Dear Dr Lam,
I am yet another fat loss victim from IPL. So far, my case is not as severe as others, who have experienced over all volume loss. I am a female, 43 yrs old.
I have rosacea and have been having IPL treatments since the year 2000. This worked well and put me in complete remission.
Fast forward to more recently. I developed severe rosacea due to another doctor advising me to use topical retinyl palmitate. It was irritating and the end result was a crimson, swollen face with severe flushing and burning.
Attempts to reduce the symptoms with IPL, at my usual settings, caused adverse side effects. These included a dramatic increase in inflammation, and worsening of rosacea hell. In addition, I experienced etch type lines, a couple of indentations, orange peel skin and some loss of fat as indentations under the eyes. These are not overly disfiguring at the moment.
Where I had welts, the face has curved in slightly.
My nose was over treated, meaning the doctor did a double pass at energies far too high. It looks like orange peel texture with a slight loss of substance underneath.( lower third). When I gently press it, the firmness is lacking.
I have undergone about 9 red light therapy sessions in a doctor's clinic which has reduced these symptoms slightly. However more etch type lines are still forming. They aren't all lines. Some are squiggly ovals, as if someone ran a carving tool over my skin. Others are parallel lines, in the exact shape of the crystal. It is as if there was a power surge out of the sides.
Red light therapy helps some rosaceans, but for me, seeing my vasculature is so compromised, my face developes a horrible pressurized feeling and increased flushing for about a week afterwards.
I have read about Gentle Waves ( yellow light with pulsed deliverance) and wondered if treatment with this might halt the fat loss process?
http://www.gentlewaves.de/content/liter ... 3_2004.pdf
I realise it probably wouldn't rebuild the face, but to be able to stop it getting worse would be a bonus.
I see Gentle waves reduce MMP activity. The reduction of MMP activity through use of oral antibiotics in rosacea patients is thought to be how they achieve the anti inflammatory effect. Inflammation is destructive to collagen, so with that in mind, do you feel Gentle waves might benefit those undergoing the process of IPL induced fat loss?
I note that one of your theories of IPL/Laser induced fat loss is due to a lack of blood supply, however in my case, I am so red I could get a job as a beacon at the port, warning ships off the rocks. I wonder if the fat has simply been melted due to fluences being too high?
Yet my first fat loss happened at a time when the energies had not been raised, which begs the question of whether it is a result of inflammation? In the case of a rosacean, increased inflammation. I note in the article, that MMP's are increased after IPL/Laser.
I apologise for this post being so long, but sometimes a brief question loses its meaning.
Thank you for your time.