Please see my review of DR. ATON MORDECHAI HOLZER's brief, unprofessional report and response to me via the American Medical Experts (AME)
Business complaint on this website. Dr. Holzer not only failed to address the lip issue I had repeatedly requested of him
To comment on for my $1200 service fee to AME, but he/AME eventually emailed me
An unsigned commentary that was labeled report "draft."

Due to lingering facial changes, the crookedness in my lip
Alignment worsened. There was no acne on
My lips (or inside the lower lip on the right where Samantha Reith lasered one
Time and caused long-lasting sore); however, Samantha Reith from the office of Advanced
Dermatology and Cosmetic Surgery (also known as Advance[d] Cosmetic Surgery
& Dermatology// Tahoe Cosmetic Surgery & Dermatology// Advanced
Dermatology) handwrote that she lasered my "vermillion [lip] border" "38" times
At admittedly "higher settings" (not mentioning any other facial parts that she
Lasered). Notably, the office falsely
Claimed in writing that Samantha Reith was a Nevada Board Certified
Aesthetician specializing in medical aesthetics.

Samantha Reith also did not note in her record that I waited
For her after the appointment to tell her that she hadn't hit the acne spot
That I was seeking some kind of dermatological treatment for. She missed it the second time also as the
Bruising mark showed. It is reasonable to assume her actions were either
Unbelievably careless or blatantly intentional.
The Minnesota Board of Cosmetologist Examiners (a state where Samantha
Reith once worked) warns that

The term medical estheticians' may be
Misleading, inaccurate, and deceptive to the public and those receiving
Services. Specifically, consumers may be
Misled to believe that a medical esthetician' has some type of advance medical
Training that has been licensed, registered, or sanctioned by the state of
Minnesota or that the licensee has been authorized by the state to perform some
Type of medical service. Due to the
Potential for the public confusion and concern for public safety, the Board
Would like to caution all licensees to monitor their advertising to ensure that
They are fully and accurately disclosing their license status with the
Board. Estheticians using misleading or
Inaccurate terms in an advertising may be subject to discipline under section
155A. 33.

According to Hennepin County, MN public records, in the
Spring of 2009 Samantha Reith was ordered by the owner of Renew Your Skin to stay away from this business where she wanted to
Work or she "would be removed by the police." On June 3,2009, Samantha Reith,
Plaintiff, failed to appear for her Minnesota court hearing and was not awarded
Monetary damages in her civil case.

The other tech (the Stateline, Nevada, dermatology office
Would not provide her name) lasered three times on my cheek, totaling at least
42 hits to my small face, stated that Samantha's settings were actually much higher
Than hers. This contradicts what
Samantha Reith handwrote on the final paperworkthat she (Samantha) used a
Lower laser setting than the second tech.
Although I requested to see my records, the office would not let me see
My actual file. They gave me a "copy" of
It many days later after they had said on different occasions that it would be
Ready and available for me after my repeated requests.

Although Samantha Reith did not record in the patient note
All her lasering areas to my face, my photos show bruising in questionable
Places that she didn't report, and the swelling remains centered just below my
Bottom lip. Other consequences include changes in color, texture, volume, lip
Sensation, and shrinkage. Dr. Holzer did actually attest in his "medical
Expert" report that facial damage was done to me; however, he did not explain what
A proper lasering procedure might be in such a case, an omission in his report that
Is suspect.

Attached below are some articles and postings with cautionary
Information for consumers on laser damage that I had highlighted and sent to
Dr. Holzer when I sought his medical review of my case. He did not refer to them but did acknowledge
And wrongly record that I sent him only one article. The other articles that were included are
Referenced below. He failed to comment
On the scores of numerous online complaints from people like me who also were
Dismissed in comparable cases. Although
Many patients have been voicing complaints online on many websites for some
Timeeven with some doctors concurringdermatologists, as a whole, continue to
Claim there is nothing in the literature reporting negative results from lasers. They wrongly continue to ignore patients
Who've been physically and psychologically damaged.

