About Levulan Kerastick
Levulan Kerastick is a medical procedure that uses aminolevulinic acid and a laser treatment to treat pre-cancers, called Actinic Keratoses (AK) Most commonly used on the face, and scalp, and neck, the procedure has three steps. First an esthetician treats your skin with microdermabrasion, which prepares your skin for the aminolevulinic acid, making it exfoliated and extra absorbent. Next, a provider applies the kerastick solution to the affected area, which makes the AK cells extremely sensitive to light. The final step is a laser treatment with one of our registered nurses. The light from our IPL or Vbeam laser will effectively destroys only AK cells, keeping the surrounding, healthy skin in tact.
"I went to Bay Area Dermatology because a few of the girls in my office recommend it. I had developed a really bad case of melasma on my cheeks and upper lip. When I made an appointment they had asked me if I had a preference as to who I wanted to see. I told the receptionist that I had Asian skin so if I could get someone that is familiar with treating common Asian skin issues that would be fantastic. I was scheduled an appointment with Dr. Hui.At my first meet with Dr. Hui she confirmed that I did indeed have melasma and that my next step was to start getting chemical peels 4-6 weeks apart. Wow. Holy smokes! So far I've received 3 chemical peels and the melasma is almost gone. It's at the point where I am able to cover it up with just foundation. Yippee! At my most recent appointment I received my first laser treatment with Mary. I had a 1pm appointment and was seen quickly to start the numbing process. I am one of those people that benifit from the extra time with the numbing cream so I appreciate that the ladies got me started immediately. I was so numb that I barely felt a thing. Definitely one of the easiest laser procedures I have ever done."- J.C. / Yelp / Dec 01, 2017
"I visited Dr. Austin for a skin consultation after receiving a recommendation from one of my friends who sees Dr. Austin for Botox (Xeomin) injections and to review & remove any suspicious moles/freckles and review skin damage on my neck. Her office staff are very friendly & helpful. After washing my face (they provide makeup pad removers, facial wash & a hair band), photos were taken including one with a camera to determine sun damage. Dr. Austin has a very positive, glowing energy about her & was very easy to speak with about my skin concerns. After a full review of my skin & my skincare regimen, I got 20 units of Xeomin in my forehead & removal of a mole that was progressively getting larger on my upper lip. Thankfully the lab report indicated that it was benign. I visited again about 10 days later for additional freckle removal & treatment for sun damage on my neck, as well as a check in for my Botox injections to see how it settled in. The Botox looked great & my skin was smooth. I’ve healed up from my 2nd visit & my skin looks great.Her strongest recommendations is to always wear sunblock (I wear 2-3 layers on my face but I forgot to apply on weekdays to my neck when I was living in Hawaii which resulted in 15 years of sun damage while driving )."- P.M. / Yelp / Oct 15, 2020
"As an Asian, I know that I have the genetic advantage of looking young for my age. That can be negated by baking in the sun. I decided to stay out of the sun since my late 20s when I finally stopped going to the tanning salon (!!!). I decided rather late in life to finally take care of my skin.I *almost* didn’t want to write this review about Dr. He, fearful that he will get so busy I’ll have to book appointments with him at least a month in advance! Yes, I know that’s selfish of me but I am a little bit proprietary when it comes to good doctors - if I find a doctor who not only has an amazing and compassionate manner AND super knowledgeable in his/her field, I’m a patient for life. I originally went to Dr. He for filler. When I first met him, I couldn’t stop staring at his skin. I wanted my skin to look like his! He told me what he could do for me and not only did he end up educating me about different fillers but suggested different treatments I could get.Because Dr. He is such a good educator about skin, I have gotten various treatments for my rosacea and other issues and have been very happy with everything he suggested."- N.T. / Yelp / Oct 15, 2020
"I highly recommend Dr. Steven He. I have had melasma and Nevi of Ota from on my cheeks and temples for the past 15 years. I’ve tried treatments from other dermatologists, including hydroxychloroquine cream, with no improvement. I’ve also met with other laser treatment centers, who presented cookie cutter treatments. However, I’ve seen friends and family get rebound hyperpigmentation on their face from aggressive dose of laser therapy. For Asian skin, sometimes the dose of laser and strength of chemical peels have to be adjusted due to skin sensitivity. As an Asian female physician, I was cautious about who to trust. I chose Dr. He because I heard he has lots of experience with Asian American patients. I started seeing him a few months ago, and I am extremely confident in his skills. He is thoughtful about his approach and tailors his treatment plan to the individual patient. I have had 5 treatments, starting with chemical peels to remove superficial melasma, and now transitioned to laser treatments for the darker spots. The spots have significantly lightened. I recently saw my family, who had been hounding me for years about my spots, and they could not even notice the spots! I am extremely satisfied with Dr. He’s care. He is a knowledgeable, conscientious, effective physician."- W.T. / Yelp / Sep 16, 2020
"This place is the élite Dermatology spot in the Bay Area. Dr. Welsh and her team are simply incredible in their professions. The place is talented, clean, proficient and all with a personal touch you will not soon forget. For many years now I have simply gone in and sat down and let them do what they know best. Keep up the great work!"- K.R. / Google / Sep 01, 2020
What to Expect
On the day of the procedure, you may be asked to wear a hat to protect your skin from the sun. The entire procedure, described above, will take about three hours to complete, depending on the size of the treatment area. Following Levulan Kerastick treatment, it is imperative that the the patient avoids the sun and bright lights, as this can damage the newly treated skin. Upon fully completing treatment, patients may experience irritation and redness at the treatment site for up to four weeks.
Following Levulan Kerastick, treatment patients may experience some side effects including redness, swelling, scaling/crusting, hypo/hyper-pigmentation, itching, stinging, and/or burning. The side effects should subside within four weeks after treatment. However, should they persist, contact our office immediately. Most patients will not have any aftercare requirements, such as medications, unless directed by one of our dermatologists.
Plan Your Procedure
Learn You Options
Levulan Kerastick is an effective procedure that treats multiple AKs in just one treatment, saving time while preventing skin cancer. Want to learn more? Schedule a consultation with one of our board-certified dermatologists to find out if you are a candidate for the Levulan Kerastick treatment.