Lasers produce a beam of light that can selectively destroy blood vessels, pigment, hair, wrinkles and other lesions and skin conditions. The power of the laser is individualized for each patient by our team of expert dermatologists. In most cases, repeated treatments over the same area may be required for optimal results.
The best laser or light treatment will be chosen for each individual patient, and often a combination of different technologies may yield the best outcomes. The settings of the laser and the treatment protocol are calibrated to achieve a good cosmetic result while avoiding skin discoloration. The board certified dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) all have extensive experience in using state-of-the-art lasers for treating wrinkles, brown spots, redness, tattoos, Nevus of Ota, pigmented lesions, birthmarks, melasma, acne, scarring, and many other skin conditions.
One of our main goals is to ensure patient comfort during treatment. A local anesthetic cream is used to minimize the snapping sensation of some of the lasers we use for patients with larger areas to be treated or anyone who tends to be more sensitive. Our medical team may recommend that you have the anesthetic cream on for 30 minutes prior to treatment and can accommodate this request the same day of treatment. We will offer oral pain control and/or anti-anxiety prescriptions for more extensive procedures. If you take these medications you will need a designated driver home from treatment.
Our medical team will also provide detailed pre and post procedure instructions so you will be fully prepared. In some cases, laser-treated skin may be pink, bruised, hyperpigmented (skin darkening) for up to 2 weeks after laser treatment. Sun avoidance is important for at least one week after laser therapy, sometimes longer depending on the laser treatment. Multiple laser or light treatments are often necessary, depending on the results to be achieved. Treatments may be scheduled at intervals of anywhere from 2 -3 to 4-6 weeks, as needed.
Although side effects from laser procedures are rare in the hands of well-trained laser specialists, there are some risks in certain cases as follows. These will be explained in detail by our medical team in advance of your treatment.
The dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE can design a treatment plan for addressing the skin of the face, neck, perioral (around the mouth), periocular (around the eyes), cheeks, chest, arms, legs, hands and the back.
Sun spots, brown spots, and freckles typically appear from cumulative sun exposure. You may also be affected by a genetic predisposition to pigmented lesions. Most brown spots that occur on the face, neck, chest, arms, legs, and hands can be easily removed with laser and light based treatments in one or more sessions.
Redness, facial flushing, Rosacea, acne rosacea, telangiectasias (broken blood vessels) and other skin conditions that may result in redness can also be treated safely and effectively with vascular lasers.
To find out which treatments are right for you, schedule a consultation with one of our expert board certified dermatologists at MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) in Miami today.
Fraxel / Thulium
Fraxel dual laser treatment is a safe and gradual laser procedure that stimulates the body to replace photodamaged skin. The Fraxel laser is a novel device that can provide the positive results of deep laser resurfacing using a less invasive technique with little downtime. Fraxel is the skin rejuvenating treatment of choice for busy patients who cannot take time out of their schedule for prolonged recovery.
The Fraxel dual laser achieves its effects by a novel process called fractional resurfacing. Instead of treating the entire skin surface, it treats just a fraction or percentage of the skin’s surface, thereby allowing the natural ability of the skin to heal itself very quickly after treatment.
The 1927 nm Thulium laser is excellent for post inflammatory hyperpigmentation, lentigines, photodamage, dyschromia and hyperpigmented scars.
Long pulsed alexandrite (755 nm) has longer wavelengths within a small peak of hemoglobin absorption for the treatment of deeper, larger vessels. High-powered diode lasers emit energy in the 800 nm region. This longer wavelength penetrates more deeply and is poorly absorbed by melanin making it potentially safer for patients with darker skin types. Alexandrite is used to treat discrete brown spots such as flat seborrheic keratosis, lentigines, and photodamage.
Treatment of Blood Vessels
To treat broken and enlarged vessels, the board certified dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) may recommend treatment with one of our state-of-the-art pulse dye or vascular lasers.