***

In 2015 I provided
The following articles for Dr. Mordechai Holzer when I submitted my case for
Review. He did not respond:

"Increased Risk of Litigation Associated with Laser Surgery
By Nonphysician Operators" in JAMA
Dermatology journal 2014

http://www.aad.org/dw/monthly/2014/september/safety-first#allpages
And article in Dermatology World
Journal (September 9,2014) with the statement by Dr. Dover,"Where we see a
Problem is lack of oversight, education, knowledge, and judgment. If one of these is missing, there's a
Potential problem. If all four of those
Are missing, you're really asking for trouble."

"Dermatologists continue to press for medspa regulation to
Protect patient" article (9/14) by Ruth Carol (in Safety First)

"Laser surgery lawsuits against doctors on the rise" 2013
Article by Genevra Pittman (in Health News)

"Lawsuits Involving Laser Treatments by Non-Docs on the
Rise" (2013 HealthDay News article)

http://www.aad.org/media-resources/stats-and-facts/cosmetic-treatments/cosmetic-surgery
Warning by the American Academy of Dermatology

"Cosmetic care via laser can be risky" from The Republic 10/2014

***

Below are the sample
Reports from doctors and patients that I sent to Dr. Mordechai Holzer in 2015
As part of my case. He neither addressed
Nor acknowledged any of them:

Various
Websites/ research/ reports of laser harm/damage:

http://iplandlasersupport.blogspot.com/

http://iplandlasersupport.blogspot.com/2009/02/fat-lossatrophy-from-cosmetic-devices.html

http://iplandlaserdamagesupport.prophpbb.com/topic773.html

https://www.osha.gov/SLTC/laserhazards/index.html

https://www.youtube.com/watch?v=-_VQNm_3NHo

http://www.rosaceagroup.org/The_Rosacea_Forum/showthread.php?*******-Anybody-have-fat-loss-from-V-Beam

http://www.rosaceagroup.org/The_Rosacea_Forum/showthread.php?*******-Anybody-have-fat-loss-from-V-Beam

http://thescienceofacne.com/pdl/

http://www.realself.com/question/damage-VBeam
(talks about facial depressions?)

http://iplandlasersupport.blogspot.com/2009/02/fat-lossatrophy-from-cosmetic-devices.html

http://www.noviskin.co.za/treatments/vein-therapy/vein-therapy-leg/vein-therapy-leg-VBeam

http://www.realself.com/question/v-beam-facial-fat-loss

http://iplandlaserdamagesupport.prophpbb.com/topic3395.html

http://messageboards.makemeheal.com/non-surgical-cosmetic/ipl-and-fat-loss-poll-questions-t*******.html

http://www.skinacea.com/facials/lasers/side-effects.html#.VSl-e2aPU7A

http://iplandlaserdamagesupport.prophpbb.com/topic1131.html

http://www.rosaceagroup.org/The_Rosacea_Forum/showthread.php?*******-V-beam-The-quot-what-have-I-done-now-quot-feeling/page3

http://messageboards.makemeheal.com/non-surgical-cosmetic/warning-for-beam-laser-proceed-with-caution-t*******.html

http://www.rosaceagroup.org/The_Rosacea_Forum/showthread.php?*******-Anybody-have-fat-loss-from-V-Beam

http://iplandlaserdamagesupport.prophpbb.com/viewforum.php

http://www.electrooptics.com/features/f... ture_id=52

http://www.medscape.com/viewarticle/*******

http://www.scripps.edu/researchservices... nual07. Php

Re:
VBeam causing nerve damage

http://iplandlaserdamagesupport.prophpbb.com/topic773.html?sid=2e2c8774f*******d40ede106e*******#p4267

http://iplandlaserdamagesupport.prophpbb.com/topic3872.html

IPL/Laser
Operators discussing problems w/ IPL tx

Example
Quotes taken from online sources above:

Posted by redbysciton
» Mon Apr 28,2014 9:45 am

These posts in
A users forum reveal treatment problems:

"Hi all,
Has anyone had any experiences with the Nd Yag 1064 in treating telangiectasias
Or spider veins? I have recently added that on my Joule platform. Quite
Disappointing really! It made a dent on my model's nose though not much changed
For the telangiectasia."
12.5 | Registered Commenterchinh le
- See more at: http://medicalspamd.com/cosmetic-ipl-la... a03AM. Dpuf

I Wonder how the poor model feels about the dent in her nose.

