• Skip to main content

Upland Laser Dermatology

  • Patient Portal
  • Request Appointment
  • Home
  • Services
  • Health Library
  • About
  • Patient Resources
  • Products
  • Contact
LnRiLWhlYWRpbmcuaGFzLWJhY2tncm91bmR7cGFkZGluZzowfQ==
.tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="1a4fe63c6bb9d766678ba740bf1deeb9"] { padding: 25px; } .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="1a4fe63c6bb9d766678ba740bf1deeb9"] > .tb-container-inner { max-width: 370px; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="f18dab8d4d162e76367842ca7b7808f8"] { border-radius: 15px;padding: 0px; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="40d874d9c9be6099132f93d4ee4d03ab"] { padding: 25px 25px 0px 25px;min-height: 260px; } h5.tb-heading[data-toolset-blocks-heading="5fc22a8967c83120c97f952ace2c9c14"]  { font-weight: bold;text-align: left; }  .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="1a191ec017f9da20bc0ad21fd9802425"] { border-radius: 15px 15px 0 0;background: url('') center center no-repeat;background-size:cover;padding: 0px 25px 25px 25px;min-height: 180px; } .tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end}.tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="43be6d0f85d4e837ae854ff8f646bcfd"] { padding: 25px;display:ms-flexbox !important;display:flex !important;-ms-flex-direction:column;flex-direction:column;-ms-flex-pack:center;justify-content:center; } .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="43be6d0f85d4e837ae854ff8f646bcfd"] > .tb-container-inner { max-width: 1200px; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="0c5e9cd96aac60a44d46eb3904c062d0"] { padding: 0px 25px 0px 25px;min-height: 600px; } .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="0c5e9cd96aac60a44d46eb3904c062d0"] > .tb-container-inner { max-width: 1200px; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="4baf953828280701fc9fde7b051f2f78"] { padding: 0px 25px 0px 25px;margin-top: 10px;margin-bottom: 20px;display:ms-flexbox !important;display:flex !important;-ms-flex-direction:column;flex-direction:column;-ms-flex-pack:center;justify-content:center; } .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="4baf953828280701fc9fde7b051f2f78"] > .tb-container-inner { max-width: 1200px; } .tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] { padding: 0px;margin: 0px;grid-template-columns: minmax(0, 0.5fr) minmax(0, 0.5fr);grid-auto-flow: row } .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] > .tb-grid-column:nth-of-type(2n + 1) { grid-column: 1 } .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] > .tb-grid-column:nth-of-type(2n + 2) { grid-column: 2 } .tb-social-share__network{display:inline-block;text-align:center;vertical-align:top;margin-right:7px;margin-bottom:7px}.tb-social-share--092 .tb-social-share__facebook__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#3b5998;}.tb-social-share--092 .tb-social-share__linkedin__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#007fb1;}.tb-social-share--092 .tb-social-share__twitter__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#00aced;}.tb-social-share--092 .tb-social-share__pinterest__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#cb2128;}.tb-social-share--092 .tb-social-share__telegram__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#37aee2;}.tb-social-share--092 .tb-social-share__reddit__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#5f99cf;}.tb-social-share--092 .tb-social-share__viber__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7c529e;}.tb-social-share--092 .tb-social-share__email__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7f7f7f;}.tb-social-share--round .SocialMediaShareButton{border-radius:50%}.tb-social-share__excerpt{display:none}.tb-social-share .SocialMediaShareButton--disabled{opacity:0.65} .tb-social-share[data-toolset-blocks-social-share="8cb269ef5bcb5e9f7c98bba7d9f6f502"] { text-align: right; } .tb-social-share[data-toolset-blocks-social-share="8cb269ef5bcb5e9f7c98bba7d9f6f502"] .SocialMediaShareButton { width: 32px;height: 32px; } .wp-block-toolset-blocks-grid-column.tb-grid-column[data-toolset-blocks-grid-column="3034fbe886c11054e95b46b09d3e4112"] { display: flex; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="dc509c61ecd4f1c9c2d1c45b57332a56"] { background: rgba( 230, 243, 247, 1 );padding: 0px; } .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="ecaa789acf2a1988475d687785af0314"] { background: url('https://westdermdev.wpengine.com/wp-content/uploads/2022/06/rachel-wave.png') center bottom no-repeat;background-size:contain;padding: 20px 25px 50px 25px;min-height: 200px;display:ms-flexbox !important;display:flex !important;-ms-flex-direction:column;flex-direction:column;-ms-flex-pack:center;justify-content:center; } .