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« Thermage, Mesotherapy, Medical Marketing & whatever. | Main | Peer Review: The dirty little secret of medicine. »
Wednesday
Apr252007

Portrait Plasma Skin Regeneration: The power of high powered wrinkle gas.

Rhytec's Portrait plasma skin regeneration: A cool little jet engine for wrinkles.
 

Is anyone using Rhytec's Portrait Plasma? I've heard a few docs comment on it but haven't seen it in action yet. Watch an animation of plasma in action or some patient and physician testimonials.

From somewhere on a Rhytec press release:

DownloadServletPlasma may be the next weapon of choice in the anti-aging arsenal. Rather than relying on chemicals, lasers, light, or injections, the Portrait Plasma Skin Regeneration system employs plasma, a highly energized gas. The gas penetrates below the skin's surface, extending into the dermis without any direct contact, charring, or vaporization.

Unlike other treatments that ablate the skin, the controlled heating of tissue below the skin's surface from Portrait, which is FDA-cleared for treatment of wrinkles, superficial skin lesions, and actinic keratosis, leaves the skin surface intact during the healing process.

"By allowing the preserved outer layers of skin to act as a protective dressing until new skin regenerates, it produces much faster healing and minimizes the risk of complications," says Richard E. Fitzpatrick, M.D., an associate clinical professor of dermatology at the University of California–San Diego School of Medicine and one of the clinical investigators of Portrait.

In taking a look at the Portrait site I find myself somewhat unimpressed. The site itself is cumbersome to use and poorly architected. I'd have chosen a different beauty shot to build my imaging around as well. The model seems to have skin stretched so tight that her ears are almost meeting behind her head and such an odd expression that I couldn't exactly call it aspirational. 

However, I'm open to hearing if anyone's had experience, good or bad, with plasma. If the comments are resoundingly positive, maybe I'll buy one to toast marshmellows.

Some of the abstracts from the Rhytec site:

Evaluation of Plasma Skin Regeneration Technology in Low-Energy Full-Face Rejuvenation Bogle M, Arnt K, Dover J, Archives of Dermatology; February 2007

Portait PSR3 Technology Provides True Skin Regeneration Kronemyer B. European Aesthetic Buyers Guide; Spring 2006

Plasma Energy Harnessed for Damaged, Aging Skin Skin & Allergy News Supplement; Spring 2006

Plasma Skin Resurfacing for Rejuvenation of the Neck, Chest and Hands: Investigation of a Novel Device Alster T, Tanzi E. Presented at ASLMS Meeting, Boston, April 2006

Effectiveness of Multiple Treatment, Low Fluence Technique with Plasma Skin Resurfacing for Facial Rejuvenation Bogle M, Arndt K, Dover J. Presented at ASLMS Meeting, Boston, April 2006

Reader Comments (242)

I know of a plastic in Florida using the portrait. Getting great results and able to sell the procedures in series of 3 for $4500. Also doing the less invasive at his spa having a PA perform and selling 3 for $2400. I am not real familiar but I am under the assumption there are 2 settings, one is deeper and can only be performed by a doc.
04.27 | Unregistered CommenterMD
I had Portrait PSR 1 six days ago on my face neck and arms. I'm peeling very badly I look as though I have been burned in a fire. I'm using Aquphor on the skin. My eyes' were swollen shut for two days. I was told it was going to be a simple procedure. Turned out not to be the case......I think the doctor went over my face to many times!!!!!
Sharon,

I would not worry too much. I bet you will have good results. Some people just end up with more swelling than others. The peeling is normal from what I have read. I do not do the Portrait. Make sure there are no signs of infection though. If you are concerned about that then see the physician that did the procedure.

