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I sent this response to someone who has had photoderm but still

flushes, and is thinking of going back in for a single touch up. I

decided to post my response here as well.

My recommendation would be to find someone with a

Vasculight (YAG 1064nm laser) go back and have them do a TX

including a pass with the Vasculight. Then wait about

one month and go back for the same TX.

I suspect that the IPL does not take out deep, thick

feeder vessels, but the Vasculight does - that's what

it's designed to do. Unless and until the feeder

vessels are cooked, flushing will return (or continue

unabated) because the feeder vessels will continue to

pump large quantities of blood into the face,

" overwhelming the facial microvessels " as Dr Nase said

in his book. This leads to more dilation and damage to

facial capillaries, and further flushing.

This is why I believe that using the Vasculight to

destroy the deep, thick vessels is such a quantum

leap. It treats areas which are unaffected by IPL.

Sincerely, Jim

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  • 3 weeks later...
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Hi Jim,

I'd like to ask some advice of you.

I went yesterday for my 2nd treatment of Epifacial. The doctor used 590

filter with a few passes the first visit and on this second visit she

started off with the 590 filter and worked her way up to a higher filter

somewhere in the six hundred range. The first visit I did not notice any

improvement and now after my second visit I'm still flushing.

In between these two sessions I went back to have a pass of Vasculite laser.

What was done was only a few small spots on the cheek and chin. The doctor

hesitated to do more because he did not view any feeder vessels. What I did

experience was some slightly raised welts on the face where the Vasculite was

passed.

Jim, in trying to follow your course of action to get the improvement that

you did can you please tell me if you feel that these experiences are normal?

When did you start seeing some improvement or results from your

epifacial/Vasculite sessions?

Also I'd like to let you know that the Photoderm when I had it a while back

in NYC was very, very painful. It was set at 575 filter and double pulses.

I'm wondering why I'm not feeling any pain whatsoever during the Epifacial

and Vasculite treatments with this doctor?

Is the Photoderm better than the Epifacial?

Just wondering because with the Photoderm I couldn't even sit in my seat that

it was so painful.

I appreciate any feedback you can give.

Thanks,

MV

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