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="ecaa789acf2a1988475d687785af0314"] > .tb-container-inner { max-width: 1200px; } h1.tb-heading[data-toolset-blocks-heading="b2a5c382742d8c11977dd1e1310a7cca"]  { font-size: 42px;font-weight: bold; }  @media only screen and (max-width: 781px) { .tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="1a4fe63c6bb9d766678ba740bf1deeb9"] { padding: 0px;margin: 15px; } .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto} .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] { grid-template-columns: minmax(0, 0.5fr) minmax(0, 0.5fr);grid-auto-flow: row } .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] > .tb-grid-column:nth-of-type(2n + 1) { grid-column: 1 } .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] > .tb-grid-column:nth-of-type(2n + 2) { grid-column: 2 } .tb-social-share__network{display:inline-block;text-align:center;vertical-align:top;margin-right:7px;margin-bottom:7px}.tb-social-share--092 .tb-social-share__facebook__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#3b5998;}.tb-social-share--092 .tb-social-share__linkedin__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#007fb1;}.tb-social-share--092 .tb-social-share__twitter__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#00aced;}.tb-social-share--092 .tb-social-share__pinterest__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#cb2128;}.tb-social-share--092 .tb-social-share__telegram__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#37aee2;}.tb-social-share--092 .tb-social-share__reddit__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#5f99cf;}.tb-social-share--092 .tb-social-share__viber__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7c529e;}.tb-social-share--092 .tb-social-share__email__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7f7f7f;}.tb-social-share--round .SocialMediaShareButton{border-radius:50%}.tb-social-share__excerpt{display:none}.tb-social-share .SocialMediaShareButton--disabled{opacity:0.65}.wp-block-toolset-blocks-grid-column.tb-grid-column[data-toolset-blocks-grid-column="3034fbe886c11054e95b46b09d3e4112"] { display: flex; } .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="ecaa789acf2a1988475d687785af0314"] { background: url('https://westdermdev.wpengine.com/wp-content/uploads/2022/06/rachel-wave.png') center bottom no-repeat;background-size:contain;padding: 20px 25px 40px 25px;min-height: 175px; }   } @media only screen and (max-width: 599px) { .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto} .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-grid,.tb-grid>.block-editor-inner-blocks>.block-editor-block-list__layout{display:grid;grid-row-gap:25px;grid-column-gap:25px}.tb-grid-item{background:#d38a03;padding:30px}.tb-grid-column{flex-wrap:wrap}.tb-grid-column>*{width:100%}.tb-grid-column.tb-grid-align-top{width:100%;display:flex;align-content:flex-start}.tb-grid-column.tb-grid-align-center{width:100%;display:flex;align-content:center}.tb-grid-column.tb-grid-align-bottom{width:100%;display:flex;align-content:flex-end} .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"] { grid-template-columns: minmax(0, 1fr);grid-auto-flow: row } .wp-block-toolset-blocks-grid.tb-grid[data-toolset-blocks-grid="257ef336830b15e0a069e1e06f875487"]  > .tb-grid-column:nth-of-type(1n+1) { grid-column: 1 } .tb-social-share__network{display:inline-block;text-align:center;vertical-align:top;margin-right:7px;margin-bottom:7px}.tb-social-share--092 .tb-social-share__facebook__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#3b5998;}.tb-social-share--092 .tb-social-share__linkedin__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#007fb1;}.tb-social-share--092 .tb-social-share__twitter__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#00aced;}.tb-social-share--092 .tb-social-share__pinterest__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#cb2128;}.tb-social-share--092 .tb-social-share__telegram__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#37aee2;}.tb-social-share--092 .tb-social-share__reddit__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#5f99cf;}.tb-social-share--092 .tb-social-share__viber__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7c529e;}.tb-social-share--092 .tb-social-share__email__share-button{cursor:pointer;display:inline-block;background-size:contain;background-color:#7f7f7f;}.tb-social-share--round .SocialMediaShareButton{border-radius:50%}.tb-social-share__excerpt{display:none}.tb-social-share .SocialMediaShareButton--disabled{opacity:0.65}.wp-block-toolset-blocks-grid-column.tb-grid-column[data-toolset-blocks-grid-column="3034fbe886c11054e95b46b09d3e4112"] { display: flex; } .tb-container .tb-container-inner{width:100%;margin:0 auto}.tb-container .tb-container-inner{width:100%;margin:0 auto} .wp-block-toolset-blocks-container.tb-container[data-toolset-blocks-container="ecaa789acf2a1988475d687785af0314"] { background: rgba( 230, 243, 247, 1 );padding: 20px 10px 20px 10px;margin-top: 65px;min-height: 150px; }   } 

