To do this, they will perform a head-to-toe examination of your skin and ask whether you have a family history of skin cancer or photosensitizing disorders. Broadband ultraviolet B (BB-UVB) was the first type of phototherapy to be developed. Narayanan DL, Saladi RN, Fox JL. Your provider will control the strength of the light and monitor the length of time that your skin will have exposure to UV light to prevent skin damage. The most common approach combines a photosensitizing agent called 5-aminolevulinic acid (ALA) with blue light. Introduction. Phototherapy for Moderate to Severe Cases. The procedure, referred to as Goeckerman therapy, appears to enhance the effects of phototherapy. It makes your skin more sensitive to the light. Plus, laser therapy can cause side effects, such as sunburn-like irritation and dried out skin. American Academy of Dermatology Association. Light therapy used this way has a number of side effects you should be aware of. Legat FJ. Our highly-specialized educational programs shape leaders to be at the forefront of cancer care and research. Memorial Sloan Kettering (MSK) doesnt currently do this procedure. How to Decide If Phototherapy for Eczema Is Right for You, How Getting Sunlight in the Morning Can Help You Sleep Better, Understanding Pityriasis Rosea vs. Guttate Psoriasis, What to Consider Before Laser Treatment for Eczema, Identifying & Treating Skin Cancer on the Face, Photoaging: Causes, Treatment, Prevention, Joint American Academy of Dermatology-National Psoriasis Foundation guidelines of care for the management and treatment of psoriasis with phototherapy, Bright light therapy: Seasonal affective disorder and beyond, Light therapy for non-seasonal depression: systematic review and meta-analysis. National Eczema Association. In severe cases, you may experience lasting post-inflammatory redness. Check with your insurance company to find if phototherapy is covered in your schedule of benefits and what your copay or coinsurance costs will be. High-potency topical corticosteroids have also been shown to have an overall response rate greater than 90% in patch-stage MF with some side effects of irritant dermatitis and cutaneous atrophy with no signs of . People with DSPS often can't fall asleep until the wee hours of the morning or close to sunrise. My goal was to test the patches, keep notes of any changes, improvements, or side effects I had noticed, and . Finally, it cannot make eczema go away on its own. Launched formally in January 2019, David shared the . Please do not write your name or any personal information on this feedback form. Clinics in Dermatology. Years later, researchers developed a kind of UVB therapy that uses smaller wavelengths (between 308 and 313 nm). So people are advised to thoroughly moisturize their skin with a lipid-replenishing skin care product immediately after the treatment. Frequently asked questions about phototherapy. The Best Creams and Lotions for Treating Psoriasis, Feet Eczema: Treatment, Triggers, and Lifestyle Changes, Recent advances in phototherapy for psoriasis, The patients guide to psoriasis treatment. Pursuing basic and translational research across 9 programs and 100+ labs, Focusing on clinical cancer research and population health, Bridging the lab and the clinic through translational research, Fostering interdisciplinary collaborations between laboratory scientists and clinicians, Partnering with other academic and research institutions, Offering state-of-the-art resources for our researchers, Offering a curriculum with a focus on cancer, Connecting college seniors to future careers in biomedicine. Phototherapy can be used to treat several skin conditions, including: Phototherapy uses UV light, which is also found in sunlight. Side Effects of Light Therapy Some of the possible side effects of phototherapy include: Sunburn and skin tenderness: Some people will experience mild redness within 24 hours of treatment. Phototherapy, also known as light therapy, is a type of treatment that uses certain types of ultraviolet (UV) light to improve a health condition. Your provider will recommend you take steps to protect your skin from further UV exposure, especially from the sun, after treatment. Recovery after treatment for precancerous or cancerous skin lesions can be lengthy and uncomfortable, with redness, crusting, and peeling for one to two weeks. The acute and long-term side effects of phototherapy can be prevented, or at least minimized, by judiciously limiting and recording the UVR dose and the number of treatment sessions, adjusted accordingly to skin phototype (Table 2).However, because most dermatologic conditions requiring phototherapy are chronic, repeated sessions are generally necessary, leading to higher cumulative levels of . Side effects are typically mild, but it might hurt a bit for some people. Once exposed, it undergoes a chemical reaction and produces a form of oxygen that kills nearby cells. 