LASERS & TREATMENTS

Turn Back The Clock
Anti-aging Laser Treatments

By Elizabeth Rostan, MD

Filed Under

DEVICES & TREATMENTS

Quick Look

AGING SKIN

Around age 30, our skin stops producing collagen. Aging and sun damage lead to collagen loss as well as loss of elastic tissue in our skin. Collagen can be thought of as the strength of our skin and elastin the stretch or rebound of our skin. This collagen and elastin loss continues and leads to fine lines, sagging skin, wrinkles, and texture changes.

VISIBLE SIGNS

As we age, skin visibly changes in several way and a lot of it has to do with things beyond your control-

BELOW-THE-SKIN

Effects and changed appearance of your face.

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Loss of fat above the skin

(cheeks, chin, nose and eye area)

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Loss of elasticity/ Sagging skin

(hands, decollete, cheeks, eye hollows jowls and sagging neck)

LET’S TALK SKIN

Don’t be alarmed! Wrinkles are a natural part of aging but this aging is greatly accelerated by sun exposure. A few lifestyle changes you can start early 20s – 30s that can help minimize wrinkles:

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Today we will focus on the laser treatments used to rejuvenate and renew skin and help you understand how we think of these treatments as the fountain of youth and bring some understanding to the many options of lasers.

What Are
Anti-aging Laser Treatments?

Anti-aging laser or energy treatments stimulate the skin to produce new collagen and elastic tissue thus renewing the skin and improving fine lines and wrinkles.

I am often asked “how long do these treatments last?”. The answer is the effects of these treatments don’t just suddenly disappear; however, time and aging continue with continued loss of collagen and elastin loss that is accelerated by sun exposure. These treatments are like making deposits into a savings or retirement account – but the currency is COLLAGEN.

Anti-aging laser and energy treatment stimulate collagen and vital skin structures to replenish and restore what is lost with aging and sun damage.

Laser Treatments
and Benefits

Photofacial
INTENSE PULSED LIGHT (IPL)

+ Great for face, neck and chest

SKIN TONES:
skin color 2

Pigmented Lesion Removal
(GentleLase, IPL and Fraxel Dual)

+ Light peeling of the darker spots for 3-5 days after treatment

SKIN TONES:
skin color 3

Vascular or Redness Treatments
(VBeam, IPL and GentleYag)

SKIN TONES:
skin color 4 dots size

Laser Toning
(GentleYag, SmoothBeam, VBeam and IPL)

+ These lasers stimulate collagen production at different depths in the skin, ulimately giving it a healthier glow and smoother texture
+ Treatments are typically performed monthly – minimal or no downtime

SKIN TONES:
skin color 5

LASER RESURFACING:
(C02 and erbium lasers)

+ For areas of most severe sun damage, deeper lines, wrinkles and scarring – usually used on local areas (around mouth or eyes)

Photofacial
INTENSE PULSED LIGHT (IPL)

+ Great for face, neck and chest

SKIN TONES:
skin color 2 dots size

Pigmented Lesion Removal
(GentleLase, IPL and Fraxel Dual)

+ Light peeling of the darker spots for 3-5 days after treatment

SKIN TONES:
skin color 3 dots size

Vascular or Redness Treatments
(VBeam, IPL and GentleYag)

 

SKIN TONES:
skin color 4 dots size

Laser Toning
(GentleYag, SmoothBeam, VBeam and IPL)

+ These lasers stimulate collagen productionat different depths in the skin, ulimatelygiving it a healthier glow and smoother texture
+ Treatments are typically performed monthly – minimal or no downtime

SKIN TONES:
skin color 5 dots size

LASER RESURFACING:
(C02 and erbium lasers)

+ For areas of most severe sun damage, deeper lines, wrinkles and scarring – usually used on local areas (around mouth or eyes)

Well that probably got your attention!
It is more ideal to begin to renew the skin and reverse as well as prevent the changes of aging and sun damage before the skin gets to the severe wrinkling . The results are far better with yearly preventative, corrective treatments that are non-ablative versus the more aggressive ablative.

What Is
Non-ablative vs. ablative?