Why Everyone Needs an IPL Photofacial

April 27, 2021
*Content provided by our sister practice Cosmetic Laser Dermatology
As warmer weather waltzes in, there’s no better time to revamp your skin for a fresh, healthy look. Spring is the season for renewal, and one versatile cosmetic skin treatment that will refresh your appearance is the IPL photofacial. This procedure helps people of all ages not only achieve better skin tone and texture, but also helps alleviate the symptoms of some skin conditions such as rosacea and melasma.
At West Dermatology, we offer a comprehensive variety of 50+ laser, light, and energy treatments including our most popular IPL photofacial device Lumenis M22 Stellar to suit our patients’ unique skincare needs. Dr. Mitchel Goldman, our Medical Director, pioneered the field of IPL. He has published dozens of medical papers, including a review with colleagues regarding his early experiences with IPL and the development of its use over time. (Almukhtar R, Emily Carr E, Goldman MP: Intense Pulsed Light: The Early Years. Dermatological Reviews 2020;1-10) We are proud to share our research findings with you and offer this skin rejuvenating treatment at our San Diego medical spa.
Based on the review mentioned above, IPL is clearly an effective treatment modality for a wide range of dermatologic lesions, from pigmented to vascular and inflammatory lesions. The flexibility of IPL’s wavelength also allows for it to treat a variety of skin conditions. And in addition to the team’s constant investigative pursuits of IPL, we also have more experience performing IPL treatments than any other practice in the world.
What Can IPL Do For You?
If you enjoy being out in the sun but don’t enjoy the spots or lined and leathery appearance it’s caused, IPL, or Intense Pulsed Light, can effectively treat sun damage (age spots), other signs of aging, as well as pigmentation issues and other dermatologic diseases just in time for spring.
The review authored by Dr. Goldman, Dr. Rawaa Almukhtar, and Dr. Emily Carr highlights the safety, efficacy, and versatility of IPL, which can treat the following issues:
  • Lentiginous disease
  • Melasma
  • Poikiloderma of Civatte
  • Acne Vulgaris
  • Rosacea
  • Vascular lesions
  • Pre-malignant and malignant lesions
  • Hypertrophic scars and keloids
  • Sebaceous gland hyperplasia
How Does IPL Work?
Now that you’re ready to get that healthy, younger looking skin this spring, it is good to first understand how IPL works and why it is effective.
The published review explains that IPL utilizes light with a broad spectrum of wavelengths (ranging between 400 and 1200 nm), which allows the device to target melanin within the skin. With the device’s cooling system, IPL can safely penetrate down to the dermis (second layer of your skin) without damaging the epidermis (top layer). Pigment in the skin then absorbs the light energy, heating the photodamaged cells in the skin and breaking them down. The body then naturally removes the damaged tissue and unwanted pigment, helping you achieve a more even skin tone. 
Some IPL devices have a single pulse, whereas our Lumenis IPLs have multiple sequential pulsing. Furthermore, some devices will vary depending on the pulse duration, the energy fluence, or both in each pulse. Other variables include the size of the delivered light, power outputs, and cooling system, meaning that not all IPLs are the same. The devices available at Cosmetic Laser Dermatology are some of the most powerful IPL machines available today, offering superior results for our patients no matter what their skin concerns might be. 
Pigment Issues IPL Can Treat for Your Spring Refresh
  • Lentiginous disease – a variant of melanoma found on sun-damaged skin. IPL has been shown effective in treating pigmented lesions, particularly lentigines and ephelides on the face and body after an average of 3-5 treatments. 
  • Melasma – a common pigmentation disorder. IPL can lead to an improvement in patients with melasma in conjunction with topical therapy.
  • Poikiloderma of Civatte – chronic discoloration commonly seen on the neck. Results of a study report a significant reduction in vascular, pigmented, and atrophic skin changes in 81%-82% of patients after 3-5 IPL sessions.
Other Concerns IPL Can Address
  • Acne vulgaris – occurs when hair follicles are blocked with dead skin cells, bacteria, and oil (sebum). The blocked follicles cause pimples, blackheads, whiteheads, and cysts. Several studies explored IPL as a treatment option for acne vulgaris or as an activator of PDT (photodynamic therapy). The study showed a significant reduction in the surface area of the sebaceous gland following IPL treatment. IPL also has anti‐inflammatory effects, with acne patients showing a reduction of both inflammatory and noninflammatory lesions. 
  • Rosacea – a chronic inflammatory skin condition that causes redness and bumps on the face. IPL effectively reduces blood flow, telangiectasia, and severity of erythema in individuals with rosacea, with efficacy equal to that of PDL (pulsed-dye laser). Typical reported improvement was 50%.
  • Vascular lesions – consist of telangiectasias, hemangiomas, and port-wine stains. These are the easiest conditions to treat with most going away quicker and with less bruising than with a pulse dye laser treatment. 
  • Premalignant and malignant lesions – Actinic keratosis (AK) is the most common pre-cancer that forms on sun-damaged skin. Several studies investigated the use of IPL as an activator of photosensitizing agents for PDT of AK. Results suggest IPL alone may be effective in the treatment of AK, but it is enhanced by the addition of a photosensitizer. IPL with photodynamic therapy also shows promising results for the treatment of superficial BCC (basal cell carcinoma) and Bowen’s disease.
  • Hypertrophic scars – A hypertrophic scar is a thick, raised scar that does not extend beyond the boundaries of the original wound, while keloids are enlarged scars that grow bigger and wider than the original injury. One study demonstrated a 50% improvement in all hyperpigmented, erythematous, and proliferative scars treated with IPL after a mean of 2.97 sessions.