Also, because of the swelling you may want to sleep upright such as sleeping in a recliner. I tell my patients to do this for a few days after any resurfacing. You can still cool things down a little simply be running a washclothe or hand towel under cold water and putting it in the freezer for 3 to 5 minutes. Apply this to the face as needed.
05.8 | Unregistered CommenterLH
sharon, LH is probably correct in telling you that "you should be alright". As far as the comment regarding the "good results" you should have is subjective at best. I personally had the high powered resurfacing performed last year and it was a nightmare!!!!!!!!! Initially, the nerve blocks administered pre treatment caused bruising on several areas of my face. Secondly the STENTCH of burning flesh and hair were nauseating, and the recovery was similar to your experience - oozing of interstitial fluid that ran into my eyes burned my eyes so badly I had to stay home, Also the wound care was so involved it was reminicent of patients in a burn unit, and oh yes I almost forgot I not only had to sleep with my head elevated to lower the edema but also I was afraid the skin on my face would stick to my pillow and be ripped off whenI lifted my head. The worst part of the Tx ...the results were no better than a TCA peel!!!!!!
05.14 | Unregistered Commentergm

I had a Portrait PSR 3, full face, high level in Dec '06 ~ wow, I am so happy and love the results. Yes, I looked like a burn patient day 2 thru day 5 but after that my skin was beautiful. I have had several IPL treatments in the past but the results did not last more then a few months and then I was back to where I started. I was told collagen grows up to 14 months after the procedure and I see the big wow 4 months into it.

I also had a friend that did it the same time, She is blow away with her results. No pain/down time, no gain and that is the simple truth. It takes 7 to 10 years off, perfect for us women in our 50s who do not want a traditional face lift.

06.6 | Unregistered CommenterBeauMond

I demo'd the Portrait and felt that for the downtime involved, patients may as well have had CO2 and had stellar results w/ the same downtime (and only one procedure).

I had the Rhytec 08/22/07 full strength on my face and I am still not healed. I have some areas on my forehead and one large place on the side of my face that got infected or something. The one's on my forehead have finally healed up and are not oozing anymore but are still red but so is my whole face so that is ok. But I still have this huge place that is gradually healing on the side of my face. The Dr. gave me this ointment to put on it two days ago that is making it a dried up scab. It is some type of bacteria ointment. I am terrified I am going to have a huge scar on the side of my face. I went into this just wanting to get rid of some hyperpigmentation and I am kicking my self in the butt, thinking WHAT HAVE I DONE. I am still not back at work and as long as I have this big scab on the side of my face that looks disgusting I do not fore see returning for at least another week. The Dr. says that my result is unusual and is not exactly sure why I am having these problems, but I assure you I followed their directions to the letter. From the day I had the Rhytec done I could feel a difference in this spot on the side of my face in comparison to the rest of my face when I washed it. The spot that is taking so long to heal was hard. Then when my face started to peel brown skin came off all over my face as expected but that spot brown came off but it was still hard underneath in that one spot.I just don't know...... Now I am putting this ointment on and watching as this scab whittles its way down in size and fearing what will be left when it is gone.

09.14 | Unregistered Commenterboo

Around 10,000 of pain,very little gain.
I had my last session on 6/20.
I have pale skin that normally does not scar, heals rapidly, and if I do scar - it is normally white.

The literature says PSR3 is a one session procedure, The doc decided that mine would be done in 3 ever increasing sessions. I have a low pain threshold and doing it in one-go would mean putting me out.

The first session was BAD... by the last round...Unbeleivable. Weeping sore next to my left eye for 2 weeks, bleeding while peeling, Vicodin for 2 weeks. I could not leave the house at all...I felt terrible and looked scary. Everytime I called the office about some nasty issue like eyes that were swollen shut. "Oh, That is normal. Soak your eyes in a cool cloth with saline." (I had already done so or I could not have seen to dial the phone.) "Polysporin. Use more of that expensive spray on your face."

At this point, it has been 6 months since the first session.
What do I see as a change? Clogged pores.Over-sensitive skin. A small dark scar where the weeping sour was near my eye. Sporatic tiny scars where the bleeding occured, and Pillow wrinkles that stay for hours. I suppose - if I never smiled or frowned then maybe I would look better.

The fact that I am allergic to products with parabens was used as an excuse. They made no attempt to help me find skin products that do work for me. I am still looking and have spent a fortune trying to find a sunblock does not sting and cause eye infections.

