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Hello, I'm Tom Sult.

I love practicing medicine and I have a passion for what laser medicine has to offer our practices, laser clinics and our patients.  I hope you will find my thoughts informative, helpful...thought-provoking.  I'm eager to hear your comments.  Read more about me here.

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Medical Laser Blog - Fotona Straight Talk for the Physician

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Real Laser Machines Vs. IPL

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On the surface of it an IPL looks like a great deal.  It has so many things it can do.  The problem with an IPL is that it is a‘jack-of-all-trades’ and master of NONE.

 

What is an IPL? IPL stands for Intense Pulsed Light.  It is basically a really bright light.  In fact, the light is created by a flash lamp like the ones used to “pump” or stimulate real lasers.  This bright light is put through a “cutoff filter” to give you only a part of the spectrum of light.  The problem is the spectrum is still too broad to have any real specificity. Clinically, that means you are not focused on any one target. Instead you are bulk heating the tissue. For some applications this will work, unfortunately the risks are greater.  

 

It is much like medication.  Some have a wide therapeutic index, while others have a narrow therapeutic index….the difference between therapeutic and toxic.  An IPL has a narrow margin between therapeutic treatment and burns to the skin.

 

With a real laser you have more control.  It is not just about the wavelength (although that is important), it is about much more.  The wavelength is just one factor.  Different wavelengths are absorbed by different targets in the skin (called chromophores).  So selecting a wavelength is important. But control of the delivery of the laser is of equal or greater importance.  In our white paper on the Fotona Nd:YAG lasers we go through the many variables that are important in control of the laser.  They include the pulse duration, spot size, the attach-and-decay of the beam discharge and other parameters.  While all of this seems complicated, it really is not.  We have a sophisticated computer controlled interface… it’s so sophisticated it is simple, and isn’t making it simple exactly the point? Fotona has a bunch of proprietary and patented technologies - all designed to give you better outcomes with less effort.

 

While the IPL will have perform “fair to good,” our lasers will perform no less than outstanding to excellent.  With an IPL you have a Swiss army knife, an excellent tool for emergencies.  With a Fotona laser you have a master craftsman’s shop!

 

Damage from IPL treatmentExamples of IPL Burns.  Nd:Yag does not

Comments

I just had my second treatment of ipl. The first treatment I had on the sun damage spots on my face. Although it is a painful experience some of the spots did turn black and fell off within 10 days. On the second visit the technician decided to do one of my hands as well as the treatment on my face. On my hand she turned up the power on this machine (she said it was at a 35 setting). This was like pouring boinging water on the spots on my hands. Very painful. But they say, no pain, no gain so I let her continue on various spots on my hands. After the treatment my teeth chattered all the way home, my hand was burning and I was in pain. I placed my hand in cold ice water for hours just to relieve the pain. It has now been a week and my hand has been definitely burned-the spots are a purple/ brown color with red swelling around the area burned. I was told this procedure is safe, I onlt wish I would have researched this before having IPL done. I have not noticed much difference on the spots on my face. Be very careful who you trust with this procedure.
Posted @ Monday, April 19, 2010 11:16 PM by carol
Carol~ 
I'm sorry you had such a poor experience. But unfortunately that is not uncommon with IPL. IPL is not a laser and has many targets in the skin. A laser is a single wavelength of light and is more focused on a single target. In your case, we would have most likely used an Er:YAG laser to erase the spots. We may have used a Q-switch Nd:YAG or KTP laser instead (or in addition to). In either case you have far greater control with the laser than the IPL.  We routinely treat "age spots" with great success.   
 
Thomas A. Sult, MD
Posted @ Tuesday, April 20, 2010 12:34 PM by Jennifer Childs
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