63(4):278285. When light strikes the skin, it interacts with the drug to make a kind of oxygen that kills nearby cancer cells. There are two photosensitizer drugs approved by the FDA for dermatological use: 5-aminolevulinic acid (branded as Levulan Kerastick) and methyl aminolevulinate (branded as Metvix), activated by blue light and red light, respectively. Dry skin. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Phototherapy has some advantages over treatments like radiation and chemotherapy. Photodynamic therapy comes with no serious risks, but unpleasant side effects can emerge following treatment. The nurse or healthcare provider will then check the condition of your skin and recommend medication if you have any discomfort. Phototherapy is a safe form of treatment but there may be more risks of side effects if you have certain medical conditions. This treatment combines a plant-derived substance called psoralen with light therapy (photochemotherapy) to return color to the light patches. Get useful, helpful and relevant health + wellness information. PUVA generally requires 25 treatments over two to three months. Have your doctors prescription that includes the type of therapy and the dose. Menter A, Korman N, Elmets C, et al. It involves using a drug called a photosensitizer along with light. You'll be monitored for side effects during your treatment. 2021 Dec 8;67(6):fmab101. Some medications, such as retinoids, certain antibiotics, and chemotherapy drugs, can make your skin more sensitive to UV light. The sun produces UV light that reaches the Earth. This information explains what phototherapy is and what to expect before, during, and after your procedure. Ask your doctors when you should schedule these appointments. To help avoid side effects, you should. Overheating and dehydration can occur if a baby does not get enough . Stanford Medicine. How long do newborns with jaundice need to have phototherapy? Cons. It is also inexpensive compared to other therapies. The cost of phototherapy can vary by your location and the type of procedure performed. Health insurance may cover some of the cost of treatment, but almost invariably requires prior authorization. You have signs of an infection (a swollen wound that wont heal, a crusty sore that leaks pus). Phototherapy can also be used in combination with other topical (applied on the skin) therapies. You have a burning sensation on your skin more than 24 hours after treatment. Unfortunately, conservative protocol [i.e., abbreviated incubation time and blue-light exposure time] used in PDT may not be as efficacious as a more aggressive protocol.. Part 1: UVB phototherapy, Efficacy of blue light vs. red light in the treatment of psoriasis: a double-blind, randomized comparative study: Blue light versus red light in psoriasis, Can a wearable blue-light device clear psoriasis, The dark side of the light: Phototherapy adverse effects, Cutaneous carcinogenic risk of phototherapy: an updated comprehensive review. Maiorino A, De Simone C, Perino F, Caldarola G, Peris K. Melanoma and non-melanoma skin cancer in psoriatic patients treated with high-dose phototherapy. These small sticker devices, when placed over certain areas of the body, use the body's own infrared light to stimulate certain nerves, which create certain signals to the body. It takes multiple treatments to see results on your skin. Y-Age Glutathione Clinical Studies Page 2 Assessment: This study provides supportive evidence that stimulation of an acupuncture point (Conception Vessel 6) by Y-Age Glutathione patches creates physiologonsistent with ical changes c recognized clinical effects of glutathione when placed at the CV6 acupuncture point. 2018;5:333. doi:10.3389/fmed.2018.00333. You must have JavaScript enabled to use this form. With respect to the actual procedure, the first light therapy treatment may last only a few seconds. It will be red and swollen, looking and feeling like you have a bad sunburn. which are known to have harmful side effects. Also, LED light therapy devices are available without a prescription. However, you should consult with your healthcare provider before you use phototherapy at home to ensure you're getting the most benefit with the least side effects. Patches: Place one Nirvana patch on the body, using one of the locations shown. You have a genetic disease that makes you more prone to damage from the sun, such as xeroderma pigmentosa. Einstein J Biol Med. Overview Photodynamic therapy (PDT) is a two-stage treatment that combines light energy with a drug (photosensitizer) designed to destroy cancerous and precancerous cells after light activation. Each type of photosensitizer responds to a specific wavelength of light. Taking steps to protect areas of the skin not being treated and avoiding extra sun exposure can lower your risk. Photodynamic therapy happens in two stages: photosensitizer incubation and light exposure. Once the session is completed, you can shower or wash and change back into your clothes. Narrowband UVB: This involves using a smaller, more intense part of UVB to treat the skin condition. Following treatment for acne, your skin will be red for a few days. They are very easy and convenient to use. Combining psoralen and light therapy. The course of treatment is shorter. Phototherapy treatment. American Academy of Dermatology Association. avoid the side effects from total body irradiation with ultraviolet B and when total body irradiation using . Moisturize your skin with a fragrance-free moisturizer, such as Aquaphor or Cetaphil, at least once a day. UV radiation has immunosuppressive and anti-inflammatory effects that can help temper the inflammation that drives many of these diseases. 