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Topic: Dr Pattersons opinion on YAG. (Read 2094 times) |
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Dr Pattersons opinion on YAG.
« on: March 23rd, 2005, 9:01am » |
 
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I e-mailed Dr Patterson of Woodford medical a few days ago to enquire about the YAG laser treatment..this was his response:
Hi Joe
''I see the real side of these treatments, ie I actually do them. I have just seen a client who was treated elswhere in the UK with a Yag - simply a disaster with a very honeycomb appearance. He is deeply unhappy. Yag is a deep energy and I have yet to see significant numbers of doctors using this technology over diffuse redness which is what you have. It has a role for iscolated veins say on the side of the nose resistant to Ipl. In other words just for spot treatments. If things change I'll let you know''. Mervyn
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Passion
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Re: Dr Pattersons opinion on YAG.
« Reply #1 on: March 23rd, 2005, 3:59pm » |
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Oh...
is V-beam a YAG laser?
what is "honeycomb" and "iscolated"? Joe can u help me?
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Passion
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Re: Dr Pattersons opinion on YAG.
« Reply #2 on: March 24th, 2005, 3:43pm » |
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Thank you so much Felix!
whats the difference between YAG and pulsed dye?
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drnase
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Re: Dr Pattersons opinion on YAG.
« Reply #3 on: March 25th, 2005, 1:17am » |
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Hello Group,
I humbly disagree with Dr. Patterson. I do laser treatments at laser conferences and I also have the unique situation to review all the laser treatment methods utilized by being an editor on "Lasers in Surgery and Medicine".
You can treat diffuse redness with the latest YAGS, by shortening the pulse duration.
But more important, rosacea sufferers need to be treated by more than one machine or more than one wavelength. You can only go 1.5 mm deep with photoderm; whereas you can go ut to 2.2 mm deep with the 1064 YAGS. The middle feed vessels lie at around 2.0 mm and thus are not touched by just photoderm.
There is a medical approach to this, a scientific approach to this and a combination approach. You've got to go with the combination approach.
The last point which is so pertinent is that very few (I would guess less than 25%) really tell Dr. Patterson how effective the treatment was on their flushing or trigger aspect.
With all that said, Dr. P. has a great track record for clearing facial redness and broken blood vessels. Call me greedy though, go after the feed vessels aggressively with YAGs.
Regards,
Geoffrey
______________________________
Dr. Geoffrey Nase
Ph.D. Neurovascular Physiologist
http://www.drnase.com
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Re: Dr Pattersons opinion on YAG.
« Reply #4 on: March 25th, 2005, 4:58am » |
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That is interesting Dr Nase. I will raise that issue at my next photoderm appointment 
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Brick-top
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Pqeeeeeew...
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Re: Dr Pattersons opinion on YAG.
« Reply #5 on: March 25th, 2005, 4:06pm » |
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What is Vasculight then?Anybody had this treatment preformed on their face? Just reading Dr Nase's book and it says it can be used to treat deeper vessels (5mm) ie the flushing mechanism of rosacea.
Also looking at the woodford medical centres site http://www.woodfordmedical.com/new/IPLlaser.asp where it shows that Dr Patterson uses this treatment on varicose veins ,does he also use it to treat rosacea?. Maybe this is used instead of the YAG?
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“You talkin’ to me?” You talkin’ to me? Well I am the only one here. Who the **** do you think you’re talking to?”
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drnase
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Re: Dr Pattersons opinion on YAG.
« Reply #6 on: March 26th, 2005, 12:46am » |
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Felix,
Excellent point. Very well put and well taken.
The physicians that I know personally that are performing double or triple pass, let their registered nurses perform the photoderm and then the physician follows and uses the YAG.
I would hope that this is the only way that it is done, but, I am sure it is not.
The new YAGs do not leave burn marks or honeycomb marks, this statement by Dr. P. confuses me as I have ample experience with this and hundreds of patients reporting back from various physicians that the YAG has finally made a dent in the flushing aspect.
