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AnthonyDurkin, PhD PhD.
Assistant Professor at the Beckman Laser Institute in the School of Medicine at UC Irvine,
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Dr. Eric F. Bernstein M.D.
Associate Clinical Professor of Dermatology University of Pennsylvania,
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Dr. Roy G. Geronemus M.D.
Director, Laser & Skin Surgery Center of New York,
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Dr. Melanie Grossman M.D.
Clinical Instructor, Columbia Presbyterian Medical Center,
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Dr. Suzanne L. Kilmer M.D.
Director, Laser and Skin Surgery Center of Northern California,
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Dr. Victor Ross M.D.
Director, Laser & Cosmetic Dermatology Unit, Scripps Clinic in San Diego.,
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Dr. Christopher B. Zachary M.D. FRCP
Professor and Chair, Department of Dermatology, University of California, Irvine,
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Dr. Brian Zelickson M.D.
Director, Zel Skin & Laser Specialists, Minneapolis,
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American Academy of Dermatology
 
American Society for Dermatologic Surgery
 
American Society for Laser Medicine and Surgery
Posted by
Eric Bernstein, M.D.
Associate Clinical Professor of Dermatology University of Pennsylvania
Post (9)
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Commandment #4: Never Take Treatment Advice from Sales Reps, not EVER.

You should never take treatment advice from sales reps, not EVER. If you do, you get what you deserve.

As a doctor you should know what/how to treat, and understand the physics of the device and the biology of what you are treating. It is extremely important to know some of the physics behind what you’re doing. Long wavelengths and large spot sizes penetrate deeply. If you’re treating a tiny spot, no matter what the wavelength, light is not going to penetrate deeply. If you are aiming at something like a tattoo or a deep blood vessel, you’re probably not going to hit it well with a tiny spot and will instead deposit most of the laser energy above your target.

In addition, one should not use large spot sizes with relatively long wavelengths (hair removal lasers) near the eye due to the risk of injuring the eye. In addition, protect the teeth during laser hair removal-these laser penetrate deeply. There is no substitute to understanding the science behind what you are doing.

 
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Well said.

J-Man on Commandment #7: Tattoo Removal Requires Multiple Lasers