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admin | Prevent Bv | 29.08.2014
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Scientists in India are reporting successful laboratory tests of a new and potentially safer alternative to silver-based gels applied to the skin of burn patients to treat infections. The scientists demonstrated that their gel killed a broad range of harmful bacteria, including Pseudomonas aeruginosa, one of the most common causes of burn infections, as well as several drug-resistant microbes.
I have been getting a lot of messages from people all over the world, that have received burns from an aesthetic laser or IPL (photofacial) treatments. It is normal for skin to feel hot during laser and IPL treatments, but you should expect the skin to cool down quickly.
If you suspect that you have been burned, be sure to discuss it with your Laser Technician before you leave the office.
If you are not satisfied or confidant with the post -treatment care you are receiving from the laser technician, ask to speak to the medical directer. Medical skin care systems such as Obagi Nu-derm or ZO Medical incorporate the use of prescription strength Hydroquinone and Tretinoin, which even skin discolorations. The top ingredient in TNS Recovery Complex is Human Fibroblast Conditioned Media (TNS®) > A physiologically balanced, naturally secreted and stabilized combination of multiple human growth factors, cytokines and natural proteins responsible for the production of collagen and other extracellular matrix proteins. I don’t find machine malfunction to be the most common reason for laser burns, if the device is a real FDA approved device, however it does happen. I can not stress enough the importance of going to a qualified, experienced laser technician with a good reputation. I don’t think anyone deserves to have a burn or complication and I am sincerely sorry when it happens.
Burns and other complications are an inherit risk of aesthetic and laser treatments, you should understand and except all risks before you consent to treatment.
On one complaint website, there were 1,437 complaints regarding laser treatments and over 600 for one specific laser center. Increasing popularity for Laser, IPL and RF treatments has lead to an increase of treatment complications. With all the new products and technology available today it is easy to be confused, when choosing a treatment. Tanning is a contraindication to most laser and IPL treatments, it is the patients responsibility to use proper protection from UV rays and inform technician of any possible sun exposure.
When choosing to do a cosmetic procedure always look for someone who is experienced with proper training and a successful reputation. Regardless of the technology, laser hair removal usually requires a minimum of 12 treatments on the face and 8 treatments on non-facial areas. The marks in the above photo appear to be from an IPL treatment, however I would not say this is anything to be alarmed about. These are photo’s found on the internet that show various examples of burns from laser and IPL. Please note that we are unable to respond back directly to your questions or provide medical advice. As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. With names like silver sulfadiazine and silver nitrate, these germ-fighters save lives and speed healing. The gel, which contains 30 times less silver than silver sulfadiazine, did not have any apparent toxic effects when applied to the healthy skin of test animals.
Your laser technician can give you an idea how long you should expect the skin to feel hot. If you suspect that you have been burned severely and find the pain intolerable or if the burn covers a large portion of the body, you may want to go to the emergency room.
After the skin has had time to cool, and the skin begins to heal you may then be instructed to use an ointment to protect the skin. The most important thing you can do is protect the area from further injury, this includes avoiding sun exposure. These are prescription strength skin care lines, available at many dermatology and plastic surgery offices. Beware, there are many counterfeit and knock-off devices on the market and these have been linked to burns and complications.These counterfeit devices are not FDA approved and likely do not have the same safety mechanisms as the authentic devices. Technician error is a growing cause of laser burns, simply because the industry is growing.


You should also understand that additional products or treatment may be needed at an additional cost to you.
If you decide to go to a discount laser center because you are looking for a low cost, you are taking a gamble.
A poorly done laser treatment can lead to burns, hyperpigmentation, hypopigmentation, ocular injury, scars and a simple lack of results. Laser, IPL, LED, Infrared, Radiofrequency and fractional resurfacing are all energy based technologies and each have different indications. The marks may look bad, however with appropriate home care she may even have a nice result. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. Your provider should be able to provide you with care, if you have followed with your provider and complied with treatment recommendations, and are not seeing correction in a realistic time frame, then see a qualified provider for a second opinion. For example if you are having a laser hair removal treatment or a photofacial, your skin should cool down almost immediately.
Schedule an appointment for a post treatment follow-up, and never hesitate to call the office if you have questions or concerns.
If you have gone to a med-spa chain, there may be a medical directer for several locations. In most cases, it is not necessary to make a trip to the emergency room, however in rare cases you may need immediate medical attention.
The treatment protocol is patient specific and a skin care professional will determine the best way for you to use these products. Although this product is not specifically indicated in treating burns, in my personal experience it seems to aid in healing.
It’s important to understand that IPL and all lasers are absorbed by a specific chromophor. It is important that you communicate with your laser technician and return to the clinic for follow-up visits. Some clinics hire inexperienced, even unqualified technicians to do treatment and rarely have a Doctor on site.