You can actually measure 'deep' blood flow before and after YAG with non-invasive techniques or skin biopsies and see that the YAG treated side has destroyed some of the major feed vessels. You just cant reach them yet with any other technology.
Advancements in technology are always met with high resistance for many years, even when they are obviously superior.
Regards,
Geoffrey
______________________________
Dr. Geoffrey Nase
Ph.D. Neurovascular Physiologist
http://www.drnase.com
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Passion
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Re: Dr Pattersons opinion on YAG.
« Reply #7 on: March 29th, 2005, 11:19am » |
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Thank you Felix!
2 mm with 1064 YAG, means you cant go more than about 1 mm with 595VBeam?
I can get V-Beam treatments for free, but I dont have vissible vessels........that means Vbeam is just going to irritate my skin...?
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| « Last Edit: March 29th, 2005, 11:24am by Passion » |
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bfd
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Someone please find a cure for this s**t!
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Re: Dr Pattersons opinion on YAG.
« Reply #8 on: April 13th, 2005, 10:50am » |
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Quote:| Advancements in technology are always met with high resistance for many years, even when they are obviously superior. |
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I think that in some ways it is in a practitioners best interest to stick with the current technology.
Firstly because of the high price of buying any new equipment. Also if the new technology ends up being better, then it will mean people are less likely to need as many repeat treatments, which means less money for the practitioner.
Call me cynical but after having several ipl treatments myself, I have sometimes been suspicious that the dr intentionally tried to reduce the amount of benefit I got, to try and ensure that I would need to return for more.
As an example, after my first visit I had a couple of stripes on either cheek where there had been some reduction in redness. But what I don't understand is, why would this same amount of reduction not have taken place on the rest of the redness. ie what is the difference between the two areas of redness. Nothing that I can think of. So that implies that the areas where there was no reduction were not treated, or not treated as much. But it certainly made me go back, as it showed me that the treatment can work.
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| « Last Edit: April 13th, 2005, 11:00am by bfd » |
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Passion
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Re: Dr Pattersons opinion on YAG.
« Reply #9 on: April 13th, 2005, 3:37pm » |
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on April 3rd, 2005, 4:03pm, felix wrote:Nice to hear the treatment is free but so is a poke in the eye  , just take your time. |
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Yeah I know what you mean... I will consider it
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millerlite180
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Nissan seR 4 life
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Re: Dr Pattersons opinion on YAG.
« Reply #10 on: April 13th, 2005, 3:49pm » |
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sorry to interject.
but DR. NASE,
does your rosacea treatment do anything for my excessive sweating? i seem to sweat easily from my face a lot. this also happens from time to time from my body as well. i'm just curious as to whether you had the problem or know if it helps with it. i am currently trying zenmed with no real improvement after 4 days. any thoughts would be kindly appreciated.
chris
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drnase
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Re: Dr Pattersons opinion on YAG.
« Reply #11 on: May 5th, 2005, 11:09pm » |
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Hi Felix,
Absolutely an important article. I was saddened to hear that you were treated with the vasculight. This was designed specifically for leg veins, not the face. The IPL portion was for the face. This angers me just as much as it must you.
I work closely with a physician who uses the genesis YAG on 4 to 6 patients every day for several years and has never had one burn and only a couple transient bliisters. Absolutely fantastic on flushing because no vascular laser treats that deeply. I sent him your link and he believes that he could really make a dent in the redness and possibly revamp the follicles even if they are burned. At the very least he would talk to you over the phone and give suggestions.
Just trying to help. If you want to keep this private, just email me drnase1000@hotmail.com. Please put a catchy title because I get too many emails right now to see any specific one.
Regards,
Geoffrey
______________________________
Dr. Geoffrey Nase
Ph.D. Neurovascular Physiologist
http://www.drnase.com
______________________________
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