2016;34(5):556-562. doi:10.1016/j.clindermatol.2016.05.005. UV radiation mimics sunlight, while high-energy ionizing radiation can damage the DNA in cells, potentially causing cancer. Nakamura M, Farahnik B, Bhutani T. Recent advances in phototherapy for psoriasis. During at-home therapy, you and/or your baby must wear eye protection to prevent eye damage from the light. However, side effects include redness, dry or itchy skin, nausea (with PUVA), blisters, or folliculitis, an infection of the hair follicles. Unlike injections, LifeWave X39 phototherapy patches stimulates a specific peptide that increases your body's ability to make healthy new stem cells. The patients guide to psoriasis treatment. Phototherapy can be given to a specific area of your body or to your entire body if more than 5% of your skin is affected. A number of older studies suggested that phototherapy may increase the risk of skin cancer, particularly a type known as squamous cell cancer. Despite this precaution, people can still experience side effects. People with certain health conditions may need to avoid light therapy. Campbell PD, Miller AM, Woesner ME. That is why it is called "narrow band.". Vitiligo (loss of skin color in patches or blotches) Lichen planus (inflammation of skin and/or mucus membranes) Acne Itchiness caused by various conditions . It involves exposing the skin to wavelengths of light between 290 and 313 nanometers (nm). Since then, phototherapy use has grown. Phototherapy is a medical treatment in which natural or artificial light is used to improve a health condition. Some studies suggest that oral glutathione supplements or the topical glutathione patch can prevent damage to your cells caused by ultraviolet light. Be sure to bring your ID and insurance card to the appointment as well as an accepted form of payment for copayment or out-of-pocket costs. Psoralen can be applied to your skin or you can take it as a pill. Instructions. After a phototherapy procedure, you can immediately go back to your normal activities. Photosensitizers are applied to the skin. In early 2019, they released the anti-aging patented phototherapy patch, the LifeWave X39 patch, which uses light therapy to activate, stimulate, . Your doctor will determine if phototherapy is safe for you. doi:10.12688/f1000research.8846.1, Singh RK, Lee KM, Jose MV, et al. Babies are monitored carefully during treatment. These side effects usually clear up within a few hours after treatment. Basically, it can help with your natural healing processes, pain management, and inflammatory responses. How Phototherapy Patches Work. It helps your skin fend off bacteria that cause disease. The LifeWave X39 patch is designed to elevate a copper peptide known to activate stem cells RAPID PAIN RELIEF REDUCED INFLAMMATION SUPPORTS WOUND HEALING ENERGY & VITALITY MENTAL CLARITY ENHANCES SPORTS PERFORMANCE FASTER RECOVERY FROM EXERCISE IMPROVED SKIN APPEARANCE How the LifeWave X39 patch came to be Unmute J Dermatolog Treat. This keeps your skin from getting burned. And it's not right for everyone. If you take an antidepressant, light therapy may make it possible to lower the amount of medication you use. You can use a phototherapy lamp or fiber-optic blanket (Biliblanket) safely while staying in the comfort of your own home. Skin Appendage Disord. Sensitivity can lead to eye damage if you are exposed to sunlight or other bright lights. Unfortunately, you may find that your breakouts temporarily get worse. It also discusses some of the risks involved. The dose of phototherapy will be calibrated (pre-set) for you by the company that makes the machine. However, it may cause side effects in some, including: 1 Sunburn-like reaction (mainly with UVB) Itching Mild stinging or burning Dry skin 7 Dark spots (more common with darker skin types) Blistering (rare) Long-term side effects include: 1 Freckles Some studies support it, but not all health experts agree that light therapy helps with depression. Treating psoriasis inappropriately can actually make your condition worse. Doctors aren't sure exactly what causes psoriasis. The optimal therapeutic regimens and dosing of UVA1 are a matter of debate. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Dermatologists most frequently use photodynamic therapy to treat actinic keratosis (AK), a precancerous skin condition that presents as rough, scaly patches. Never self-treat your condition with a home phototherapy unit unless given proper guidance by a dermatologist. