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The key to improving sun damage, sun spots, discoloration, wrinkles, fine lines, skin tone, and acne scar, lies in the benefit of laser skin rejuvenation. Dr. Michele Green is an internationally renown board certified NYC dermatologist, known for her non-invasive laser skin rejuvenation treatments and cutting edge procedures to address these major photo damage concerns. Today, most patients want minimally invasive skin procedures to improve their skin health, without the downtime associated with traditional plastic surgery. Dr. Green combines her expertise in skin care with world class laser treatments, to provide the best overall skin rejuvenation in NYC.

What is laser skin rejuvenation?

Laser skin rejuvenation combats the visible signs of aging, fine lines, wrinkles, sun damage, hyperpigmentation, and acne scars. Laser skin rejuvenation addresses the pigmentation and texture of the skin itself, and repairs the damage from sun, genetics, acne, and the environment. Dr. Michele Green uses the latest laser treatments, including non-ablative lasers and fractional lasers, to treat all aspects of sun damage, age spots, and acne scars. With a combination of IPL, Fraxel laser, Vbeam laser, Thermage, Clear + Brilliant, Alex TriVantage, and eMatrix, Dr. Green is skilled at repairing your skin. She will restore both tone and texture, leaving you with a clear, younger-looking complexion. Some laser treatments are used to target specific conditions such as rosacea or age spots, while other laser treatments target a range of different skin issues and are great multi-purpose tools for making the skin appear younger and healthier. With the production of new elastin and collagen, these lasers reduce skin laxity, tighten the skin, and reduce the visible signs of aging.

Laser resurfacing

Laser resurfacing is a proven way to treat facial wrinkles, age spots, blemishes, hyperpigmentation, fine lines, and to tighten and firm the skin. The overall method involves utilizing concentrated beams of light to remove the top layer of the skin, the epidermis. Some lasers target fine lines and wrinkles, like the ones around your eyes or mouth, and other lasers target acne and acne scars. Some laser resurfacing is used to improve the general health of the skin, to improve skin tone and texture. Laser skin resurfacing is popular to improve skin which has extensive photodamage and benefits greatly from facial skin rejuvenation. Some methods of laser resurfacing are designed for specific skin tones, specifically for darker skin. There are different types of laser resurfacing lasers, some fractionated and nonablative, and others more intense and ablative, with different degrees of recovery time. It is best to understand the differences in these types of laser skin resurfacing in order to make the best choice both for your skin type, area of concern, and the amount of recovery time you can incorporate into your life style.

Nonablative Lasers

Nonablative lasers are lasers which do not cause a direct wound to the skin. Nonablative lasers are a type of resurfacing laser which improves skin tone and texture, skin tightening, and reverses photo-aging without the recovery time and discomfort of ablative lasers. This approach can be performed with various different lasers such as the Fraxel laser, Vbeam laser, Clear + Brilliant laser, Intense Pulsed Light (IPL) devices, eMatrix, Alex-Trivantage laser, among others. Non-ablative lasers have soared in popularity over ablative lasers because of the  decrease in recovery time and side effects and provide the same, rejuvenating results.

Fractional laser treatment

Fraxel is the gold standard in fractional laser treatments. The Fraxel Dual laser can be used to treat several different skin conditions such as pigmentation, age spots, sun damage, and acne scars. The Fraxel laser is a non-ablative laser, which means that it does not disrupt the top layer of skin, the epidermis. The mechanism by which the Fraxel laser works is that it uses fractionated resurfacing technology. By design, fractionated lasers only target microscopic areas of the skin, and does not cause damage to the surrounding tissue. This means that there is very minimal down time with the Fraxel laser, and the skin heals in a few days after the procedure. Through collagen induction therapy, the Fraxel will improve the overall skin texture, as well as treat fine lines, pigmentation, and acne scars.

