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Re: Third Photoderm with Dr. Bitter

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My doc uses 10% compounded lidocaine. More importantly is that you apply it

about an hour before. Also, I suggest

you wrap your face with saran wrap to keep it from evaporating ? With my

previous surgeon, he didnt tell me this

and it didnt do anything to help. The new method works great.

writerjill@... wrote:

> Hi, group,

>

> Just wanted to update you all on my third Photoderm tx, which I had earlier

> this afternoon. Originally Dr. Bitter was scheduled to do the treatment

> himself, but there was a complication with another patient, so , his very

> experienced RN, ended up doing it instead. ( also performed my first two

> treatments.) This time decided to induce a flush with topical niacin.

> Unfortunately, I had goggles on and couldn't see exactly what kind of cream

> she used. Within a few minutes of her applying the niacin, I felt a strong

> burning and throbbing sensation on my face. I have to say that I've never

> felt that kind of throbbing from a " normal " flush, although my face often

> burns and stings when it turns red. We then started the treatment and--I've

> got to be honest here--it was EXQUISITELY painful. My last two treatments

> were also somewhat painful, but nothing like this. I asked whether the

> flushing was making the pain worse, and she said that it does make the skin

> more sensitive. The heat from the Photoderm machine was also more intense

> this time because we used a higher setting. I managed to get through it

> somehow and was really kind and reassuring throughout. After it was

> over, I asked whether the pain would continue to get worse with the next two

> treatments. I was concerned because I think I've finally reached my pain

> management limit! said she and Dr. Bitter would need to " crank it up "

> in order to give me the best possible result, so she suggested I purchase the

> lidocaine cream and use it before my next treatments. I purchased the cream

> for $50 on my way out, and will DEFINITELY slather it on next time!

>

> As for side effects and swelling, I was pretty red when I left the office,

> but was looking almost normal by the time I got home a half hour later. I

> immediately washed my face and reapplied my ZincO, and, as far as I can tell,

> I'm good to go. BTW, I hope I didn't scare anyone with this post--my

> photoderm treatments have been totally worth it, pain and all!

>

> Jill

>

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