Hey guys stuff with that when Boyd
survived loads of dermatologists today
we'll be talking about the super common
condition which has been requested for
me to produce in that call vitiligo how
I actually treat this condition this
condition super common affects 2% of the
population as you know the most famous
person had it was Michael Jackson did
you know also
Richard Hammond if you're a car nut
Richard Hammond also suffers from little
Eiger in basketball player Rasheed
Wallace also has had vitiligo if it's
that common so in this video I'll be
explaining basically why these white
patches occur and the scientific basis
behind our treatments so the reason why
they occur they're part of an autoimmune
disease in other words your body's
immune system is just too strong so th
ey
recognize the cells which produce
pigment called melanocytes as foreign
and what happens is that they are under
attack
so as part of the treatment the first
step is actually hold this amine attack
and we do that by using creams so we use
a different sort of sort of
anti-inflammatory creams including some
corticosteroids alternating with non
corticosteroids so once again guys I
didn't invent this this is what any
basic dermatologist would know how to do
so it's not me if the laser
dermatologist is having special skills
it's not like that it's we follow us
notice that European standards of
dermatology bit like a guideline okay
and so the first part of the whole
immune attack and the second part is
really cool and this is where the lasers
and the lights come in because we use
photo therapy in the form of life to
actually not only hot the immune
response but wake up the cells which
have
been hidden in the hair follicles
to come up INRI pigment so realistically
it's a success rate can vary between 10%
all the way up to 90 to 95% in certain
areas so guys I'll show you how we
perform photo therapy and the science
behind this really cool device so hang
tight
okay guys so I'm in the photo therapy
room this is a very expensive Sun
painting but look at that seriously it's
a seventy-five thousand dollar machine
what it does is filters out all the bad
UV rays and basically gives you one
wavelength and the wavelength is 311
nanometers and that wavelength itse
lf is
those two things first of all it gives
you some immune suppression in other
words it stops those cells which are
attacking the melanocytes or pigment
cells but it also stimulates the pigment
in the hair follicle so that you get
recognization so it only produces one
wavelength in one wavelength early and
I'll show you how it's done very shortly
and I'm actually doing a treatment
myself I do suffer I don't suffer a bit
like I saw some other things of this for
eczema and this can be usefully a
traversable hang time I'll show you how
it's actually calibrated you can see
this is the automated attendant being
fifteen thousand four hundred and
eighty-one Alex into my last treat
ment
which was about right doing perceive yes
I've calibrated for twenty four seconds
and we're going to see how it's done so
come on in with me and I'll show you
okay so now we're in the photo therapy
booth and you can see we're surrounded
absolutely surrounded by light all the
way through and these liked the first of
much expensive lightbulbs hundred twenty
bucks the light bulb and it's made like
Phillips so basically it's only one
wavelength and love if it's 300 living
nanometer wavelength so we're going to
start the treatment very shortly this is
treatment and ten seconds to put on your
goggles if you have a bit alike
obviously and your eyelid I know
need
goggles I get patients to close your
eyes but it's going to start very
shortly and that's it so you can see
it's pretty funky
it feels warm its core computer control
so it's very much different compared to
handled units because it's controlled
precisely the millage or so to the
absolute knowledge or so I'm getting
myself radiated it's not radiation it's
three one one nanometer flow that there
opee
so there's no danger to visit we only
make sure that you don't have a family
history completed okay so we only make
sure that you don't have a personal
history of melanoma or a family history
of melanoma but otherwise it's totally
safe and like I said it's tilted like
it's not normal light bulb guys we're
using Philips light bulbs you can see
and they're specific to this particular
treatment telle
r so that's quite a
therapy for you guys and it's easier
actually you just open the doors and
you're our bitch TARDIS and that's it
hey guys remember it's a two-part
treatment the first parts actually stop
or reduce your immune system from
actually attacking the cells which
produce pigment so what we use different
analogs at different points vitamin B
for example does the next one Clannad a
bit can be used not my favorite causes
too much irritation this is my view only
chip has been reported in the literature
certainly your dermatologist may use
these I don't personally so I actually
want to use a mixture of both advent and
valuing which is an anti inflammatory
pointing I use in this particular way
seven days on with this and
seven-eighths on with especially
compounded one which is basically