I wish I not done the "no down time" procedure.

Hindsight -I could have had a minimally invasive facelift that would have worked and would have healed faster for the same amount of money. With IPL and/or micro-dermabrasion.

I am angry at myself, the company for not putting having literature about possible side-effects, and the Plastic Surgeon.

10.10 | Unregistered CommenterDUMB ME.

I also had the rhytec treatment and was burned badly on each side of my face. I am now left with dark pigmentation in those areas. Also, my chest was done and caused very bad burns and blistering. The "tracks" of the laser are still very visible. I am afraid I will have permanent scars. Does anyone have any suggestions on what steps to take? (By the way, this was supposed to be at the lowest level possible. I would hate to see what would have happened at full strenth!)

Well the sores have finally closed but I am left with a huge scar across my face about even with my mouth on the right side. It looks like I have had some serious car wreck. The scar is very sensitive to the touch and has sharp pains like a needle in it every now and then. I also have a scar by my eye and on my forehead along with alot of hyperpigmentation. All I wanted was rid of the hyperpigmentation and now I have this. I don't know what to do.

10.31 | Unregistered Commenterboo

"Also, my chest was done and caused very bad burns and blistering. The "tracks" of the laser are still very visible. I am afraid I will have permanent scars"

I had tracks on my neck and chest that were SCARY. I have the pictures to prove it.

The nasty tracks did go away.One tiny scar.The neck and chest were a complete waste of money and pain for me.

I still cannot wear eyemakeup. GRRRRR. Still too sensitive.

"Mark Lee's Skincare has an excellent non-clogging,non-greasy, fragrance free,and hypoallergenic skin care line."

Thanks I will check it out.
__________________________________________

Bye the way, My procedure was done by a RN,not the doctor. (I do not believe that is legal in California. Not for the full strength procedure.)


11.4 | Unregistered CommenterDUMB ME

It has been four months since I had a full face, full strength Portrait treatment. Serious, burning pain for about 4 days. Soaked with vinegar and
water every three hours for a week during the day. Then the peel was completed except for a patch on my left cheek.
Continued soaking the left cheek for weeks as there was an open wound and
wanted to minimize the scaring. After two months I was very, very red so my
Dr. recommended a series of three V-veam laser treatment to correct the
redness & reduce the redness of the 1" scar on my cheek. Have had two
V-beam treatments.They helped tremendously to reduce the redness. Next week
will be the third V-beam. The treatment caused my
eyelids to become dramatically asymmetric. Will need plastic surgery to
correct them. That will cost more than the Portrait. Collagen production
on my face is good & it looks good except, sadly, collagen is forming on
my nose & has made it thick & less attractive. If I had it to do over again I definitely would not do it. I went to one of the very best offices
and received the best care & still I have not had a good outcome.
After four months half of my face & the scar are still red.
I have months ahead of me fixing the damage. Since week two I have used
Ceratopic Replenishing Lotion by SkinMedica. It is so soothing & helps
healing. CA

11.24 | Unregistered CommenterCA

Dear Dumb, Call me dumb too,Boo and CA:
I am sorry to hear of your ordeals with Rhytec. I am surprised of some of your "after care regimens". We were one of the first Rhytec purchasers in the country (Sept 2005) We noticed of your types of problems then. Our aftercare regimen has been the "OxyMist pack" It has helped reduce the recovery time and "striping" problem to our clients.
Boo:
I am surprised at your prolonged after treatment problems. One thing I know about Rhytec is the treater`s TECHNIQUE is a very important part in producing good outcomes.

11.25 | Unregistered Commenterpmd

Is some of the "striping" coming from technique or is it coming from patients pulling the skin off. The same thing can happen when you do TCA peels. The skin comes off in sheets and the patients start pulling it off causing damage to "normal" skin resulting in a "striping" of the skin that can be long lasting.

