Treatment FAQ

levulan blue light treatment for actinic keratoses how many sessions

by Dr. Rolando Kihn IV Published 2 years ago Updated 2 years ago

You also may need two treatment sessions that are one week apart, depending on the medication used. Medications approved for PDT for actinic keratosis include: 6-8 Aminolevulinic acid (brand names: Levulan

Aminolevulinic acid

δ-Aminolevulinic acid, an endogenous non-proteinogenic amino acid, is the first compound in the porphyrin synthesis pathway, the pathway that leads to heme in mammals and chlorophyll in plants.

® Kerastick®, Ameluz®)

HOW MANY TREATMENTS WILL IT TAKE TO SEE THE “BEST RESULTS”? To achieve maximum improvement of pre-cancerous (actinic keratoses) sun damage, skin tone and texture, a series of three treatments 3-5 weeks apart is most effective. (Some patients with just actinic keratoses are happy with one treatment.)

Full Answer

What is the Blu-U treatment for actinic keratosis?

While skin cancer occurs more than any other cancer, it’s also highly treatable, especially when caught early on. One option is the Blu-u treatment for precancerous actinic keratosis that utilizes photodynamic therapy with a topical formulation called Levulan.

How long does Levulan kerastick need to sit on lesions?

LEVULAN KERASTICK will need to sit for 3 hours on lesions of the upper arms, forearms, and hands, and 14-18 hours on lesions of the face or head. + How do I know if my dermatologist has BLU-U?

What is Levulan kerastick + Blu-U treatment?

LEVULAN KERASTICK + BLU-U is the only PDT approved to treat the upper extremities. It can be used on the face, head, upper arms, forearms, and hands. + Does BLU-U treatment hurt?

Can I use Blu-U light therapy with Levulan?

Many patients and skin care professionals prefer the noninvasive nature of Blu-U light therapy with Levulan, which largely avoids the infection exposure and other complications that may easily arise from other approaches. While understandably popular, patients must also avoid direct sunlight for several days following treatment.

How many blue light treatments are needed?

You'll likely need up to 10 treatments total, depending on the results you're looking to achieve. Some providers have you lie down directly under the lights, while others use LED light-infused wands directly over your skin. The choice often depends on the office, as well as the treatment area.

How many sessions of blue light therapy does it take to see results?

The number of treatments required depends on the person's skin type, the number of lesions they have, and how severe those lesions are. Anywhere between two and five sessions are necessary, at 2-4 week intervals, for optimal results. Some people may notice results after a single session.

How often can you do photodynamic therapy?

One PDT treatment cycle consists of 2 blue light treatments separated by 4-8 weeks. To get the maximum benefit and efficacy of PDT, both treatments must be completed. Repeat treatments may or may not be necessary depending on the severity of sun damage.

How long does it take for blue light therapy to heal?

The treated lesions heal in about a week, however, the therapy makes people temporarily more sensitive to sunlight and sunburn. As a result, patients must use sunscreen and sun-protective clothing for the 24 to 48 hours immediately after treatment.

How effective is blue light therapy for actinic keratosis?

On average Blue Light Therapy eliminates 40% to 75% of Actinic Keratosis per treatment. At Siperstein, we will often pretreat thicker precancerous lesions to achieve a higher cure rate. The most common areas that we treat are the face, ears, and scalp.

What should I avoid after photodynamic therapy?

Again, you should avoid all direct sun exposure for 48 hours after your PDT light treatment. During the 48 hours after your PDT light treatment you may experience redness, swelling, and stinging of your treated skin, similar to the reaction that you might have with a bad sunburn. Your skin may feel hot.

How long does it take for skin to heal after PDT?

It usually takes around 2 to 6 weeks for the area to heal completely, depending on which part of the body has been treated and how big the area is.

How successful is PDT?

Studies have shown that PDT can work as well as surgery or radiation therapy in treating certain kinds of cancers and pre-cancers. It has some advantages, such as: It has no long-term side effects when used properly. It's less invasive than surgery.

How long does it take for actinic keratosis to become cancerous?

The length of time for an AK to progress to an SCC was determined to be 24.6 months (95% confidence interval, 21.04-28.16 months).

