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  • Hi, Dr. Laura Perryman in Seattle, coming to you today to talk about intense pulse light therapy for MGD.

  • We get this question often, how do I incorporate IPL for my MGD patients?

  • So I've created a series of four videos for you showing in detail the technical aspects of incorporating IPL in a busy dry disease practice.

  • Broken it down into four steps for you, and I really hope this is helpful.

  • Step number one is treat the underlying condition.

  • Rosacea is more common than you realize, and when you start hunting and looking for those little telangiectasias, you'll see what I'm talking about.

  • That is a target for your IPL therapy, delivering excellent energy to control that comorbidity.

  • Video number two is the TOYO settings.

  • These are gentle photomodulatory settings delivered in a double pass V2 pattern to your dry disease patient.

  • And we think what's happening is a photomodulation process, a delivery of energy to the stem cells and cytochrome C within the mitochondria to make the cell act and behave younger and more youthfully.

  • I call that the Cher effect, turn back time.

  • Step number three is how to treat the eyelids.

  • With laser grade shields in place, and that's very important, we can treat the eyelids.

  • Now the purpose of this is to deliver energy right at the site of the myelomian gland dysfunction problem.

  • I can't tell you yet from the scientific literature if this is a critical step in achieving results or not.

  • But what I can tell you is that in our data analysis series, we see a dramatic reduction in MMP9 levels, as well as a return to physiologic osmolarity of the tears, fascinating.

  • Step number four.

  • Step number four is the aesthetic cleanup.

  • You have this powerful tool in your hand, go ahead and use it to clean up all the little aesthetic details that might still be present in your patient.

  • Telangiectasia is along the nasal angle.

  • Those are common in rosacea, go ahead and clean them up, it's cosmetically wonderful.

  • Go ahead and use your device for things like hyperpigmentation, with the exception of melasma, you'll want to be very careful there, angiomas, et cetera.

  • And then finally, you can use it to treat unwanted facial hair.

  • Your lady patients will really appreciate that.

  • So there's four steps to the Berryman Protocol.

  • I've had fantastic results within my dry disease population, and I hope this is helpful for you.

  • Feel free to reach out if you have any other questions.

  • And as always, with everything in dry disease, keep reading, keep your mind open, and stay curious.

Hi, Dr. Laura Perryman in Seattle, coming to you today to talk about intense pulse light therapy for MGD.

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