11.27 | Unregistered CommenterLH

Obviously, if patients intentionally pull off the skin it can cause stripings. However stripings are not only somewhat unique in Rhytec among skin resurfacing products but also bad enough to apprear "zebra like" Without getting into "specific explanations" on this public site, I know FOR FACTS that stripings can be significantly reduced with better techniques when it comes to Rhytec when patient's picking is not part of the equation.

11.27 | Unregistered Commenterpmdoc

I am 31 years old and had the procedure done by a dermatologist yesterday. I had some crows feet around my eyes that I was not hapy with. I tried botox but it only helped when I smiled but at resting state you could still see them. It is day 2 and my face is swolen and amd there is a pink spot by the side of my eye. I am very nervous and hope this procedure works and that there will be no permament scarring or skin discoloration. I had pretty skin to begin with but wanted the crows feet to disapear and have a smoother appearence around my eyes. I wanted my eyeshadow to come one smoother. I am soooo worried that this will turn out worse than before. I am a beautiful woman so I am terrified.

12.9 | Unregistered CommenterJade

Jade:
You will be fine in 3-4 more days. It takes about 6-8 days for the skin to completely peel off. Your "level" of "good outcomes" would depend on:
1) Your ethnic skin type
2) The power level given to you by the treating Doctor or his/her staff. If it is the "lighter" treatment protocol, did the treater go back to your "concerned areas" for the second or third time???
3) Did you see much "untreated vs treated" spaces???
4) Was the treater able to treat very close around your eyes??? You can tell by seeing how close the pink/red spots are relative to your eyes or to where your wrinkles are.

12.11 | Unregistered Commenterpmdoc

I am thinking of adding either the Portrait or a fractional CO2 (Reliant)to my practice for resurfacing. Every rep has a great story and a well known doc that gets paid by both companies recommended the Portrait. I work with a plastics guy so we can use the OR if needed.
I am interested to know what experiences anybody has had with either machine. What would you go with??
Thanks!

12.13 | Unregistered CommenterLA MD

I have had experiences with the Portrait since 2005. I have also used the Fraxel 1500 but not its new CO2 one. From reading up on it and knowing about fractional resurfacing I would say the answers depend on a few factors:
1) Your patients ethnic profile: CO2 would result in more PIH than Portrait
2) Downtime vs Pain: Portrait is more painful, especially if done on higher power for better results. However from knowing Fraxel 1500, i would venture to say its new CO2 machine might be painful also thu not as painful as Portrait.Portrait downtime is about 7 days. Reliant site seems to indicate "some downtime" but does not say for how long
3) # of treatments: Due to its "fractional nature" the Fraxel one might necessitate more treatments than Portrait.
4) Skills: Portrait requires more skills, especially early on. Fraxel is more "automated" For sharp angle areas, you have more control with Portrait since the handpiece is away from the skin vs the continuous skin contact in Fraxel's handpiece
5) Cost: The Portrait is about 1/2 the price of a Fraxel. Both use "consumables"
6) Gold Standard: CO2 has always been considered the gold standard in skin resurfacing. However, Portrait's plasma has been considered to be as close in clinical efficacy as CO2
Good luck

12.13 | Unregistered Commenterpmdoc

Isn't there already a fractionated CO2 already on the market that does not use consumables? Reliant's lasers are very expensive and you always have to buy the tips. If I were you I would look at the other fractionated CO2's.

12.13 | Unregistered CommenterLH

I had portrait done back in August and not only was it the worse experience I have ever encountered, it has left me with permament hyperpigmentation. The treatment itself was torturous, painful and traumatising. The down time of 14 days max is rubbish as I ended up going to work (media of all things) looking like freak show and then after seeking consult from another dermatologist was applying depigmentation lotion for 6 weeks which provided a short term fix. At 36 my husband and I planned another child and now I am pregnant but looking like a partially baked blotchy idiot. My self esteem is shattered, confidence affected and am now seeking legal action against the so called Dr and his obvious negligant use of this product. I am infruiated that this procedure can be administered without the appropriate warnings. I would think twice about this so called "instant fix"..DANGEROUS