What does skin look like after blue light treatment?

The treated area of the skin is usually quite red and may appear to be flaking or peeling, as it would after a mild sunburn. The redness, and perhaps some of the flaking, can last for several days to a week or even two weeks. (After that, skin returns to normal.) The area will also be more sensitive to light, so Dr.

What should you put on your face after blue light treatment?

If the treated area is on your face, wear a wide-brimmed hat. After 48 hours (2 days), continue to use a broad-spectrum sunscreen with an SPF of at least 30 on the treated area. If a scab forms on the treated area, don't remove or pick at it. Apply a moisturizer such as Aquaphor®, Vaseline®, or Cetaphil®.

What should I put on my face after photodynamic therapy?

Shower and wash the area immediately and as often as needed. Gently wash the area with soap and water two to three times a day, and apply Aquaphor or Vaseline to the area. Avoidance of harsh or abrasive cleansers is advised. Picking or scrubbing the skin could cause severe irritation or scarring.

How long after a blue light treatment can you use light?

If you cannot return for blue light treatment on schedule, avoid sunlight and bright indoor light for at least 40 hours after LEVULAN KERASTICK topical solution has been applied. During blue light treatment, you will likely feel tingling, stinging, prickling, or burning of the treated areas.

What is the treatment for AK?

LEVULAN KERASTICK is a prescription medicine used on the skin with blue light treatment (BLU-U Blue Light Photodynamic Therapy or PDT) for the treatment of minimally to moderately thick actinic keratoses (AK’s) of the face, scalp, or upper arms.

How long does it take to soak in a LU-U illuminator?

Treatment with the BLU-U Illuminator takes only 16 minutes and 40 seconds, but you’ll need to allow the LEVULAN KERASTICK topical solution to soak into your skin beforehand. LEVULAN KERASTICK will need to sit for 3 hours on lesions of the upper arms, forearms, and hands, and 14-18 hours on lesions of the face or head.

How long does it take for AK to clear?

The majority of all face or head lesions remained 100% clear 1 year after initial treatment. Destroys AK cells without altering skin tissue, so there’s less chance of scarring.

Is there a daily medicine for AK?

This means that no daily medicine is needed. PDT has been used for decades to safely treat AK lesions and reduce their risk of turning into skin cancers. LEVULAN KERASTICK + BLU-U is the #1 prescribed PDT.

Apply LEVULAN KERASTICK

Learn how to use LEVULAN KERASTICK + BLU-U in combination to clear lesions.

The importance of treating AK early and aggressively

AKs are the most common epithelial precancerous lesions. While AK lesions are often thought of as surface lesions, many actually protrude beneath the surface of the skin up to 1.86 mm in depth. 10,11

Why PDT?

PDT utilizes light in conjunction with a photosensitizing agent to produce singlet oxygen within the epidermis that results in subsequent cell death. 5,12 Due to this, PDT treatments like LEVULAN KERASTICK + BLU-U can offer patients:

Step One 2

LEVULAN KERASTICK (aminolevulinic acid HCl) for topical solution, 20%, is applied directly to target AK lesions of the face, scalp, or upper extremities by dabbing with applicator tip until all lesions are uniformly wet. If treating the upper extremities, cover the treated area in occlusive dressing.

Step Two 2

Following necessary incubation period, the patient returns for a 16-minute, 40-second treatment with the BLU-U Blue Light Photodynamic Therapy Illuminator.

What to expect during treatment

Levulan is applied to the skin after a cleansing process for a variable amount of time deemed to be most appropriate for your condition.

After Care Instructions

After the procedure, go home and take it easy. The treated area will appear reddish and swollen. Some mild discomfort after the procedure is possible.

What happens if you put blue light on your skin?

Subsequent exposure of the infused skin areas to a special blue light causes a biochemical reaction between the Levulan and the affected skin cells. Ideally, this results in increased skin-cell turnover and the production of unblemished collagen that eventually restores skin to a healthier, more attractive appearance .

What is Blu U treatment?

Blu-U Treatment for Skin Cancer with Levulan (PDT) The largest organ in the human body, skin is a sturdy defense that also is amazingly delicate. Skin regularly takes a beating from harsh sunlight, and when not properly protected, can develop lesions that are precancerous or cancerous. While skin cancer occurs more than any other cancer, ...

