Lumps, Bumps, Scars

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Lumps, Bumps, Scars

BEFORE

Seborrheic Keratosis

Lumps, Bumps, Scars

AFTER

Laser ablation

Note:  Benign age related skin growths are easily removed after one session. The patient was greatly relieved to see this gone.
MM

BEFORE

Extreme Sundamage in Elderly Farm Woman

MM

AFTER

Microdermabrasion, IPL, spot ablation, Retinoid topical

Note: This very elderly woman grew up on a SK farm with no education about sun protection in those days. She was a fair skinned person who clearly developed the bumpy texture, deep hardened wrinkles, multiple brown spots, telangiectasia, and non-pigmented cancer spots embedded here and there.  She had spot ablation of the many bumps and spots, a gentle microdermabrasion, an Intense Pulsed Light Photofacial, and she was encouraged to use a Retinoid topical product which is highly effective in repairing the effects of sun aging.
MJe, Scars

BEFORE

Chronic inflammation with deep tissue scarring after soft tissue injury

MJe, Scars

AFTER

Rapid turnaround in inflammatory cycle, scar reduction/prevention

Note:  This young man had an injury to his right low lateral forehead and cheek/eye/temple zones, as seen in «Before» picture.  Originally there was bruise and swelling, some abrasion, no laceration or sutures, all many days prior to the Before picture.  He was frustrated though because he felt sensitive in the red zone that was not reducing with time.  The exam revealed swelling in addition to the redness, likely due to internal inflammation and scarring. Quite appropriately he sought medical consultation which eventuated in improvement after scar revision therapy.  He is relieved to see such dramatic improvement one month after treatment.
BMa, f.face LP

BEFORE

Combination Erb Yag Laser Resurfacing with Fractionation

BMa, f.face LP

AFTER

10 months later

Note:  Acne scarring and hyperpigmentation were prominent on this Phillippina but clearly the Combination Midi Erb Yag Laser Resurfacing with Fractionation has diminished the scarring quite happily for her.  She did experience the transient hyperpigmentation, not unexpected for a young darker skinned woman, but this is transient and resolves spontaneously in most by 3 months or so.  She looks healthier and more youthful.
BMa, checks, left

BEFORE

Acne Scarring

BMa, checks, left

AFTER

10 months after Midi Combination Laser Resurfacing

Note:  Acne scarring is notoriously difficult to treat.  This young woman had good improvement with just one treatment, now smoother, fewer dark marks.   She could do a second with expected greater improvement.
BMa, checks, right

BEFORE

Acne Scarring

BMa, checks, right

AFTER

10 months after Midi Combination Laser Resurfacing

Note:  Acne scarring is notoriously difficult to treat.  This young woman had good improvement with just one treatment, now smoother, fewer dark marks.   She could do a second with expected greater improvement.
BA, Acne, C.peel, scaring, anti-aging, pigm

BEFORE

Comedones (blackheads), Acne scarring in the temples

BA, Acne, C.peel, scaring, anti-aging, pigm

AFTER

3xVitalize Peel, Retinoid Therapy

Note:  It is only one month since the beginning of therapy, still early in terms of skin remodelling. The skin is dry in the after picture because it has been stimulated by peels x 3 and Retinoid.  However, it is encouraging to note that the skin texture & dated acne scarring is considerably improved after only the first month.  Visible improvement in scars and fine lines due to aging is something that is usually noticed around the third month.  Skin turnover is high, collagen synthesis is accelerated, and tissue water will soon expand the skin to yield smoother fuller surface and contours.  Initially, there may be some generalized superficial hyperpigmentation after skin peels, but this is transient, usually resolved 1 - 3 months afterward, leaving skin smooth, radiant, even colored after a few months.  Like planting a seed, the fruit is harvested months later.
Commercial, Lumps, Bumps, Scars

BEFORE

Seborrheic keratosis, benign age related brown spot

Commercial, Lumps, Bumps, Scars

AFTER

Intense Pulsed Light Photorejuvenation

Note: This therapy has been around for more than a decade and has carved its place in the future because it is capable of taking the mottle and spots and spider veins away from the aging, sun damaged face, without down time.
WLi, PDT, Skin Cancer

