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Laser Skin Resurfacing
Medical Microdermabrasion
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The Obagi Blue Peel
Latisse Eyelash Enhancement
Mineral Makeup Application
and Instruction
 
 
 
Laser Skin Resurfacing
 
Before and after images  | Pre-Treatment  | Post Treatment   Cost   |  Watch Video
 
How does it work?

Also called fractional nonablative skin resurfacing, the Lux1540 by Palomar uses an array of hundreds of high precision microbeams to create narrow, deep columns of tissue coagulation in the skin (epidermis and dermis). This stimulates the body’s natural healing process causing new, healthier tissue and especially collagen to form. It is termed nonablative because the tiny islands of skin surrounding each microbeam are still intact- this results in faster healing and thus less ‘downtime’ after a treatment compared to ablative procedures..

How is this different from Fraxel?

Basically, the difference is in treatment depth and preparation required for treatment. With the sapphire tip of the 1540, the outermost layer of skin is cooled and thus left intact while the deeper tissues heal and tighten. Fraxel by Reliant also uses microchannels but the energy doesn’t penetrate as deep as the 1540. Also a blue dye (which can be difficult to remove) is used pretreatment with Fraxel and downtime is greater with Fraxel- with 7 to 10 days of swelling and peeling post treatment. Swelling after a 1540 treatment is brief (1 to 2 days for most) and although there may be a streaky redness there is minimal if any flaking. Both require 2 to 4 treatments on average for the best results.

How many treatments will I need?
This varies according to the severity of condition being treated. In general 2 to 4 treatments are needed. Some clients may wish to start initially with 3 full face treatments, then have an additional smaller treatment or two of only those problem regions that require “more work”.

What conditions are treated with 1540 laser skin resurfacing?
There are many situations in which collagen building improves the appearance of the skin. This laser is used to treat:
 
 
  • Fine lines and wrinkles of the face, neck, chest or other regions
  • Acne scars, especially ‘pock mark’ scars but also ‘ice pick’ scars
  • Traumatic scars- such as those which are present after a laceration or puncture
  • Surgical scars, regardless of age of the scar and including keloid scars
  • Melasma, a hyperpigmentation disorder of the skin- sometimes called ‘pregnancy mask’- it is most often seen in women as the result of hormone use (birth control pills, hormone replacement for menopause) or may appear during a pregnancy. It gets worse with sun exposure
  • Stretch marks
  • Although this is not a treatment for tattoo removal, it can be used to treat the scar that remains after Q switch laser tattoo removal
 
   
  Pre Treatment Instructions  
 
  • Wear sunblock and avoid excessive sun exposure
  • Discontinue the use of Rx skin products such as Retin A, Hydroquinone, higher strength glycolic acids, and any acne products such as those containing Salicylic Acid or Benzyl Peroxide, for 3 days prior to the procedure
  • If you have a tendency to develop cold sores, report this to us so that we can treat you prophylactically to prevent an outbreak
  • In most cases, particularly for a full face treatment, expect that there will be a topical numbing agent applied. You will sit with this cream on the treatment area for approximately 30 minutes prior to treatment and it may produce a tingling sensation
  • Be sure to have any of your questions answered regarding post treatment expectations and skin care before you leave. Check your supply of post treatment skincare products to be sure you have enough to get you through the recovery phase. Purchase a tube of Aquaphor healing ointment at a local store or pharmacy to have on hand for any excessive dryness.
  • Photos will be taken before your first session to document the condition of your skin and pigment prior to treatment. They may be repeated in between treatments and at the end of treatment and are available for you to review with Dr. Hatzos at any time. Although the photos are required, they will not be used in a way which would reveal your identity, without your expressed consent.
 
   
  Post Treatment Instructions  
 
  • Wear sunblock and avoid excessive sun exposure
  • Do not resume the use of Rx skin products such as Retin A, Hydroquinone, higher strength glycolic acids, and any acne products such as those containing Salicylic Acid or Benzyl Peroxide, until advised to do so. Most clients will resume their prior skincare regimen sometime during the second week post procedure
  • If you have a tendency to develop cold sores, report this to us so that we can treat you prophylactically to prevent an outbreak
  • Only Pure mineral makeup (such as Jane Iredale) should be used days 3 to 7 post procedure. Not all mineral makeups are created equal. Some do contain talc or other impurities which could cause a skin reaction, yet market themselves as mineral makeup. Discuss your usual makeup with Dr. Hatzos or the esthetician for further guidance. Be sure to have any of your questions answered regarding post treatment expectations and skin care before you leave. Have a tube of Aquaphor healing ointment at on hand for any excessive dryness that is not responding to the usual post procedure skin care regimen recommended.
  • The duration of swelling and redness will vary according to individual variations but also according to the settings used. On average swelling lasts 1 to 2 days and redness may persist for another 5 days. However, most clients having the procedure performed on a Friday afternoon feel quite comfortable returning to work on the following Monday morning.
  • Although the skin appears to be intact, microscopically there are tiny ‘holes’ present which increase the risk of infection. Wash your hands frequently and/or use alcohol based hand gels. Avoid touching your face as much as possible. Anything which touches the skin, particularly in the first 3 to 5 days post-procedure, must be clean. This is why we recommend only the use of mineral makeup powder (which does not support the growth of bacteria that can contaminate makeup) during this time. Use disposable makeup sponges for application, or be sure to thoroughly wash your makeup brushes with brush cleaner prior to using them in your recovery phase.
  • Redness or swelling that gets progressively worse is not expected. If this occurs you must notify us immediately or, if need be, go to an emergency room. This has not happened to any of our clients but does remain a theoretical concern and potential treatment complication.
  • Although improvement can be seen even after 1 treatment, expect multiple treatments will be needed for maximum results Collagen building will continue to occur even in the 3 months after your final treatment.
 
 

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Cost
 
Region Cost
Full Face (1 hr) $600/3 for $1500/5 for $2375
Cheeks only $250/3 for $675/5 for $1000
Forehead only $200/3 for $500/5 for $750
Periorbital (crow's feet) $150/3 for $400/5 for $575
Perioral $200/3 for $500/5 for $725
Decollete (upper chest) $700/3 for $1750'5/$2650
Neck $350/3 for $900/ 5 for $1375
Stretch Marks same as full face unless larger surface area
Scar treatment $125 per session
Other Areas consultation required for pricing
  Before and after images  
 
 
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