Here is a provider wondering why he is seeing worsening telagectasia in Is
After treatment w/IPL (Sciton BBL):

"Dear Dr. Chavelas,
Did you ever had in the beginnings worsening of cuperosis after treating with
BBL only?
I just saw another client of mine today with more cuperosis than first time she
Came to me 1 month ago.
She was treated with 560 nm small addapter 22-24 j 10 ms 20c
Can you explain why some of the Is have this reaction?
I don't understand it.
I'll try treating them with Nd: yag as you said, but i'm trying to explain this
Phenomena and i can't.
Thank you for your time.
03.19 | Steve

Steve
No actually i have not seen any worsening of cuperosis after treating with only
The BBL. But i have seen Is that they have not a very good result after just
One BBL treatment and i had to combine with the Nd YAG as i told you before.
Maybe your I was in this category and the worsening was a physical process of an
Unsuccessful treatment. Another exlpanation is that maybe there was a small
Burning after the session that could deteriorate your I. Which Fitz type had
Been your I?
03.20 | charry

Thank you dr. Chavelas,
Skintype 3 was the I. I'll add the Nd: Yag. We have the Reveal from Canfield
And we can monitor every little change, and i saw it was worse.
And it was not just one I, several, especially those with little vessels,
Difuse redness is working very nice.
Do you think that undertreating can cause worsening? With 560nm 15j, 15 ms, 15c
- double pass i don't see always closure of the vessels.
Do you always see the closure of the vessels when doing a BBL 560? Maybe i'm
Just affecting a little bit the vessel wall and not a fully closure, and
Because of that the vessel will be more dilatated after the treatment. This is
The only explanation i have. Thank you again for sharing this information with
Me.

- See more at: http://medicalspamd.com/cosmetic-ipl-la... a03AM. Dpuf

Redbysciton

Posts: 114

Joined: Fri Apr 04,2014 7:14 am

Top

"Temperature
Can be considered as a carcinogenic factor"

Posted by cveroleyva
» Sat Aug 06,2011 9:07 pm

This study
Talks about increasing levels of heat to the skin.

http://www.icnirp.de/documents/infrared.pdf

Cveroleyva

Posts: 450

Joined: Tue Mar 01,2011 2:43 am

Posted by DCNGA » Wed Oct 20,2010 1:24 pm

PLASTIC GOGGLES ARE NOT EYE PROTECTION,
Unless they are specialized light/ray filtering goggles made specifically for
Use with laser/light devices. You must have specialized eye protection, made
For use with laser/light devices to filter out the scattered rays/beams. Even
The device makers are clear about this that specialized eye protection is
REQUIRED. Many docs do not go to the expense of purchasing the specialized
Goggles and only buy the types used at tanning salons. This is a very bad
Thing. If you find out that you were only given non-specialized eye protection,
Report them to your state medical board. Fill out a complaint with the FDA
About what has happened as well. This helps everyone and protects you as well
That you have reported the problem.

From J Clin Aesthet Dermatol. 2012 Jun;
5(6): 4553:
As our understanding of the
Biological efficacy of various wavelength distributions evolves, so to will the
Range of IPL technology, particularly with regard to different wavelength
Filters, pulse durations, pulse frequencies, and cooling modalities to protect
From side effects. The end result will be a widening domain of IPL's clinical
Applications and indications. It will be incumbent on clinicians who use these
Devices with regularity for such new and emerging indications to report their
Clinical experiences in order to sustain our continued understanding of the
Technology's long-term safety and efficacy profile.

The
Light emitted from the IPL is composed of a spectrum of colours from different
Wavelengths, enabling selective photo-absorption (light absorption) to
Different targets. In other words, using the IPL is like using a group of
Lasers in a single treatment. The heat generated by the absorbed energy causes
Damage to the vessels or pigmented areas stimulating the body's own natural
Healing process.

