An exfoliating procedure that diminishes the appearance of skin concerns such as scars and wrinkles.

Process of surgically scraping the skin to help lessen the appearance of scars, wrinkles, and pre-cancerous lesions.

Dermabrasion

Scars

Uneven Skin Tone/Texture

Fine Lines/Wrinkles

Age Spots

Dermabrasion Treatment

Skin

Dermabrasion is a surgical exfoliating procedure that uses an instrument with a small rotating tip of an abrasive wheel or brush that scrapes off the outer layers of skin.  Dermabrasion works to diminish the appearance of topical skin concerns such as scars, fine wrinkles, and uneven pigmentation. Dermabrasion may even be a successful option for treating lesser forms of pre-cancerous growths, skin cancer-related problems, sun damage and brown spots.

From laser dermatologic surgery to home remedies, there exist plenty of ways to remove unwanted scars.

A system used for scar management that relieves skin tension after a wound or surgical incision.

Embrace Scar Therapy

Reduces the appearance of scars by interrupting its appearance by creating a more jagged scar making it less noticeable.

Z-Plasty Scar Revision

Body

Scars form as a result of skin injuries. They can be major accidental cuts, minor intentional surgical scars, or unwanted marks caused by severe acne. Many different types of scars exist. As such, there are a variety of ways to treat scars. This guide examines the best scar treatments available: from laser to scalpel focused dermatologic surgery that removes scars, to chemical peels or home remedies that improve skin conditions.

Uses laser energy to remove layers of damaged skin depositing heat deep into the skin to eliminate pigmented skin.

Laser skin resurfacing is a procedure used to treat fine and deep wrinkles, scarring, and skin lesions. It also can be utilized to treat loss of skin tone and to improve the general complexion of the skin. The lasers used in this procedure are ablative, meaning that they deliver heat directly to the skin, and fractional meaning in small, focused columns. This makes the lasers more intense than their non-ablative counterparts. The fractional nature of the procedure delivers the lasers on a concentrated treatment area as opposed to non-fractional lasers which administer heat across an entire section. The fractional approach results in a lessened recovery period and reduces procedure complications. The cost of fractional ablative skin resurfacing ranges from approximately $2,000-$2,500 depending on the area size and severity of skin treatment. 

Ablative lasers are used to encourage collagen regrowth while tightening the underlying skin, leading to a more youthful look. The treatment in effect eliminates older pigmented skin and therefore, stimulates collagen remodeling. The two most common types of resurfacing lasers are CO2 lasers and erbium lasers. CO2 lasers are used for the treatment of wrinkles, scars, warts and other conditions whereas erbium lasers are used to remove both superficial and deep lines and wrinkles on the face, hands, neck, and chest. The erbium laser bears fewer side effects than CO2 lasers.

Specific ablative fractional lasers include types of 1600 nm fractional lasers such as Pixel CO2, SmartSkin, DEKA DOT, Ellumine, NaturaLase CO2, MIXEL, Fraxis, Ultrapulse Encore, AcuPulse MultiMode, Fraxel re:pair, CO2Re. Types of 2940 nm fractional lasers include Er:YAG lasers include Pixel 2940, 2940 DualMode, Icon 2940 fractional, Sciton ProFractional (xC), and Cutera Pearl Fractional. 

Depending on the laser used, a topical or local anesthetic may be applied to numb the skin. Some laser devices will have a cooling element built into the handpiece to reduce the discomfort felt by the patient. The laser will then be expertly applied to the treatment area, targeting uneven skin texture, irregular pigmentation, fine lines, and other skin imperfections. The provider will closely monitor the skin to ensure an effective but comfortable session. Once the skin has been thoroughly treated, a soothing serum or ointment will be applied and a bandage may be applied to the skin.

Ablative Fractional Laser Skin Resurfacing

Laser Skin Resurfacing

Ablative fractional laser skin resurfacing utilizes laser energy to precisely remove layers of damaged skin. Here is a quick guide for what to expect before, during, and after fractional ablative skin resurfacing. 

Fractional Ablative Laser Skin Resurfacing

Ablative fractional laser skin resurfacing utilizes laser energy to precisely remove layers of damaged skin. By depositing heat deep into the skin, this treatment eliminates previously pigmented skin. The technique is used as a treatment for fine and deep wrinkles, scars, and skin lesions.  It can also be used to improve skin complexion and loss of skin tone.

An ablative laser vaporizes tissue, allowing for new skin to form in its place, giving the skin a younger look.