Non-ablative Lasers
means the upper layer of skin is not disrupted or removed – thus there is no oozing and no wound of the upper skin. These treatments are considered no-downtime because there are no openings or channels created through the upper layer of skin. Non-ablative treatments are the vast majority of the cosmetic rejuvenation treatments done for anti-aging.

Ablative Lasers
means there is disruption or removal of the upper layer of skin. Fractional ablative means tiny holes or channels are created in the skin. These holes take about 48 hours to close so these treatments have oozing and drainage that lasts during that time.

Fully ablative is done in areas of severe wrinkling and/or sun damage and means the entire upper layer of skin is vaporized leaving a fully open wound. This is the most aggressive treatment and has the high level of potential complications.

What Is
Fractional Treatment?

A fractional laser treatment is a laser that treats a fraction of the skin by computer controlled impacts that cover a certain portion of the skin surface – say 15% – 30%. The density of the fractional laser treatment refers to the percentage of impacts or coverage.

A low density treatment (20% or less) will have less downtime and may be preferred for a variety of reasons (work or social schedule, skin color, goals of treatment) versus a high density treatment. Energy can also be changed with high energy being more painful and with more downtime.

Skin Concerns Treated

Goldilocks System
A Family Of Fractional Lasers

Start a good skin care regimen, sun avoidance and collagen stimulating treatments sooner rather than later (just like your savings accounts).

I like to refer to the family of fractional lasers as the Goldilocks bear family:

Laser Toning

image 2

Laser toning refers to these treatments I have been describing that are designed to “wake-up” the skin – stimulate collagen and renew the deeper part (dermis) of your skin so that on the surface it looks more radiant and fresh

Laser toning can be achieved with a variety of devices:

  • + IPL (intense pulsed light)
    (the Hollywood facial)
  • + Low energy q-switched laser
  • + Vbeam pulsed dye laser
  • + Fractional Non-ablative Laser (the Hollywood facial)
    UltraLase MD, Fraxel and Clear & Brillant™

How to Choose?

A Fractional Skin
Rejuventation Treatment

A Fractional Skin
Rejuventation Treatment

Before

Start antiaging skin care routine and avoid sun

Priming

Change into gown, remove jewerly, wash face and take your photos. Numbing gel is messy so don’t have your best hair or expect your hair to get quite messy.

We have 2 waiting areas to wait for the numbing to take effect – you can relax in a lounger or sit in an area more appropriate for working on your computer or reading. You may want to bring a book, magazine or tablet for this time. After 45-60 minutes, the numbing is removed and the laser treatments started.

During

If a pretreatment was planned, this is done first. Vbeam for redness, IPL, or GentleLase for brown spots for example. Then immediately after this the fractional laser is done. You can feel mild heat and stinging as the laser is moved over the skin in a series of at least 4 passes. With the numbing you will likely not be bothered by this at all. When the treatment is done, your face will be red and puffy and will feel hot.

If a separate brown spot treatment was done, we can likely see brown blotches where the dark spots have darkened from that treatment. You can rest in our lounge again with ice packs until the heat sensation cools. You can put makeup on right away or at least sun block or a tinted sun block.

After

The heat sensation will subside over the next hour as will the redness. Your face may continue to feel puffy for several more hours and even into the next day or two. If blood vessels and redness were treated with the Vbeam this swelling will be exaggerated. After 1-3 days you will start to notice a texture change in your skin. These are the tiny impacts of the laser that can be felt almost like fine sandpaper. If you have a magnifying mirror you may be able to see the individual impacts.

Results

Once the impacts have cleared the skin in about a week, you will notice brighter, smoother, less blotchy skin. Collagen renewal has been stimulated so fine lines and wrinkles will improve over the next 3-9 months

Remember a series of 3-6 treatments is ideal for best results and a good skin care regimen to help your skin respond to the renewal process and defend against ongoing damage from pollution and sun.

The Most Out Of Your Skin Care
for your anti-aging laser treatments

After a collagen stimulating laser treatment, your skin rebuilds and restores collagen, elastin and intracellular materials. There are skin care products that enhance and support your skin’s healing response. We feel these are essential to getting the most out of your anti-aging laser treatment. for your anti-aging laser treatments

Peptide Creams and Serums

Peptide Creams and Serums