12.14 | Unregistered CommenterDangerous

Dangerous:
I am sorry to hear of your ordeal. You probably had the stronger treatment protocol. I have consistenly said on many postings here that Portrait required much manual skills. Thus when done improperly, it could be quite a problem. In regards to hyperpigmentation, in general it is not permanent (it might take about a year to resolve) if utmost precautions are afforded:
1) Immediate treatment such as IPL (usually 3-5 treatments) resulting in close 50-70% resolution withing 3-4 months
2) Judicious use of UVA/UVB sunblock of 30 or higher with reapplication every 2-3 hrs if continuous sun exposure
3) Some whitening products such as hydroquinone
Good Luck

12.15 | Unregistered Commenterpmdoc

I had my procedure earlier this year (Easter weekend). And it has been the biggest nightmare of my life. I have experienced many things that i have read on this page, and was told by docs that infection and complications are rare. I spent months searching the internet to see if anyone experienced complications with this procedure, and this is the first page i ave seen with other people discussing their experiences - I feel very relieved. I am 30 years old, i was considered to be an attractive person, and i am now a freak that looks like i have been in an accident or fire. I plan to generate a website that will provide support and information to people who have suffered complications and scarring from this procedure. This way people can share information and resources and most importantly receive support from other victims. Please let me know if you would find such a website useful and I will keep in touch with the progress - i believe that something positive can come from all the suffering of a cosmetic procedure going wrong - and sharing resources and information for newly burnt people..

LH:
What about the fractional CO2 from Lumenis?? I don't think it has consumables

12.28 | Unregistered Commenterpmdoc

I think there is also a fractionated CO2 from Italy that runs about $50,000 and no consumables. I have heard rumors others are coming as well.

12.29 | Unregistered CommenterLH

Hi,

Do you know if there are any successful treatments for hypopigmentation and hypertrophic scars due to complications from Portrait PSR?
Really appreciate any help or direction you can provide - for e.g is it better to see a plastic surgeon or a dermatologist for scar revision and to improve the overall skin texture etc.

Thanks again
AS

01.5 | Unregistered CommenterAS

I had Rhytec 1 monthago. Was wondering if anyone else has this problem. I had it to get rid of lines around my mouth and laugh lines. I have more and deeper wrinkles now. Will this improve?

01.6 | Unregistered CommenterRuth

AS:
I have not been aware of hypopigmentation and hypertrophic scars as being complications from Rhytec. Hyperpigmentation would be more common. Not sure how you can get "raised scars" from an "ablative procedure???"
Ruth:
I am not sure of your "problem" neither. I would suggest to get a photo now and compare to a before one to make comparison for sure. I would also wait for another month to see how thing would turn out. Did you have the weaker (PSR1) or stronger (PSR3) protocol???

01.7 | Unregistered Commenterpmdoc

Thanks for writing back to me. I had a serious pseudomonas infection a few days after the procedure, that was badly managed by the doctor (for e.g. no antibacterial ointment prescribed); and now where ever the scabs were on my face are white patches, which is basically giant awful marks all over my face. During the healing stage the doctor that perfomed the procedure advised the remaining scabs on my face were ready to come off and rubbed them with a cotton pad and baby oil - The one on my nose wasnt ready to come off and appeared to be still infected, I believe due to secondary trauma of the site this area became a hypertrophic scar - but i dont know as i have never had a hypertrophic sar before and i dont know anyone in my family ever having one before either. I have had difficulty obtaining information about which products are best to use on my face to assist healing as well as the best methods to improve a hypertrophic scar and the hypopigmentation. I sincerely appreciate any help.

Kind Regards
AR

01.7 | Unregistered CommenterAS

I have not had Protrait done. I was considering it but after reading the postings I am going to go for Foto Facial. I will get 5 treatments. I will let you know how this works.

I had the co2 laser done 9 years ago and was happy with the results.

I think these machines and peels are being handled just for money and not the concern of the client.