Low Risk, Multiple Benefits
We understand that renewing your skin this spring and achieving that coveted glow shouldn’t come with a dangerous price. The good news is that studies have found IPL to be well-tolerated for most patients. Minimal side effects include mild discomfort, erythema, purpura, edema, blistering, and crusting. These issues typically resolve within 48 hours, although some patients find they can persist for up to one week. Post treatment hyperpigmentation and hyperpigmentation are also possible very rare adverse effects of IPL. 
In addition to its low risk, benefits of IPL include:
  • Quick and effective – each session typically lasts 5-15 minutes
  • Appropriate for all skin types
  • Minimal discomfort – since dermatologists use a cooling gel and cold air during treatment, most patients report minimal pain
  • Long-term results – the better you care for your skin, the longer the results will last. Many of our patients have seen their results last for several years, coming in every year to touch up age spots or to simply rejuvenate their skin.
  • Ability to combine with other treatments – for a more comprehensive skin transformation this spring, IPL can be done in conjunction with other treatments such as chemical peels, microdermabrasion, injectables, Botox® Cosmetic, and Ultherapy.
To schedule your IPL Photofacial, request your appointment here: https://www.westdermatology.com/request-appointment
Home » Why Everyone Needs an IPL Photofacial
*Content provided by our sister practice Cosmetic Laser Dermatology
As warmer weather waltzes in, there’s no better time to revamp your skin for a fresh, healthy look. Spring is the season for renewal, and one versatile cosmetic skin treatment that will refresh your appearance is the IPL photofacial. This procedure helps people of all ages not only achieve better skin tone and texture, but also helps alleviate the symptoms of some skin conditions such as rosacea and melasma.
At West Dermatology, we offer a comprehensive variety of 50+ laser, light, and energy treatments including our most popular IPL photofacial device Lumenis M22 Stellar to suit our patients’ unique skincare needs. Dr. Mitchel Goldman, our Medical Director, pioneered the field of IPL. He has published dozens of medical papers, including a review with colleagues regarding his early experiences with IPL and the development of its use over time. (Almukhtar R, Emily Carr E, Goldman MP: Intense Pulsed Light: The Early Years. Dermatological Reviews 2020;1-10) We are proud to share our research findings with you and offer this skin rejuvenating treatment at our San Diego medical spa.
Based on the review mentioned above, IPL is clearly an effective treatment modality for a wide range of dermatologic lesions, from pigmented to vascular and inflammatory lesions. The flexibility of IPL’s wavelength also allows for it to treat a variety of skin conditions. And in addition to the team’s constant investigative pursuits of IPL, we also have more experience performing IPL treatments than any other practice in the world.
What Can IPL Do For You?
If you enjoy being out in the sun but don’t enjoy the spots or lined and leathery appearance it’s caused, IPL, or Intense Pulsed Light, can effectively treat sun damage (age spots), other signs of aging, as well as pigmentation issues and other dermatologic diseases just in time for spring.
The review authored by Dr. Goldman, Dr. Rawaa Almukhtar, and Dr. Emily Carr highlights the safety, efficacy, and versatility of IPL, which can treat the following issues:
  • Lentiginous disease
  • Melasma
  • Poikiloderma of Civatte
  • Acne Vulgaris
  • Rosacea
  • Vascular lesions
  • Pre-malignant and malignant lesions
  • Hypertrophic scars and keloids
  • Sebaceous gland hyperplasia
How Does IPL Work?
Now that you’re ready to get that healthy, younger looking skin this spring, it is good to first understand how IPL works and why it is effective.
The published review explains that IPL utilizes light with a broad spectrum of wavelengths (ranging between 400 and 1200 nm), which allows the device to target melanin within the skin. With the device’s cooling system, IPL can safely penetrate down to the dermis (second layer of your skin) without damaging the epidermis (top layer). Pigment in the skin then absorbs the light energy, heating the photodamaged cells in the skin and breaking them down. The body then naturally removes the damaged tissue and unwanted pigment, helping you achieve a more even skin tone. 
Some IPL devices have a single pulse, whereas our Lumenis IPLs have multiple sequential pulsing. Furthermore, some devices will vary depending on the pulse duration, the energy fluence, or both in each pulse. Other variables include the size of the delivered light, power outputs, and cooling system, meaning that not all IPLs are the same. The devices available at Cosmetic Laser Dermatology are some of the most powerful IPL machines available today, offering superior results for our patients no matter what their skin concerns might be. 
Pigment Issues IPL Can Treat for Your Spring Refresh
  • Lentiginous disease – a variant of melanoma found on sun-damaged skin. IPL has been shown effective in treating pigmented lesions, particularly lentigines and ephelides on the face and body after an average of 3-5 treatments. 
  • Melasma – a common pigmentation disorder. IPL can lead to an improvement in patients with melasma in conjunction with topical therapy.
  • Poikiloderma of Civatte – chronic discoloration commonly seen on the neck. Results of a study report a significant reduction in vascular, pigmented, and atrophic skin changes in 81%-82% of patients after 3-5 IPL sessions.
Other Concerns IPL Can Address
  • Acne vulgaris – occurs when hair follicles are blocked with dead skin cells, bacteria, and oil (sebum). The blocked follicles cause pimples, blackheads, whiteheads, and cysts. Several studies explored IPL as a treatment option for acne vulgaris or as an activator of PDT (photodynamic therapy). The study showed a significant reduction in the surface area of the sebaceous gland following IPL treatment. IPL also has anti‐inflammatory effects, with acne patients showing a reduction of both inflammatory and noninflammatory lesions. 
  • Rosacea – a chronic inflammatory skin condition that causes redness and bumps on the face. IPL effectively reduces blood flow, telangiectasia, and severity of erythema in individuals with rosacea, with efficacy equal to that of PDL (pulsed-dye laser). Typical reported improvement was 50%.
  • Vascular lesions – consist of telangiectasias, hemangiomas, and port-wine stains. These are the easiest conditions to treat with most going away quicker and with less bruising than with a pulse dye laser treatment. 
  • Premalignant and malignant lesions – Actinic keratosis (AK) is the most common pre-cancer that forms on sun-damaged skin. Several studies investigated the use of IPL as an activator of photosensitizing agents for PDT of AK. Results suggest IPL alone may be effective in the treatment of AK, but it is enhanced by the addition of a photosensitizer. IPL with photodynamic therapy also shows promising results for the treatment of superficial BCC (basal cell carcinoma) and Bowen’s disease.
  • Hypertrophic scars – A hypertrophic scar is a thick, raised scar that does not extend beyond the boundaries of the original wound, while keloids are enlarged scars that grow bigger and wider than the original injury. One study demonstrated a 50% improvement in all hyperpigmented, erythematous, and proliferative scars treated with IPL after a mean of 2.97 sessions.

