This method is following an article published in Laser and Surgery Medicine dated 2007, which is the only medical paper I have seen on hyperstimulation. I am sure that I am the only person in the UK to be using it, and from what I hear and see, no-one here is actually admitting that hyperstimulation happens. We are a bit behind you…
I know that i have seen a link to the article that someone put on here to it some time ago, but cant find it at the moment.
Basically it recommends packing the clients face, in adjacent areas to that being lasered, with ice packs. So, if treating the sides of the face, put the ice packs underneath the area on the neck. I just wrap the whole area of the neck in ice for 10 - 15 minutes following treatment.
Importantly, I avoid using ice PRIOR to the procedure as this can decrease efficacy (of the treatment)
The paper recommends treatment of 12 - 14 j 18mm followed by a second pass 1 minute later of 8 - 10j.
I have never seen any adverse reaction at these levels (does it help with what I am saying in that the lower fluences CAN be effective?) though I would not use an 18 on a skin type 4 or higher, but would carry out the double pass on a 15mm