01.7 | Unregistered Commentermarilyn

Dear AS:
Wow, I feel so bad for you. It did sound like your post treatment care was done poorly. Removing the wounds prematurely was probably not a good idea. The hypertrophic scars were probably due to your own body's desperate attempt to "seal off" the "prematurely peeled off wounds." When it had to redo the process, it would "overdo" the job the second time since it mistakenly thought the first wound healing attempt was inadequate. You see this same phenomenon when new scar was formed over the a previously formed scar. It was always thicker and more prominent looking.
Your hypopigmentation will spontaneously disappear, albeit taking much much time and patience (1-2 years). I am more worried for you about the scar problem. Let me know if you have any other questions.

01.10 | Unregistered Commenterpmdoc

Marilyn,

I hope you do not feel that way about everyone doing these treatments. These treatments can be very efficacious in the correct hands. Many on this site are fighting to make this industry better and safer. The vast majority of individuals doing these treatments have the patients best interest in mind. There are some out there though that are in it just for the money.

I think the best you can do is make sure that whoever you choose to do your procedure has good training. I would also choose a company are clinic that has a full time physician on hand. Many of the franchises and other companies owned by business people cut corners by "hiring" a physician just so they can use their license and the physician is never on site.

Most of these companies will disappear as patients learn that even though it is retail medicine it is still medicine. Too many of these companies are making it into just another business and as you can see with the complaints about Radiance, ALC, Sona and Dermacare it just does not work.

Make sure that the facility you go to have medical personnel including nurses, physicians and midlevel providers. The medical professional should be making the calls not the manager or some sales staff. All of the medical professionals have been trained to think of you before the money. I wish I could say that would be 100% true but in this industry it is as close as you will get.

01.10 | Unregistered CommenterLH

Hi PMDOC,

Sincerely, thank you so much for taking the time to explain that to me - its nice to finally understand :)

Do you have any recommendations on what i should or shouldnt be doing to assist the healing of the hypertrophic scar and the other tissue damage from the infection for e.g. staying out of the sun, no swimming, or a certain type of moisturiser?

Thank you so much
AR

01.14 | Unregistered CommenterAS

Jane:
It is true that the gold standard for skin resurfacing is CO2 laser. However it is limited by its downtime (less now with the Fractional technology) and high risk of hyperpigmentation (not sure if the fractional version would make it better or not). Thus CO2 laser is not appropriate for darker skin people (III-VI).

AS:
How long has it been since your Rhytec??? If your hypertrophic scars are still red and relatively new, I would recommend aggressive pulse dye laser (595nm), e.g. VBeam. Pulse dye laser is the gold standard in minimizing "raised and reddish" scar risks in post-surgery cases. What is your ethnic skin type??? Are your "scars" keloid-like???

01.14 | Unregistered Commenterpmdoc

I am 36 and did the Fractional laser a year ago. I have had IPL 5 times with no results to report on either one. I had the Portrait done 7 days ago so far I am VERY pleased with the results but it has only been a week. I got the deeper one and am not ready to go out in public just yet, few more days. What people must remember is that everyones face is very different, somethings work and somethings dont so dont give up on lasers if one doesnt work for you because all lasers are not created equal! ive not given up.DO NOT PICK OR PULL ON SKIN!!! that is the most important thing when getting anything done to the face.

01.16 | Unregistered CommenterAmber

Amber:
I am glad to hear you are doing well. It is very true to understand that when mistakes ( side effects) or problems (no results) happen it is really not the fault of the machine. The fault mostly rests on the "operator" due to his/her lack of understanding of the technology, of its potential and limitation and lack of knowing how it might affect that client specifically based of skin type, social lifestyle, age, genetics and even underlying mental stability (unreasonable expectations) AND that operator's underlying financial greeds.

