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I have read with great interest the above posts. I am seriously considering buying a Fotona laser for the treatment of onychomycosis and verrucae. I have done my research carefully and consistantly critiquing where possible the different lasers for these treatments. I by far favour the Fotona. I totally agree with the above for and against but from all I have read, researched and the course I've been on to learn more I stand by Hamish's posts.
If anyone has any information that is negative as regards fotona lasers please private message me.
Many thanks and great to have this forum.
The Following User Says Thank You to Jenpod For This Useful Post:
We purchased an Arc laser 2 months ago and so far our results are very encouraging. I will be better informed with another months growth but up to now I am impressed and most importantantly so our patients.
I have read with interest the discussion on the Laser . After some research by myself and my associates we decided it was worth the investment and as stated it seems to be working. As far as terbinafine is concerned it has too many potential side effects for me to recommend it, I tried it nyself and I was not able to tolerate it.
The pictures below show before treatment (Pic A) then 3 months post one treatment (Pic B).
The treatment was:
Consult: Photo taken. Debride nail with clippers and burr, flush with saline thoroughly and apply 1064nm laser at 10.0W for 700J
12 week review: Debride nail with clippers and burr, flush with saline thoroughly, photo taken and apply 1064nm laser at 10.0W for 700J
According to my notes I am scheduled to review this patient again soon so will post next set of pictures at this point.
Also I have been scanning the results file of pictures I have - this is not an isolated case (I am sure the trolls will jump on saying it must have been pure luck!). As we go through and collate more data I can post different pics if people want me to. I think we all know what the control group (i.e. no treatment) look like as we see it on a monthly basis in our clinics (i.e. they dont change).
Let the trolling begin....
Here is the updated pic taken 6 months post 2 laser applications. This is 6 months after the initial laser application. Only 2 applications have been issued (as per above). We are monitoring this patient up until the 12 month mark. I think you will agree that in direct comparison to the images on the previous page there is a drastic change.
Pic C - 6 months post original laser - 2 applications 1064nm as per previous post
Just to continue the follow through on this topic.
The Following User Says Thank You to Paul Bowles For This Useful Post:
I am seriously considering purchasing the Lunula cold laser machine for treating onychomycosis. The Lunula combines 2 wavelengths 405and 635 nm. The 635 stimulates local immune cells and increases blood flow to fight onychomycosis-
causing fungus. The 405 Possesses antimicrobial effect by upregulating the production of cytotoxic Ros to kill onychomycosis causing fungus.
Have any of you had experience with this or aware of actual success rates (as opposed to its marketers published success rates).
Paul Bowles - I'd love to see more before and after pictures!! Minus the wait if possible!
Also looking for advice. Mid-20s, healthy female with 2nd toe isolated onychomycosis with what appears to be a small brown spike/dermatophytoma and nail matrix involvement. Nail is moderately thickened had initial nail clipping from PCP with PAS stain negative for fungal hyphae. Failed 2 separate courses of terbinafine with minimal improvement seen but no clearance from bottom of nail in either course. I'm wondering if laser + debridement would be a waste of time and would not offer clearance from the the nail matrix. I know the jury is still out in effectiveness. A provider I talked to stated the Fotona laser was more effective than the PinPointe and that time would be wasted with the other. Thoughts on this?
I can post a picture if it helps. Thanks.
Last edited by feedme : 18th April 2013 at 05:40 AM.
what a reponse for the laser fungal nail treatment , confused as ever, still don't know which is the best system related to cost wise, any suggestions out there I am in Canada so cost is important. thanks everyone.