Hey Fellow Esty's!  I need some help. I have a relatively young client who is a Fitzpatrick IV and she has minimal couperose on her cheek area and she HATES it. She wants it GONE. I provide MicroPhototherapy treatment and I think it *might* work, but I'm wondering if any one out there has done a treatment/series that they have had good results with?

Thanks for reading :) Look forward to the replys!

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Well, every situation is different, of course, but I have sometimes noticed that this type of condition is due to harsh products compromising the skin barrier, and getting them on a gentle, more hydrating routine helps. It takes time, though. Also, examine the lifestyle and limit sun exposure, as that will exacerbate it. I have good luck with a serum that is a vaso-constrictor and hydrator all in one. It repairs the barrier and actually cools the skin, so it works immediately, and it works over the long term. As for any telangectasia you might see, I have seen this recede with time and attention to home care and sun protection, but not until they get serious about making these changes. One thing I have noticed when positive changes do start happening is there is "suddenly" a lot of dehydrated, dead skin to exfoliate, so that is something to watch for, and if you have a gentle enzyme that would be best... avoid peels. I hope that helps!

Thanks for the reply Sandra. You mentioned a serum that is vaso-constrictor and hydrator all in one, can you tell what line it is and how I can get some?

Yes, if you are talking about Radiancy FSD, my experience is that it helps a lot.  To get really nice results, follow Radiancy's protocol of administering 2x/week for 12 sessions.  Remember that these skin types sometimes are photosensitive, so sometimes I have to do 3 passes at 3-4 pulses/spot rather than 2 passes at 5-6 pulses/spot to get the results.  Be sure to plan for enough time, and charge enough for the series.  Be sure to take your before pictures, and make sure she's not doing anything to flare it up (alcohol, tobacco, excessive caffeine, sun, whatever).  If she can't be trusted to follow home care and avoid triggers, don't bother with the treatments because you won't have a good outcome anyway and you'll be squabbling with an unhappy client who wants a refund for a huge package after sinking hours and hours of your time into her.  Make sure her expectations are reasonable, and she's equipped with good home care to help promote that extra cushion of dermal tissue to separate the vessels from the surface (I'd say peptides, anti-inflammatory ingredients, and a VERY mild retinol applied perhaps twice a week, the night after your sessions).  If you do need to peel her (sometimes these sensitive-types can have really heavy hyperkeratization around the nose and chin, from never exfoliating), I'd say stick to your mild lactic acids or even enzymes.

Yes! Radiancy FSD is what I use. Thanks for your input, I had actually just emailed the client before seeing you response and told her that MPT could help, but that a lot of it was going to depend on her commitment to home care and lifestyle changes. Thanks Christine! :)

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