In this episode, Lisa and Mike zoom in on the world of benign pigmentation, and how lasers can help fade it safely and effectively. Before anyone goes zap-happy, they stress one crucial rule: always make sure pigmentation is benign first. They break down how to assess it properly (because guessing is not a treatment plan).

From there, the duo explores different laser options like Q-Switch YAG and IPL, unpacking wavelengths, absorption, and how these tools actually target melanin without causing chaos to the skin. Lisa also shares her real-world treatment tips, including her go-to cooling techniques to keep skin calm and trauma-free.

KEY TAKEAWAYS

Before treating any pigmentation, it's crucial to confirm that it is benign. If there are any changes in size, colour, or texture, or if the pigmentation has appeared recently, it should be referred to a medical professional for further evaluation.

Various lasers can be used to treat pigmentation, with the Q-Switch YAG laser at 532 nm being highly effective due to its strong absorption in melanin. IPL (Intense Pulsed Light) is also a viable option, especially for larger areas, but it may carry a higher risk of thermal damage.

When treating pigmentation, practitioners should monitor the immediate response of the skin, looking for signs such as erythema, darkening of the pigment, or frosting. Adjustments in fluence may be necessary based on the observed reactions.

Ice cooling is essential both before and after treatment to protect surrounding skin tissue and minimise swelling. This technique has been shown to reduce pain and improve recovery times for patients.

The approach to treating pigmentation can be more aggressive compared to other treatments like hair removal or vascular lesions. This controlled aggression is necessary to achieve effective results, but it requires careful monitoring to avoid excessive damage.

BEST MOMENTS

"The first thing that if you're going to be treating any sort of pigmentation, you must be clear that it is benign."

"The good thing about melanin is it absorbs light across the whole visible spectrum and even into the near-infrared spectrum."

"I would do a Q-Switch 532. 100%."

"You don't get that thermal damage that you would with an IPL. So it's a different process, different mechanical process."

ABOUT THE HOSTS

Mike began his career in medical lasers in 1986 with a physics degree and a post-grad in bioengineering. He helped develop the scar-free removal of tattoos using a Q-Switched Ruby Laser in Glasgow, and the world's first IPL system. Known well in the industry for his hard truths, no BS attitude and logical answers. As the author of three books, articles for medical journals, a well read blog, a Laser Protection Advisor and contributor to the BMLA, Mike is the Laser Guru.

Lisa's claim to laser fame is being Mike's daughter. Growing up with lasers and never avoiding a physics lesson from her Dad, it was natural to enter the industry. Leaving a corporate career with a baby to jump into self employed life came with challenges. Despite that Lisa has been well recognised for her teaching style, practical tips, bringing the compassion to the science, and laser mentoring.

Instagram: @dermalase_lasertraining

https://mikemurphyblog.com

https://www.dermalasetraining.com

This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/