lasers

Every laser emits light—a source of heat—as its means of treating varying skin conditions. The color and the power of the light source differentiates one laser from another. There are almost as many colors, light sources and names available for lasers today as shades of paint for your walls.

ABLATIVE LASERS

These lasers vaporize the surface layers of the skin. Because the lasers form wounds that must heal completely, these treatments come with serious downtime and meticulous post-treatment care. Upon healing, a fresh, new, healthy layer of skin is revealed.
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NON-ABLATIVE LASERS

Leaving the upper layers of the skin intact, these lasers generate heat in the dermis to stimulate collagen production and improve the texture and tone of the skin. Treatments involve topical anesthetic at most and little (if any) downtime.
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ABOUT THE PROCEDURE

Depending on the treatment and the region being treated, it may take from a few moments to an hour. Protective goggles for the patient and the technician are a must.
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WHO DOES IT

Board-certified dermatologists, plastic surgeons and facial plastic surgeons appropriately perform laser treatments of the face.
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COMMON PROBLEMS IMPROVED BY LASERS

  • -Aging and wrinkles
  • -Sunspots, age spots and freckles
  • -Acne
  • -Veins and blood vessels
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THINGS YOU NEED TO KNOW

With any laser treatment, it is best to avoid sun exposure two weeks prior to treatment, during the course of treatment and for as long as your doctor recommends after treatment is complete.
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RISKS

All lasers carry the risk of burning the skin—sometimes seriously. Lasers can cause hypopigmentation, a whitening of the skin; or hyperpigmentation, the creation of irregular dark pigment. The use of an ablative laser alone doesn't lead to a risk of infection, but the removal of top layers of skin invites the potential for infection. Patients prone to cold sores could experience an outbreak following any laser treatment. A prescription like Valtrex can lessen those chances if taken before your treatment.

HYBRID LASER

The first real hybrid between ablative and non-ablative lasers is gaining in popularity. Fractional skin resurfacing, as produced by a Fraxel®-brand laser, shrinks thousands of wounds down to one-eighth the size of a human hair, in a region as small as your thumbnail. This new technology will offer similar results to more aggressive resurfacing techniques, but with less downtime and risk of side effects. As with any new technology, it will take some time in practice before outcomes can truly be defined.

BEFORE AND AFTER: LASERS

Treatment of telangiectasias with a diode laser.

Before and After Laser

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Adam N. Summers, MD