The skin conditions that these lasers treat include:
Intense Pulsed Light devices are very effective for rejuvenation for sundamaged skin. IPLs are able to treat pigmentation, flushing, rosacea, telangiectasia (spider veins), and enlarged pores. The use of IPL for improving skin tone and texture and mild wrinkles on the face, neck and chest is an additional benefit. Intense pulsed light, also called photorejuvenation, is a very popular non-ablative technique, meaning that it does not damage the surface of the skin.
Vbeam Perfecta is the gold standard pulsed dye laser. It is safe and effective for the treatment of vascular, pigmented and certain non-pigmented lesions with minimal side effects.
The VBeam has an added benefit of providing consistent epidermal cooling so the treatment is very comfortable. The patented cooling system prepares skin for treatment by selectively cooling the upper layers with a burst of cryogen milliseconds before the laser pulse. With the VBeam laser, the board certified dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE can treat many different skin conditions, including telangiectasias (spider veins), keratosis pilaris (little red bumps that appear on the backs of the arms and legs), redness and rosacea.
The Excel V Laser System is a state-of-the-art vascular laser technology. It can be used to effectively treat rosacea, flushing, telangiectasia or spider veins, as well as pigmented lesions. The Excel V Laser System uses a high power green laser to target abnormal blood vessels and pigment in the skin and eliminate them. The system has a highly effective cooling technology that produces continuous cooling before, during and after the laser pulse touches the skin, to increase patient comfort during the procedure. With the Excel V laser, the board certified dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE are able to treat a wide range of common vascular conditions.
The emotional impact that birthmarks can have on patients, their parents and families cannot be understated. Dr. Jill Waibel is an internationally recognized expert in the laser treatment of birthmarks. Being able to remove a strawberry hemangioma from a baby’s face, or a port wine stain that is disfiguring, can literally transform someone’s life and restore a sense of self confidence and well being.
The most common birthmarks treated by the expert board certified dermatologists at MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) are port wine stains and hemangiomas. Port wine stains are present at birth and do not fade; they become darker and thicker over time. Laser treatment is the safest method used to treat this type of vascular birthmark without scarring or permanently discoloring the skin. Multiple treatment sessions are required.
Hemangiomas are another type of vascular birthmark that are very common, especially on the head and neck. Some hemangiomas may shrink with time and fade, but this can take years. Early intervention with laser treatment can prevent the continued growth of vascular birthmarks during childhood. Our board certified dermatologists use the VBeam Perfecta pulse dye laser to treat these vascular birthmarks.
Another type of birthmark treated at MDLI is the nevus of Ota, which is characterized as a blue area of hyperpigmentation caused by the entrapment of melanocytes in the upper portion of the dermis. Pulsed Q-switched laser surgery is an effective treatment that works via selective destruction of the dermal melanocytes and melanophages. After a series of 4-8 treatments, skin pigmentation can be reduced dramatically or removed in 90-100% of cases, with a less than 1% risk of scarring. Surgical methods may also be used in some cases, including cryotherapy and microsurgery if needed.
The pulsed dye laser destroys blood vessels in the skin and takes the red color out returning skin to a more even skin tone. The most common conditions treated include rosacea, facial telangiectasias, port wine stains, angiomas, hemangiomas, warts, scars and other birthmarks. These lasers deliver energy to the skin which is absorbed by blood vessels, scars, port wine stains, hemangiomas, and other vascular lesions. Multiple treatments are required to achieve optimal results.
The expert dermatologists at MIAMI DERMATOLOGY LASER INSTITUTE (MDLI) have extensive experience in the laser treatment of vascular lesions. Dr. Waibel is also considered a leader in the use of lasers for treating vascular lesions, birthmarks and hemangiomas in young children.
Vbeam Perfecta is the gold standard pulsed dye laser. It is safe and effective for the treatment of vascular, pigmented and certain non-pigmented lesions with minimal side effects. The VBeam has an added benefit of providing consistent epidermal cooling so the treatment is very comfortable. The patented cooling system prepares skin for treatment by selectively cooling the upper layers with a burst of cryogen milliseconds before the laser pulse. With the VBeam laser, the board certified dermatologists of MIAMI DERMATOLOGY AND LASER INSTITUTE can treat many different skin conditions, including telangiectasias (spider veins), keratosis pilaris (little red bumps that appear on the backs of the arms and legs), redness and rosacea.
