PDL vs IPL for Rosacea: Dermatologist guide
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- Опубліковано 5 вер 2024
- Redness and flushing from rosacea is best treated with a laser like pulse dye laser (PDL) vs light treatment like intense pulsed light (IPL). But which is better? In this complete Dermatologist guide to PDL vs IPL, I will not only discuss the pros and cons of each, but will actually treat each side of my face so that you can experience the difference.
Loved the video, very informative! In Ireland we have public health care and it's covered as a medical condition FOR FREE!!!
Wow that’s amazing!
This is not covered by the HSE. Not sure where you got that information from🤔
Did both. Asian+male+rosacea. IPL (m22) hurts more than PDL (vbeam).
Assuming your doctor knows what he/she’s doing : IPL > PDL. Just because you can do so much more with the former. IPL does require more sessions. My dr recommended 3 PDLs vs 6 IPLs.
Thanks for sharing your experience
Thank you! I have been trying to decide between the two.
Glad it was helpful
@@doctor-abbyI done 6 PDl , 14 IPL , 4 Advatx laser, 4 excel v , 4 PRP, zero result by the way I don’t have Rosacea all my treatment I have done just to treat redness after full ablative co2 3 years post treatment it is very strange
In France it's not covered by the insurance either because it's for aesthetic reasons so you pay out of your pocket too
In the US it’s the same and can be pricey
Great video. If you argue that rosacea is a disease with your insurance company and don’t back down they should cover it. Insurance wants you to not be willing to put in the effort required to get things covered.
I have port wine on my face. what do you think? Should I use IPL?
Thank you for clearing up the difference between the two. I did great with a KTP laser but had a terrible reaction from IPL. I never knew that IPL was not a laser. I would like to try VBeam and thought my bad experience with IPL would count me out for any possible laser treatment in the future.
Just had my 1st PDL today on cheeks, nose, & chin. It doesn’t feel like a snapping rubberband (that would be more painful). It felt more like this….take a boba straw diameter & blast extremely compressed air down the straw that is combined with a cooling fluid. I didn’t know the liquid was there until mentioned, but it did feel like that cool gel med for sore muscles. Upper cheekbones to sides & under nose more painful.
Thank you Dr!
How about BBL?
BBL is a type of IPL treatment
Can you explain which autoimmune disorders should not be getting laser?
Ones that are photosensitive like lupus or dermatomyositis should discuss either doctor. It’s not an absolute contraindication but just should proceed with caution
I got to a point with IPL where it just hurt and it wasn’t doing anything anymore. I’m going for VBeam next week! And yes I have a massive sun bonnet 😅
What about neurogenic rosacea? Hearing mixed results and that it can maybe make it worse
Likely won’t make worse but not likely to help either. Some people respond to blood pressure medicine or gapapentin
Thanks Dr Abby I’m going to get it done 💯 your beautiful by the way 😊
Aww thanks ☺️
Hi Dr Rosacea IPL or PDL which laser is best?
PDL likely has best overall effect but both work well
@@doctor-abby How many sittings of PDL laser is necessary
@@doctor-abby Can rosacea be cured forever with laser, ma'am
How about lumecca for borken capillaries on cheeks and chin?
Great video! Can you possibly benefit more from PDL from a collagen booting standpoint?
Both can boost collagen but PDL is more targeted
@@doctor-abby , thank you!
Is it helpful or safe to do with mild rhinophyma?
I feel so low. My cheeks are so red with pustules. I saw a dermatologist and I’m on soolantra and an antibiotic however I was only on the antibiotic for a week and then had to stop because I am in a hot country. I will be back in a few days thank god but I really hope it will calm down as I have had a really bad flare up as it’s 40oc outside. I’m wearing sun cream all the time and wearing a big sun hat. I gotta stay hopeful that something will work and I’m going to try cut out dairy and sugar
Many find that dietary changes really help. Good luck I hope you find relief soon
Great video! I got a vbeam and excel v treatment for tiny capillaries and mike redness 4 days ago. No problem afterwards. I accidentally got a sunburn today and am concerned because of what I read online about aftercare. Any advice?
Would just moisturize well and be even more hypervigilant about sun. Can add azelaic acid to reduce redness and avoid hyperpigmentation once the initial burn has resolved
Thank you Doctor!
Can you tell me whether I most likely have jeopardized my outcome with this sunburn I got?
