Beverly Hills Accent Laser doctors

Brent Moelleken, MD Brent Moelleken, MD
Beverly Hills Plastic Surgeon
120 S Spalding Dr Suite 110, Beverly Hills
1 answer
Anita Patel, MD Anita Patel, MD
Beverly Hills Plastic Surgeon
465 N Roxbury Dr Suite 1001 , Beverly Hills
1 answer
Karyn Grossman, MD Karyn Grossman, MD
Santa Monica Dermatologist
1301 20th St Ste 350, Santa Monica
Leif Liu Rogers, MD Leif Liu Rogers, MD
Beverly Hills Plastic Surgeon
436 Bedford Drive Suite 104, Beverly Hills
Kevin Sadati, DO Kevin Sadati, DO
Orange County Facial Plastic Surgeon
359 San Miguel Drive Suite 110, Newport Beach

Recent Answers

Alma Accent Laser for Eye Wrinkles?

I'm a 50 year old male and want to do something (more permanent than Botox) to remove, or significantly lessen, the wrinkles and fine lines around my eyes. Will the Alma Accent laser work well? Other laser options? Issues I should be aware of?

A: Laser for wrinkles around the eyes

A great option for fine wrinkles around the eyes is Pixel fractionated erbium laser or fractionated CO2 laser treatment. I have seen dramatic improvements with the use of Pixel fractionated erbium laser for both treating wrinkles and also having a tightening effect on the skin. I  adjust the settings when doing the region around the eyes since the skin is thinner and more sensitive. The settings are also modified based on your skin type and skin color. Sun protection before and after is also key.

Anita Patel, MD
Beverly Hills Plastic Surgeon
Accent Laser for Tightening Post-pregnancy Belly?

I've had 2 Accent Laser treatments on my stomach (done by an esthetician; I've read here that a med specialist should be doing it), and so far I've seen no results at all. I'm not after losing the inches, what I'm looking for is the skin tightening for my post-pregnancy belly. Does Accent Laser really work for this goal? If not, what are my other options?

A: Save your money

Many patients experience looseness of the skin or fascia (the deep layer lining the muscles) after childbirth. There is an unfortunate push to market lasers or radiofrequency devices to tighten large amounts of post-pregnancy skin. These devices are useful to attain small degrees of tightening, i.e. in the face. These devices will unfortunately not significantly tighten the abdominal skin or the loose fascia.

The reason for this limitation lies in the biology of skin. Too much energy applied to the skin causes death of the skin due to coagulation of the vessels of the subdermal plexus, the area below the skin. That is why by nature the energy of these devices must be very limited. Many treatments cause an improvement in the appearance of the skin on a temporary basis. This is usualy due to the heat of the treatments causing swelling in the tissues, or evaporation of water on a temporary basis, obscuring temporarily the looseness of the skin.

If there is extra skin that needs to be removed, or fascia that needs to be tightened, there an array of procedures available.

Liposculpture alone can reduce fat but does not tighten skin, and does not tighten fascia. From the results I have seen, and I would include laser liposuction techniques in this category, I've yet to see a study showing that skin tightens on a permanent basis from energy applied to the very delicate subdermal plexus (same biologic limitations as above). Often laser energy applied to the skin (above or below the surface) results in rapid evaporation (vaporization) of water, temporarily contracting the skin. This should not be confused with long term meaningful tightening.

For women with a small amount of extra skin, a mini tuck may be just the right thing. This is especially popular with women who have already had a C-section and have noted irregularities in their incisions.

For women who have only a small amount of skin to be removed but need the deep layer (fascia) tightened, there is the hybrid abdominoplasty (hybrid tummy tuck) or endoscopic tummy tuck.

For women requiring a large amount of skin and fat removed, a full tummy tuck may be appropriate.

So don't be fooled by a lunchtime device administered by an asthetician promising to tighten the skin after childbirth.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
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