Low Risk, Multiple Benefits
We understand that renewing your skin this spring and achieving that coveted glow shouldn’t come with a dangerous price. The good news is that studies have found IPL to be well-tolerated for most patients. Minimal side effects include mild discomfort, erythema, purpura, edema, blistering, and crusting. These issues typically resolve within 48 hours, although some patients find they can persist for up to one week. Post treatment hyperpigmentation and hyperpigmentation are also possible very rare adverse effects of IPL. 
In addition to its low risk, benefits of IPL include:
  • Quick and effective – each session typically lasts 5-15 minutes
  • Appropriate for all skin types
  • Minimal discomfort – since dermatologists use a cooling gel and cold air during treatment, most patients report minimal pain
  • Long-term results – the better you care for your skin, the longer the results will last. Many of our patients have seen their results last for several years, coming in every year to touch up age spots or to simply rejuvenate their skin.
  • Ability to combine with other treatments – for a more comprehensive skin transformation this spring, IPL can be done in conjunction with other treatments such as chemical peels, microdermabrasion, injectables, Botox® Cosmetic, and Ultherapy.
To schedule your IPL Photofacial, request your appointment here: https://www.westdermatology.com/request-appointment
Previous
Next

Suggested Reads

LnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30gLndwLWJsb2NrLXRvb2xzZXQtYmxvY2tzLWNvbnRhaW5lci50Yi1jb250YWluZXJbZGF0YS10b29sc2V0LWJsb2Nrcy1jb250YWluZXI9IjFhNGZlNjNjNmJiOWQ3NjY2NzhiYTc0MGJmMWRlZWI5Il0geyBwYWRkaW5nOiAyNXB4OyB9IC53cC1ibG9jay10b29sc2V0LWJsb2Nrcy1jb250YWluZXIudGItY29udGFpbmVyW2RhdGEtdG9vbHNldC1ibG9ja3MtY29udGFpbmVyPSIxYTRmZTYzYzZiYjlkNzY2Njc4YmE3NDBiZjFkZWViOSJdID4gLnRiLWNvbnRhaW5lci1pbm5lciB7IG1heC13aWR0aDogMzcwcHg7IH0gLnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30gLndwLWJsb2NrLXRvb2xzZXQtYmxvY2tzLWNvbnRhaW5lci50Yi1jb250YWluZXJbZGF0YS10b29sc2V0LWJsb2Nrcy1jb250YWluZXI9ImYxOGRhYjhkNGQxNjJlNzYzNjc4NDJjYTdiNzgwOGY4Il0geyBib3JkZXItcmFkaXVzOiAxNXB4O3BhZGRpbmc6IDBweDsgfSAudGItY29udGFpbmVyIC50Yi1jb250YWluZXItaW5uZXJ7d2lkdGg6MTAwJTttYXJnaW46MCBhdXRvfSAud3AtYmxvY2stdG9vbHNldC1ibG9ja3MtY29udGFpbmVyLnRiLWNvbnRhaW5lcltkYXRhLXRvb2xzZXQtYmxvY2tzLWNvbnRhaW5lcj0iNDBkODc0ZDljOWJlNjA5OTEzMmY5M2Q0ZWU0ZDAzYWIiXSB7IHBhZGRpbmc6IDI1cHggMjVweCAwcHggMjVweDttaW4taGVpZ2h0OiAyNjBweDsgfSBoNS50Yi1oZWFkaW5nW2RhdGEtdG9vbHNldC1ibG9ja3MtaGVhZGluZz0iNWZjMjJhODk2N2M4MzEyMGM5N2Y5NTJhY2UyYzljMTQiXSAgeyBmb250LXdlaWdodDogYm9sZDt0ZXh0LWFsaWduOiBsZWZ0OyB9ICAudGItY29udGFpbmVyIC50Yi1jb250YWluZXItaW5uZXJ7d2lkdGg6MTAwJTttYXJnaW46MCBhdXRvfSAud3AtYmxvY2stdG9vbHNldC1ibG9ja3MtY29udGFpbmVyLnRiLWNvbnRhaW5lcltkYXRhLXRvb2xzZXQtYmxvY2tzLWNvbnRhaW5lcj0iMWExOTFlYzAxN2Y5ZGEyMGJjMGFkMjFmZDk4MDI0MjUiXSB7IGJvcmRlci1yYWRpdXM6