Sun Damage

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SPe, LP, PDT, Sun damage, Cancer

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, LP, PDT, Sun damage, Cancer

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
Laser Peel, SC

BEFORE

Aging

Laser Peel, SC

AFTER

Laser Peel, Anti Aging skin products, Botox, Fillers

Note: This woman says she is very happy with the gradual transformation she experienced after laser peel, Botox, Fillers, and anti-aging skin products.  Although she is a positive person to start with, the caring for her body, mind and spirit that she undertook one year ago has positively impacted her social interface during the past year. She is getting older, and she is also getting better.
GJo, PDT, Sundamage

BEFORE

Severe Ultraviolet Injury complicated by dermatitis and skin cancer

GJo, PDT, Sundamage

AFTER

Levulan Photodynamic Therapy x1

Note: This woman was farm raised and continues to farm, accumulating huge Ultraviolet injury to her full sun exposed arms.  Approximately 6 years earlier she began to develop crusty red spots on her arms.  They are sometimes itchy and some become «horn-like».  There was also a great number of underlying «spider veins», again suggestive of ultraviolet pathology.  She underwent a single session of Photodynamic Therapy with a diagnosis of Lichen Planus variant of Actinic Keratosis, in short she had a dermatitis that has risk of becoming skin cancer.  She didn’t return until one year later but she was pleased to report that the itching and scaling never returned after the treatment.  She was educated on the importance of sun protection to prevent relapse and cancer.  She was encouraged to begin topical immune modulators and perhaps another therapeutic session to further improve skin health and beauty.
YN, CP, Ance, Heperpig, Sun Damage

BEFORE

Acne, hyperpigmentation

YN, CP, Ance, Heperpig, Sun Damage

AFTER

3 Skin Medica Chemical Peels, (Vitalize x2, Rejuvenize x 1)

Note: This young woman needed a solution for acne and hyperpigmentation.  Given her dark skin type, she could not avail herself of many other light based modalities, but she embarked on a serial gentle skin peel called Vitalize Peel by Skin Medica.  She had some short-lived hypopigmentation on one occasion but that resolved within a couple of weeks.  So, acne is improved, the hyperpigmentation is much diminished, and her overall color is more in keeping with her neck.
YN, CP, Ance, Heperpig, Sun Damage-right

BEFORE

Acne, hyperpigmentation

YN, CP, Ance, Heperpig, Sun Damage-right

AFTER

3 Skin Medica Chemical Peels, (Vitalize x2, Rejuvenize x 1)

Note: This young woman needed a solution for acne and hyperpigmentation.  Given her dark skin type, she could not avail herself of many other light based modalities, but she embarked on a serial gentle skin peel called Vitalize Peel by Skin Medica.  She had some short-lived hypopigmentation on one occasion but that resolved within a couple of weeks.  So, acne is improved, the hyperpigmentation is much diminished, and her overall color is more in keeping with her neck. Note the fine lines around her eyes are even reduced.  Seen in person, she glows now.
BMe, LP, Anti-Aging, Sun Damage

BEFORE

Photoaging, sun damaged skin

BMe, LP, Anti-Aging, Sun Damage

AFTER

Erb Yag resurfacing in 2009, and Fractionated CO2 laser in 2012

Note:  This woman showed the signs of sun damage on her skin prior to laser resurfacing with Erb Yag.  This was highly effective in reducing brown spots and improving the texture and firmness of her skin.  Well after her laser peel she elected to «buff up» prior to her wedding with a fractionated CO2 laser, known as «Deep FX».  The latter produced a very bright complexion and fullness, even just 1.5 months later.
SPe, Sundamage, Anti-aging

