rated by the blinded dermatologists at 12 weeks after the initial visit. This scale was not validated because no relevant validated scale was available. However, raters were trained on the use of the study scale, and before the review of study images, they were asked to rate archival skin images on the same 4-point qualitative subscales used in the study. Raters reviewed and rated archival images separately and then reconciled their ratings through face-to-face forced agreement, with the process repeated until concordance was achieved between raters and their separately rated scores were consistently equivalent.

During the evaluation of study data, forced agreement was used to reconcile blinded ratings. The secondary outcome measure was the change from baseline in disease severity of each arm as rated by the patients.

Power Analysis and Sample Size

Assuming an SD of change of 0.84, a sample of 20 patients had 80% power to detect median differences (or median changes) in severity scores of 0.5. We assumed a 2-sided test and type I error rate of 5%.

Statistical Analysis

We used the Wilcoxon signed rank test to compare the magnitude of change from baseline between treatment and control for all patient ratings (redness, roughness/bumpiness, and overall score). Blinded dermatologists’ ratings of the treatment and control sides were also compared using the Wilcoxon signed rank test.

Results

Patient Baseline Demographic Characteristics

The study was conducted during a 7-month period from March 1 to October 1, 2011. A total of 26 patients underwent screening for our study, and 23 of those patients (46 arms) met our criteria and were enrolled in the study. Of these 23 patients, 18 (36 arms) completed the study and underwent analysis, 3 were lost to or unavailable for follow-up, and 2 voluntarily withdrew owing to inflammatory hyperpigmentation after the laser treatment. The demographic characteristics of our patients are presented in the Table. At baseline, patients rated the severity of the roughness/bumpiness in the texture of their arm test sites at a median score of 1.5 (interquarile range [IQR], 1-2) and the severity of the erythema of their arm test sites at a median score of 2.0 (IQR, 1-2). (The maximum score for both ratings was 3.0.)

Blinded Raters’ Scores

At follow-up, the median redness score assigned by the blinded raters for the treatment and control sides was 2.0 (IQR, 1-2), a null difference (Figure 1). The median roughness/bumpiness score was 1.0 (IQR, 1-2) for the treatment sides and 2.0 (IQR, 1-2) for the control sides, a difference of 1 (P = .004) (Figure 1). The median overall score combining erythema and roughness/bumpiness was 3.0 (IQR, 2-4) for the treatment sides and 4.0 (IQR, 3-5) for the control sides, a difference of 1 (P = .005) (Figure 1).

Patient Self-assessment Scores

At follow-up, patients’ self-reported median erythema rating for the control sides did not change from the baseline score of 2.0 (IQR, 1-2), but the self-reported median erythema score for the treatment side decreased from 2.0 to 1.5 (IQR, 1-2), a nominal difference that was not statistically significant (P = .13) (Figure 2). The median roughness/bumpiness score for the control sides increased from 1.5 to 2.0 (IQR, 1-2) and for the treatment sides decreased from 1.5 to 1.0 (IQR, 1-2). The 1-point decrease in roughness/bumpiness in the treatment arm compared with the control arm was significant (P = .008) (Figure 2). The overall score (erythema and roughness/bumpiness) for the control sides increased from 3.5 to 4.0 (IQR, 3-4), and for the treatment arm decreased from 3.5 to 2.5 (IQR, 2-4), with the cumulative difference of 1.5 points being significant (P = .005) (Figure 2).

Adverse Events

We found no unexpected adverse events associated with laser treatment. Two participants developed inflammatory hyperpigmentation after laser treatment and chose to withdraw from the study. These patients were instructed to continue sun-protective measures to their affected extremities, and in both cases hyperpigmentation completely resolved within 3 months.

Discussion

We investigated the effectiveness of the 810-nm diode laser in the treatment of KP. After 3 treatments spaced 4 to 5 weeks apart, blinded dermatologist ratings and patient self-report indicated significant improvements in skin texture and roughness/bumpiness when compared with baseline However, neither raters nor patients detected a significant change in erythema.

Most topical treatments for KP, including emollients, corticosteroids, and retinoids, are of limited effectiveness.9 Light-based treatments have typically entailed use of vascular lasers, like the application of a 532-nm potassium titanyl phosphate laser to treat a case of resistant facial KP by Dawn et al.5 Repeated treatments resulted in a marked improvement in erythema and some clearance of papules. A study of 12 patients using the 585-nm pulsed-dye laser6 found improvement in erythema but not in roughness/bumpiness. A similar report7 described a case in which multiple treatments with a 595-nm pulsed-dye laser induced marked improvements in facial erythema, patient satisfaction, and quality of life. A study of 10 patients treated with a 595-nm pulsed-dye laser8 confirmed these results.

