This is a great question, but the answer is not so simple for a variety of reasons such as:
How powerful is the device?
What distance are you from the LEDs?
What are your treatment goals?
What wavelengths do you want to use?
What is your skin type/colour?
What is your genetic sensitivity?
Short Answer:
As will be shown below an exposure time of between 5 and 10 minutes
on a modern LED panel will produce 20 to 40 joules of treatment, which
appears more than adequate for most recommended treatment protocols. The
closer you position yourself the higher the power you receive, and when
further away you may need to increase the session times. You should
also adjust based on your own response to treatments.
Long Answer:
With all phototherapy safety should be the #1 consideration so here
at Dermfix we think a good starting point is first to guard against the
possibility of overdosing on red light therapy. Fortunately, there is
some good clinical data (link at the bottom of this article) discussing
Maximum Tolerated Dose (MTD). The short text conclusion is as follows:
“LED-RL is safe up to 320 J/cm2 for skin of colour and 480 J/cm2 for non-Hispanic Caucasian individuals.”
Joules are a unit of energy, and this can be calculated if we know
the output irradiance, time used and distance from the source.
A typical modern LED panel will have an irradiance output something like the following at the centre:
80mW/cm² at 15cm
65mW/cm² at 30cm
Note: Due to the way light travels and crosses, you will always have a
stronger output in the centre of a panel and this naturally decreases
towards the edges.
At 15cm every minute you use the device would therefore add 4.8 Joules of energy (per square cm2) to your body.
Maths: (60 seconds * 80 mW/cm2 = 4.800 mW/cm2 = 4.8 Joules)
At 30cm every minute you use the device would therefore add 3.9 Joules of energy (per square cm2) to your body.
Maths: (60 seconds * 65 mW/cm2 = 3.900 mW/cm2 = 3.9 Joules)
So, we can also now do some quick calculations for the 15cm closest distance and using the highest output figure at the centre:
320 J/cm2 would be 320 divided by 4.8 = 66 minutes maximum exposure for skin of colour
480 J/cm2 would be 480 divided by 4.8 = 126 minutes maximum of exposure for non-Hispanic Caucasian
These times would increase when further away at say 30cm.
Note: These exposure times above are much greater than recommended
for any treatments but we hope should be reassuring for most users in
regards to a maximum tolerated dose.
So how many Joules per square centimeter (cm2) should I aim to get?
As a general guide for most treatments something between 5 and 80
Joules per square centimetre (cm2) of your skin seems more than adequate
based on clinical trials.
The maths therefore would be:
1 Joule = 1.000 mW/cm2. Divided by 80mW/cm² at 15cm would be 12.5 seconds
5 Joules = 5.000 mW/cm2. Divided by 80mW/cm² at 15cm would be 1m 2 seconds
20 Joules = 20.000 mW/cm2. Divided by 80mW/cm² at 15cm would be 5m 22 seconds
40 Joules = 40.000 mW/cm2. Divided by 80mW/cm² at 15cm would be 8m 20 seconds
80 Joules = 80.000 mW/cm2 . Divided by 80mW/cm² at 15cm would be 16m 40 seconds
Or at a further distance:
1 Joule = 1.000 mW/cm2. Divided by 65mW/cm² at 30cm would be 15 seconds
5 Joules = 5.000 mW/cm2. Divided by 65mW/cm² at 30cm would be 1m 16 seconds
20 Joules = 20.000 mW/cm2. Divided by 65mW/cm² at 30cm would be 5m 7 seconds
40 Joules = 40.000 mW/cm2. Divided by 65mW/cm² at 30cm would be 10m 15 seconds
80 Joules = 80.000 mW/cm2. Divided by 65mW/cm² at 30cm would be 20m 30
Safety of light emitting diode-red light on human skin: two randomized controlled trials