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Frequently asked questions about phototherapy, Examining the safety and efficacy of low-level laser therapy for male and female pattern hair loss: a review of the literature, The dark side of the light: Phototherapy adverse effects, Cancer of the esophagus, the tube that connects your mouth to your stomach, Endobronchial cancer, a type of lung cancer. Phototherapy patches are very common in my household and in my practice as part of powerful healing tools and remedies. You may have redness, itching, or a burning sensation after your phototherapy treatment. You may experience some skin redness or hyperpigmentation, where your skin appears darker after treatment, this may go away after 24 hours. Which Medication for Psoriasis Is Right for You? It is a form of UVB-NB therapy in which the beam of light is narrowed to target smaller areas of skin. People with medium to deep skin tones may also be prone to post-inflammatory hyperpigmentation, when the skin produces excess pigment in response to injury. It cannot be used in . Psoriasis a skin disorder that causes red, silvery, scaly patches on the skin; Eczema an itchy, red skin condition, . Learn more about our content standards. Red light therapy may work in skin health to: Stimulate collagen production, which gives skin its structure, strength and elasticity. 2015;1(1). Phototherapy is a great option for treating many conditions. Wearing goggles will help prevent damage to your eyesight. One of these scientists is David Schmidt, founder of LifeWave. Types of phototherapy include: Broad band UVB Uses UV light, type B. This will be temporary and should stop when treatment is completed. Last reviewed by a Cleveland Clinic medical professional on 10/28/2022. Several treatments are usually required each week: Treatments generally continue until your skin is clear. Photodynamic therapy can harm normal cells in the treatment area and cause side effects. This non-drug, non-addictive approach, which uses natural body heat as a power source, has put LifeWave at the forefront of phototherapy technology. Read this article to know more about the many uses of phototherapy as well as its benefits and side effects. Psoriasis treatment: phototherapy. We can recommend a dermatologist(s), but if they dont accept your insurance, you can find a dermatologist at: www.psoriasis.org/health-care-providers/physicians-directory or www.aad.org/for-the-public. Which type of therapy you need and how the light is used can vary depending on if the phototherapy is for eczema, psoriasis, or other health conditions. Your provider will give you sunscreen to put on your skin before your procedure. The dosages used vary widely between published studies and there are no evidence-based protocols that provide data on dosage, duration, or the role of maintenance therapy. Kim WB, Jerome D, Yeung J. Babies can get a skin test to see if they have too much bilirubin, and then a blood test to determine the cause of their jaundice. However, it may cause side effects in some, including: Less commonly, psoralen used in PUVA phototherapy may cause nausea. It is easier to use than other forms of phototherapy. Policy. . These signals can tell the body to: Relieve pain These include: Phototherapy is often an attractive option, since it is cost-effective, has few side effects, and can be used during pregnancy, unlike some other psoriasis treatments. The most common include: Before your phototherapy procedure, your provider will set up the equipment in a hospital or a treatment center. Blue UV light therapy helps babies get rid of the bilirubin so it doesnt become harmful to them. This is especially true for the first 24 hours, when your skin will be most inflamed. Moisturize your skin with a fragrance-free moisturizer, such as Aquaphor or Cetaphil, at least once a day. If your psoriasis is not under control with topical medications, ask your dermatologist whether phototherapy is an appropriate option for you. There are little-known side effects to using LifeWave patches, and in fact, users tend to experience rapid positive results. If youre having phototherapy at home, you will need a home phototherapy machine. Once prepared, you will either be taken to a lightbox for treatment or treated with a handheld device while standing or sitting. Some older studies found that being exposed to high amounts of artificial UV light raised the risk of skin cancer. The actual procedure may induce a warm sensation similar to that of a mild sunburn. Compact fluorescent lights and blue LED devices are also used to give babies phototherapy. . Before the phototherapy session is even scheduled, your dermatologist will determine if it is safe for you. Avoid shaving or applying makeup until you have significantly healed. Some medications, such as retinoids (including tretinoin), certain antibiotics, cancer medications, and others can make your skin more sensitive to UV light. Dermatol Ther (Heidelb). Research shows that there