How often does it happen that one would require more than one Halo Fractional treatment to get a positive result? (photos)

Question

When referring to the Halo treatment, Doctors talk of using conservative vs. aggressive treatment methods. What does that mean? I have just had Botox and fillers, but I have brown and red spots and red uneven skin tone. Will one Halo treatment benefit me?

Thomas Buonassisi, MD · Answer

Halo laser combines two different lasers at once. One removes surface skin while the other heats the deeper layers. The depth of each lasers penetration and the degree of overlap of each pulse can be customized to the patients needs. BBL applies light based therapy to even different layers of the skin and is often combined on the same treatment day for even better results. Highly recommended.Good Luck!

Kevin Cavanaugh, MD · Answer

Thanks for this great question. Halo is an excellent resurfacing tool that we have in our office. Based on your pictures I do not think one Halo treatment, even at aggressive treatment settings, will completely correct fine lines / wrinkles and any pigment /vascular irregularities. If you are interested in a one time only laser I would recommend a fractionated, ablative CO2 laser. I would pair both treatments with BBL to optimize correcting pigment / vascular irregularities. If you do not want significant downtime (two weeks) associated with CO2 resurfacing, I would recommend two Halo lasers with reassessment and then likely a third if necessary. At our office we sell these as packages to make it more cost effective. When we refer to aggressive or conservative laser treatments we are referring to the settings of the laser. We can adjust the depth of penetration of the laser, the energy used, and the time over which the energy is distributed. I hope this is helpful.
Kevin Cavanaugh, MD

Billy Ledbetter, MD · Answer

Thank you for the pictures and a good question. When doctors talk about aggressive versus conservative treatments, they are talking about a combination of depth the two lasers are programmed to reach and the density or how close together the laser beams are spaced. We use different settings based on the treatment goals.
 For your concerns, I would use a fairly aggressive depth and density if you had no contraindications. One treatment will bring about improvement, but for optimal results, I would recommend a series of three spaced 6 to 8 weeks apart. When the treatments are stacked 6 to 8 weeks apart, the collagen stimulation is ramped up and a synergistic effect can be achieved.
I would also recommend a Halo-Pro/BBL combination where you receive a BBL treatment immediately prior to the Halo in order to add additional treatment for the browns and reds and stimulate even more collagen production and remodeling and I would use PRP to speed healing and improve results.

David A. Sieber, MD, FACS · Answer

Thanks for the great question and the photos. I also combine BBL with Halo pretty routinely in my practice. I think that it maximizes the reduction of the brown pigment in the skin. Looking at your photos, you will definitely get an improvement with a single treatment, but you will likely require a couple of treatments for most of the pigment to be gone. An aggressive treatment often times means that the laser will be treating a higher percentage of the skin at a great depth. You are a good candidate for a more aggressive treatment. Best of luck!~Dr. Sieber

Rebecca Gelber, MD · Answer

Great question - you are an ideal candidate for Halo treatment! In our office, we always combine BBL (Broad Band Light) with our Halo treatments. It doesn't add anything to the downtime, but you get much more improvement in browns, reds and antiaging than you would with Halo alone.
Halo can be done in a wide range of intensities from very light to quite strong. The lighter the treatment, the more you will need. Also, it takes less treatments to improve color (brown and red) than if you are looking for a lot of texture (wrinkles, lift and pores). You should see some improvement with any treatment, but given the damage you're starting with, your best results would be with 1-2 very strong treatments, or a bigger series of light-moderate ones.

Davin Lim, MBBS, FACD - Account Suspended · Answer

The answer really depends on the expectations of the patient. If you are after a visibly improved skin texture, then sure, one high density HALO can give you a visible improvement. However if you are after better results, combining treatments such as BBL or multiple HALO treatment will give better results. Additionally the use of other lasers or energy devices can give even better outcomes. I do believe you need to communicate with your specialist as to your exceptions - he or she will then advice you on an appropriate treatment (maybe HALO) or other METHODS to give you the best outcome. Dr Davin Lim. Brisbane. Australia.

Shelby Bentz, MD (retired) · Answer

Hello and thank you for the pictures! Halo treatment does give you results but there are few people who benefit from a single Halo because most of us have a combination of problems: reds, brown spots, UV and sun damage (some much more than others), skin laxity and wrinkles of varying depth and number. Since most of us wait until there are some obvious signs of damage, a series of BBL and Halo treatments together are often most beneficial.  Good luck.  Shelby Bentz  MD

How often does it happen that one would require more than one Halo Fractional treatment to get a positive result? (photos)

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