Which device do you use?
Candela GentleMax Pro with long-pulse 1064 nm Nd:YAG, multi-pass low-fluence in-motion. 'Genesis Toning' is a generic marketing term — we disclose the specific device + wavelength + pulse in writing. If switching from another clinic, bring prior records.
Genesis vs Hollywood Spectra Toning?
Different pulse regime. Long-pulse 1064 nm (Genesis): millisecond, sub-purpuric vascular + dermal collagen — best for diffuse redness and rosacea. Q-switched Spectra: nanosecond, melanin-selective — best for melasma, PIH, tattoo. Complementary, not interchangeable.
Genesis vs Vbeam (PDL)?
Vbeam: 595 nm short pulse, strong single-session impact on discrete vessels, occasional purpura. Genesis: gentler per session, no purpura, cumulative — best for diffuse background. Long-pulse Nd:YAG is equivalent to PDL for rosacea erythema in split-face data (Kwon 2018). Often paired.
Will Genesis cure my rosacea?
No. Rosacea is chronic relapsing — no cure exists. Genesis improves redness and vessel density, but triggers drive recurrence regardless. Ongoing baseline topical + trigger avoidance + maintenance is required.
Full course in one Seoul trip?
No. 4-6 sessions over 3-5 months is not single-trip viable. Options: 1-2 sessions + home continuity, multi-trip cadence, or substitute single-trip protocol (Vbeam / Spectra / boosters).
FST IV — 755 nm and PIH risk?
Elevated risk. For FST IV+ patients we run Genesis with 1064 nm only. For discrete lentigines we run conservative 755 nm test pulse first with explicit PIH counsel, or refer to Q-switched protocol. FST V-VI typically routed away from 755 nm entirely.
Most serious risk?
Two: (1) Eye injury — intraocular Cox II / David-Baker shields are mandatory for periorbital work. (2) Mottled hypopigmentation from cumulative low-fluence dose. We cap at 4-6 sessions and reassess each block.
Genesis vs topical-only for mild rosacea?
Topical therapy alone is first-line for mild rosacea. Genesis is an adjunct best added after 8-12 weeks of optimized topicals + trigger avoidance, unless rosacea is moderate-to-severe at presentation.
Genesis vs Forma for tightening / pore work?
Different mechanism. Genesis is chromophore-selective laser — best for redness, flushing, gentle texture. Forma is bipolar RF — best for mild laxity through bulk dermal heating. Genesis is NOT a tightening device. For moderate laxity we route to Ultherapy or Thermage.
Can I clear all lentigines in one session?
60-80% clearance per session typical (darken → crust → slough over 7-14 days). Touch-up at 4-6 weeks for residual. For diffuse pigment or melasma we use Spectra Q-switched, not 755 nm.
Safe during pregnancy / breastfeeding?
No. All elective laser deferred until pregnancy and breastfeeding are complete. Postpartum melasma starts with topical therapy first; laser added later.
Switch from Spectra to Genesis maintenance?
Reasonable if dominant concern is now redness / flushing / telangiectasia rather than melasma. Bring prior Spectra records for continuity planning.
Cost in Seoul?
Korean market: ~₩59,000-₩300,000 per single session (chain to premium). Packages and combos quoted in writing at consult after assessment.
