Laser Surgery on Nose (KTP for vessels/redness,CO2 for bump)

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Laser Surgery on Nose (KTP for vessels/redness,CO2 for bump)

Postby JimJohn » Thu Jan 16, 2014 9:18 am

Laser Surgery on Nose (KTP for vessels/redness, CO2 for bump)

Hey there guys,

I'm JimJohn, a 25 year old male who sufferes from rosacea for quite some time now.

My main problem (and pretty much only one) has been my nose. Few years ago i started getting lots of big, deep lying and painful pimples all over my nose. It was a pain in the ass as you couldn't really pop them, and once they were gone, you could feel new ones coming on the same places all over again. It was always horrible to feel one growing, after touching your nose with your finger (slight pain just by touching it)

However, due to treatment i got controll over the pimples. About 1x per year I use antibiotics for a few weeks (when it gets worse) and I use finacea gel (skinoren gel here in europe) every night. That really helped keeping those horrific pimples out.

However, redness still remains, and I develop sebum quite easily so my nose is mostly red and shiny. I also got some visible blood vessels. And one more thing that bothers me a lot: After one pimple, which i got over and over again on the exact same place, infected once and left me with a small bump on the left side of the nose. It really bothers be as it makes my nose look more bumpy/older (remember, I'm just 25)

So i finally went to a doctor about it (I'm from vienna and there aren't many specialists for this topic). He was really realistic when i asked my questions, and told me he could get rid of the blood vessels and my nose would appear less red/noticable.

What he wants to do in one session:
Get rid of the blood vessels with KTP Laser, which should improve overall apperance and reduce redness too. I asked about the bump, and he said it could easily be flattened with a Co2 laser. Since many doctors told me it is not possible to do something about the bump without making it look worse (scars etc.), I was quite surprised how calm he was about it, like it's not a big deal to do it.

I was especially scared about the flatten-thingy with the co2 laser. He was very calm about it and said it's not such a big deal. However, I really don't want my nose to be more noticable/bumpy looking then before.

I added some photos: "Unluckily", my nose is in a better condition than usual, mostly the redness is much more visible. Also, the bump doesn't look to bad in those pics. Believe me, it makes the nose look bumpier.



So, please chime in and let me know what you guys think!
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby fanny » Thu Jan 16, 2014 1:31 pm

Hi
Having any type of procedure is taking a chance on the outcome, even the 99.9% guaranteed ones, so you have to look at the pros and cons and whether you trust your doctor. Do your due dilligence, ie research your doctor, the procedures etc. Having said that, laser treatments, by and large, have good reviews and so it is not as if you doing something on the cutting edge.
Don't stress it, do what your gut tells you.
Best wishes
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby JimJohn » Fri Jan 17, 2014 8:07 am

fanny wrote:Hi
Having any type of procedure is taking a chance on the outcome, even the 99.9% guaranteed ones, so you have to look at the pros and cons and whether you trust your doctor. Do your due dilligence, ie research your doctor, the procedures etc. Having said that, laser treatments, by and large, have good reviews and so it is not as if you doing something on the cutting edge.
Don't stress it, do what your gut tells you.
Best wishes
Fanny


Thanks fanny for your post,

unfortunately, there almost aren't any experience reports about Dr's here in Austria, when it comes to laser surgery. That's what makes me a bit scared. Especially about the CO2 laser.