The Excel V Laser System is a state-of-the-art laser technology for treating vascular skin conditions, including Rosacea, spider veins and pigmented lesions. The Excel V Laser System uses a high power green laser to target abnormal blood vessels and pigment in the skin. As these vessels or pigment cells are targeted, they are eliminated. To ensure patient comfort, Excel V uses effective cooling technologies to produce continuous cooling before, during and after the laser pulse hits your skin.
Aging is an ongoing process of change, and some of these changes are welcomed with joy such as a baby’s first step. Other changes however are greeted with a less enthusiastic response such as the appearance of more wrinkles, brown pigment or red spots. The aging process depends on a combination of both genetic and environmental factors. Each individual has his or her own unique genetic makeup and environment exposures that cause skin to appear older in a unique time frame. Aging skin is accelerated, in some cases by genetics and disease, but most significantly by exposure to the sun’s UV rays. In fact the overall appearance of aging skin is directly related to the quantitative effects of sun exposure. The sun’s UV rays cause changes such as damage to collagen, solar elastosis, telangiectasias, lentigines, wrinkle formation, and the collective description of these unwanted effects is described as photodamage.
Photorejuvenation is the process of using laser and light sources for returning skin to a more youthful appearance. Therefore effective photorejuvenation reduces wrinkles, brown pigment, red spots and improves skin texture. IPL is one of the best choices for reversing sun damage as it improves reds, browns, texture and stimulates collagen. We recommend one or two IPL treatments per year to prevent or slow down skin aging.
Intense pulsed light sources deliver light from 515-1200 nm at pulse durations ranging from 2 to 25 msec in single, double or triple pulses. IPL devices have filter systems that allow transmission of only selected wavelengths making IPL useful for vascular and pigmented conditions. Advantages of this light source are the absence of postoperative purpura and its wide range of pulse widths that permit treatment of small and large caliber vessels. These devices are also effective for a variety of other vascular and pigmented lesions and for photorejuvenation.
Laser Vein Treatment
For some people, the unsightly appearance of red and purple veins makes them feel self-conscious about wearing shorts, dresses and skirts. For others it is a constant struggle with heavy-feeling legs, swelling, fatigue and even pain.
Varicose veins are often caused by abnormalities of underlying valves that need to be corrected. Sclerotherapy and laser treatments may be used to treat spider veins that are not connected to abnormal valves.
Laser vein treatments enable removal of unwanted small and large spider veins in the legs. Our medical team will use their extensive knowledge and experience to treatments carefully to ensure the best cosmetic outcome. We utilize both the most effect laser technology as injection sclerotherapy, depending on the diameter and location of the veins that are to be treated.
Our state-of-the-art pulsed dye lasers and vascular lasers may be used to destroy blood vessels in the skin. These lasers deliver energy to the skin that is absorbed by blood vessels and other vascular lesions. Multiple treatments are usually required to achieve optimal results.
If a vein disappears after treatment, it may not return for a long period or time or indefinitely. In some cases, the body reopens the vessel before it is completely reabsorbed or the vessel only partially responds. Since many of the factors that contributed to developing enlarged veins may not change, such as standing for long periods of time, hormones, pregnancies, menopause, overweight, or a family history of varicose veins, new veins may form over time that will require treatment in the future.
The expert board certified dermatologists at MIAMI DERMATOLOGY LASER INSTITUTE (MDLI) have extensive experience in treating leg veins with sclerotherapy and lasers and will evaluate which is the optimal treatment for each individual patient. In many cases, combination therapy may be recommended to deliver the best results.
Melasma, also called chloasma, is a common chronic skin condition that causes dark, irregularly shaped patches on areas of the face like the forehead, cheeks, nose, upper lip, or chin. Most common in women and people with darker skin types, melasma is thought to be related to female hormones, heredity and sun exposure. This skin condition is sometimes referred to as the “mask of pregnancy” because it can develop when a woman is pregnant. Melasma is a disease that frequently recurs and can be challenging to treat.
