Fotofacial Pulsed Light Treatments for Photorejuvenation

Dr. James Brazil was one of the first physicians in the Northwest to offer this breakthrough treatment. Fotofacial therapy is designed for the full face, neck, chest and other body sites for treatment of redness and flushing associated with a condition known as Rosacea. Visible signs of sun damaged skin, such as brown spots, uneven texture, mild wrinkling, and enlarged pores can also be markedly improved.

What is a Fotofacial procedure?

Fotofacial is a proven, effective, noninvasive treatment that rejuvenates the skin by reducing irregular pigmentation, brown spots, enlarged facial veins, flushing and redness due to sun damage or a condition known as Rosacea. Common areas of treatment are: face, neck, chest, hands and arms. The procedure itself involves multiple passes using Intense Pulsed Light (IPL) and Nd:YAG laser energy to effect the pigment and veins at different levels of the skin. Fotofacial also includes deep penetrating wavelengths into the dermis to stimulate new collagen production that produces a more youthful skin tone and texture and reduces pore size, fine lines and wrinkles. A patient can choose from a single facial treatment or a value-priced series of five treatments, each performed about three weeks apart. IPL and Nd:YAG spot treatments are also available and focus on an specific area of pigment, redness or veins on the face or body. This is a lower cost procedure and a good choice for limited areas of concern. The benefits of Fotofacial treatments are achieved with minimal discomfort and no down time.

What are the indications for the Fotofacial procedure?

Fotofacial procedures have been proven to be effective for treatment of both Group A and Group B skin. Group A damage includes irregular pigmentation, brown spots, enlarged facial vessels, flushing, and redness due to sun damage or a condition known as Rosacea. Fotofacial treatments reduce the number of vascular lesions and the intensity of flushing by a process termed ” Selective Photothermolysis” (selective absorption and destruction of targets with light energy). Similarly, pigmentary changes such as brown spots, age spots, freckles, and mottled pigmentation lighten with each IPL treatment.

Fotofacial procedures are also an effective treatment for Group B skin damage. Group B damage can have wrinkles, large pores, uneven skin texture and tone plus a ruddy, cobblestone appearance. Group B damage requires deeper penetration of the IPL into the dermis. Long wavelength light and possibly the Nd:YAG laser energy is used. New collagen production reduces pore size, fine lines and wrinkles while producing a more youthful skin tone and texture.

Before Fotofacial Treatment After Fotofacial Treatments
Fotofacial-b1 Fotofacial-a1

This may not represent all outcomes of this procedure.

» View More Fotofacial Before and After Photos in our Photo Gallery

What research has been conducted on the Fotofacial procedure?

Dr. Patrick Bitter Jr., a California Board-certified Dermatologist, developed the Fotofacial™ procedure. This technique has been used on tens of thousands of patients with Rosacea and sun damaged skin. Clinical studies have shown uniform excellence with 100% of patients showing an overall improvement and satisfaction with the procedure. “From the patient’s standpoint, there are several things that are appealing about this procedure,” states Dr. Bitters. “One is that there is no downtime. Two, the skin simply looks like younger skin that the patient remembers from 10 to 15 years ago.” Long term follow-up of 18 to 24 months has shown that 80% of patients with facial redness and flushing maintain their improvement. However, 6 months to yearly treatments are recommended to maintain the rejuvenation benefits. Ask to see our own published article showing the remarkable effectiveness of this procedure.

What is a Fotofacial ALA procedure?

The Fotofacial plus procedure includes the application of a photosensitizing compound called Aminolevulenic Acid (ALA) during a standard Fotofacial treatment. The Aminolevulenic Acid is activated by the intense pulsed light energy used during a Fotofacial which results in a more dramatic rejuvenation effect. For people with severe sun damaged skin (including brown spots, wrinkles, and redness), this means yet a more youthful appearance. Even more exciting, pre-cancerous skin cells will also be replaced with normal skin cells, (so people with roughened, red Actinic Keratosis will benefit from this procedure.) A patient undergoing a Fotofacial plus procedure will experience more redness, swelling, and peeling than with a standard Fotofacial treatment. A patient is also extremely light sensitive and needs to avoid bright light for 2 days following an ALA treatment. However, fewer treatments will be required, considering one Fotofacial plus is equal to 2 to 3 standard Fotofacial procedures.

What should I do prior to my Fotofacial treatment?

We ask that if you are using Retin A/Renova, to please stop for 48 hours prior to each treatment. Also, please avoid taking aspirin or ibuprofen one week prior to treatment unless medically indicated. To undergo the treatments, you must maintain a commitment to sun protection through the use of protective clothing, sunglasses and an effective UVA/UVB blocking sunscreen.

What can I expect from the Fotofacial treatments?

After your first treatment you can expect to see some redness, darkening of brown spots, and slight swelling. These symptoms will resolve in several hours to days. Make-up can be immediately applied, if desired. After treatment, your skin will feel smoother and have a more even tone. A gradual decrease in overall redness, flushing, and age spots will be more visible after each treatment. At least five treatments are performed to achieve the optimal results. Everyone will benefit from a maintenances treatments to help maintain their youthful appearance.

The Olympic Dermatology and Laser Clinic has been clinically recognized as 1 of 9 sites in the nation for “Excellence” in technological advances and quality of care. Fotofacials are a complicated procedure, requiring a high level of operator expertise to manage multiple treatment options. Our Clinic is among the few centers in the US noted for our effectiveness of outcomes and clinical expertise.

How many Fotofacial treats will I need?

For optimal results, a series of 3 to 5 treatments are recommended. Follow-up treatments may be recommended to maintain results.

Before Fotofacial Treatment After Fotofacial Treatment
Before photofacial treatment photo After photofacial treatment photo
Before Fotofacial Treatment After Fotofacial Treatment
Photo before IPL treatment Photo after IPL treatment

This may not represent all outcomes of this procedure.

To find out more about Fotofacial Pulsed Light Treatments, call the Olympic Dermatology and Laser Clinic at 360-459-1700 for a free consultation with one of our skin care specialists. We are the leading dermatology center serving Olympia, Lacey, Tumwater, DuPont, Steilacoom, Centralia, Chehalis, Aberdeen, Hoquiam, Shelton and the South Sound region.