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you cannot compare permea to origional they are different wavelengths and for different purposes. both are light non ablative lasers used for different reason. I combined microneedling and PRP with both and suggest AERIFY monthly with them.at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging. For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling2) PDT light therapy few times a month with growth factors3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting6) botox every 2-3 months to stop movement lines and prevent lines at rest7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)Best, Dr. Emer.
The original handpiece penetrates more deeply than the Permea handpiece which is better for pigmentation. Both handpieces can be used at the same session.
Both are very effective for skin rejuvenation and decreasing pigmentation. Perméa handpiece treatment is optimized for improved skin tone and texture and enhanced skin permeability which can result in enhanced absorption of skincare products when applied immediately after treatment. Perméa is used mostly for decreased pigmentation especially safe for darker skin types and is more effective for reducing pigmentation. The Original handpiece does go deeper up to 400 microns. This would be used to reduce lines and wrinkles as well as give your skin a great glow. Both work to rejuvenate and give your skin a healthy glow. Depending on what skin type you have and what you are interested in achieving that would be the handpiece that would be selected for your treatment. Many times alternating handpieces every other visit give the best result. If looking for one that goes deeper then it is the Original Handpiece. Not sure if that makes it stronger but resurface the skin.