Flashlamp treatments

ETCA can be used after flashlamp treatment when treating pigmentation or photoaging on the face, d colletage or hands. It is preferable to start with the lamp and to follow up with the peel, for the following reasons ... 

It is not neutralizing, however, as we shall see further on. Provided that this is classic flashlamp treatment and not a device combining pulsed light and radiofrequency, for example. These machines significantly change skin permeability and can cause the acids to penetrate too far, with the risk of scarring. 

The doctor should be ready to neutralize the peel at the least sign of protein coagulation (frosting). It is a good idea to alternate flashlamp treatment and EPS, as with the mesolift EPS one week and flashlamp the following week. 

Manusciatti W, Fitzpatrick RE, Goldman MP (2000) Treatment of facial skin using combinations of CO Q-switched alexandrite, flashlamp-pumped pulsed dye, and Er YAG lasers in the same treatment session. Dermatol Surg 26 114-120 Jordan R, Cummins C, Burls A (2000) Laser resurfacing of the skin for the improvement of facial acne scarring a systematic review of the evidence. Br J Dermatol 142 413-423... 

This can involve electrocoagulation, Surgitron (Ell-man), scarification, microsclerosis, laser or flashlamp. These treatments should be carried out 1-2 weeks before the peel. The one exception is Easy TCA , where the telangiectasias can be treated immediately (a few minutes) before the peel solution is applied. 

The flashlamp pumped pulsed dye laser emitting 1- to 2-J pulses at either 577- or 585-nm wavelength (near the 537-577 absorption region of blood) is used for treatment of cutaneous vascular lesions and melanin pigmented lesions except melanoma. Use of pulsed radiation helps to localize the thermal damage to within the lesions to obtain low damage of adjacent tissue. 

McDaniel DH, Ash K, Zukowski M (1996) Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg 22 332-337... 

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