01.16 | Unregistered Commenterpmdoc

Hi PMDOC,

I had my procedure end of May 2007. My enthnic skin type is Caucasian - i tan easily and have olive skin that goes very pale if I am not in the sun - I dont know the correct terminology for the skin type. Only one scar is keloid like and that is the hypertrophic which is red and raised. The majority of other scars are white, shiny and the skin texture is rough and has that burnt appearance. Some of the deeper tissue damage on parts of my face is completely white and some times still goes red (heat, excercise, stress and after alcohol). Parts of my face still stings, I think that might be due to so much scar tissue drying out or being tight. So is there are a good chance that I will regain my pigment? If not is there any procedures or creams that can assist with bringing it back? Surely the pigment won't return on some of the deeper tissue damage?

Again, all your help, time and advice is truly appreciated. Thanks you :)

01.24 | Unregistered CommenterAS

AS:
Your problems were probably due to a very deep protocol treatment, the resulting high "heat" damage caused your melanin cells (your skin type is about III or IV) to become overactive. Some of them were damaged to the point of losing dyeing off altogether (thus causing the loss of color=white lines or patches). As I said earlier it will take a long time for the skin to recover its "tanning" ability. You can apply Retin-A cream nightly per the same leading physician panel footnoted below. The purpose is to recruit the melanin cells back to these places.
For your raised scar and the redness, I am quoting from this guideline "...Aggressively treat with high-potency topical steroids (eg, clobetasol propionate 0.05% [Temovate]), intralesional steroids (eg, triamcinolone acetonide 10 mg/mL [Aristocort]), 5-fluorouracil, or verapamil. Silicone gel sheeting and pulsed dye laser therapy are very helpful.." Andrew A Jacono, MD, FACS, is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Medical Association

Editor(s): Tolbert Wilkinson, MD, Consulting Staff, Department of Surgery, Southwest Texas Methodist Hospital; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Wayne Stadelmann, MD, Surgery, Stadelmann Plastic Surgery; Nick Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center; and Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery

01.25 | Unregistered Commenterpmdoc

Since my rhytec treatment on Dec. 11,wrinkles around my mouth are still deeper than ever. I had the highest level done.I did not have all these before. Hate to go out in public.It has not done a single good thing yet.I would not tell anyone to have this done.Microdermabrasion did more and a lot cheaper.

01.30 | Unregistered CommenterRuth

Ruth:
As a non-professional on this site, you do sound quite crude here. If you come here for helpful advices you need to be descriptive in your issues so we can help. Making abstract and conflicting claims are not conducive here. First of all, smile line or laugh line is the Naso-LabioFold, no skin resurfacing procedure will resolve that for you. To say that microdermabrasion did more than a deep Plasma procedure is highly inaccurate.

01.30 | Unregistered Commenterpmdoc

Practitioners,
Patient selection and Patient expectations. There are no miracle improvements. I think television shows and aggressive marketing campaigns have contributed to this. The price is expensive, yes. But you don't have to have this procedure. We do our best to ensure safety and a great result. We have spent our lives and sacrificed time to be the best. I ask "It took you 60 years of sun damage and cheap creams to make these wrinkles, dyschromia and do you really think they will be completely erased in 15 30 minutes ? " Really. Please. A little common sense. In our office we do our best however if expectations are unrealistic, we never proceed with treatment.

01.30 | Unregistered Commenterhmmm

hmmm-

If I had a nickel for every time I have related the question in your post to one of my clients with unrealistic expectations, I wouldn't be in such dire straits financially! Of course, if I gave in to those same expectations, I would be better off as well. Then again, I can sleep at night knowing I only do what I expect will work for the patient, not what will work for my accountant.

01.30 | Unregistered CommenterDermaDoc

I only stated my experiences with Rhytec.No need for name calling. I will not be on the site anymore so do not bother answering. I am a licensed pharmacist and would not be in business if I called people names.

02.1 | Unregistered CommenterRuth

AS,

I am reading this site b/c I had the Portrait high heat 3 days ago, was looking for some aftercare solutions (creams are irritating my skin) and saw your post about the "keloid" scars. I am an occupational therapist and have much experience with this type of scarring. Try the silicone gel sheeting first. I have had much succes with continued use of this product on both post surgical scars as well as burn patients. Cut off a small piece and put it over the scar, sticky side down (as long as the scar is well healed) every night. You can use the same piece for about 14 days, just wash off with soap and water and let air to keep it clean. It should smooth out the area, painlessly. Sorry for your troubles!