BEFORE

Non pigmented pre-cancer lesions, Actinic Keratosis

WLi, PDT, Skin Cancer

AFTER

6 Months after Laser ablation of lesions followed by Photodynamic Therapy with Levulan to full face

Note:  The skin appears better after a spot laser treatment to remove some of the non-pigmented skin pre-cancer spots, followed then by Photodynamic Therapy to purge the skin of other microscopic rests of pre-cancer cells.  In the process, her skin looks more healthful, clearly more reflective and uniform in color.  The visual pre-cancer lesions have resolved, and underlying imminent lesions are thwarted by the Health Canada approved indication of non-pigmented pre-cancer of skin prevention.
TAm, Scars

BEFORE

Piercing Scar, sharp, deep, lifelong

TAm, Scars

AFTER

After one session of scar revision, needs one more, maybe some filler

Note:  This person discontinued her piercing but the angular depressed scar was conspicuous and therefore she proceeded to do a laser scar revision, thus far just one session,  Although she is still pink, there is much improved filling and softening of this scar.  She was advised to repeat one more scar revision, then possible place some dermal filler into any residual soft depression to resolve the scar, for life.  The laser revision is a permanent
TAm, Scars, left side

BEFORE

Piercing Scar, sharp, deep, lifelong

TAm, Scars, left side

AFTER

After one session of scar revision, needs one more, maybe some filler

  Note:  This person discontinued her piercing but the angular depressed scar was conspicuous and therefore she proceeded to do a laser scar revision, thus far just one session,  Although she is still pink, there is much improved filling and softening of this scar.  She was advised to repeat one more scar revision, then possible place some dermal filler into any residual soft depression to resolve the scar, for life.  The laser revision is a permanent fix and the fillers are extremely long lasting in a small surface wound as such.
Lumps, Bumps, Scars, GD

BEFORE

Lumps, Bumps, Scars, GD

AFTER

Note: This woman presented with «growths» on her face, as a result of UV induced damage. She improved her skin radiance, texture, fullness with Retinoid and Photodynamic Therapy, as seen here. She also appreciated the effects of Botox to her forehead, frown, and crow’s feet. The Dermal Fillers helped her reverse volume loss by filling out her chin and cheeks. The growths were indeed pre-cancers of the skin, and they were burned by laser, and subsequently further destroyed by Levulan Photodynamic Therapy. Overall, she looks healthier, younger, natural.
JAn, LP

BEFORE

Dense hereditary and UV induced hyperpigmented benign spots

JAn, LP

AFTER

Laser resurfacing

  Note:  This woman suffered a great deal of hereditary and UV mediated hyperpigmented spots and bumps that made her feel dissatisfied with her appearance.  She elected to proceed with an ablative laser to first spot treat then resurface her face.  Only 7 days later she returned for her follow up visit.  She looked so much better. She had one touch up spot and then she left with expectations of continued improvement over the next 6  months.  The color will even out and the wrinkles will reduce.  The skin will firm up and the contour will round out.  She will radiate.  Her husband liked it.
Lumps, Bumps, Scars, GM crop

BEFORE

Extreme Ultraviolet Damage

Lumps, Bumps, Scars, GM crop

AFTER

Levulan Photodynamic Therapy (PDT)

Note: This 87 year old man had a lesion on his scalp that had all the appearances of non-pigmented cancer of the skin.  Immediately on presentation he had laser ablation followed by Photodynamic Therapy.  Healing and resolution is pictorially depicted by this series.  One year later he remains clear at this site, and the rest of the face looks and feels so much healthier as well.
Lumps, Bumps, Scars, GM Right

BEFORE

Extreme Ultraviolet Damage

Lumps, Bumps, Scars, GM Right

AFTER

Levulan Photodynamic Therapy (PDT)

Note:  This 87 year old man has had plenty of sun over his lifetime.  The effects are seen by the many spots on his face, comprised of abnormally growing cells, pre-cancers.  He wasn’t concerned about the cosmetic side of this, rather he felt and looked unhealthy.  He presented over the years to burn off the mutated cells with the laser, and this was very helpful, but he continued to «sprout» new growths every month or two.  Finally he elected to do the Photodynamic Therapy which targeted the mutated cells  at the microscopic level, clearing the skin of abnormal cell lines before they became a visible growth.  He felt so much better, and it may be seen that he looks more healthy.
AL, Sclerotherapy, laser ablation

BEFORE

Telangiectasia, Strawberry Hemangiomata

AL, Sclerotherapy, laser ablation

AFTER

Sclerotherapy, laser ablation x 1each

Note:  This man was embarassed by veins on his upper torso and by «strawberries», (tiny benign hemangiomata).  These were removed by a combination of laser and sclerotherapy.  He had not adverse effects.