Laser Skin Resurfacing in Miami, FL
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 microscopic 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 and 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.
Wrinkle Laser Resurfacing
The Lumenis M22® IPL, Sciton BBL, and Ellipse 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 and Laser Institute to treat patients with a wide range of skin conditions with superior results to any other single device.
The Sciton BBL has shown in studies this laser alters the expression level of 2,265 RNAs, of which 1,293 became rejuvenated.
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 IPL or BBL photofacial 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 four to six treatments, typically spaced four to eight 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 seven days or less. You will be instructed to apply sunscreen daily, as your skin will be sensitive after treatment.
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 microscopic 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 CO2 laser resurfacing and traditional resurfacing have variable degrees of downtime, but can achieve more dramatic results.
About 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, 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 photodamage, 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 keratosis and photodamage, such as the arms and legs, may be improved with treatment.
The Fraxel® Dual laser can effectively achieve:
- Improved tone and texture
- Reduced fine lines around the eyes and mouth
- Removal of brown spots
- Improved appearance of scars and acne scars
- Effective treatment of actinic keratosis (pre-cancerous lesions)
Brown/Age Spot Removal with Laser Skin Resurfacing
Age spots (also called liver spots) are typically caused by the sun and most commonly appear on the face, hands, arms/shoulder and chest areas. Age spots are harmless and pose no medical harm, although many find them troubling to look at. Brown spots are very similar to age spots and are also caused by sun damage. At Miami Dermatology and Laser Institute we utilize a series of lasers to treat and lessen the appearance of brown spots and age spots.
How Many Treatments are Needed?
The majority of patients will achieve satisfactory results with a series of three to five 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 of Laser Skin Resurfacing?
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 three to seven 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, which give skin its resiliency and is often lost with age. The technology firms loose skin, treats 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 five percent 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.
Since radiofrequency energy does not get absorbed differently by various skin types, it is safe and effective in darker skinned patients. Usually three to four 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.