Melasma can be effectively treated with topical prescription medications including hydroquinone and hydroquinone alternatives, as well as lasers and light treatments and chemical peels. Often a combination of treatments may be recommended to achieve the best results.
The key to long term clearance of melasma is diligent and consistent sun avoidance and daily application of an SPF30 or greater to prevent future flares.
WRINKLES, PORES, TEXTURE
One of the most popular treatments for rejuvenation of aging skin is laser resurfacing. Ablative resurfacing with carbon dioxide (CO2) is considered the gold standard for laser resurfacing. The 2,940 nm Er:YAG device was developed next in this line of devices. The Er:YAG is absorbed 16 times more strongly by water than the CO2 laser. With fractional ablative resurfacing scanners create an array of microscoping wounds at deep dermal depths surrounded by normal tissue, which allow for rapid healing of the laser-treated columns.
The development of the fractional ablative CO2 and Er;YAG devices showed impressive histologic and clinical effects. Non-ablative fractional resurfacing (NAFR) results are less robust, but have minimal downtime, whereas ablative fractional resurfacing (AFR) and traditional resurfacing have variable degrees of downtime, but greater efficacy. Now with a greater understanding of the pros and cons of all resurfacing options, we are experiencing a laser resurfacing renaissance. We are now combining modalities such as traditional resurfacing for difficult wrinkles and treating the rest of the face with fractional lasers.
The medical team of MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) consists of specialists in laser treatments, including ablative and non ablative treatments. Fractional resurfacing lasers are popular because they result in a quicker healing process with less downtime and are very safe for most skin types. However, more dramatic results may be achieved with ablative skin resurfacing in some cases.
To find out which treatments are right for you, schedule a consultation with one of our expert board certified dermatologists at MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) in Miami today.
Fractional Laser Resurfacing
One of the most popular treatments for rejuvenation of aging skin is resurfacing. Ablative resurfacing with carbon dioxide (CO2) is considered the gold standard for laser resurfacing. The 2,940 nm Er:YAG device was developed next in this line of devices. The Er:YAG is absorbed 16 times more strongly by water than the CO2 laser. To address the adverse effects of ablative resurfacing and limited effects of nonablative lasers, the concept of fractional photothermolysis was developed. In fractional ablative resurfacing photothermolysis scanners create an array of microscoping wounds at deep dermal depths with controlled collateral coagulation. These microscopic wounds result in zones surrounded by normal tissue which allow for rapid healing of the laser-treated columns.
The development of the fractional ablative CO2 and Er;YAG devices showed impressive clinical effects. Non-ablative fractional resurfacing results are less robust, but have minimal downtime whereas ablative fractional resurfacing and traditional resurfacing have variable degrees of downtime, but can achieve more dramatic results.
Fraxel® Dual Laser
Fraxel laser treatment is a safe and gradual laser procedure that stimulates the body to replace aged, scarred and photo damaged skin. The Fraxel laser is a novel device that can provide the dramatic results of laser resurfacing using a less invasive technique with little downtime. Fraxel is the skin rejuvenating treatment of choice for busy patients who cannot take time out of their schedule for prolonged recovery.
The Fraxel laser achieves its effects by a novel process called fractional resurfacing. Instead of treating the entire skin surface, it treats just a fractional percentage of the skin’s surface, thereby allowing the natural ability of the skin to heal itself very quickly after treatment.
At MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI), our board certified dermatologists use Fraxel Dual® 1550/1927 to treat sun spots, wrinkles and photoaging. Fraxel® has been safely used by our expert dermatologists to improve skin health and texture for many patients.
What skin conditions can be treated?
Fraxel has been shown to be effective in the treatment of facial and non facial photo damage, wrinkles, and discoloration. It is also being used for the treatment of acne scars and other scars on the face, chest, and back. In addition, non facial areas with extensive keratoses and photodamage, such as the arms and legs, may be improved with treatment.
The Fraxel Dual Laser can effectively treat:
How many treatments are needed?