The lasers used in this procedure are ablative, meaning that they vaporize tissue with intense heat. This makes the lasers more aggressive than their non-ablative counterparts, which leave the skin intact. The non-fractional nature of the procedure delivers the lasers across the entire surface of the treatment area as opposed to fractional lasers, which focus lasers on direct sections. The non-fractional approach can lead to a longer recovery period. The cost of non-fractional ablative skin resurfacing ranges from approximately $2,000-$2,500 depending on the size and number of treatments needed. 

Ablative lasers are administered to stimulate collagen growth and tighten underlying skin. The treatment in effect eliminates older pigmented skin and therefore, stimulates collagen remodeling. Ablative non-fractional lasers are the most aggressive lasers used for laser resurfacing. The two most common types of resurfacing lasers are CO2 lasers and erbium lasers. CO2 lasers are used for the treatment of wrinkles, scars, warts and other conditions whereas Erbium lasers are used to remove superficial and deep lines and wrinkles on the face, hands, neck, and chest. The erbium laser bears fewer side effects than CO2 lasers. 

Examples of ablative non-fractional lasers include the 10,600 nm CO2 laser Ultra Pulse, AcuPulse and Matrix LS-40 and the 2940 nm Er:YAG laser NaturaLase, Controur TRL and SmoothPeel.  

Depending on the laser used, a topical or local anesthetic may be applied to numb the skin. Some laser devices will have a cooling element built into the hand-piece to reduce the discomfort felt by the patient. The laser will then be expertly applied to the treatment area, targeting uneven skin texture, irregular pigmentation, fine lines, and other skin imperfections. The provider will closely monitor the skin to ensure an effective but comfortable session. Once the skin has been thoroughly treated, a soothing serum or ointment will be applied and a bandage may be applied to the skin.

Ablative Non-Fractional Laser Skin Resurfacing

Ablative non-fractional skin resurfacing treatments remove layers of skin to reveal a younger and brighter complexion. This is the most aggressive form of laser skin resurfacing.  Here is a quick guide for what to expect before, during, and after non-fractional ablative skin resurfacing. 

Non-Fractional Ablative Laser Skin Resurfacing

Ablative non-fractional skin resurfacing treatments remove layers of skin to reveal a younger and brighter complexion. The ablative lasers are powerful and vaporize tissue, allowing for new skin to form in its place. This is the most aggressive form of laser skin resurfacing.

Ablative and non-ablative laser treatments stimulate collagen production and help the skin generate healthier tissue.

Acne Scars

Laser resurfacing treatments can help treat a range of scarring caused by acne depending on the type of laser used. From superficial and discolored, to deep and pitted, laser resurfacing sessions can be customized to every individual. Some treatments can be more invasive with recovery times as long as a few weeks, however if your scarring is less concentrated and you desire a minimally invasive option, dermal fillers or subcision may be a better suited treatment. 

There are two main categories for lasers: either fractional or non-fractional, and ablative or non-ablative. Acne scars will most likely be treated with a fractional laser, which means the lasers are targeted. However, depending on the severity of the scarring, the laser can either be ablative, which is more aggressive, or non-ablative, which is less aggressive and does not penetrate the skin as deeply. 

Fractional ablative lasers remove dead surface cells and imperfections layer by layer to reveal new, radiant skin. The wounding laser causes the body to initiate a healing response which creates the production of collagen and helps to elevate depressed scarring. Ablative lasers can also remove uneven pigmentation from acne scars as well. New skin will be created during the healing process, erasing signs of previous scars. Fractional ablative treatments are aggressive and typically require a longer recovery time, however less treatments will be needed for desired results. 

Laser skin resurfacing with fractional non-ablative lasers is more gentle. Non-ablative lasers typically require more treatments but have a shorter recovery period. Energy from the laser heats up the skin without breaking the epidermis. The heat promotes collagen production and the eventual improvement of minor acne scars. Non-ablative treatments are better suited for candidates with less severe scarring or slight skin discolorations.

Acne Scar Treatment - Laser Resurfacing

Acne Scar Treatment

Laser skin resurfacing is a technique used to smooth uneven skin tone and texture, thereby improving the complexion. Here is a quick guide for what to expect before, during, and after treatment with laser skin resurfacing. 

Laser Skin Resurfacing for Acne Scars

There are many options for acne scar treatment using lasers. Laser treatments not only stimulate collagen production, but also galvanize the skin to generate healthier tissue. For shallow to moderately shallow acne scarring and discoloration, fractional non-ablative lasers can offer patients results with little downtime. For more deep pitted scars, a more invasive fractional ablative laser will offer significant results in fewer treatments.

