No evaluation, no treatment
The importance of treatment evaluation is self-evident. When facing a beauty seeker with freckle removal needs, one usually understands the following content to choose treatment methods and parameter settings. I call it ‘1+3’.
01 Overall situation
Including overall body condition, hormone levels, living environment, care habits, facial contours, depth of skin tone, oiliness or dryness, degree of skin aging, etc.
02 Three dimensional evaluation
The first dimension: what is seen in the plane (plane dimension)
Including the location, color, size, shape, contour, presence or absence of papules, etc.
Second dimension: Deep tissue pathophysiology (organizational dimension)
Including the distribution of pigments, whether there is infiltration of inflammatory cells, the integrity of the basement membrane, the activity of melanocytes, and the presence of superficial capillary dilation.
The third dimension: the past and present of skin lesions (time dimension)
Including whether there are obvious causes for the appearance of spots, where they start to appear, how they develop and change, and how they will be treated with or without intervention.
How to control the clinical endpoint of treatment?
As mentioned earlier, no assessment, no freckle removal; without sun protection no spot removal, the post treatment heat of photons and lasers is equivalent to the explosion of melanin while minimizing the damage to surrounding skin tissue; low energy cannot achieve the effect of removing spots, but high energy may cause color fading. What kind of heat is appropriate?
Photon: Color enhancement of pigments
Laser: White Frost (Uniform Light White Frost, Uniform White Frost, Thick White Frost)
Learn more: Does phototherapy affect skin reactions/pain responses?
Is it only effective after photon therapy when melanin appears?
After photon skin rejuvenation, there is “melanin floating out”, forming a thin layer of scab. After the scab falls off, the skin is particularly smooth, delicate, and fair! And claim that this is the correct and effective photon rejuvenation!
Is that really the case? Actually, it cannot be generalized!
For healthy skin without chloasma, with good barrier function and not prone to pigmentation (Chinese skin is rare!), this kind of treatment response, with proper care after treatment is really easy to make the skin quickly become smooth, delicate and white.
However, for those with melasma, poor skin barrier function or prone to pigmentation, such treatment reactions can cause the skin to become irritated and sensitive after treatment, requiring a longer time to return to normal; after the scab falls off, the initial skin tone is smooth, delicate and fair, and then pigmentation gradually appears. For those who originally had melasma, there may even be adverse consequences such as darkening of the pigmentation color and expansion of the area.
In addition to preventing and treating photoaging, photon rejuvenation is a routine maintenance item ;it can also treat skin diseases such as acne, rosacea, seborrheic dermatitis, post acne erythema (commonly known as red acne scars), telangiectasia, as well as pigmented skin diseases such as post inflammatory pigmentation, melasma, freckles and age spots.
The treatment response are closely related to the overall condition of the skin, the main problems targeted, as well as the patient’s personality traits, pain tolerance, skincare habits, etc. Therefore, personalized judgment and treatment are necessary! Avoid cutting it even at one stroke!