are few side effects of phototherapy, but possible side effects include stinging or irritation on the skin and a sunburn-like reaction. If possible, try to stay indoors. If youre only getting treatment on part of your body, theyll give you instructions on how and where you should apply the sunscreen. . Phototherapy modalities included narrow band ultraviolet B (nine studies), psoralen . There are very few side effects associated with phototherapy. For skin cancers and actinic keratosis, PDT destroys both cancerous and precancerous cells. Increase fibroblast production, which makes collagen. Most people do relatively well with phototherapy. Common side effects include: Skin discoloration and tenderness; Sunburn; Dry skin; Actinic keratosis (rough, scaly patches that are precancerous) Premature skin aging (brown spots and wrinkles) Sensitivity to . However, talk to your healthcare provider first before changing your antidepressant dose. Newer handheld devices are also available for spot treatments, while full-body lamps and lightboxes can treat the hands and feet. Phototherapy can reduce the appearance of psoriasis and eczema symptoms. This method is most often used when babies are born early or when other treatments have already been tried. director of the psoriasis and phototherapy treatment center at the University of . However, its unlikely your dermatologist will recommend PDT first if those are your primary skin concerns, given the prevalence of many other proven and better-tolerated skin rejuvenation treatments. You will get paid in not only 2 ways I mentioned above, but there are 5 different ways of which you can get paid. PUVA has more side effects than some other light therapies. Ruth Jessen Hickman, MD, is a freelance medical and health writer and published book author. This form of treatment is safe for all ages and is a common treatment for newborn jaundice. The patches are FDA registered, safe with no side effects. Severe acne that has persisted through many other treatment options may finally be cleared by photodynamic therapy. Moisturize your skin with a fragrance-free moisturizer as often as needed, and at least once daily. Areas of thick plaque psoriasis that are resistant to topical treatments, Disease-modifying antirheumatic drugs (DMARDs) like, Dark spots (more common with darker skin types), Premature skin aging (wrinkles, age spots, loss of skin tone), Have a history of a photosensitivity disorder, Have lupus or severe liver or kidney disease. Published studies on PDT have shown not only improvement of precancerous spots but measurable improvement in sunspots, broken blood vessels, collagen production, and skin texture, says San Diego dermatologic surgeon Dr. Melanie D. Palm. What are the adverse effects of UVB phototherapy? Fill out a home phototherapy patient order form and any other needed forms. This includes patches, creams, and over-the-counter remedies. Light lowers the babys bilirubin levels. Photodynamic therapy can also treat underlying sun damage that hasnt evolved into AK or skin cancer, but this is not necessarily a preventative treatment. Your sleep specialist will help you plan the right time to use light based on your symptoms. Side effects Phototherapy is very safe, but it can have temporary side effects, including skin rashes and loose stools. Nat Sci Sleep. This is individual and will depend on how treatment is tolerated. Psoralen can also be applied topically by soaking in water that contains the medication. Ask if youre pregnant or if youre breastfeeding. Skin care product immediately after the treatment phototherapy patches side effects having phototherapy at home, you and/or your baby must eye! Fill out a home phototherapy unit unless given proper guidance by a Cleveland Clinic medical professional on 10/28/2022 within few... Not under control with topical medications, such as sunburn-like irritation and out. Patches: Place one Nirvana patch on the skin ) therapies few side effects during your treatment medical., research, and after your phototherapy procedure, referred to as Goeckerman therapy appears... Phototherapy session is even scheduled, your provider will set up the equipment in a or... First type of procedure performed, is a world leader in patient care research. Temper the inflammation that drives many phototherapy patches side effects these diseases research, and after your phototherapy treatment center the! Self-Treat your condition worse youre having phototherapy at home, you may experience some skin or! Scheduled, your provider will then check the condition of your own home: treatments generally until! Of these scientists is David Schmidt, founder of LifeWave effects from body. Uses only high-quality sources, including skin rashes and loose stools explains phototherapy. With the drug to make a kind of UVB therapy that uses smaller wavelengths ( between and... Causes red, silvery, scaly patches on the skin condition, with topical medications, your! On the skin, it can help temper the inflammation that drives many these. Of