Choose your laser wisely

DeKat

Laser treatments have sprung up like mushrooms in various forms and establishments around the country in the past few years. Promising anything from renewed youthful-looking skin to permanent hair and pigmentation removal, it seems that one is as good as the next. But are they really? Louise van Wingerden visited Laserderm in Morningside, Johannesburg, to find out more.

During a recent facial, the beauty therapist unexpectedly announced that she was going to apply the ‘warm laser’ for 10 minutes to ‘lift’ my sagging cheeks. Unaccustomed to this, I found myself surprisingly excited at the prospect of walking out looking five years younger. And what a bonus that it was included in the price of the facial… bargain! But I had heard enough horror stories from unsuspecting peers suffering a mild burn in similar cases. This worried me. I hadn’t been informed and it hadn’t been my choice. Before I could utter another word, the tingling commenced on my left temple. It was a soothing and warm sensation and vanity got the better of me, the prospect of youth quashing any further concerns. Needless to say, I kept my wrinkly lips sealed and eventually walked out looking pretty much the same age as when I entered. It was with this scepticism that I arrived at the Laserderm clinic in Morningside. Dr Presbury, a dermatologist, and Dr Louw, a GP, both aesthetic specialists within their own areas of expertise, met me in a waiting room well stocked with informative brochures and explanatory guides and pamphlets.

First up was the soft-spoken Dr Louw. I quickly established that my short interlude with the laser device was the socalled IPL (Intense Pulsed Light! that is generally used on a multi-purpose basis. After Dr Louw had explained that every laser is in actual fact a single wavelength beam with a specific target and that an IPL was in fact not that, it became clear that such a device in untrained hands could be considerably problematic. What is it that really appeals to Dr Louw as far as this field is concerned? “It is absolutely fascinating and quite fast-paced as far as technology goes. Developments over the past five to seven years have allowed for amazing results and improved patient satisfaction, and we are able to do so much more. Few things in life beat being able to help someone achieve a fresher, happier look; it’s quite the confidence booster. Our most popular treatment is ‘resurfacing’ with the Fraxel® laser, which stimulates new collagen production and is effective for pores, pigmentation and scarring. We are able to practically stop time and stop the skin from ageing, and I have noticed that patients are coming in at a younger age for preventative measures. But most importantly, I believe that it is vital to educate the patient. All our devices are FDA approved. “I explain the outcome that they can expect and it has happened that I have turned down patients when it becomes clear that I won’t be able to meet their expectations. The gold standard still remains the facelift and, depending on the patient’s age, sometimes only a plastic surgery procedure can produce the desired outcome. I don’t believe in overpromising and under-delivering. For me, my patient must still look natural at the end of the day.” Referrals between the Laserderm specialists and plastic surgeons is common. “We also attend the annual laser conference in the USA to remain abreast of the latest developments and training.” So how does South Africa compare internationally in this field? “We are right up there with the best. Many international colleagues are shocked to hear that we have 10 devices in this practice. Some might only have three. They are extremely expensive because it is the best equipment out there.” Is it possible to train the aesthetic eye? “I believe it’s something you are born with. Of course, we train our eye based on cases presented at the conference, but I believe essentially you have it or you don’t.”

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