The facial skin is composed of seven layers from the superficial epidermis to the deepest fat layer, so skin problems are complex and comprehensive and are usually not completely improved via a single treatment. Therefore, the physician must make good use of the performance of various phototherapy devices for treatment at different layers and time sequences and will observe patient response to previous treatment at all times during the course and adjust the corresponding energy to fully unleash the efficacy of phototherapy. If necessary, auxiliary enhancement by other devices or skin medication will be added at any time, which is the primary concept of cocktail phototherapy. Currently targeting different skin problems, WiSH clinic offers various treatment strategies and devices, which are as follows:
Intensive pulsed light
Developed a long time ago, intensive pulsed light (IPL) treatment commands an irreplaceable role in skin management as it is able to comprehensively improve various skin conditions. Its working mechanism is by lightening and shrinking spots and pores at the surface of the skin via large-area and homogenous heating lights. It presents significant effects against superficial spots (such as speckles or sunburns), with a clearance rate of up to 70–80%, while demonstrating a clearance rate of only 30–50% in the treatment of melasma (such as malar patches or chloasma). However, it is less likely to cause a skin darkening side effect like ordinary laser treatment and is much safer. In addition, the heat of pulsed light reaches the dermis and is able to stimulate pore shrinkage and collagen proliferation after the gradual accumulation of energy to help restore skin elasticity and hydration, making the skin tighter and lighter. The advantages of intensive pulsed light treatment are that it can be applied to the whole face to simultaneously make the spots pale, whiten the skin, even out the skin tone and shrinking pores, leaving no wounds or scars except temporary redness and swelling, and not requiring time for recovery. Therefore, it is suitable for patients who concurrently want skin treatment and maintenance. Certain courses are taken before showing obvious and stable results, generally once a month for a total of six sessions.
Skin toning laser
Skin toning laser treatment is mainly targeted at rough pores and pigmented skin, effectively lowering the incidence of pore clogging or inflammation and promoting the metabolism of the stratum corneum of the epidermis, thus realizing the ultimate effects of skin purification. Dr. Chuang utilizes a 1064-nm Nd:YAG laser combined with nanometer carbon powder for medical purposes. It spreads carbon powder on the patient’s face and will evenly permeate into the periphery of the pores and follicles. A high-energy laser excitation wavelength is then applied to enable the carbon particles to rapidly shrink the pores at the thermal bursts, making the skin smooth and delicate and decrease grease secretion to facilitate future care and maintenance. This laser treatment does not leave scars on the face; therefore, like the intensive pulsed laser, it does not necessitate time for recovery. It is indicated for patients with oily skin and rough pores. It requires 4–6 sessions to attain relatively stable and lasting results and is performed once every 3–4 weeks.
Spot removal laser
This laser treatment is primarily aimed to remove various skin moles, pigmented spots, pigmentation patches, tattoos, and deep spots (such as melasma, malar patches, or chloasma). It utilizes a 1064-nm Nd:YAG laser but gives out deeper and stronger energy than the skin purification laser; therefore, it causes temporary skin damage and wounds at the affected area, which take approximately 5–7 days to scab and slough away and approximately 1 month to regain the normal skin color. This treatment has the rapid and obvious effects of removing freckles and commonly only requires 1-2 applications to remove a majority of the deep spots or pigments, but its disadvantages are that sunscreen lotion or protective bands should be worn over the affected area for 3 months postoperatively to insulate against ultraviolet irradiation; otherwise, it causes complications such as a darkening reaction or re-pigmentation.
Cocktail skin therapy
Modern people are too busy to care about their skin, which, coupled with insufficient sleeping or irregular diet, makes original mild skin problems complex and tricky, and these problems cannot be comprehensively improved via a single phototherapy device or micro-invasive injections. For severe skin problems, patients need to try different courses of skin treatment to achieve positive results; however, these are frequently time consuming, futile, and expensive and even leave people with negative impressions or make them reject the treatments. To facilitate patients to achieve expected results within a short time period, Dr. Chuang designs and offers hybrid cocktail skin treatment. It comprises the essence of various phototherapy devices and micro-invasive injections, starting from fundamental spot lightening and skin whitening by the intensive pulsed light and skin toning laser to expedite pore shrinkage and then to the deep layer 3D poly-L-lactic acid injection for collagen regeneration or botoxin (Botox) injection to correct complex skin problems from the whole layers and attain simultaneous spot lightening and tight skin as soon as possible. If required, customized treatment courses of the spot removal laser or Ultherapy facelift are added at any time to provide consumers individualized and flexible services and present a one-stop skin cosmetic treatment.
Cocktail skin treatment is indicated for patients with severe and complex skin complications such as spots of uneven shades, non-homogeneous pigments, large pores, wrinkles, and skin laxity. The entire course lasts for approximately 6 months, and patients need to return to clinics every 3–4 weeks for different treatments. This management not only enables patients to enjoy the both the results of micro-invasive injections and skin phototherapy in one course but also allows the discussion and adjustment of treatment items or contents in light of previous treatment responses, which is the best option to rapidly improve complex skin problems within a short time period.
Skin treatments should be based on the condition of each patient in order to safely improve the problems.