#tcapeels

[lasermd]

Always a fun moment with Michelle Wong @labmuffinbeautyscience Supersmart chick, definitely worth a follow !👊💯 . . 🎥☎️We did an interview with Deciem headquarters in Canada, speaking to their very knowledgeable Chief Scientific Officer, PK. For the video visit- https://labmuffin.com . . 👉🔥The Ordinary has taken the #skincare industry by storm, initially under the guidance of it’s late founder, Brandon Truaxe. The Ordinary continues to break new ground with their DIY range of skincare products including ascorbic acid, & most recently, their heavily promoted #niacinamide range . . 👀This has given the ability for customers the power to compound bespoke formulations . . 👍🏻The good side? Individualised formulations, better stability esp with #ascorbicacid , cost effective . . 👎🏼The not so good side? Hit and miss measurements, compounding may exceed skin’s threshold, causing more harm than good (irritant dermatitis). As the saying goes, with power comes responsibility. We just hope Deciem doesn’t take it too far with DIY #glycolicAcid or worse still DIY #TCAPeels . . 😎Dr Davin Lim Brisbane, Australia🇦🇺 . . #skincarescience #skincare #theordinary #skincarecommunity #skincareroutine #bestskincare #dermatologist #deciem (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CG8d5Nqj6XW/?igshid=152wqketzrz2n

[lasermd]

#before&after was taken after one cycle of PDT. Lasers can assist in delivery of the photosensitive ALA . . 🔬Skin Science: Think of the histological level you want to correct. In the context of solar keratosis, dysplasia is epidermal (partial), full thickness dysplasia is Bowen’s or Intra Epidermal (Epithelial) Carcinoma. Employ techniques that target the histological level . . 🔫Lasers & Sunspots: I do like #fraxel in the 1927 wavelength, makes sense with the depth, cf 1550, 1440 etc… Severe cases I employ fully ablative CO2 or erbium lasers, or a combination (Hybrid laser resurfacing) I understand there are many recent papers on laser assisted PDT, I do agree that incubation period for PDT is faster. I have compared this with sterilized fine grit sandpaper over a decade ago with erbium micro laser peels, fractional ablative & NA lasers. I found out that Bunnings sandpaper gave comparable results with less pain than laser. Sandpaper also gave me the tactile feel of exfoliation in areas that are thicker . . 🍌Peels can give a great result. Another sensible alternative to lasers are Jessner - #TCApeels with a similar downtime. Phenol - Croton Oil has recently had a resurgence . . 🗒Topicals can be discussed with your general #dermatologist or your #skincancerdoctor / GP. #efudex - #efudix is still the Gold Standard. Others include PDT, #aldara & if you don’t get on with your dermatologist, he or she may prescribe you #Picato . . 💯Prevention: #retinoids (not fuzzy #retinol - fuzzy treatments @drdavinlim), topical or oral. SPF 50 +, 2-3 times a day. #Sunscreen can reverse photodamage by 10-25% True! . . 😎Davin’s Take: I prefer 1927 Thulium for field treatments, max density is 70%, however I normally overpass to 92-94%. The serendipitous bulk heating gives secondary collagen contraction & hence #wrinkleremoval . Hate the company, love the wavelength. PDT? I reserve this treatment for #DVA patients as it is covered. (Fraxel is not). . Davin Lim @drdavinlim .🇦🇺 #brisbanedermatologist #brisbaneskin#brisbanecosmetic#dermatologistbrisbane #sundamage#skincancerawareness #veterans#photodynamictherapy (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CCb7R0ij-XZ/?igshid=1uh9r9l6uhvd4

[lasermd]

Acne scar revision has complications. These are very rarely shown, & often never discussed . . 🔬Skin Science: Depending on the procedure, various complications can arise. These include PIH from lasers, persistent redness from energy devices, grids from fractional lasers - #microneedling, paradoxical iatrogenic scars, widening of scars from #TCApeels, & in this case haematomas from surgical #subcision . . 🔪💉Subcision: Is my go to procedure for the management of moderate to severe ‘deep’ scars. I subcise with instruments ranging from 12 G all the way to 30 G. The more aggressive the treatment, the higher the rate of blood clots . . 🙄Management: early evacuation will prevent long term complications. Very rarely do I use a drain post procedure. Organised haematomas are more difficult to treat- NS or ILCS injections. USS can be useful in the ddx between haematomas vs #acnecysts. Most can be identified clinically. PIH can occur in some patients due to hemosiderin deposition in the dermal layer . . 💯Best practice: If one is performing #acne scar revision procedures, one should be well versed in the management of all potential complications, as these do arise . . 😎Dr Davin Lim Brisbane Dermatologist🇦🇺 #acnescars #acnecysttreatment #scardoctor #scartreatment #acnescartreatment #acnescarrevision (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CAldELGHkTz/?igshid=fzg9yyptouhi