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Dr. Shah:
What are we talking about today?
Ranen:
Pico,
Dr. Shah:
Pico Laser. And we’ve got it. Okay, so, uh, Ranen, um, let’s get a, a proper background. So Ren is an aesthetician, actually, so she’s secretly starting to be a nurse. Mm-hmm. <affirmative>, um, is that a secret? It is. <laugh>, she’s totally okay. Also, um, she’s also one of my secrets to, um, helping my face, um, and my skin not look as old as it should be. I am nearing the next decade of life, um, which means I have to kind of preserve things. And one of those ways of preserving things is
Ranen:
Pico.
Dr. Shah:
So let’s step by with the word pico means. So, uh, for those of you who hated math, uh, pico is a super, super fast amount of time before a laser. It’s like what? 1000000000000th of a second, 1 billion of a second is gonna be a regular laser. The reason this is important is because a train of a second means that laser is gonna be so fast that if you’re dealing with someone with melanin, I pigmentation like myself, a traditional laser’s not gonna work, but in laser like a pico, it’s going to be, uh, much more effective because what happens is, um, so fast that it prevents your body from activating that lanin. And so that way it’s safe on all skin types, including my skin type. Um, what are we gonna be doing today?
Ranen:
So we wanna do, the reason why we wanted to do a pico, um, on Dr. Shah is because we just kind of want email out his schedule. He’s not bad as far as like pigmentation, but the pico helps to minimize pores and it’s going to kind of just give his skin more of a healthier appearance. It’s like a little bit more like vibrant looking. Um, so we’re gonna do, um, a little bit of pico on that to help kind of keep his skin young
Dr. Shah:
And so out of creating that, um, reduction in things. So what’s actually happening is it makes these things called laser induced optical bodies lyos, and that’s kind of cool, maybe boring, but kind of cool to me. So when your body interacts with light, what happens is the lights kind of change, um, how, um, what, what happens with it? And so it’s gonna kind of create these, uh, optical bodies, which is gonna create collagen, elastin. Um, as I’m getting older, as as we’re all getting older, your skin becomes more relaxed. And so what you can do, there’s a couple things. Um, you can sort of do a big blasty laser type thing like CO2 laser, which isn’t gonna work for someone like me. Or you can do a series of lighter laser treatments that were kind of keep that skin and keep that all lasting going
Ranen:
With no downtime,
Dr. Shah:
Basically no downtime. Um, on this, it’s designed, uh, depending on what you’re trying to treat, um, you can try to target browns, um, network target reds. And typically when people talk about skin discolorations, we’re gonna be dealing with Do I have browns? Do I have reds? Um, my background, ethnic background is mixed. My mom has blonde hair. Um, so she has more reddish kind of hu in her face. Um, my dad’s Indian, uh, so definitely more browns. Um, what do you think is the biggest problem for your patients? Red browns or Honestly,
Ranen:
It’s a little bit of both, to be honest. A lot of patients with rosacea. Um, I actually recently treated a patient with rosacea, with pico, um, uh, you know, pigmentation, sunspots, mola, hormonal pigmentation is a big one and it works really well for all of it.
Dr. Shah:
So let’s define those two words too. Uh, so rosacea. Rosacea, I don’t like the term, but rosacea, essentially it’s, it’s the word that means red and there’s lots of things that can cause redness for some people it’s just kind of touching your skin will face redness. Um, it can be sunlight, exercise, eating the wrong types of food. And so the reason most patients don’t respond to lasers well with rosacea is because it’s gonna cost potentially some irritation and some issues. The reason they’ll probably more likely respond to a PECO is because again, it’s so fast it’s gonna go in there before your body knows what to do to react to it. Um, and so that’s one thing we talked about. Then the other treatment that’s really, um, conditioned that’s really hard to treat is, um,
Ranen:
Hormonal melasma, uhhuh <affirmative>, which is a hormonal pigmentation. Um, and you know, you can stem from variety of things or issues. So, um, I personally have malama and I got it post-pregnancy with my firstborn. Um, but I’ve been treating my skin with pico and um, you know, it’s just a constant maintenance. It’s something that you just kind of want to do throughout the year, maybe once or twice, three times a year, just depending on the amount of pigmentation. And um, it really helps. I literally walk, walk out with no foundation on my skin and I’m good, you know, like I don’t have to worry about covering up that pigmentation anymore.
Dr. Shah:
And it’s interesting that both of those conditions, molas mineralization, both are caused by irritation of some sort or some sort of, um, hormonal reaction. Hormonal, um, sometimes can be again, exacerbated by sunlight. Um, same with rosacea. I know the aspects of it and they’re super sensitive and traditional lasers don’t treat either condition, but again, we’re not gonna go traditional. We’re gonna go with the pico, which is newer age, newer technology, much more inclusive lasers. They’re treating all skin types, all skin conditions. Um, so like that. Okay. Alright. Should we fire this up? So
Ranen:
We’re gonna go ahead and get started. So I already prepped his skin out so I get ’em all white. I’m just gonna go ahead and put these on your forehead for
Dr. Shah:
Now. And do you know most people when you’re doing a Pico or for it?
Ranen:
Not for Pico, honestly, it’s maybe a little, but I don’t think, um, numbing is necessary.
Dr. Shah:
I have a giant tighten <laugh>. Um, and then we’re using, there’s a couple settings we’re and that’s why
Ranen:
You back. Okay.
Dr. Shah:
Alright. And then downtime. What you expecting downtime to
Ranen:
Be on this? Um, you’re probably getting off just some a of redness. Um, maybe like a few days, like two days, 24 hours, 48 hours. It really depend on your, um, your skin. So we’re gonna go a little bit more conservatively with the, so you four hours.
Dr. Shah:
Do you want me to hold my breath?
Ranen:
Yeah, and please. We’re so let’s not make any faces so we don’t scare anybody. Hold my breath. This isn’t bad at all. It’s just Dr. So we got go a little should,
Dr. Shah:
So I’m just gonna normally, normally all stuff. And then so this one is,
Ranen:
No, this one is not bad.
Okay.
Dr. Shah:
So what are the benefits of this treatment.
It’s a little question. The 10 64 though. Am I turning red? Uh,
Ranen:
A little bit. Not bad.
Dr. Shah:
Cool.
Well that is Pico laser. Any questions for us in the, uh, our viewers? Nope, No questions. Alright. Awesome. Thank you so much for joining this.