IDE1cHggMTVweCAwIDA7YmFja2dyb3VuZDogdXJsKCcnKSBjZW50ZXIgY2VudGVyIG5vLXJlcGVhdDtiYWNrZ3JvdW5kLXNpemU6Y292ZXI7cGFkZGluZzogMHB4IDI1cHggMjVweCAyNXB4O21pbi1oZWlnaHQ6IDE4MHB4OyB9IEBtZWRpYSBvbmx5IHNjcmVlbiBhbmQgKG1heC13aWR0aDogNzgxcHgpIHsgLnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30gLndwLWJsb2NrLXRvb2xzZXQtYmxvY2tzLWNvbnRhaW5lci50Yi1jb250YWluZXJbZGF0YS10b29sc2V0LWJsb2Nrcy1jb250YWluZXI9IjFhNGZlNjNjNmJiOWQ3NjY2NzhiYTc0MGJmMWRlZWI5Il0geyBwYWRkaW5nOiAwcHg7bWFyZ2luOiAxNXB4OyB9IC50Yi1jb250YWluZXIgLnRiLWNvbnRhaW5lci1pbm5lcnt3aWR0aDoxMDAlO21hcmdpbjowIGF1dG99LnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30gLnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30gfSBAbWVkaWEgb25seSBzY3JlZW4gYW5kIChtYXgtd2lkdGg6IDU5OXB4KSB7IC50Yi1jb250YWluZXIgLnRiLWNvbnRhaW5lci1pbm5lcnt3aWR0aDoxMDAlO21hcmdpbjowIGF1dG99LnRiLWNvbnRhaW5lciAudGItY29udGFpbmVyLWlubmVye3dpZHRoOjEwMCU7bWFyZ2luOjAgYXV0b30udGItY29udGFpbmVyIC50Yi1jb250YWluZXItaW5uZXJ7d2lkdGg6MTAwJTttYXJnaW46MCBhdXRvfSAudGItY29udGFpbmVyIC50Yi1jb250YWluZXItaW5uZXJ7d2lkdGg6MTAwJTttYXJnaW46MCBhdXRvfSB9IA==

January 23, 2025

How to Achieve a Radiant Glow Before Valentine’s Day 

Valentine’s Day is just around the corner, and it’s the perfect time to treat yourself and…

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

November 11, 2024

Get Your Skin Ready for the Holidays and Winter Weather 

As the holiday season approaches, so does the hustle and bustle of shopping, social gather…

October 28, 2024

Embracing Natural Beauty: The Rise of the No-Makeup Movement and How to Achieve Radiant Skin

Embracing Natural Beauty: The Rise of the No-Makeup Movement and How to Achieve Radiant Sk…

Upland Dermatology

About Us
Health Library
Patient Referrals
Patient Resources
Careers
Contact

Services

General Dermatology
Laser Dermatology
Cosmetic Dermatology
Aesthetica Spa

Connect With Us

© 2024 Upland Dermatology. All Rights Reserved. | Sitemap | Privacy Policy | Notice of Privacy Practices | Terms of Service

Reader Interactions

Comments

  1. Bulmori says

    November 22, 2024 at 7:08 am

    priligy cost Granville pLsAtDjmFNtw 5 20 2022

  2. pendente says

    December 20, 2024 at 10:35 am

    Podem recomendar outros blogues/sites/fóruns que tratem dos mesmos temas?

  3. orgone says

    December 21, 2024 at 11:50 am

    råb ud og sig, at jeg virkelig nyder at læse gennem dine blogindlæg.

  4. orgone says

    December 22, 2024 at 10:43 am

    muito dele está a aparecer em toda a Internet sem o meu acordo.

  5. orgone says

    December 23, 2024 at 11:49 am

    Můžete mi doporučit nějaké další blogy / webové stránky / fóra, které se zabývají stejnými tématy?

  6. https://www.subito.it/utente/123935021?_gl=1*ticrz3*_gcl_au*MTE4NDExNDUyOC4xNzMxNzc5OTM0*FPAU*MTE4NDExNDUyOC4xNzMxNzc5OTM0 says

    December 23, 2024 at 6:03 pm

    meget af det dukker op overalt på internettet uden min aftale.