To our knowledge, our study is the first of its kind to investigate the use of a longer-wavelength laser, the diode laser, in the treatment of KP. More important, our results are the first from a clinical trial that demonstrate the effectiveness of laser treatment of the textural abnormality and roughness/bumpiness associated with KP. The data from our investigation suggest that the 810-nm diode laser is a particularly promising and effective treatment for the nonerythematous variants of KP. The variant of KP known as keratosis pilaris alba, which presents mostly as follicular papules, may be highly responsive to this laser modality.10 The variant that includes perifollicular erythema with follicular papules, keratosis pilaris rubra,9,10 may best respond to joint treatment with diode and vascular lasers, with the former improving texture and the latter addressing erythema.

We have theoretical reasons for selecting the 810-nm diode laser and the settings used in this study. Specifically, KP is an inflammatory condition of vellus hair follicles. Compared with terminal hair, vellus hair is relatively deficient in melanin (ie, has less chromophore) and smaller in diameter (ie, has shorter thermal relaxation time). Based on the theory of selective photothermolysis, these features would be consistent with a thermal relaxation time of approximately 50 milliseconds, which means that a pulse duration of less than 50 milliseconds, such as the 30 milliseconds used in this study, would be appropriate for treatment. Because of a substantial lack of chromophore, the fluence required for photothermal destruction of a vellus hair follicle is 40 to 45 J/cm2, greater than that for a terminal hair. Ideally a highly absorbing wavelength such as 695 nm would be the best to treat vellus follicles, but this wavelength is absorbed by epidermal pigment in darker skinned individuals before it can reach deeper targets, such as the stem cells in the bulge region of the follicles. Similarly, 1064 nm is not highly selective for melanin, and we know that the vellus follicle has little melanin to begin with. As a consequence, the 810-nm wavelength appears to be the best choice because its depth of penetration is sufficient, it has selectivity for melanin, and it is compatible with a pulse duration of 30 milliseconds.

In terms of adverse events, our study found that treatment with the 810-nm diode laser was safe and not associated with any serious or unexpected adverse events. Although 2 patients (9%) developed bothersome inflammatory hyperpigmentation after laser treatment, resulting in their withdrawal from the study, these sequelae resolved completely in the medium term. Further counseling about the need for sun protection and avoidance of tanning during the period of laser treatment may mitigate the risk for posttreatment inflammatory hyperpigmentation in the future.

A limitation of our study is that enrollment was restricted to participants with Fitzpatrick skin types I to III. The exclusion of darker skin types was not incidental but rather designed to minimize the risk for posttreatment inflammatory hyperpigmentation, which is more common after laser procedures in patients with Fitzpatrick skin types IV to VI. That posttreatment inflammatory hyperpigmentation was observed in this study despite careful patient selection suggests that this precaution was appropriate. Regardless, patients with darker skin types can indeed be treated safely with the diode laser if gentle settings are used. Once this treatment paradigm is optimized, such broader application will likely be appropriate and feasible. One protective benefit of the current treatment settings was that they were deliberately below the threshold for purpura and thus designed to avoid bruising, which can resolve with tan pigmentation, particularly in darker skin. To the extent that the 810-nm diode laser has hair-removing activity, this treatment may be inappropriate for patients who do not want hair loss at the site of their KP. Finally, although incidental reports from some participants previously in this study have indicated that they have maintained textural benefits for more than a year, it remains to be seen to what extent these improvements are maintained over the longer term. To the extent that laser treatment may significantly modify hair growth in abnormal vellus hair follicles initially induced by genetic predisposition, improvement may be long lasting. This result would then be parallel to the case of traditional hair removal, in which posttreatment long-term remission of coarse terminal hairs and the corresponding pseudofolliculitis is often observed.

However, this study was not designed to assess long-term improvement, and additional studies would need to be performed to systematically measure the duration and likelihood of persistent benefits. The present study only provides proof of concept and indicates that improvement of the textural abnormalities associated with KP is possible after treatment with an 810-nm diode laser.

Conclusions

By objective and subjective measures, we found that, among lighter-skinned persons, serial treatment with a long-pulsed 810-nm diode laser at subpurpuric levels provided medium-term improvement in KP, particularly for the associated roughness/bumpiness and textural irregularity. Combined with preexisting data about the utility of vascular lasers for the reduction of KP-associated erythema, this finding suggests that laser treatment may comprehensively address the clinical manifestations of KP in selected patients. Future studies may assess the durability of these responses and the comparative effectiveness of different long-wavelength lasers.

Fraxel Or Ipl For Melasma

IPL works best on lighter skin tones to reduce hyper-pigmentation. Similar side effects occur with IPL, including redness, dryness, swelling, and peeling. Simply put, Fraxel may be more efficient for removing wrinkles and dark spots, while IPL may be more effective for curing redness.