A simple procedure that injects carbon dioxide gas to stimulate blood flow to improve the skin's appearance.

Carboxy therapy can treat various cosmetic ailments from stretch marks to dark under eye circles, to cellulite and skin irregularities from residual fat deposits post liposuction. Carboxy therapy works on the idea that by infiltrating an area with CO2, the body will counteract by sending more oxygen to that particular area. The process of sending more oxygen to specific areas helps to eliminate built up fluid and waste between cells, improving discoloration and smoothing contours. 

While increased blood flow can help improve the appearance of  the skin, multiple treatments are needed to see a minimal and temporary result. Patients who desire quicker results would benefit from a slightly more invasive procedure such as Cellfina or Cellulaze for cellulite treatment, or hyaluronic acid based fillers for dark under eye circles. Patients who are concerned about bumpy skin post-liposuction procedure are advised to wait for up to 3-4 months to see final results before seeking intervention methods. These patients may better benefit from a lymphatic massage such as endermologie to enhance liposuction results. 

Before the procedure begins, the treatment area will be cleansed. A topical numbing cream may be applied to the injection area before the needle is inserted. During treatment, a small needle will be inserted into the skin into the subcutaneous tissue. From the injection point, the carbon dioxide diffuses into adjacent tissues. The excess CO2 tricks the body into sending more oxygenated blood to the area, improving circulation and overall appearance to the skin. This increased circulation is also believed to improve skin elasticity while the CO2 helps to destroy fat cells which are naturally disposed of by the body’s lymphatic system. Results from carboxy therapy require multiple sessions of the course of several months to see results with upkeep treatments needed every 6 weeks.

Carboxy Therapy

Cellulite Removal

Carboxy therapy is a simple procedure that injects carbon dioxide gas to the treatment area to stimulate blood flow to improve the skin’s appearance and elasticity.  Here is a quick guide for what to expect before, during, and after carboxy therapy. 

Carboxy therapy is used to treat a number of ailments that are believed to stem partially from poor blood circulation such as cellulite, dark under eye circles, and stretch marks. Carboxy therapy is a simple procedure that injects carbon dioxide gas to the treatment area to stimulate blood flow to improve the skin’s appearance and elasticity.

Rejuvenates the skin and improves fine lines and skin texture with lasting results, through laser skin resurfacing.

Laser skin resurfacing has been used for decades to diminish signs of aging from the face and neck. Wrinkles and skin sagging caused by natural aging and exacerbated by sun exposure can make an individual appear older, tired, or even angry. Ablative laser skin treatment produces dramatic results, but with lengthy recovery times, some patients seek alternative procedures such as chemical peels or dermabrasion. Improvements in laser resurfacing technology, though, has made treatment and recovery easier. Fractional lasers allow for targeted treatment, allowing healthy skin to surround the micro wounds created by the laser energy. Fractional ablative lasers give patients considerable results with reasonable downtime. 

There are many different brands of fractional ablative lasers, with the Deka Dot system being one of them. Deka Dot, also referred to as SmartXide, has a variety of adjustable features to customize treatment for a number of patient concerns. Deka Dot is able to adjust the size and pattern of the laser treatment (square, rectangle, or circle), number of pulses/depth penetration, laser strength, as well as scanning pattern. Deka Dot can even be used in sensitive areas around the eyes for a subtle eye lift, also called a Madonna Eye Lift. 

Before treatment, the skin will be evaluated, cleansed, and a topical numbing cream will be applied. Once the patient is throughly anesthetized, the numbing cream will be removed and the treatment will begin. The Deka Dot laser will then be expertly applied to the treatment area, targeting uneven skin texture, irregular pigmentation, fine lines, and other skin imperfections. The laser may be applied several times over problem areas. Once the skin has been thoroughly treated, a soothing serum or ointment will be applied and a bandage may be applied to the skin.

Deka Dot

The Deka Dot ablative fractional laser skin resurfacing system rejuvenates the skin and improves fine lines, pigmentation irregularities, and skin texture. Deka Dot can also be used to lift sagging skin around the eyes, known as a Madonna Eye Lift. Here is a quick guide for what to expect before, during, and after treatment.

DekaDot

The Deka Dot ablative fractional laser skin resurfacing system rejuvenates the skin and improves fine lines, pigmentation irregularities, and skin texture. Patients can expect to see long lasting results in as little as one treatment session.

