Sciton Laser Chat - LIVE - Season 3 Episode 1

LaserChat is BACK! We've hit the road and brought LaserChat to three US cities this year. The first stop is Orlando, where we visit with Dermatologist, Dr. Robyn Siperstein and Plastic Surgeon, Dr. James Brady. We will hear from these two laser experts as to how they would approach six challenging, and incredibly rewarding, cases with their Sciton technology.

[@rgrisoli]

This was a 10/10 Laser chat filled with some wonderful pearls. No one talks about using the 515 filter for treating hemosiderin staining and for dealing with select cases of PIH. This is the 1st time hearing anyone mention that drizzling lidocaine once the epidermis is removed aids in the transdermal delivery of anesthesia into the papillary and reticular derrmis. I suspect I am a bit of a loner in so far as I use epinephrine for hemostasis when performing full field ablation. I do this because I feel ablating tissue that is bleeding: 1.causes a mess 2. so much of the energy is absorbed by the water in the blood that we no longer can reliably determine at what depth we are. I therefore stop the ablation by depth and not the appearance of pinpoint bleeding. I do so because I fear that a change in bleeding patterns is too subjective (in my hands), and it's such a critically important endpoint. I totally agree with Dr. Siperstein in that profractional on top of full-field ablation creates for a more even "healing process" with less "striping". In the patient who was in the wheelchair, I was unsure if the patient actually had 2 passes at 200 microns of full field ablation under the eye or if the total depth was 200 microns. Finally if one uses the appearance of bleeding patterns to determine that we are in the mid reticular dermis causing up to stop then what effect does adding coagulation have on blunting the "bleeding pattern endpoints". These sub -ablative pulses are likely coagulating blood vessels which to me might cause the reliability of bleeding patterns to become less reliable. These are just "points to ponder" as I think through all of this technology to reverse visible signs of aging while trying to maintain a zero complication rate. Nevertheless I feel grateful to have heard this Laser Chat with Drs. Sipertein & Brady, and I feel they deserve an encore!

[@angelafulton9428]

I would love to see some Laser Chat focused on neck treatments in the future.

[@mayaalarabi5060]

Koool

[@DarrenGreenfelder]

*promo sm*