DO NOT GET AN IPL, FRAXEL, OR ANY SIMILAR PROCEDURE! It is not
Worth the risk! I have been a member here for many years, but never wrote a
Review. However, this is so important, that it needs to be said. I thought I
Did my research and went to a highly regarded Medical Spa that was operated by
A doctor for my IPL. That was two weeks ago. I am now suffering SEVERE damage
And I am going to need plastic surgery to correct the problems. The settings
Per the technician were conservative because it was my first (and only) IPL. I
Have post IPL rosacea (which I never had before) and acne. My skin has a
Wrinkly, orange peel texture too. This is the worst part... I woke up yesterday
With huge dents on my face which are going to require fat grafting. I also
Found out that more damage will probably surface and my face will more than
Likely loose all of the fat layer. I am horribly damaged! I am not the only
One... there are many, many more. Sometimes the fat loss and damage doesn't
Appear until months after the IPL. I wish I would have known that there was
Even a chance that this kind of damage could occur. I knew about the
Possibility of redness, swelling, and bruising, but I did not know about the
Fat loss and other complications. Many doctors claim that IPL can not do
This... IT CAN and IT HAS! I am currently under the treatment of a very good
Dermatologist and we are hoping that this process can be stopped with oral
Steroids.

I really wish I had done more extensive research before having
This procedure. I later found medical texts online stating (and showing) that
Pinholes and "atrophic" scars can occur, usually from
"insufficient cooling." Then I found a study where the authors tested
A number of IPL machines, all unnnamed, and found variations as much as +/- 20%
From the manufacturers' specs in EVERY PARAMETER measured - fluence, pulse
Rate, temperature, wavelength, etc. And this was after calibration. The
Machines may not have been the same one used on me, but this worries me. Then I
Read a paper finding an increase in lipid peroxidase levels (a marker for ageing/oxidative
Stress) in IPL treated skin 6x HIGHER than from UV light. Another paper
Suggested using topical antioxidants after tx to combat this. If I'd known
That, I would've been been slathering antioxidants under the vaseline!

I feel the one tx gave me the equivalent of years' worth of bad rosacea flares.
I have a close relative with severe rhinophyma, and I told the doc about my hx
And this relative before tx. I am now researching aftercare and hoping my skin
Will eventually recover. Can I cover things up w/ mu? Mostly, but my routine is
Now more complicated and requires more effort and mu than before the tx. Where
Before I never needed moisturizer, now I must use Cerave CREAM AM & PM. Yet
I still have oily skin and breakouts! Bottom line: use extreme caution if you
Have oily skin and an inflammatory type of rosacea that reacts badly to heat.
Any of the following could have caused my outcome: operator error, machine
Error, or an unknown/ unpublicized contraindication to IPL, such as the
Specific type of rosacea I have. I also now know that there is a great deal of
Controversy among drs. Over whether IPL helps or worsens melasma type
Pigmentation. I was not told this - brochures and info given state it is safe,
"no downtime," gentler than laser, and effective for
Hyperpigmentation and rosacea redness. Be cautious w IPL!

Hi It sounds like your laser that had horrible results is what I
Have had, but called the v-beam laser. It is the worst laser I have ever used
Or experienced. I do not recommend it. I think because of all of the skin
Sensitizing ingreadients that you use to control your acne may have also not
Helped. I think if you are going to get any laser you need to stop your topical
Acne products for at least 7 days prior. I would like you to read the new book
By Perricone, for acne. It helps mainly for typical acne, not hormonal acne on
The chin. It also will help reduce your rosacea. What I learned from the book,
(I don't use his products) is mainly that I was eating a lot of foods like
Corn, popcorn, sugars, dried fruits, fruit juice etc that were feeding my acne
Or inflamation. When I changed my diet, my rosacea went down A LOT. I think
Your face due to all that crap you have had to try as well as that bad laser
Experience you face is easily inflamed and topically sensitive. Also, most
Lasers are great, accept V-beam! Also whoever does the laser makes a difference
Too. Some people don't know the right settings to use.
From skinacea.com

I
Look older and different now with bad skin... just very aged. It is hard for me
Because i am 41 but looked very young for my age, without wrinkles and i had
Great skin. I was still getting carded every few months! Darn. So, i went from
Looking 30 to 50. It is like a bad horror film.

I
Was only doing this for some slight hyperpigmentation and a few broken caps on
My nose. It destroyed my face and i am completely devastated.
It is three months since my last treatment and every time i look in the mirror
There are more scars and dents.

Now I have dents, scars and holes all across both cheeks and every day it gets
Worse. I have been scarred for life by IPL and my cheeks have been completely
Flattened.

March 26,2015 I received IPL only
6 weeks ago and have aged incredibly. I have wrinkles around my lips,
Sagging skin and orange peel chin. I'm very sad to have lost my youth and
Very worried about how quickly my face will continue to age.