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, Sundamage, Anti-aging

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
SPe, Sundamage, Anti-aging

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, Sundamage, Anti-aging

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
SPe, left side

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, left side

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
Sun Damage, Comercial F

BEFORE

Pigment marks from sun and acne

Sun Damage, Comercial F

AFTER

Intense Pulsed Light Photo-rejuvenation

Note:  The skin is clear of mottle and distraction.  It is not unusual to have some pink spots on the face for a few hours afterward.  The pigment spots will crust up then slough off within the next day or two.  In a few weeks her skin will glow and hold as such for several months.  This woman has melasma, a form of hyperpigmentation that is most prevalent in women in their 30’s.  It is gratifying for her and the technicians to “get rid of the brown blotches”.  This kind of therapy is considered «no downtime», meaning she will not be losing work during the recovery days.  It is true though that the skin might look 90% of usual with the crustiness of her brown spots, and perhaps a minimal amount of swelling.
Sun Damage, Commercial Hand

BEFORE

“Sun spots” on the hands

Sun Damage, Commercial Hand

AFTER

Intense Pulsed Light Photorejuvenation

Note:  These spots are prominent and often bother the person greatly.  This therapy is quick, easy, safe, and brings considerable relief to see the spots gone.
Sun Damage, GD

BEFORE

UV damage, pre-cancers of skin, volume loss, wrinkles

Sun Damage, GD

AFTER

Levulan Photodynamic Therapy, Botox, Dermal Fillers

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.
BAn, IPL

BEFORE

Redness and Veins on fair skinned woman with UV damage

BAn, IPL

AFTER

1 session of Intense Pulsed Light Photorejuvenation

Note:  This elderly woman suffered a great deal of redness and veins on her face due to sun damage. These obvious manifestations of UV injury were conspicuous, prompting questions and stares.  She elected to diminish the markings with Intense Pulsed Light Photorejuvenation.  One month after her one and only treatment it can be seen that she looks much improved.
Sun Damage, DL

BEFORE

Hyperpigmentation

Sun Damage, DL

AFTER

1 session each of Mini resurfacing Erb Yag Laser Peel and Fractionated Erb Yag Laser Peel

Note:  Reduced pigment marks, more even, radiant complexion after light laser resurfacing.
Sun Damage, FA

BEFORE

Melasma

Sun Damage, FA

AFTER

8 weeks After Profraction

Note: This  young woman is genetically at risk for pigment marks, and she is loaded with female hormones at her age.  It is sun damage on top of her risk factors that ultiimately leads to the brown blotches.  The treatment for «melasma» is sun protection, some Retinoid cream, some whiteing cream, and a good combination laser peel, necessitating 5 - 7 days of downtime.  The «creams» alone are not potent, but when combined with laser peel there is dramatic improvement.
Sun Damage, GCo

BEFORE

Rosacea, facial redness, veins

Sun Damage, GCo

AFTER

Intense Pulsed Light Photo rejuvenation, 4 sessions

Note: The patient has markedly reduced facial redness and veins. She also notices less frequent flushing. Her Rosacea breakout has remitted. She doesn’t experience the skin sensitivity and swelling since treatments. She has had a total of 4 Intense Pulsed Light sessions over 5 years.
Sun Damage, GE

BEFORE

Hyperpigmentation

Sun Damage, GE

AFTER

Profraction, IPL Photorejuvenation

Note: Diminished blotchy hyperpigmentation, increased in facial volume, and greater reduced after just one Profraction and 3 IPL sessions.
Sun Damage, GM, right

BEFORE

Extreme Ultraviolet Damage

Sun Damage, 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.
Sun Damage, JD

BEFORE

Melasma, Aging

Sun Damage, JD

AFTER

Profraction, Fillers, Botox

Note: Blotchy brown pigments have diminished, although the recent photo is only 2.5 weeks after her 2nd Profraction treatment with inadequate time to assess the response. It may be seen, however, that the face is more full, radiant. The cheeks angle up as compared to the before picture. Her mouth is much more attractive and remains natural after treatment with Fillers. At least 2 months must pass to make any judgment on the benefit of the recent Profraction, but more improvement is expected.
Sun Damage, JA

BEFORE

Outside Worker with severe sun damage

Sun Damage, JA

AFTER

Intense Pulsed Light Therapy

Note: This man had 45 years of outdoor life, showing signs of severe sun damage due to Ultraviolet light and the other wind/cold elements.  His genetics predispose him as well to Rosacea which is the inflammatory condition that tends to occur in the setting of sun damage.  He responded very well to Intense Pulsed Light Therapy, and he followed recommendations to better protect his skin from the elements, especially UV light. He was greatly relieved to break free of the Santa jokes.
Sun Damage, LD, Half face

