I had never heard of blue light therapy until after I published the Blog last week about Red Light Therapy. A subscriber wrote to me about her husband’s experience with blue light therapy.
I have to admit that my reaction was…huh?
It turns out blue light is being used a lot.
It’s being used in Dermatology offices, in skin care commercials, and even in face masks that have a special purpose. It seems to be everywhere these days.
As I discovered, you might have seen a commercial with someone sitting on the couch looking like they're about to board a spaceship while wearing a glowing LED blue light mask.
So...what's the deal with blue light?
I found out that it clears up acne.
It helps heal skin cancer, too.
.So…before you order the latest blue light gadget, there's something important you need to know. The blue light your dermatologist uses is not the same as the one you’ll be using at home, plus there are some other things your dermatologist knows that is necessary for the blue light to even work!
First, Let Me Talk About Acne
Blue light has earned a pretty solid reputation for helping people with acne, and there's good science behind it. It turns out certain wavelengths of blue light can actually kill the bacteria that contribute to acne breakouts. It also helps calm inflammation and may reduce some of the oil production that feeds those annoying pimples.
This means:
No needles.
No medications.
Just light.
Sounds pretty good, and that's why many dermatologists recommend blue light therapy as part of an acne treatment plan, especially for people who want to avoid stronger medications.
How About Going To The Next Level
It turns out dermatologists are also using blue light to destroy precancerous cells.
It’s true, but there’s a catch.
The blue light doesn't do the work by itself.
Before the blue light is even turned on, the dermatologist needs to apply a prescription medication called aminolevulinic acid to the damaged skin.
It turns out that abnormal cells soak it up like a sponge. Healthy cells? Not as much.
Patients then need to wait for a couple of hours while those damaged cells absorb the medication, and only then does the blue light come into play.
When the light shines on those medication-filled cells, it triggers a chemical reaction that creates a special form of oxygen. That oxygen destroys the abnormal cells while leaving most of the healthy skin around them alone.
This is a great example of targeting with incredible precision instead of using a "one-size-fits-all" approach.
What Can It Actually Treat?
This treatment, called Photodynamic Therapy (PDT), is used most often for actinic keratoses. These are rough little patches that many of us dismiss as "just dry skin". They are actually areas of sun damage that can eventually turn into squamous cell skin cancer if left untreated.
Blue light PDT can often stop that progression before it starts.
It's also used for some very early basal cell skin cancers, and for a condition called squamous cell carcinoma in situ, where abnormal cells are still confined to the surface of the skin.
This means instead of cutting away large areas, doctors can often treat an entire field of sun-damaged skin at the same time.
But Before We Crown Blue Light the Superhero...
Blue light has a weakness…it simply can't travel very deep into the skin.
That means it won't treat aggressive skin cancers or melanoma.
Those require completely different treatments because they extend much deeper than the light can reach.
So, if you discover a changing mole or suspicious spot, please don't assume your home LED mask is the answer. You’ll need your dermatologist to check it out.
And About That Recovery...
Someone being treated with blue light also needs to know that after their photodynamic therapy, their skin becomes incredibly sensitive to light.
And it’s not just sunshine that you have to avoid!
Even bright indoor lights can trigger the medication that's still in your skin. This means for about 48 hours after treatment, patients become “professional shade seekers”.
The treated area usually looks and feels like a pretty serious sunburn. Redness, peeling, swelling, and some stinging are all parts of the healing process.
Fortunately, it usually settles down within several days.
So...Should You Buy That Blue Light Mask?
If your goal is to treat mild acne, it may be worth considering. Many people see improvement with regular use.
If your goal is to treat precancerous skin damage or skin cancer...FORGETABOUTIT!
Save your money because those treatments require prescription medication, medical-grade equipment, and the expertise of a dermatologist.
It turns out, in that case, the most important part of the treatment isn't the light.
It's everything that happens before the light is turned on.
On The Bright Side
Until the subscriber told me about blue light therapy, I would not have guessed that a blue light could help destroy harmful cells, calm inflamed skin, and prevent some skin cancers from progressing!
I started last week’s blog with the old kids’ game of Red Light…Green Light 1,2,3.
So…I guess an update to that game would now be Red Light…Green Light…Blue Light…and whatever light is coming next -1,2,3!
Sources
• American Academy of Dermatology. "Photodynamic therapy (PDT): What to expect."
• National Cancer Institute. "Photodynamic Therapy for Cancer."
• Zaenglein AL, et al. Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology.
• Morton CA, et al. "European Dermatology Forum Guidelines on Topical Photodynamic Therapy." Journal of the European Academy of Dermatology and Venereology.