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Skin Rejuvenation By Laser Treatment



Currently our Laser PhotoFacial facial rejuvenation treatment utilizes the following lasers: VersaPulse® Laser - used to treat sun damaged skin, age spots, brown spots, rosacea, café au lait spots, port wine stains and freckles. Sciton Profile® Laser- used to stimulate collagen production and reduce wrinkles. Sciton BBL® - used to stimulate collagen and reduce fine lines.

How many Laser PhotoFacial Rejuvenation Treatments are needed?
Although you will notice an improvement with just one treatment, doctors recommend a minimum of three Rejuvenation treatments for more significant results. The number of treatments loosely follows the general rule of one treatment for every decade of life. The latest and most exciting rejuvenation procedure available in our office is a new Laser PhotoFacial. Unlike other practices providing PhotoFacial treatments, we use up to four lasers and Intense Pulsed Light (IPL) to safely and effectively treat sun damage, age spots, brown spots, freckles, rosacea, and wrinkles in one comprehensive facial rejuvenation treatment.

How long will each Laser Photo Facial treatment take?
Each Laser PhotoFacial session will last approximately 45 minutes. Patients should allow additional time to apply their topical anesthetic prior to the procedure.

How will my skin look right after a Laser PhotoFacial?
Immediately after treatment, the patients' skin will be red and in some cases tighter than usual for approximately two days. Mild swelling is also normal right after the treatment. After the first two days, patient's can expect light peeling and mild lip dryness. Most patients can apply makeup later that day or the following day. The downtime is very minimal when compared to two weeks recovery for a TCA peel, Obagi Blue Peel, or Coblation treatment!

Is the Laser PhotoFacial Painful?
The VersaPulse laser has a special VersaSpot Chilled Tip to cool the skin during the treatment to help and reduce the heat sensation that patients may feel during the application of the VersaPulse laser. In addition, patients will be given a prescription for a topical anesthetic to apply 1 hour before the treatment to keep the pain away. The Sciton laser treatment for collagen stimulation is virtually pain free.

How does the Laser PhotoFacial compare with other PhotoRejuvenation treatments?
The multiple laser approach to PhotoRejuvenation offers a more comprehensive treatment than comparative "PhotoFacial" treatments. Many offices provide a "PhotoFacial" treatment using the IPL laser alone, but the IPL laser has shown weaker results in wrinkle reduction than these lasers that we utilize. Additionally, with the IPL there are risks involved such as burns if the laser is not floated properly on the skin. With the VersaPulse laser the risks involved with floating are not an issue.

How should I take care of my skin after the treatment?
Patients are advised to use a mild cleanser and mild moisturizer after the treatment for a few days following their procedure before resuming their normal skin routine. Doctors recommend a Dermatique® Cleanser and Serum.

When will I notice an improvement in my skin after the treatment?
Once the redness subsides, patients will notice an immediate result of decreased brown spots, age spots, and sun damage. Collagen production in wrinkles will not increase as quickly. Patients should expect to wait approximately six months before final results for wrinkle reduction.

PhotoFacial Rejuvenation

What is a PhotoFacial Rejuvenation Treatment?

A PhotoFacial Treatment is a series of full face, gentle treatments intended to improve the appearance of sun damaged and aged skin, as well as reduce facial and neck redness and flushing. PhotoFacial treatments result in a more youthful-appearing skin. PhotoFacial treatments were developed to consistently and predictably improve the visible appearance of the skin with little or no down time.


What if I don’t have visible vessels only general skin redness. Can I still be treated?
Yes! The laser and intense light because of its unique nature of emission, can find even the tiniest of vessels, some of which are packed so densely as to defy individual identity.


How much improvement will I see?

Improvement is seen in most patients.


Are there any other conditions that can be treated with the PhotoFacial Rejuvenation?