This
Is a double edged sword for those who've suffered fat loss or other damage from
Lasers and IPL devices. The pain of showing that proof is difficult,
Emotionally. Yet the proof IS the faces of those who've suffered damage from
These devices. When confronted, most doctors will not recognize the damage or
They will attribute the damage to something/anything other than the device. I'm
Sure many doctors fear the legal repercussions but most Is want validation that
What they are seeing is real, most doctors fear being sued and won't
Acknowledge it. It's a hamster wheel for victims

People
Wake Up! Do Not Do Fraxel or IPL!
My damage was caused by IPL 6 months ago. Fraxel and IPL seem to be causing the
Same damage. (Thermage nightmare?) I have fat loss in my entire face, eyelids,
Cheeks, jaw line, along with scars, bumps in my skin, vision problems, pain in cheek,
Jaw and brestbone (my chest was done also), broken blood vessesl and more!
There are suppose to be NO Burns, NO fat loss, NO permanent scaring, NO eye
Problems, No permanent redness, NO hypopigmentation, NO depression with IPL or
Fraxel! That is what the medical community around the states are telling their
Patients. Doctors are lying to you! Dermatologists are lying to you! Plastic Surgeons
Are lying to you. Nurses and Aestheticians are lying to you! Medical Boards are
Lying to you! Manufactures are lying to you! The FDA and the Government are
Lying to you! They are only interested in protecting this Billion Dollar
Industry, and do not care about the severe damage it has caused to 1000's of
People. These procedures are the new "CASH COW" for the industry and
The manufacturers and doctors will go to great lengths to keep this from the
Public.
The people that did these procedures will tell you, "these devices
Couldn't have done this damage, they don't go deep enough in to the skin---they
Don't cause fat loss, they don't get hot enough---oh the burn scars will go
Away in two years--you had eye protection on, you can't have eye problems-----and
The biggest lie, it's natural aging causing your skin to sag and face to lose
Volume! These are the lies I am hearing in every damage case. NO ONE
Prematurely ages 10-20 years in the matter of 4 Months.
Question your doctors about that. Ask him how much extra revenue he is making a
Year by adding this device to his practice and then paying poorly trained
Nurses and estheticians to do the damage. And yes, for the Professional Doctors
And Plastic Surgeons who have caused this damage, you are a disgrace, with
Criminal intentions, who took a vow "do no harm, patient safety
First" but turned it into "admit no fault, offer no help, just
Collect the cash and run" I would never wish this on my own worst enemy,
Yet I can only hope that this would happen to doctors wives, daughters,
Sisters, or mothers, so then you would understand the torment and hell you have
Put us all in, a life of disfigurement, isolation, financial distress, and
Emotional and psychological torture. And offering no help to any of us! Are
There any real doctors out there that actually care about people, if so, please
Stand up! We need you.
As for the doctors who respond on this site, you owe these members the truth.
One doctor
Will comment this can happen and the next comments it cannot. You all know the
Truth, it's in your seminars, lectures you attend, on doctors discussion
Boards, and if you don't know the facts, either research it or don't comment.
You are jeopardizing hundreds of members by telling them these devices are
Safe. Could it only be to try to harness more cosmetic business? Would you put
Your own loved ones in harms way if you weren't sure whether they would be
Damaged or not because you were not warned beforehand of possible permanent DNA
Damage to your skin? I bet not.
No, these results don't happen to everyone, but to more than enough and that
Number is growing, by 40 percent according the the AAD in 2009. There is tons
Of research out there proving these machines cause this. Even papers from the
FDA discussing adverse events about botox
And injectibles and how long should they allow this to continue especially
Since the damage is happening to healthy people! There are hundreds of victims
On various sites telling their stories of burns, fat loss, vision problems,
Hypo scaring, etc. There are serious side effects happening, most irreversible,
That doctors, esthetians and the manufacturers are NOT telling us about. TAKE
PICTURES, THEY DO NOT LIE, KEEP TAKING PICTURES, THEY ARE VERY IMPORTANT PROOF!
People need to start making noise to get attention drawn to this epidemic of
Damage. These devices are in every town now, and unless everyone that has been
Damages speaks up, hundreds of thousands of people will be victimized by this
In the future. Please, lets help each other!