The majority of patients will achieve satisfactory results with a series of 3 to 5 treatments. However, deep wrinkles (often seen around the mouth and lower face), may require additional treatments. Fraxel treatments are typically performed every four weeks, but may also be done more or less frequently, depending on the condition to be treated and your dermatologist’s recommendation.
What are the side effects?
Some patients will experience discomfort during treatment, therefore a topical anesthetic is applied prior to the procedure. You may experience slight redness, peeling, and swelling for 3 to 7 days after treatment. However, some patients may develop small raw areas that take longer to heal.
eMatrix, also called sublative rejuvenation, is a combination therapy that includes non-ablative (no visible wound on the skin’s surface) and an ablative (visible wound on the skin’s surface) treatment. eMatrix Sublative Resurfacing delivers radiofrequency (RF) energy directly to the dermis or deeper layers of the skin. When RF heats the dermis, it triggers a healing response that works to tighten collagen and elastin, that give skin its resiliency that is lost with age. The technology loose skin, lines and wrinkles, and can also be used to treat acne scars.
The Sublative treatment has minimal discomfort and downtime. The RF is delivered in a fractional manner; stimulating a controlled wound healing response. Since the RF energy is administered by heating some skin, and leaving other areas of skin untouched, only about 5% of the skin is ablated. This results in less redness and healing time since the energy is delivered through tiny wounds deep within the skin’s layers to stimulate new collagen formation. This makes eMatrix treatments very beneficial for treating scars and wrinkles.
As radiofrequency energy does not get absorbed differently by different skin types, it is safe and effective in darker skinned patients. Usually 3-4 treatments are necessary to achieve the best results. Combination treatments with other lasers and light systems may be very effective as part of a customized skin renewal program to achieve comprehensive skin rejuvenation with minimal downtime.
Wrinkle Laser Resurfacing
The Lumenis M22 IPL laser is a unique technology that combines a premium IPL treatment with highly effective non-ablative fractional and Nd:YAG lasers in one device. This treatment is a multi-use platform that allows the board certified dermatologists of MIAMI DERMATOLOGY LASER INSTITUTE to treat patients with a wide range of skin conditions with superior results to any other single device.
The M22 system has 4 different modules:
Non-ablative IPL or photorejuvenation can improve the appearance of skin damaged by cumulative sun exposure and aging. Discoloration and fine lines can be significantly reduced with a series of M22 IPL treatments. After each treatment, there will be some visible improvement. There is minimal downtime after each treatment session.
The Lumenis M22 can also be used in combination with dermal fillers and BOTOX to further enhance the results we can achieve.
How many treatment sessions are needed?
For the majority of patients, ideal results will be achieved after 4-6 treatments, typically spaced 4-8 weeks apart. One of the benefits of this treatment is that results are long-lasting, and touch-ups may be needed periodically to maintain results.
What conditions can be treated?
If you are looking to minimize the appearance of wrinkles, scars, hyperpigmentation, or veins, treatments with the Lumenis M22 system are helpful for improving the overall appearance of the face, neck, chest, back, and hands.
What is the recovery period?
Because Lumenis M22 is non-invasive, patients can return to their normal daily activities immediately following treatment. It is common to experience some redness, burning, and/or swelling, depending on the specific treatment performed, but these side effects typically resolve within 7 days or less. You will be instructed to apply sunscreen daily, as your skin will be sensitive after treatment.
Tattoo remorse is very common today, as more people are getting tattoos and want some of them removed or updated. In the past, tattoo removal primarily required surgical intervention that resulted in disfiguring scars. Modern advances in laser technology are able to offer safe and effective techniques that can successfully remove unwanted tattoos with less discomfort, downtime, and fewer treatment sessions required.
Every tattoo is unique and requires laser tattoo removal techniques tailored to the individual ink types and colors that were used. Multiple treatments are required to achieve total tattoo clearance in most cases. Some ink colors may require more sessions than others.
At MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI), our expert board certified dermatologists use a variety of high-powered lasers to treat tattoos of all types.