02.3 | Unregistered CommenterKW

Hello,

I am 32 and I had PSR3 done on my face 12/12/07. The Dr. first said that I would be able to wear make-up by Christmas, which was not even close.

My face also got infected in five areas, the Dr. put me on Cipro and gave me a cream to put on the areas. Two of them healed and three are still red and itchy (Somedays worse than others).

When I go see the Dr. he always tells me everything is fine and they will eventually heal and the people who have the longest recovery get the best results. To be honest, I look worse now than I ever thought about looking before and would pay the $5,250 again to have my old face back.

I also have very very bad hyper-pigmentation which looks awful. He gave me 10% bleaching crème that has Retin-A in it and it turns my face bright red.

I just want to know if the red spots that appear to me as scars and the hyper-pigmentation will ever go away? They now want me to spend another $2500 on Photo Facials and Obagi Peels and I'm scared to do anything because I don't want it to look worse. It's been almost two months and I have to wear Dermablend make-up just to look normal.

Will it ever go away? And should I try some other procedure to fix it?

Kristy

02.5 | Unregistered CommenterKristy

Kristy,

Hold on any further treatment. The hyperpigmentation tends to go away in 3 to 4 months. The redness will likely resolve as well. Infection always causes the healing process to take a little longer so the redness should resolve but will likely take a number of months. I would not invest further in the IPL. Personally, if I have a situation like this I will do the IPL's for free.

I assume he gave you Tri-luma but it is not 10% bleaching cream it is 4% so I am not sure. Tri-Luma can be used to treat the entire face or just spot treat. If you are having problems with the redness start it every other night or even every 3rd night. Then you want to try to increase to nightly as you tolerate.

02.5 | Unregistered CommenterLH

I had portrait done on Jan 12 2008. So far I don't see what the big deal is. I had the deep one done and I look about the same with a little less hyperpigmentation and more broken out. I know everyone says to wait 3 to 6 months to see results but so far I am not convinced. I wish i would of spent the money on getting my eyes done.

02.11 | Unregistered Commenterjane

Hello LH,

The cream the Dr. gave me he had made from a pharmacy. He calls it DHR cream.

These are the ingredients:

Hydroquinone USP 10% / Tretinoin .05% Desoximetasone .1% / Bht; Sodium Bisulfite; Asorbic Acid; Unibase; Propylene Glycolic

His esthetician said throw it in the trash.....he says use it!

02.12 | Unregistered CommenterKristy

Hello LH,

The cream the Dr. gave me he had made from a pharmacy. He calls it DHR cream.

These are the ingredients:

Hydroquinone USP 10% / Tretinoin .05% Desoximetasone .1% / Bht; Sodium Bisulfite; Asorbic Acid; Unibase; Propylene Glycolic

His esthetician said throw it in the trash.....he says use it!

02.12 | Unregistered CommenterKristy

Thank God for this website, I was about to have this procedure done Portrait plasma to fix problems I had with co2 full face laser w/Dr William Adams/MJ 93.3 radio dr gives boob jobs away, well my face is scared and looks worse due to poor post op care by his staff advising me to stop putting vaseline after only 3 days and got a bad infection. I look older not young by 5yrs to 7yrs. I'm glad I didn't do anything else, My self confidence has really suffered and I feel depressed alot when I look in the mirror. I wish I never did this to myself. I HATE looking in the mirror. These Dr's need to be made accountable for their mistakes. Your face in not something you can hide from the world, It seems like untrained Doctors who have not perfected their technic have these machines. SAD:( I have learned from my past experience look for as many pros and cons before doing anything to yourself. I wish we could all sue these doctors, most the time we just have to live our lives unhappy with are results and they go on victimizing someone else. Dr.Adam said I needed to wait a year to see the full result well 11/14/07 1 year. still looks like hell.

02.12 | Unregistered Commentershan

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