Dr. Soldo and flushing pre-tx
I was reading on the other board about Dr. Soldo's differing position on flushing. Apparently he has had better results with no preflush. Any Soldo patients out there with opinions? I can see how this might work when using the yag because it might be difficult to see the veins when the patient is so bloody red.
Yes, this relates to a question that's been in my mind. I've seen posts where Dr Nase says to induce a flush unless you already have diffuse redness. But I can't recall if he recommends that you go after the deep vessels first with a Yag without a flush which is I guess what Dr Soldo is doing (I'm going to be treated by Genesis only), and then later induce a flush to treat the superficial vessels or the other way around. Can Dr Nase or anybody clarify this for me?
I am currently being treated by Soldo and I can tell you, he does not have a differing postion on pre-flushing. I am not sure who said this, but I can tell you first hand that he does have patients flush. He first likes to take a look at you before inducing a flush, and then he decides what strength of topical niacin to apply to get the degree of flush that he wants. He has 3 different strengths of topical niacin to choose from - 1%, 2% and 4%. I think his numbing cream may have some vasodilators in it also, but can't recall. I had a pretty dramatic flush going when he used the topical niacin on me.
Cactus,
Thanks for clearing that up for me. It is so good to know that Dr. Soldo wants to look at you first before inducing the flush. That must have been the difference between the two protocols. Many people have reported using oral niacin to preflush before even arriving for the treatment.
Allstar
HI Gang,
If you have moderate to severe diffuse redness, then the first one or two treatments should probably be performed without flushing. That is because these are the most severely damaged blood vessels and need to be removed pronto. If you mix these in with semihealthy blood vessels that are just a little hyperreactive they will take some energy away from the bad bad blood vessels.
I see Dr. Soldo (going tomorrow for second tx) and the first time he didn't induce. I have diffuse redness, and as Dr. Nase mentioned, trying to clear those out first is Dr. Soldo's goal with me. Slow and steady is how I'm taking it -- I'd rather have more treatments even if it means more money rather than shocking my skin to death.
~ rosaceafree
Hi guys,
I've asked this question before but never got an answer...Dr Nase recommends that if you have diffuse redness then you should not flush for the first few IPL treatments. However if you find after a few treatments that you still have diffuse redness, what should you do?
I assume that you still need to concentrate on these damaged vessels, therefore you should not induce a flush, but I would love to have this clarified once and for all!
Just thought of another important point. Dr Nase, in your book, you suggest that diffuse redness is more a problem with superficial vessels and hence should be initially treated with a 560 filter. However I have heard that Dr Soldo thinks that chronic redness (presumably the same as diffuse redness?) is damage to vessels deeper in the epidermis. Which is correct? or does it depend on the person? Or can it be both?
I would really appreciate any help on these two points.
Helena
The diffuse redness has been shown to be only caused by the most superficial hair pin loops. This has been proven in several histological studies. If you have not responded within two treatments then I would start the flushing protocol.
Dr. Nase - can you clarify this for me? Does this relate to the concept that once you remove some of the diffuse redness, part of the flushing sector improves like the effects of isotretinoin? Or am I thinking of something different?Originally Posted by drnase
Regards,
George
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