Did anyone have a similar procedure and can chime in?
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby johnevo90 » Fri Jan 17, 2014 11:28 am

Hi JimJohn

I had IPL laser surgery on my nose last year to remove quite a lot of broken blood vessels (my nose is the worst part of my Rosacea) and immediately after the surgery every single blood vessel had dissipated, I was overjoyed with the results even the redness had completely gone with just a slight swelling of the nose like I had been punched lol
the laser surgery was quite painful for me though because I had broken veins running inside my nostrils, but this was a small price to pay for such amazing results, the surgery cost me around £200.00 (nose area only) which I think was money well spent for the results achieved, however having repeated maintenance IPL sessions was advised and is crucial in keeping the veins at bay, something I did not do, and because of this all my broken blood vessels returned within four months.
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby JimJohn » Fri Jan 17, 2014 11:59 am

johnevo90 wrote:Hi JimJohn

I had IPL laser surgery on my nose last year to remove quite a lot of broken blood vessels (my nose is the worst part of my Rosacea) and immediately after the surgery every single blood vessel had dissipated, I was overjoyed with the results even the redness had completely gone with just a slight swelling of the nose like I had been punched lol
the laser surgery was quite painful for me though because I had broken veins running inside my nostrils, but this was a small price to pay for such amazing results, the surgery cost me around £200.00 (nose area only) which I think was money well spent for the results achieved, however having repeated maintenance IPL sessions was advised and is crucial in keeping the veins at bay, something I did not do, and because of this all my broken blood vessels returned within four months.


thx mate for sharing your story!
Just wondering: IS KTP laser a kind of IPL?
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby JimJohn » Tue Jan 21, 2014 2:40 pm

Can anybode who had co2 laser treatment for a similar case chime in and take my fear? =/
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby Peacock » Tue Jan 21, 2014 3:47 pm

Based on your pictures, I would avoid CO2 laser at this point. I just don't see it.

I see 'inflammation' rather than rhinophyma. I would 'first' focus on treatments to reduce redness, blackheads and swelling.

Blackheads and some swelling: Try Financea 15% every other day for 90 days followed by Retin A 0.025% for 120 days. Cleanse 1x per day with Cetaphil with cold water.

Histame: will help with redness and "reduce" swelling . Find out what you eating that is causing swelling. Histame.com

Vessels: Diolite is effective for 4-6 months.


My opinion, absolutely avoid CO2 at this point. The recovery is brutal .....
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby JimJohn » Fri Jan 24, 2014 1:43 pm

Thanks again peacock for your post!

I convinced myself that it should be worth it and went for it. I will post an update with pictures in a new thread soon!
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby JimJohn » Sun Feb 09, 2014 11:24 am

Hey there guys.

So I've had the laser treatment 16 days ago, and I wanted to update to let you guys now how its going.

The treatment itself was short, the pain was minimal. The doc did the ktp laser first to treat the vessels,
after that he used the co2 for the bump. Usually you get local anesthesia, but since he used the lowest level we didn't even need it.

Immediately after treatment my nose was red and swollen. He gave me diprogenta to use 2x a day for 5 days.

For the first days it seems like all the vessels were gone, and the bump pretty much too. however after some days it seemed like the results didn't turn out to well.

However, after about two weeks i can say that my nose looks a bit better (definately some, but not much improvement). Regarding the bump: During the 2 weeks, I mostly had little scabs and dead skin on the bump. It was an up and down, but i feel like it will be better than prior to treatment. It's still pink and red now, and the "bumpiness" is still there, but not as much as before. Let's see what the next week will bring me.

It costed me around 200 EUROS (not dollars).

So here are the pictures. Comparison is prior, immediately after, one week and present day (16 days). I have some slight serboherric dermatitis problem, please ignore it (on cheecks and above nose) since it has to do nothing with the nose/laser treatment.

Image

I don't know why, but the 16 pics look a bit better than it actually is. the difference is not that obvious as you might think, but still improved. Since rosacea is a constant up and down my nose may look worse by tomorrow already. Regarding the process, my nose was worse than before for about 14 days, before it slowly got better.

So long story short: I think it was worth it, but definately no miracle treatment.. Let's see how it goes in the next few weeks.
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Re: Laser Surgery on Nose (KTP for vessels/redness,CO2 for b

Postby fanny » Sun Feb 09, 2014 1:39 pm

Thank you for your inforamtive post and the photos, which help to see the difference. I agree with you there is no miracle treatment, but we can improve which is pretty good.
Best wishes
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