After surgery, patients are concerned with having a swift, healthy recovery and whether or not a scar may develop. Raised scars occur when an overproduction of collagen elevates the skin. Collagen is responsible for creating youthful volume, but when there is too much during the healing process, bumpy, keloid scars can form. By decreasing the amount of tension on the incision, collagen production is better controlled. 

The embrace scar therapy kit includes applicators and silicone dressings. Once staples and stitches have been removed and the incision is closed and dry, the dressing is applied directly over the incision, drawing together both sides and relieving tension. Tension is primary cause of scarring. Embrace is best suited for fresh incisions but can be used on scars that have formed in the last 6 months with treatment lasting around 60 days.

Embrace is a system used for scar management that relieves skin tension after a wound or surgical incision. Here is a quick guide for what to expect before, during, and after treatment with embrace scar therapy. 

Embrace scar therapy

Embrace is a system used for scar management that relieves skin tension after a wound or surgical incision. By reducing the amount of stress on a wound, it is less likely to form dark, raised, or unsightly scars following surgery or injury.

Uses many small needles to puncture the skin that allows the body to naturally heal and improve skin texture.

Large Pores

Facial Skin Laxity

After cleansing the skin surface and applying topical anesthetic, the microneedling device of choice (often a rolling or pen-like system) is then utilized to create the injuries. The nondominant hand is used to smooth and stabilize the skin while the opposite hand treats all desired areas of the skin over the course of approximately 20-45 minutes. The endpoint is pinpoint bleeding. Although it can be on its own, it is now often to use this technique to aid with transdermal delivery of other therapeutic medications. The devices may vary, but the size of the needle is typically 0.1-0.25mm in diameter.

The mechanism of action involved with microneedling creates micro-injuries which leads to a release of growth factors and triggers the wound healing cascade. The needles also aid in mechanically breaking down the scar tissue. Neovascularization and neocollagenesis is triggered. The end result is aesthetically pleasing, yet without a significant recovery time because the epidermis is not destroyed.

Microneedling

Microneedling Treatment

Microneedling, also called collagen induction therapy, uses many small needles to puncture the skin and create micro-injuries that increase natural collagen and elastin production Here is a quick guide for what to expect before, during, and after microneedling.

Microneedling, also called collagen induction therapy, percutaneous collagen induction, involves the use of many small needles to puncture the skin. This creates a micro-injury and the body’s natural healing properties then begin to repair this injury with increase collagen and elastin production resulting in improvements in skin texture and resiliency.

Used to remove older, pigmented skin layer by layer to reveal new skin underneath without wounding the skin.

Non-ablative non-fractional laser skin resurfacing is a procedure used to treat loss of skin tone and to improve the general complexion of the skin. The lasers used in this procedure are non-ablative, meaning they are non-wounding and less intense than their ablative counterparts. The non-fractional nature of the procedure delivers the lasers across a wide treatment area as opposed to fractional lasers, which administer on a focused section. The non-fractional approach can result in a more prolonged recovery period. The cost of non-fractional non-ablative skin resurfacing ranges from approximately $1031-$1144 depending on the amount of skin treatment.

Examples of non-ablative non-fractional lasers include the 1319nm pulsed energy laser Thermascan, the 1320 nm Nd: YAG laser CoolTouch CT3Plus, Harmony XL the 1450nm diode laser Smoothbeam and the 1054 Nd:YAG Laser Genesis. 

Depending on the laser, a topical numbing cream may be used for the patient's comfort however some laser devices will have a cooling element built directly into the handpiece. The laser will then be expertly applied to the treatment area, targeting uneven skin texture, irregular pigmentation, fine lines, and other skin imperfections. The provider will closely monitor the skin to ensure an effective but comfortable session. Once the skin has been thoroughly treated, a soothing serum or ointment will be applied and a bandage may be put on the skin.

Non-Ablative Non-Fractional Laser Skin Resurfacing

Non-fractional non-ablative laser skin resurfacing is a technique used to remove older, pigmented skin layer by layer to reveal new skin underneath. Here is a quick guide for what to expect before, during, and after non-fractional non-ablative skin resurfacing. 

Non-Fractional Non-Ablative Laser Skin Resurfacing

Non-fractional laser skin resurfacing is a technique used to remove older, pigmented skin layer by layer to reveal new skin underneath. While this treatment is non-ablative and does not wound the skin, the non-fractional component makes the treatment more aggressive as the treatment will affect an entire area as opposed to a concentrated patch.

An ablative, fractional skin resurfacing device that improves the look of scars, fine lines, and other imperfections.