tacrolimus and we're good you can't buy
be epic a big up see a dermatologist for
that and some of them like to use
something like la bill as well I
personally think this two-week my
opinion only so basically I'm
alternating between two ointments only a
compounded one which is tackle illness
and the anti-inflammatory which is
a steroid alternating with vision this
basically reduces the styling of the
steroid ooh this is a bad one because of
the good ones
but this doesn't work as well as this so
that's the logic behind things so what
are some natural remedies and what is
the science okay guys so look now we
talked about ways to suppress your
immune system using medical therapy what
I firmly believe in and this in the
literature is dietary methods and
natural method to treat vitiligo so most
important being see stress because your
immune system is hyperactive and the
best thing to do if you can is really to
stress levels I can't help you with that
but if you're under stress that can make
your bit alike or worse okay now what
else can you do to help with
your
ventilator it's been scientifically
proven first of all there's lots of
stuff in the literature but certainly
ginkgo biloba so you can care biloba
you can buy that from a health food shop
they can help so the dosage is between
40 to 60 milligrams per day that's
ginkgo biloba the second thing that's
supplementation using vitamin D there
are numerous papers out over the last
two years that show that vitamin D
supplementation can help with vitiligo
and you can combine that with light
therapy photo therapy so that's a
natural way of treating vitiligo to pee
against all the other things like creams
and immune suppressants go for the
natural stuff in but go for the ones
that actually work now diet does that
help well it's unproven but look I
understand the theory behind eating
aci
dic foods tomatoes citrus foods or
like to create inflammation and you'll
see numerous died out there promoting a
bit like a free diet I have no problem
with that
in fact there's one or two papers
showing gluten can actually help of
gluten free diet can actually help so I
have no problem with that at all because
it does no harm but if we're looking at
scientific literature follow what's been
published and that's the safe way to go
so that's my take on natural treatments
for vitiligo
thank guys so who is prone to vitiligo
vitiligo crosses many races throughout
the world I'm Indian with white pattern
I'm african-american with white patches
I have Hispanic with white patches I
am
black with white patches
I'm Caucasian of the white patches I am
Asian with white patches I'm feeling -
the white patches so how do we gauge the
results from vitiligo and the success
rate facial areas do much better
compared to other is because we've got
follicular units in other words hair
follicles which will which we can
recommend from as compared with other
areas but if you have a look at the
chest areas here you can see that their
heads which are pigmented which is a
good prognostic sign now for April
fertilizer or vitiligo involving the
hands and feet the chance representation
is very very slim in fact it's in the
order of 10 to 20 percent the r
eason
being is that there's a lack of hair
follicles within these areas
now other factors that come into play
include long standing or segmental
vitiligo because that carried a poor
prognosis compared to early vitiligo so
what can we expect from vitiligo
treatment these are all my patients so
this is what we can expect this is a
photo therapy together with
anti-inflammatory creams of 16 weeks
exceptional repigmentation here can be
seen on the hands this is an exception
rather than the rule and once again on
the face you've got a 90% chance of
representation similarly around the eye
area a very high chance of
repigmentation of it this is ours really
quickly 30 weeks similarly on the
forehead not perfect but you can see
repigmentation there once again it's not
marked but
you can see replications
there in here as well so these are all
actual results from real-life patients
over 6 to 12 months if you look closely
you can see that one of the good
prognostic factors is that he's got
stationed within the hair follicles so
what happens is that over time you can
see after 96 treatment of narrowband
phototherapy over 12 months this is the
rear pigmentation we had similarly on
the chest area it looks like a huge
patch but he's got repigmentation over
12 months that's because he's got
follicles this is an extraordinary case
because he's got a remarkable amount of
repigmentation this is not normal but
he's got full representation and this
was achieved within about five months so
four weeks into narrowband photo therapy
are combined this environment and this
is what we have a week 16 this is an
exceptional repigmentation so I'm not
showing you the norm
I'm showing you
some exceptional cases what I like is
give redness see that little bit of
redness they're not sunburn that will
degrade once again it can be achieved on
even hard to treat areas such as the
legs not the norm because once again
these are exceptional cases so there you
have it guys