How does BLU-U work?

How does BLU-U with Levulan work for skin cancer? Topically applied aminolevulinic acid, known commercially as Levulan, penetrates the thin upper layer of skin called the epidermis.

How long does it take for a PDT to go away?

A few patients may experience a burning sensation, which typically fades away within 24 hours.

How long does it take for a recurrence to show?

Some patients may experience a recurrence after six months, and other patients may see years go by without further problems. Each individual case must be evaluated and monitored during regular visits with a board-certified dermatologist.

Is Levulan a good treatment for cancer?

When combined with light therapy, Levulan is highly successful in treating the cancerous and precancerous growths. BLU-U Treatment for Skin Cancer Overview & FAQs. Pros and Cons of Photodynamic Therapy for Skin Cancer. As with any medically significant procedure, photodynamic therapy (PDT) carries its own profile of advantages and risks.

How long do you have to be exposed to fluorescent light before you shut off the machine?

The targeted areas will be exposed to a carefully tuned fluorescent blue light for about 15 minutes before shutting off the machine.

What are the benefits of blue light therapy?

Our patients elect blue light therapy for actinic keratosis for its many benefits, including that it: 1 Is as effective as radiation or surgery 2 Is noninvasive 3 Does not require downtime 4 Is handled on an outpatient basis 5 Provides cumulative results over multiple sessions 6 Does not damage or scar your skin 7 Is cost-effective 8 Is painless

What is the best treatment for skin cancer?

One of the most promising therapies to emerge in recent years is photodynamic, or blue light therapy.

How does light work on pre cancer?

The light accumulates in your skin’s cells and starves them of oxygen, stopping the pre-cancer in its tracks. Our team uses it to successfully eradicate pre-cancerous skin lesions. The simple procedure has three quick steps: Applying a light-responsive medical solution. Exposing your skin to a special blue light.

How long does zinc oxide sunscreen last?

Moisturizing and protecting with a zinc oxide sunscreen. Depending on the type of medicine we use, there may be an intentional delay of 2-48 hours between the application stage and the light therapy stage. This gives your body time to absorb the light-sensitive medication.

Is blue light therapy painful?

Is painless. In addition, the side effects are minimal. Your skin may be red and may tingle some after your blue light therapy, but serious complications are very rare. Patients who undergo this treatment should steer clear of the sun or bright lights for a few days following the session.

Can actinic keratosis turn into squamous cell carcinoma?

Pink, red, or brown raised bump-like areas. If left untreated, actinic keratosis can turn into invasive squamous cell carcinoma. Furthermore, research shows that the more areas of actinic keratosis you have, the greater your chance of it progressing to squamous cell carcinoma.

How many steps are needed for actinic keratosis?

This procedure has two steps, which makes it time consuming. You also may need two treatment sessions that are one week apart, depending on the medication used. Medications approved for PDT for actinic keratosis include: 6-8. Aminolevulinic acid (brand names: Levulan® Kerastick®, Ameluz®)

What is the best way to clean a lesion?

Your dermatologist will prepare the lesion. This may include cleaning the lesion with alcohol. Your doctor may use a curette to scrape the crust or scales of the lesions. A curette is a long, thin instrument with a loop on one end. 7,8. Your doctor will apply the light-sensitizing medication to the lesion or lesions.

What is PDT treatment?

PDT is useful for treating multiple lesions on the face and scalp. 1 PDT is not invasive and it causes little or no scarring. 2

Is PDT more effective than cryotherapy?

PDT may be slightly more effective than cryotherapy for treating lesions. 10. PDT is used to treat Kaposi sarcoma lesions. 3 It is an alternative to surgery for some cases of low-risk thin basal cell carcinoma and squamous cell carcinoma. 4,5.

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  • Post-session side effects for treated areas may include skin-color changes, redness or swelling, bleeding or blistering, scaling or crusting of affected areas and itching or stinging sensations. A burning or stinging sensation that persists for longer than four weeks should be reported to your dermatologist. More rarely, Levulan may evoke a strong ...
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