Facial Volume

There are a number of skin resurfacing treatments available to lessen the appearance of skin blemishes such as melasma, acne scarring, sun damage, and fine lines. Chemical peels, microneedling, and dermabrasion treatments can all improve these imperfections, however, laser resurfacing remains a patient and physician favorite due to its time-tested results and level of customization. 

There are 4 categories of lasers: ablative or non-ablative, and fractional or non-fractional. Ablative lasers are wounding lasers that create tissue damage to encourage collagen generation for firmer, plumper skin. Non-ablative lasers create heat beneath the skin to gradually encourage skin regeneration. Fractional lasers direct laser energy into precise columns for targeted treatment as opposed to non-fractional lasers which treat an overall area. 

The Pixel CO2 laser is an ablative, fractional laser. Unlike other lasers within the same category, the Pixel CO2 laser does not require patients to undergo a lengthy recovery period. Most ablative skin resurfacing treatments require up to 3 weeks of recovery time, whereas with a Pixel treatment, patients can return to most normal activity within 1 week. While many patients will see improvement in their skin concerns after 1 treatment, a series of up to 4 treatments may be needed for optimal results. 

Before treatment the skin will cleansed and anesthetized. Only a topical numbing cream is needed although a local anesthetic may be used. Once the patient is thoroughly numbed, the cream will be removed and the treatment will begin. Depending on the patient's concern, either a 7x7 or 9x9 grid pattern will be used to deliver the laser energy to an 11x11mm patch of skin. The 7x7 grid is better suited for more aggressive treatment of scarring whereas the 9x9 grid is indicated for skin peeling and tightening. Additional hand pieces will be used as indicated. The laser hand piece may be pulsed several times in the same area for deeper heat penetration. Typically, full face treatment can be completed in less than 15 minutes. Patients will likely experience a sunburned sensation as well as redness in the treated area. Results can be seen after 1 treatment but may require an additional 1-3 sessions.

Pixel CO2

The Pixel CO2 laser is an ablative, fractional skin resurfacing device that improves the appearance of scars, skin discolorations, fine lines, and other imperfections. Here is a quick guide for what to expect before, during, and after a Pixel CO2 laser treatment.

Pixel CO2 Laser

The Pixel CO2 laser is an ablative, fractional skin resurfacing device that improves the appearance of scars, skin discolorations, fine lines, and other imperfections. This system comes with a variety of hand pieces to customize treatment for a variety of patient concerns.

An ablative fractional laser which diminishes fine lines, wrinkles, acne scarring, and other signs of skin damage.

Patients have a variety of options to address sign of aging ranging from non-invasive facials and cosmetic acupuncture to surgical enhancements such as a facelift. Laser skin resurfacing is minimally invasive and uses heat energy to exfoliate away blemishes and imperfections for a smoother, firmer, brighter complexion. 

Ablative fractional lasers are ideal for patients who are willing to undergo a recovery that lasts several days to weeks with potential prolonged redness and swelling. Ablative lasers are wounding lasers which damage the skin, eliciting a healing response from the body which encourages collagen and elastin production. Fractional lasers describe a targeted method of treatment that allows for precise ablation. The SmartSkin CO2 laser is a type of ablative fractional that is customizable to suit the patient's skin concerns as well as expectations for recovery time. Providers are able to adjust the SmartSkin system to customize laser power, scan pattern, density of microchannels, and number of pulses. 

A topical anesthetic cream will be applied to numb the skin. Once the patient is thoroughly anesthetized, the cream will be removed and the treatment will begin. The SmartSkin laser will be expertly applied to the treatment area, targeting uneven skin texture, irregular pigmentation, fine lines, and other skin imperfections. The laser is applied to the skin in a wave-motion pattern, unlike most lasers which deliver the laser energy in a stamp pattern. The provider will closely monitor the skin to ensure an effective but comfortable session. Once the skin has been thoroughly treated, a soothing serum or ointment will be applied and a bandage may be applied to the skin.

SmartSkin

SmartSkin CO2 skin resurfacing diminishes fine lines, wrinkles, acne scarring, and other sign of photo-damage. Here is a quick guide for what to expect before, during, and after a SmarSkin resurfacing treatment.

SmartSkin CO2 skin resurfacing is a type of ablative fractional laser which diminishes fine lines, wrinkles, acne scarring, hyperpigmentation, and other sign of photo-damage. Depending on the level of intensity of treatment, patients can see dramatic improvement in as little as 1-3 sessions.

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