BEFORE

Spider veins

Sun Damage, LD, Half face

AFTER

4 IPL's, 2 PDT's rosacea remitted, cosmetic improvement

Note: Reduction of facial veins, flushing, redness after 2 PDT's and 4  IPL's in patient with rosacea.  This patient is very pleased because he has not only reduced the vascularity but he is no longer experiencing burning, itching, blemishes or hotspots of Rosacea. Even his eye symptoms have improved.
Sun Damage, LD

BEFORE

Spider veins

Sun Damage, LD

AFTER

4 IPL's, 2 PDT's rosacea remitted, cosmetic improvement

Note: Reduction of facial veins, flushing, redness after 2 PDT's and 4  IPL's in patient with rosacea. This patient is very pleased because he has not only reduced the vascularity but he is no longer experiencing burning, itching, blemishes or hotspots of Rosacea. Even his eye symptoms have improved.
Sun Damage, LHr, left

BEFORE

Sun damaged red neck

Sun Damage, LHr, left

AFTER

After 3 sessions of Intense Pulsed Light Photorejuvenation

Note: After 3 sessions of Intense Pulsed Light this woman has reduced redness and veins in the neck.  She is not as flushy.  One may expect approximately 20% reduction after each session.  The neck is a delicate zone and the technician must be skilled.  Redness and veins on the neck is a sign of severe Ultraviolet damage, and she is accordingly reminded to sun protect.
Sun Damage, LHr

BEFORE

Sun damaged red neck

Sun Damage, LHr

AFTER

After 3 sessions of Intense Pulsed Light Photorejuvenation

Note: After 3 sessions of Intense Pulsed Light this woman has reduced redness and veins in the neck.  She is not as flushy.  One may expect approximately 20% reduction after each session.  The neck is a delicate zone and the technician must be skilled.  Redness and veins on the neck is a sign of severe Ultraviolet damage, and she is accordingly reminded to sun protect.
Sun Damage, MJ

BEFORE

Melasma, Sun Aging

Sun Damage, MJ

AFTER

After 2 weeks: Fractionated and Full Erb Yag Resurfacing

Note: This young woman is only just over 2 weeks since a moderate laser peel, and hence the pink face.  She was considerably hyperpigmented to start with, and it may be seen that she has some streaky hyperpigmentation since treatment as well.  Streaking is common and it will fade, usually to near zero within 3 months.  In the meantime, her skin is building more matrix, collagen.  She will evolve to beautiful skin within 3 months.  Already the radiance is seen, and the blotchy browns are reduced. It should be emphasized that side effects are first and the benefits come later, usually becoming noticeable to family and friends around the second month.
Sun Damage, MJ right

BEFORE

Melasma, Sun Aging

Sun Damage, MJ right

AFTER

After 2 weeks: Fractionated and Full Erb Yag Resurfacing

Note: This young woman is only just over 2 weeks since a moderate laser peel, and hence the pink face.  She was considerably hyperpigmented to start with, and it may be seen that she has some streaky hyperpigmentation since treatment as well.  Streaking is common and it will fade, usually to near zero within 3 months.  In the meantime, her skin is building more matrix, collagen.  She will evolve to beautiful skin within 3 months.  Already the radiance is seen, and the blotchy browns are reduced. It should be emphasized that side effects are first and the benefits come later, usually becoming noticeable to family and friends around the second month.
WA, IPL, PDT, Rosacea, Sun Damage

BEFORE

Rosacea, Telangiectasia

WA, IPL, PDT, Rosacea, Sun Damage

AFTER

IPL Photorejuvenation

Note: Baseline redness, veins, flushing are all reduced after single no downtime Intense Pulsed Light session.
Sun Damage, FAn

BEFORE

Melasma, acne, enlarged pores

Sun Damage, FAn

AFTER

Profraction

Note: Reduction in the hyperpigmentation pattern of melasma, subdued inflammatory acne, smoother texture 3 months after only one Profraction.