Laser technicians that tell you that you will only need 5 treatments are not necessarily lying to you intentionally, this is often what they are told by the companies that manufacture lasers.
At best, this information may give you some talking points for you and your provider and help to explain possible reasons a burn may have occurred. You should first make every attempt to work with the staff at the clinic where the laser treatment was provided. You may be instructed to use a4% Hydroquinone cream and Tretinoin (Retin-A) to reduce risk of or even treat hyper pigmentation ( dark skin discoloration). If you have had a recent burn it may be suggested that you avoid products that contain AHA’s or any other exfoliants, until the skins epidermis has been restored.
Some of these new technicians will be knowledgable and talented, unfortunately a some will not. It is the patients responsibility to inform the laser technician if they have had ANY sun exposure or even spray tan to the treated area.
The increase in complications is primarily due to lack of training, experience, and medical supervision. In some cases a chemical peel, Botox, or a cosmetic filler may be a better option than laser. Anyone with dark skin is at increased risk for complications, and should look for an experienced technician that specialize in treating dark skin. Same applies to claims of safely treating tan skin or effectively treating light hair, although it may be possible don’t count on it. If it feels extremely hot and is not cooling down you should alert your technician as they are doing the treatment. If you have followed up with your provider and complied with treatment recommendations and are still not satisfied with the level of care, then seek a second opinion. They should be aware so they can review the treatment settings used and asses if there is an issue with the equipment. Topical Serums that contain Vitamin – C , and products with growth factors can aid in collagen production, improve skin healing and reduce inflammation. The strength of Tretinoin and frequency is something that needs to be determined after a personal consultation.
We want the energy to be absorbed by the color in hemoglobin to target blood vessels and the color in melanin when targeting unwanted hair or skin discolorations such as freckles.


Patients are also expected to inform the laser technician of any medication or skin care products they are using.
A med spa with a medical director on staff does not mean it is the medical practice of that person and the medical director may never actually be in the clinic.
It is important to know that it is not just the technology, it is also the technique that determines the result of a treatment. A consultation with an experienced esthetician can help you to make an educated decision on treatment.
Kishore Paknikar and colleagues note that antimicrobial silver compounds have been used for decades on burn patients, whose damaged skin is highly vulnerable to bacterial infections. They should have you return to the clinic as soon as posable, to assess the burned area, and give you post treatment instructions. If the burn marks are old and have not responded to topical skin care, you may need something like a medium depth chemical peel, to treat the scars. Non-facial areas such as the neck, chest, hands and arms are treated differently than facial areas, this is another reason you need to be seen for a follow-up. When your skin is tan at the time of treatment, the energy is not just absorbed by the intended target, it is also absorbed by the surrounding tissue as well. You also need to communicate with the laser technician during and after the treatment, and let them know what you are feeling. Cosmetic and laser treatments can be complicated and are best done by an experienced technician. However, topical silver agents now in use can loose effectiveness in the body, cause skin discoloration, and damage cells. The technician can also take immediate action to cool the skin and possibly prevent a burn, or reduce the severity. Information provided here or anywhere on the internet can not replace personal treatment by a skin professional. Not all lasers work exactly the same, so a laser technician needs training for each laser they work with. Be sure to follow all pre and post treatment instructions, such as avoiding heat and sun exposure.
It is the patients responsibility to communicate with the provider, return to the clinic for post treatment visits, and follow post treatment instructions. The more experience a technician has with lasers in general, as well as a specific laser will reduce the possibility that their clients will be burned. If you don’t follow the pre and post treatment instructions, you run the risk of a complication. People with darker skin tones need to be careful to go to a skin professional that understands how to treat their skin type.
In addition to understanding the technology being used, the technician should understand how skin will react and determine if someone is a good candidate for treatment.
You play an active part in your own treatment, and that begins with choosing a qualified and experienced laser technician. Although you may have a compelling urge to scratch the infected mosquito bite like mad, try not to as fingernails harbour all kinds of bacteria and may cause a secondary infection.
This is not to say that if you have dark skin you are not a candidate for laser, however there are some lasers that are more appropriate for dark skin.
They should also determine if someone needs to precondition their skin before treatment and what is a good post treatment protocol. If you chose to go to a specific med-spa based on price or location, you should understand the risk involved. Keep in mind that even the best laser technician can encounter an unexpected complication, and burns are an inherit risk of laser and IPL treatments.
It is also your responsibility to follow-up with your provider if you have a complication, comply with treatment recommendation and return to the clinic for all recommended follow-up visits. Caladryl may be applied after the infection has begun to heal to relieve the itch and reduce the swelling.
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