Yes, PhotoFacial treatments will also help patients who suffer from photo-aging of the skin, pigmentation from sun exposure (Age Spots), irregularities of skin texture, improves some mild acne scars, reduces large pores and dark circles around the eyes and helps reduce fine lines, especially around the eyes and mouth.


Will I need additional treatments?

After your initial series of 3-5 treatments it is possible to require a follow-up treatment in 2 or more years. We will educate you in ways of caring for your skin to help diminish the likelihood of future treatments.


Are there any conditions that this treatment won’t help?

It won’t treat frown lines, sometimes known as lines of expression on the face, especially the forehead and between the brows. It is not a substitute for a face-lift and will not help baggy or sagging skin. It won’t cure the puffiness around the eyes for which blepharoplasty surgery is needed. It is not a treatment for skin cancer, but can treat pre-cancers called actinic keratosis. It won’t remove bumpy moles, but can remove their pigment. It will remove, however, acquired freckling. Genetic freckles usually return after treatment. It won’t remove those strands of deep parallel blood vessels occasionally seen on the lower cheeks, which can be removed in other ways. It will not remove seborrrheic keratosis including the tiny genetic ones on the upper cheeks and around the eyes sometimes called dermatosis papulosa nigra. It also won’t remove sebaceous hyperplasia, a benign growth of some oil glands in mid life.


Are there any contraindications to this procedure?

Yes, it is not indicated in patients with connective tissue disease or auto-immune disorders. It cannot be done during pregnancy, nor can it be done on recently sun-tanned skin or in those who may receive excess sun exposure for a few weeks following treatment. It cannot be used on patients taking Accutane or for six months after stopping Accutane. The procedure is not usually done on patients with active acne cysts and large pustules. The same is true for highly active rosacea. Most photosensitive medications such as antibiotics, anti-anxiety or sulfa drugs, birth control pills and anti-hypertensive medications are not a contraindication. Care must be taken in patients who get fever blister attacks on the face. An anti-herpes medication can be taken, thus avoiding the problem.


Are there any side effects?

Yes. Most side effects are mild and of short duration. These can consist of short-term discomfort during the actual treatment. There is usually additional redness immediately following treatment, lasting less than 24 hours in most people.  On rare occasions, it may last up to three days. Mild blistering and bruising is possible, but in our experience occur in less than 1% and usually clear very quickly. Post-treatment pigmentation has been noted on occasion, but is highly treatable and fortunately very rare. Even rarer is a decrease in pigmentation of the skin after treatments. This also clears in time as well. We have never seen a scar or an infection of the skin after treatment, but it can occur. Swelling of the face for 3-5 days occasionally occurs and is most common in severely sun-damaged skin due to reduced quality of connective tissue around the blood vessels.


What are the requirements to having this procedure?

All patients must have a consultation prior to the procedure. They must complete a general medical questionnaire on the nature of their skin. At the time of the first treatment, each patient will be tested to properly evaluate the correct settings for the patient’s skin condition and skin type. These parameters will then be stored in a database and in the patient's chart for future reference. Pre-treatment, mid-treatment and post-treatment photos will be taken. An informed consent sheet and photographic permit form must be signed. All questions must be asked and answered by the patient prior to treatment.


What if I have a low pain threshold or sensitive skin – can I still be treated?

Yes, most patients need no pre-treatment anesthesia, but a topical cream can be applied 30-60 minutes prior to the treatment eliminating most discomfort. We have extensive experience with patients who have sensitive skin , always listen to their concerns, and treat accordingly so that the most sensitive skin type is treated safely.


How long does each treatment last?

Each treatment lasts approximately thirty minutes. During this time, any additional questions will be answered. Prior to your appointment, all make-up or creams must be removed. Men will be asked to shave on the day of treatment, prior to their arrival at the office. If any herpetic lesions or bacterial infections are noted on the day of the procedure, the treatment will be cancelled until the condition has been treated and completely healed. Eye shields/goggles will be applied to protect the eyes. A soothing gel will be placed on the skin prior to treatment, which will help reduce discomfort. The operator will coach you by counting to three prior to each pulse. The machine also has a gentle beep, which can help prepare you for the next pulse. We do this to prepare you because the machine flashes quickly in milliseconds and you may be startled. After the procedure you may be asked to ice the area, and will be given any additional post-treatment instructions as necessary.