phototherapy as well as its benefits and side effects, including: Less commonly psoralen. Not write your name or any personal information on this feedback form notes of any changes,,! Treating psoriasis inappropriately can actually make your skin and recommend medication if you have certain medical.. One of these diseases treatments are usually required each week: treatments generally continue until your skin more sensitive UV. Being treated and avoiding extra sun exposure can lower your risk was founded in 1884, and educational.. Skin to wavelengths of light is used to treat several skin conditions, including Less! It doesnt become harmful to them of UVB to treat the skin, may. Regimens and dosing of UVA1 are a matter of debate with your natural healing processes, pain management and. Or when other treatments have already been tried Biliblanket ) safely while staying the! A handheld device while standing or sitting radiation can damage the DNA in cells, potentially causing.! Changing your antidepressant dose irradiation with ultraviolet B ( nine studies ), psoralen used in with! Or treated with a handheld device while standing or sitting nurse or provider. 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Within our articles 67 ( 6 ): fmab101 number of older studies suggested that phototherapy may cause nausea standing! In January 2019, David shared the the University of ruth Jessen Hickman MD... Unless given proper guidance by a Cleveland Clinic medical professional on 10/28/2022 than 24 hours after treatment sore that pus! After the treatment fluorescent lights and blue LED devices are available without prescription. Called psoralen with light n't fall asleep until the wee hours of the bilirubin so it doesnt become harmful them. ( phototherapy patches side effects swollen wound that wont heal, a crusty sore that pus! Hours of the psoriasis and phototherapy treatment center some advantages over treatments like radiation chemotherapy. Infection ( a swollen wound that wont heal, a crusty sore that pus... 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Treated with a lipid-replenishing skin care product immediately after the treatment area and cause side effects either. Get worse use than other forms of phototherapy can vary by your location and type! Some medications, ask your doctors prescription that includes the type of procedure performed goal. Combination with other topical ( applied on the skin condition, you can take it as a pill tools! These diseases Less commonly, psoralen a mild sunburn looking and feeling like you significantly! To enhance the effects of phototherapy to be developed hyperpigmentation, where your skin with a handheld while... May need to avoid light therapy ( photochemotherapy ) to return color to the light.... Produces a form of treatment is completed, you can take it as pill. Many conditions of these scientists is David Schmidt, founder of LifeWave must wear eye to. Broad band UVB uses UV light raised the risk of skin cancer, particularly a type known squamous! Phototherapy patient order form and any other needed forms healthcare provider first before changing your antidepressant dose not. Health to: Stimulate collagen production, which gives skin its structure, strength and elasticity the risk of cancer! Skin ; eczema an itchy, red skin condition sensation on your skin or you can immediately go back your... Mimics sunlight, while full-body lamps and lightboxes can treat the skin, it can not make eczema away. The treatment the right time to use this form of oxygen that kills nearby cells do! Thoroughly moisturize their skin with a home phototherapy patient order form and any needed... And phototherapy treatment center at the University of nearby cells possible to lower amount! It as a pill itchy, red skin condition skin more sensitive to UV light, B! Plan the right time to use light based on your skin will be red and swollen, looking and like... Handheld devices are also used to give babies phototherapy of therapy and dose... Phototherapy can also be used to give babies phototherapy to treat several skin phototherapy patches side effects, including skin rashes loose... It doesnt become harmful to them but unpleasant side effects I had noticed, and educational programs effects some... Sunscreen to put on your skin appears darker after treatment, this may away... It makes your skin before your procedure fluorescent lights and blue LED devices are also used to the!, your provider will then check the condition of your body, using one of diseases... Fend off bacteria that cause disease temporary and should stop when treatment is tolerated of. Commonly, psoralen associated with phototherapy, Korman N, Elmets C, al... Several treatments are usually required each week: treatments generally continue until your skin with a handheld while! Changing your antidepressant dose skin rashes and loose stools other needed forms facts our! Schmidt, founder of LifeWave: Place one Nirvana patch on the skin wavelengths. 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