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Concern: Rosacea

Procedures:

Laser Blood Vessel Removal , Intense Pulsed Light (IPL) , Skin Care , Laser Skin Rejuvenation

Ages:

20's , 30's , 40's , 50's

Laser Blood Vessel Removal

Author: Joely Kaufman, MD FAAD

Laser Blood Vessel Removal
Treatment of blood vessels on the face and body can be performed safely and effectively using lasers and light devices. Blood vessels are located beneath the epidermis (superficial skin) in the dermis of the skin. Procedures to remove unwanted vessels need to be able to reach these deeper structures without damaging the epidermis. Lasers and light devices can accomplish this using a method termed ‘selective photothermolysis’. Basically, this means that the light gets selectively absorbed by the target (blood vessels for example) without damaging the surrounding tissues. Hemoglobin, the oxygen carrying component of blood, is able to absorb light of different wavelengths.  Various lasers can be used targeting hemoglobin and sparing the other tissues.

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Fractional Laser- Ablative

Author: Jay Burns, MD FACS

Laser Skin Rejuvenation
Fractional resurfacing was introduced in 2004 and has become widely popular in the last few years.  The technology stands as a radically different approach from classic standard laser resurfacing which removes the entire upper layer of skin one layer at a time. 

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Intense Pulsed Light (IPL)

Author: Joely Kaufman, MD FAAD

Intense Pulsed Light (IPL)
IPL, or intense pulsed light, was introduced to the aesthetic market in the mid 1990’s. IPL is also sometimes referred to as a ‘photofacial’. Though an IPL may look, sound and feel like a laser, it is not classified as a true “laser”. IPL is not a true laser because it uses multiple wavelengths of light, whereas lasers use only one wavelength of light. Just because it is not a true laser, does not mean that IPL is any less effective or less complicated of a treatment. Multiple wavelengths of light can actually be an advantage when used by an experienced operator. Some wavelengths of light are more effective for treating pigmentation, while other wavelengths are better for treating blood vessels or redness. Using an IPL with various wavelengths can allow for treatment of multiple conditions in one session. Even though an IPL is not a laser, it is still important to know who is performing your procedure.

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Skin Care (Cosmeceuticals)

Author: Joely Kaufman, MD FAAD

Skin Care
Aging is an inevitable process that occurs in every cell in every organ in every living thing. Our skin also participates in this process. Recently more focus has been given to methods of aging prevention. Many of these involve procedures that are performed in the doctor’s office, but there are also ways to prevent aging that you can do at home. In the future we will see more products directed to at home users, including peels, topicals and even at home laser systems.

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Fractional Laser- Non Ablative

Author: Joely Kaufman, MD FAAD

Laser Skin Rejuvenation
Since the advent of fractional resurfacing in 2004, the popularity of laser resurfacing has increased dramatically. Classical laser resurfacing, used in the past, involved removing the top layers of the skin (the epidermis and parts of the dermis) in the same treatment. These lasers included the Carbon dioxide (CO2) and erbium yag (Er:Yag) devices. The entire surface area of the skin was treated with each session of classical resurfacing, requiring weeks to heal and sometimes even longer. Many patients had residual redness of the skin that could persist for months. Late complications of these classical procedures also included discoloration of the treated skin, including lightening or darkening from the normal skin color. The results of these classical laser resurfacing procedures could be incredibly positive, with tightening of the skin and a major improvement in wrinkles, but the procedure was often fraught with complications. Because of these side effects, many physicians opted not to perform these procedures in their office and the search for a safer way to treat wrinkles began.

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Laser Skin Therapy- Traditional

Author: Jay Burns, MD FACS

Laser Skin Rejuvenation
Laser resurfacing took the cosmetic world by storm in the mid 90’s with the invention of carbon dioxide (CO2) laser resurfacing.  This treatment involved removing the entire superficial skin layer all at once and is commonly referred to as an ablative (taking away or removing) skin treatment. It significantly improved wrinkles and tightened skin.  In 2000 the Erbium laser was introduced as an alternative ablative laser treatment. Both standard CO2 and Erbium laser resurfacing remain the most effective treatment for significant wrinkles caused by sun damage.

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