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Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery. Best,Dr. Karamanoukian Realself100 Surgeon
Thanks for your question. Skin tightening is best achieved with the application of heat in one form or another, +/- additional mechanisms such as RF micro-needling with heat. There are many devices which deliver heat to the dermis, which acts as a microinjury, thus stimulating the body's healing cascade. The body response is then the development of new collagen and elastin- which produces smoothing and tightening. Great examples of this are Sofwave (micro-focused ultrasound energy) and Morpheus8 (RF micro-needling). To get a greater degree of tightening you need to deliver heat also to the layer under the skin- the fatty layer where we have the "fibro-septal network". Therapeutic heat delivered here provides an even greater degree of tightening and longer lasting results, but there is some downtime and you need to use a probe moving under neath the skin (inserted just through needle pokes, so still non-surgical and we refer to it as "minimally invasive"). A great example of this is the FaceTite procedure. And sometimes we do combinations, such as FaceTite + Morpheus8 to deliver the maximum result possible in a single procedure. That combination is called "EmbraceRF". FaceTite and EmbraceRF require that you wear a compression garment post procedure for 3 days, then at bedtime only for about a week. I hope that helps!
It appears you may be a good candidate for Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. Three treatment sessions are recommended for optimal results. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.
Thank you for your question, Justin. At 36, noticing early signs of skin laxity, especially under the neck, is not uncommon. Collagen production begins to decline in our late 20s, and this can result in subtle changes to the jawline and neck. Fortunately, there are both non-surgical and...
Thank you for your question. Neck lines, also called "tech neck" or horizontal neck wrinkles, can be a cosmetic concern for many individuals. While hyaluronic acid fillers, like the RHA collection, are commonly used for facial wrinkles, there are alternative techniques that may be more suitable...
An exam is needed for a specific recommendation but there are a few options. If it is localized fat then some liposuction may be all you need. If there is skin laxity as well you could consider Morpheus8. This nonsurgical treatment combines RF technology with microneedling to improve overall...