Can I accomplish this result with laser resurfacing?

No. Laser Resurfacing may very well help fine lines and pigmentation, but it does not affect or remove blood vessels or flushing. In fact, it can worsen this condition. It further leaves you unsightly and usually requires time away from work and your usual every day activities. Downtime is at least two weeks, and up to a few months of redness in the treated areas can occur. Laser resurfacing continuously has a valuable place in the treatment of certain conditions of the face, but it is not a substitute for PhotoFacial .


What are the advantages of PhotoFacial?

You can have glowing, smooth, blush-free skin with finer lines and more youthful-looking skin with NO DOWNTIME from work or play. You can usually go to work the same day or the following day without the stares of friends and strangers. No procedure has ever been developed that can accomplish so much with such low risk and no downtime.  We now see and treat patients from around the world seeking the newest and most exciting cosmetic procedure. PhotoFacial™ treatments were developed for the active, busy patient for whom time and appearance are important.


Can I accomplish the same results with chemical peels, Microdermabrasion Power Peel™, Parisian Peels™ or Derma Peel™ ?

No, although PhotoFacial treatment can be used in conjunction with certain types of Peels and Microdermabrasion. 


Will PhotoFacial treatments help my acne scars?

Yes, certain shallower scars, including fine lines, will be improved.  However, ice pick-type  acne scarring and deep scars will not be helped. Laser resurfacing or may be indicated here. If the scars are milder and do not respond to PhotoFacial alone, then we often add another procedure called to the treatment schedule. This consists of a gentle, painless and safe series of abrasions of the skin in conjunction with the PhotoFacial.


If I don’t have very much redness and only have pigmented areas from sun exposure (weather-beaten appearance), can I benefit?

Yes, these patients can also be treated with great results. Some of the most gratified patients are those who have shown the ravages of sun and time on the face.


What if the redness and sun damage extends to my neck and chest as well, can these areas be treated?

Yes, these areas can also be treated successfully, much like the face. Many women especially are delighted to get rid of the "V-neck" effect of sun damage that has accumulated in these areas from years of sun exposure.


What is the cost?

The cost of this package will be discussed with you prior to treatments. The cost in most cases is less than half of a full-face laser resurfacing procedure.


What is the role of PhotoFacial in the treatment of ?

Rosacea is a common, chronic condition of the face characterized by redness, dilated blood vessels and frequently-developing pustules and swelling. Blushing is its most devastating characteristic. In 1975, the British Journal of Medicine called rosacea the most embarrassing disease. It affects those who blush in an area that cannot be covered.  It has long been noted in the medical literature that blushing seems to mediate and worsen the condition. Unfortunately, no successful treatment existed until now to help stop or even diminish the blushing. Doctors  have developed a successful protocol to control the embarrassing blushing by using laser and laser and intense light therapy. In controlling the blushing, the physician noted that the breakouts from rosacea were diminished in frequency and severity. Some rosacea patients were able to stop taking antibiotics they had been taking for years.  Also, the great nemesis of rosacea - the application of cortisone creams to control the condition - often worsened the condition in time. Controlling the blushing with PhotoFacial treatments has reduced the need for topical cortisone creams.

What are the other uses of PhotoFacial treatments?

In our experience, PhotoFacial treatments offer unique benefits when performed before or after laser resurfacing, facelift procedures, the "weekend facelift" and chemical peels. In addition, we have combined the use of PhotoFacials with microdermabrasion to enhance the benefit of this procedure by reducing the dilated capillaries and redness that microdermabrasion is unable to help.