  7. ciondolo orgonite says

    December 25, 2024 at 6:06 pm

    Com tanto conteúdo e artigos, alguma vez se deparou com problemas de plágio ou violação de direitos de autor? O meu site tem muito conteúdo exclusivo que eu próprio criei ou

  8. ciondolo orgonite says

    December 26, 2024 at 7:13 am

    meget af det dukker op overalt på internettet uden min aftale.

  9. segno del cancro says

    December 28, 2024 at 11:55 am

    muito dele está a aparecer em toda a Internet sem o meu acordo.

  10. orgone significato says

    December 29, 2024 at 10:46 am

    meget af det dukker op overalt på internettet uden min aftale.

  11. orgone says

    December 30, 2024 at 12:34 pm

    webside er virkelig bemærkelsesværdig for folks oplevelse, godt,

  12. orgone says

    December 30, 2024 at 1:13 pm

    Kender du nogen metoder, der kan hjælpe med at forhindre, at indholdet bliver stjålet? Det ville jeg sætte stor pris på.

  13. orgone says

    December 31, 2024 at 9:05 am

    Muito obrigado!}

  14. orgone says

    January 1, 2025 at 11:43 am

    Conhecem algum método para ajudar a evitar que o conteúdo seja roubado? Agradecia imenso.

  15. can you donate underwear to charity says

    January 2, 2025 at 10:45 am

    webové stránky jsou opravdu pozoruhodné pro lidi zkušenosti, dobře,

  16. mutandine in vista says

    January 3, 2025 at 11:19 am

    pokračujte v pěkné práci, kolegové.|Když máte tolik obsahu a článků, děláte to?

  17. orgone says

    January 4, 2025 at 4:58 pm

    fortsæt med at guide andre. Jeg var meget glad for at afdække dette websted. Jeg er nødt til at takke dig for din tid

  18. ciondolo orgonite says

    January 5, 2025 at 9:46 am

    This page definitely has all of the information I wanted about this subject and didn’t know who to ask.

  19. πωλούνται μεταχειρισμένα εσώρουχα says

    January 6, 2025 at 8:39 am

    webové stránky jsou opravdu pozoruhodné pro lidi zkušenosti, dobře,

  20. прави любов says

    January 7, 2025 at 6:26 am

    værdsætter dit indhold. Lad mig venligst vide det.

  21. käytettyjen pikkuhousujen myynti says

    January 8, 2025 at 7:38 am

    det. Denne side har bestemt alle de oplysninger, jeg ønskede om dette emne, og vidste ikke, hvem jeg skulle spørge. Dette er min 1. kommentar her, så jeg ville bare give en hurtig

  22. lace lingerie says

    January 8, 2025 at 1:02 pm

    Esta página tem definitivamente toda a informação que eu queria sobre este assunto e não sabia a quem perguntar. Este é o meu primeiro comentário aqui, então eu só queria dar um rápido

  23. gebruikte slipjes te koop says

    January 9, 2025 at 7:18 am

    Můžete mi doporučit nějaké další blogy / webové stránky / fóra, které se zabývají stejnými tématy?

  24. orgone says

    January 9, 2025 at 12:03 pm

    enten oprettet mig selv eller outsourcet, men det ser ud til

  25. продаж б/в трусиків says

    January 10, 2025 at 10:11 am

    také jsem si vás poznamenal, abych se podíval na nové věci na vašem blogu.|Hej! Vadilo by vám, kdybych sdílel váš blog s mým facebookem.

  26. женское нижнее белье says

    January 11, 2025 at 9:46 am

    Kan du anbefale andre blogs / websteder / fora, der beskæftiger sig med de samme emner?

  27. tener relaciones sexuales says

    January 12, 2025 at 2:09 pm

    Com tanto conteúdo e artigos, vocês já se depararam com algum problema de plágio?

  28. webcam says

    January 13, 2025 at 9:20 am

    pokračujte v pěkné práci, kolegové.|Když máte tolik obsahu a článků, děláte to?

  29. sapatos femininos usados says

    January 13, 2025 at 5:22 pm

    fortsæt med at guide andre. Jeg var meget glad for at afdække dette websted. Jeg er nødt til at takke dig for din tid

  30. culottes d'occasion à vendre says

    January 14, 2025 at 8:58 am

    enten oprettet mig selv eller outsourcet, men det ser ud til

  31. čipkasto spodnje perilo says

    January 14, 2025 at 2:47 pm

    Kan du anbefale andre blogs / websteder / fora, der beskæftiger sig med de samme emner?

  32. prodej použitého spodního prádla says

    January 15, 2025 at 12:02 pm

    Tak Hej der til alle, det indhold, der findes på denne

  33. taryfa sesso says

    January 16, 2025 at 9:31 am

    fortsæt med at guide andre. Jeg var meget glad for at afdække dette websted. Jeg er nødt til at takke dig for din tid

  34. sex haben says

    January 17, 2025 at 12:08 pm

    Hello, I think your website might be having browser compatibility issues. When I look at your blog site in Ie, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, very good blog!