New skin treatments have been on the rise, and this means that there are more options than ever when you visit a medical spa. It can be difficult to decide which treatment is best for both your skin type and your wallet. Le Beau Visage, the optimal skin treatment center in Frisco, TX, knows how to keep your skin feeling fresh, youthful and healthy without breaking the bank. The two leading treatments today are Fraxel, or fractional laser treatments, and IPL, or intense pulsed light. There are differences between the two methods, but both have benefits that will make your skin radiant. Now let’s compare IPL vs Fraxel and let’s see which one is better for you.

Fraxel:  Fraxel involves using CO2 lasers directed at the face to increase the production of collagen, reduce fine lines and wrinkles, and minimize scars or difficult areas like liver spots or certain hair follicles. Fraxel is the more expensive of the two options, averaging at around $1,000 per session; prices may vary, though, depending on which Frisco medical spa you choose. It usually takes three to six sessions to show ideal results, and one or two days of recovery time are necessary for each appointment. The side effects of Fraxel include peeling, swelling, redness around pinpointed areas, dryness, or hyper-pigmentation. Fraxel is likely a better skin treatment option for those with darker skin.

Intense Pulsed Light:  IPL uses light wavelengths to remove skin that is usually red with broken vessels, acne, age spots and other hyperpigmentations. It may reduce wrinkles somewhat, but Fraxel is more efficient at reducing wrinkles and fine lines. IPL can shrink pores and remove hair, creating a smoother and healthier skin complexion. Unlike Fraxel, IPL requires many sessions to achieve maximum results, but each session is only $500. For an exact quote, it is best to call your local med spa in Frisco, TX. A month between each treatment is ideal for a rest period, but daily activities can be resumed two days after treatment. IPL works best on lighter skin tones to reduce hyper-pigmentation. Similar side effects occur with IPL, including redness, dryness, swelling, and peeling.

The skin is the largest organ of the body, so it’s no surprise that skin imperfections, blemishes, marks and lesions can happen. Many skin conditions not harmful to your health, but can be a nuisance, unsightly or even embarrassing. Keratosis Pilaris is one such condition, and treating Keratosis Pilaris is simple.

It’s very common and completely harmless but if you suffer with it, can be something of a less than welcome part of your life, due to its sometimes, unattractive appearance. If you have small pimples on the skin that look like permanent goose bumps on areas of the body such as the back of your arms, legs, bottom and even the back, face, eyebrows and scalp, which sometimes get itchy or red, you may have Keratosis Pilaris.

The condition occurs when there is a build-up of a substance called Keratin, a natural protein, which in fact is the main component of the hair as well as healthy skin. This, excess Keratin blocks the openings of the hair follicles, which can cause the small red or white bumps to appear. Keratosis Pilaris also takes the name of “chicken skin” as the skin takes on this appearance. So, no wonder that many people who experience it would like to reduce oreven, eradicate the symptoms.

So, how are we treating Keratosis Pilaris?

Fortunately, at Skin Perfection London, we offer a choice of non-surgical solutions for treating Keratosis Pilaris, painlessly, safely and effectively, from the comfort of our clinic, which is based in the heart of London, between Oxford Street, Harley Street and Bond Street. Treatments can be used alone or combined, for a holistic approach to reducing the chicken skin appearance.

Laser hair removal is a superb way of treating Keratosis Pilaris at its cause. It’s safe, virtually painless and can be permanent! It works by emitting short pulses of light in to the hair follicle, causing it to stop growing hair and to close. This means that it can no longer be blocked by the Keratin and the condition can be drastically improved. The treatment may take up to 9 sessions for optimum results, but can be a long-term solution to this troublesome condition and far better than having to shave, wax or epilate the hair, which can be extremely painful and can exacerbate the symptoms. Laser hair removal is suitable for all skin types and you could see up to 95% permanent reduction in hair growth, so it’s a win-win!

Medical microdermabrasion could be another option. It works by resurfacing the skin and cleaning blocked and congested pores and offers very little downtime or discomfort. At Skin Perfection London, we use the Derma Genesis medical microdermabrasion system, which utilises tiny medical-grade aluminium oxide crystals, which are swept across the skin by a hand-held device. The crystals are then gently sucked back up, bringing with them dirt, debris and dead surface skin cells. This reveals a smoother, clearer and healthier complexion, less prone to becoming congested. Results can be seen after a course of several sessions and your skin expert will explain the treatment programme, along with expected results, at a no obligation consultation, prior to treatment.

Although a harmless condition, Keratosis Pilaris doesn’t have to be endured and at Skin Perfection London, we make it our mission to offer you the most effective, innovative and high-tech device-led treatments to restore smooth, healthy and sexy looking skin, all-year-round.

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