I am constantly worrying these past 2 days thinking that I will have blotchy skin and hyperpigmentation as a result of this mess up. How likely would that outcome be?
Thanks again for any help.( for reference I have light skin )
Likely will heal well- continue vigilant sun protection and moisturizer
Wow the doctor answered! Thanks!
@@doctor-abby oh thank goodness. I appreciate your input. Thanks
I have type 2 with lots of papules and pustules if I don't avoid triggers. Will either laser be helpful to decrease these? You look great and am interested for myself. Thank you!! 😊
The lasers will only help the redness and not the pimples. Generally first line for the pimples of rosacea is metronidazole cream, ivermectin cream or oral antibiotics
I have type 2 as well. Metro cream and a compound with metro cream, azelaic acid, and ivermectin worked well for me. Surprisingly, 0.025% tretinoin worked amazingly well for me. It even helps with the redness. It’s surprising because conventional wisdom is that retinols are too harsh for people with rosacea. But I found a study that showed good results for type 2 rosacea patients using the 0.025% and decided to give it a try, and it worked great.
I use tret as well (Retin A Micro .04%). It seems to thicken the skin and has decreased the appearance of a few of the broken blood vessels I have.
I get the pimples after a flush and getting laser has dramatically decreased flushing and also automatically decreased the formation of new bumps for me
@@silvana8737 Glad it helped you. I really want to try it. Thanks!!
Mam i have no redness nothing only visible blood vessels due to steroids thin skin
Will ipl improve it
Yes it can help fade them
@@doctor-abby mam the results will be permanent or not please reply
What about Nd yag laser? I heard it's good for treating rosacea too
It can be. Usually used for deeper and deeper red vessels but can also be used for rosacea
HI, Dr. Will Resurfacing be helpful to rosacea ?
Not necessarily
What is better for vissible blood vessels ??
In my experience, PDL
@@doctor-abby how many sessions should be done mam ??
@@anushribairagi915 often 3-4 at first and then may require 1-2 yearly for maintenance
@@anushribairagi915 apne IPL krwaya usse blood vessels km hue ?
@@anushribairagi915 hii please reply kare apki shi hui apne IPL krwaya tha n
What autoimmune disorders are contraindications? I have psoriasis and rosacea. Will laser cause pathergy?
Safe for both. It’s typically lupus and dermatomyositis and even then it’s not a contraindication, just something to let your doctor know
@@doctor-abbythanks for the reply!
Can at-home small ipl be the same result for face redness?
At home IPL will not have the same improvement as in office
if you’re already on doxycycline, making you photosensitive, can this still be effective? thank you!
Yes but make sure to tell your provider you are on doxycycline
Hi mam I from India and I am suffering from tsdf ( total steroid damage face) . I have the problem of telangiectasia. Which one is better ipl or pdl for my skin
Hii ..same problem is going on to me ....can U contact to me ...pls
Plz reply I wanna talk to u
@@anushribairagi915 hmmm bikul
Both are safe for dark skin but IPL is more dangerous if used by someone who is not well trained since it can be set to the wrong settings. PDL is a laser so the wavelength is set. Either one it will be critical to avoid sun for 2 weeks after
@@doctor-abby
Mam my treatment is going on or the burning sensation or hot flashes have subsided up to 90%. The redness has also subsided up to 60-70% and the rest of the redness is due to telangiectasia but my dermatologist has said that it will remain permanent. If you try to remove it with a laser or an IPL, your face will appear so black that it will be almost impossible to treat.
This is very informative video!!!
Glad it’s helpful
@@doctor-abby next day I consulted a local store, they have the same gel (not numbing gel) like in this video ua-cam.com/video/pnPx96BIrsU/v-deo.htmlsi=e7R6OY5gUrACkrr6&t=307, what is this gel used for? Because I noticed you didn't put any gel and recommend make it as flushing as possible to have better result, not sure how to persuade my provide not using gel, because maybe it is part of their protocol.
I have read many stories about ipl treatment caused fat loss in face...this people had much fat loss after ipl ...so Is pdl better? More secure?
Are you sure these people were talking about IPL? Most people lose fat by using RF microneedling machines, not IPL or lasers. I've had 2 IPL sessions and no fat loss (and I have pretty fatty cheeks).
@@liviusss yes it was Ipl against rosacea
IPL is just more likely to cause non specific side effects in general because it’s dependent on the user setting the correct settings.I don’t think of fat atrophy as a common side effect however
Is PDL safe on beard hair?
Yes
Yes