  35. 二手内衣 says

    January 18, 2025 at 9:01 am

    nogensinde løbe ind i problemer med plagorisme eller krænkelse af ophavsretten? Mit websted har en masse unikt indhold, jeg har

  36. dantel kadın iç çamaşırı says

    January 18, 2025 at 3:51 pm

    Hey! Do you know if they make any plugins to assist with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good success. If you know of any please share. Many thanks!

  37. lingeria pizzo says

    January 19, 2025 at 8:41 am

    This web page won’t render properly on my droid – you might want to try and fix that

  38. orgone says

    January 19, 2025 at 2:17 pm

    vykřiknout a říct, že mě opravdu baví číst vaše příspěvky na blogu.

  39. orgone says

    January 20, 2025 at 7:25 am

    grupo do facebook? Há muitas pessoas que eu acho que iriam realmente

  40. camgirl says

    January 21, 2025 at 7:03 am

    Wonderful blog! Do you have any tips for aspiring writers? I’m planning to start my own blog soon but I’m a little lost on everything. Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many choices out there that I’m totally confused .. Any ideas? Cheers!

  41. ragazze disponibili says

    January 21, 2025 at 12:21 pm

    Howdy! This is my first comment here so I just wanted to give a quick shout out and tell you I really enjoy reading your blog posts. Can you suggest any other blogs/websites/forums that cover the same topics? Many thanks!

  42. orgonite says

    January 22, 2025 at 7:59 am

    Podem recomendar outros blogues/sites/fóruns que tratem dos mesmos temas?

  43. idea regalo says

    January 23, 2025 at 8:08 am

    devido a esta maravilhosa leitura!!! O que é que eu acho?

  44. mutandine usate says

    January 25, 2025 at 5:32 pm

    Conhecem algum método para ajudar a evitar que o conteúdo seja roubado? Agradecia imenso.

  45. δαντέλα γυναικεία εσώρουχα says

    January 26, 2025 at 1:33 pm

    I will revisit once again since i have book-marked it. Money and freedom is the best way to change, may you be rich and continue to guide others.

  46. augmentin breastfeeding kellymom says

    January 27, 2025 at 12:00 pm

    augmentin tablet Studies characterizing the pharmacokinetics of sitagliptin and metformin after administration of JANUMET in patients with hepatic impairment have not been performed

  47. kuukautishousut says

    January 28, 2025 at 6:31 am

    ) سأعيد زيارتها مرة أخرى لأنني قمت بوضع علامة كتاب عليها. المال والحرية هي أفضل طريقة للتغيير، أتمنى أن تكون غنيًا و

  48. menstruatie slipje says

    January 29, 2025 at 10:25 am

    ocenili váš obsah. Dejte mi prosím vědět.

  49. заняться сексом says

    January 30, 2025 at 10:48 am

    at web, except I know I am getting familiarity all the time by reading thes pleasant posts.|Fantastic post. I will also be handling some of these problems.|Hello, I think this is a great blog. I happened onto it;) I have bookmarked it and will check it out again. The best way to change is via wealth and independence. May you prosper and never stop mentoring others.|I was overjoyed to find this website. I must express my gratitude for your time because this was an amazing read! I thoroughly enjoyed reading it, and I’ve bookmarked your blog so I can check out fresh content in the future.|Hi there! If I shared your blog with my Facebook group, would that be okay? I believe there are a lot of people who would truly value your article.|منشور رائع. سأتعامل مع بعض هذه|

  50. idea regalo uomo says

    January 30, 2025 at 5:00 pm

    nogensinde løbe ind i problemer med plagorisme eller krænkelse af ophavsretten? Mit websted har en masse unikt indhold, jeg har

  51. ropa interior usada says

    January 30, 2025 at 11:15 pm

    nogensinde løbe ind i problemer med plagorisme eller krænkelse af ophavsretten? Mit websted har en masse unikt indhold, jeg har

  52. roupa interior feminina says

    January 31, 2025 at 3:28 pm

    Esta página tem definitivamente toda a informação que eu queria sobre este assunto e não sabia a quem perguntar. Este é o meu primeiro comentário aqui, então eu só queria dar um rápido

  53. vente de sous-vêtements usagés says

    February 1, 2025 at 8:11 am

    har også bogmærket dig for at se på nye ting på din blog Hej! Har du noget imod, hvis jeg deler din blog med min facebook

  54. rabljeni ženski čevlji says

    February 1, 2025 at 5:55 pm

    Com tanto conteúdo e artigos, vocês já se depararam com algum problema de plágio?

  55. lace underwear says

    February 2, 2025 at 2:52 pm

    Esta página tem definitivamente toda a informação que eu queria sobre este assunto e não sabia a quem perguntar. Este é o meu primeiro comentário aqui, então eu só queria dar um rápido

Copyright © 2025 · Dynamik-Gen on Genesis Framework · WordPress · Log in

Upland Laser DermatologyLogo Header Menu
  • Home
  • Services
  • Health Library
  • About
  • Patient Resources
  • Contact
  • Shop
  • Patient Portal
  • Request Appointment