Levulan DPT with FotoFacial - Dr. Bomer's Experience
What Happened Post-Treatment?
First phase: Reddening of the skin which looks and feels like a sunburn and associated swelling.
For 48 hours after the Levulan is applied it is activated by light (sunlight and fluorescent light). The FotoFacial activates the Levulan initially and then in the 48 hours after, it is best not to further activate it with more light.
Click on images for more details.
Day of Treatment:
After the 48 hours, the skin is red and swollen, but no longer warm like a sunburn. The skin starts to become tight as it is getting ready to shed. More moisture is required on the tight skin that is going to peel; this is when some Bacitracin is helpful along with the Neocutis Bio-Cream to allow the tight skin to stretch and split without allowing any raw areas to develop. If this is not done with enough moisture, it is like a scab getting pulled off too soon and leads to delayed healing and the possibility of a less optimal result. Click on image for more details.
By day 4-5 most of the skin peels off. The skin comes off in large pieces. It is very important not to pull the skin off – best to gently brush the surface of the peeling skin with clean fingertips and allow the flakes to fall off when they are ready. Scissors can be helpful to trim skin that is bothersome.
At the end of one week, the big flakes of skin are mostly done.
In the second week, routine skincare can be started again. The skin continues to heal and smooth over the next few weeks. The best cosmetic result is appreciated at one month after the treatment and this will last for many months and to some degree forever as the skin has less potential to generate cancer and has been transformed into a healthy, younger state.
My Skin Care After Peeling:
Many aging women are afflicted with hormonal acne in the perimenopausal years and I’m one of them. I started to get a flare at the end of the first week, so I jumped into my Jan Marini Duality MD quickly which helped tremendously and cleared the flare in a few days. Extra moisturizer with Neocutis Bio-Cream and then Jan Marini Transformation Face Cream was necessary for the second phase of healing.