so can lasers for vitiligo work the
answers yes however it is the exception
rather than the rule fractional laser
resurfacing has been shown to help with
the like by stimulating melanocytes and
once again is the exception rather than
the rule the most popular later is that
308 examiner laser and yes it does have
its benefits compared to so their
therapy because we're treating only
spots of vitiligo compared to the whole
area or whole body so those happens
benefits but the downside is with
insurance another laser which I'm very
familiar with and have treated patients
over year is with this s
ystems a 308
eczema system were using the quad pill
it's an excellent system and it's great
for spots
the downside about using lasers for
vitiligo is this the sheer cost because
it is not covered under insurance and
many patients will require quite a few
treatments in fact up to a hundred
treatments and that can amount to
thousand so do I like using lasers for
vitiligo the answer's no unless it's
covered by insurance
but their therapy is a much better
modality to treat vitiligo as in
Australia it's covered by insurance if
you do have insurance however they can
be an excellent method to treat because
we remember we're treating small spot
sizes and small spot sizes only get
quicker and they're more precise
compared to photo therapy so of all the
systems are like is the quantal system
it's not actually the leg is actually
focused 308 light which is a little bit
different so this is
my before and after
I've been using the quantiles system and
it's about four or five years old but
yes I do like using it but it's limited
by insurance resale for vitiligo well
this is a whole new complex treatment it
can read more about it on the website
www.levitt.com
we split the dermis and epidermis we
harvest the melanocytes or pigment cells
and basically we lay it down on the area
and this is basically melanocytes rancer
and we use photo therapy for 16 to 20
weeks after the procedure to stimulate
the cells to produce more pigment and
what we do get is a representation now
it is a very expensive method and once
again it's not educated for everyone
never underes
timate the power of makeup
because with a good makeup artist that
skills far far beyond what I had and
they can actually color match your skin
to actually cover the areas of vitiligo
to the point where I cannot even
contemplate of actually repigmentation a
cup others the results are remarkable in
Australia the makeup of choice is called
dermablend
once again color matching is very
important so you do need a makeup artist
who is excellent at color matching and
you can see from this video the before
and after the color match is absolutely
spot-on something which I can never
achieve and all credit to makeup artists
because yeah they've got skills way
beyond what I have so guys there you
have it that's Bittle I go in summary my
way of treating vitiligo I think it's a
little bit different from other
dermatologists because I'm kind of
holistic I do I believe in natural
treatments yes I do there isn't beings
that because the scientific evidence out
there now that shows certainly vitamin B
can help ginkgo biloba can filter I have
these patients on these natural remedies
to b
egin with and I also put place them
on our scientific methods which means
anything explanatory creams in a safe
manner monitor them and also photo
therapy
look guys I would really like to help
you but please please no comments or
emails no do I know it dermatologist got
a photo therapy machine be interested
like Tony I don't know everyone and the
other thing is was mutual respect for
colleagues and this is something I
really firmly believe in I'm just
showing you the way I Creek vitiligo and
my success rate and once again I may not
be the best guy in the world recruited
but I'm showing you my method and your
dermatologists may have a different
method something which I thoroughly
respect because at the end of the day
may get a better result
so please guys
don't ask for suggestions as to where
can you give it because seriously I done
that who owns what all I know is that
this is the way I do it and the success
rate which I've had in my I can holistic
approach of this condition rather than
Haley they're just going drugs I think
it's change of lifestyle diet and also
proven scientific methods guys thanks
very much for watching this video yet
again I try to do one educational video
every Saturday morning
bristan time so if you like subscribe
and comments below tell me what you've
had
work for vitiligo would really like to
know your thoughts your methods your
diet and but pls no spam no selling this
is an educational site and not a site
meant for you know a sales pitch just
just basically to it like this okay guy
s
I'll see you next Saturday and don't
forget to subscribe catch that but in
all seriousness I've discovered
Instagram less than one year ago so if
you're keen and interested on learning
skincare and the laser technology please
subscribe to my Instagram site and
you'll have a couple of cool videos and
pics every week so guys thanks for that
in the old catch you later bye.
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