The Fraxel® Dual laser consists of two lasers in one device. The advantage of this is that one or both of these laser settings can be used depending on the patients requirements. The 1927 wavelength Thulium laser is great at treating skin pigmentation, sun damage and age spots, while the 1550 wavelength Erbium laser will improve skin texture, wrinkles, fine lines, and treat acne scarring. The number of treatments required depends on the amount of sun damage or the degree of acne scars. In general, extensive sun damage requires three Fraxel treatments to the treated area, and acne scars usually need approximately five sessions to reduce the scarring. Dr. Green calls the Fraxel laser “the magic eraser”, due to its ability to erase sun damage and leave your skin clear and younger-looking after just a few treatments.

Read more about the Fraxel® Dual laser

Clear + Brilliant®

This laser was designed by the same company as the Fraxel Dual Laser, and is known as the “baby” Fraxel. The reason for this name is that it is a fractionated laser treatment, like Fraxel, which delivers gentler results than its larger “parent”. The Clear + Brilliant utilizes non-ablative fractional laser technology to produce new elastin and collagen. Clear + Brilliant is effective at rejuvenating the skin, removing blemishes and brown spots, decreasing pore size, and improving all over skin tone and texture. There is absolutely no downtime with the Clear + Brilliant laser, like there are for other resurfacing lasers. Even after you first treatment, your skin will appear smoother and brighter. As you complete a series of treatments with the Clear + Brilliant, the laser will promote new collagen production within the skin and it will leave you with healthy, glowing skin.

Read more about Clear + Brilliant®

Laser skin resurfacing 

Some of the most popular procedures that Dr. Green performs are her non-ablative skin resurfacing lasers. Most patients choose non-ablative lasers over ablative lasers due to the simplicity, lack of side effects, and minimal down time. Ablative lasers, which remove the top skin layers, were once the norm in plastic surgery and cosmetic dermatology. They have fallen out of favor in the past decade due to their prolonged recovery time and numerous side effects.

Ablative Lasers

Ablative lasers are lasers which cause a wound to the skin and remove the thin outer layer of the skin, the epidermis. At the same time, the ablative laser heats up the underlying skin in the dermis and stimulates new collagen growth. The most common types of ablative laser treatments are carbon dioxide (CO2) laser and erbium laser treatments. These ablative lasers heat up the epidermis and as the new skin cells are formed, the skin tissue regrows and creates new skin, which is tighter and smoother. The CO2 laser was the first generation ablative laser to be developed and was used extensively in the past before non-ablative lasers were developed. Ablative lasers are not indicated for patients with darker skin tones.

How long does it take for the CO2 Laser to heal?

The CO2 laser resurfacing can take two weeks or more to heal. In addition, there are many side effects of ablative laser resurfacing which can last for months or can become permanent. The side effects of the CO2 laser include:

  •  Redness which can take several months to resolve.
  • Infections, both bacterial and viral, which are caused or aggravated by the laser. Antiviral medication is typically prescribed before the procedure to lessen the chances of a herpetic flare.
  • Permanent changes in skin color such as hypopigmentation or loss of pigment in the skin, especially in patients of darker skin tones. Hyperpigmentation and discoloration can also occur in areas by the laser.
  • Scarring can occur to the treated skin since the laser can penetrate deep into the dermis.
  • Acne flare with significant breakouts and infection.

Laser skin rejuvenation

Almost anyone can benefit from laser skin rejuvenation to reverse the visible signs of aging. Most patients today want to avoid having a facelift, because of all of the recovery time and the invasive nature of the procedure. With proper skin care, sunscreen of an SPF 30 or higher, and laser skin rejuvenation, all of the following skin treatments can be addressed:

  • Sun damage
  • Rosacea
  • Fine lines
  • Wrinkles
  • Age spots
  • Sun spots
  • Skin sagging
  • Broken Blood Vessels
  • Stretch Marks
  • Freckles
  • Leg Veins
  • Spider Veins
  • Acne Scars
  • Surgical Scars
  • Skin tone and texture
  • Hyperpigmentation and Skin discoloration

Vbeam® Laser

This is a very effective laser treatment used for acne, acne scars, and facial rosacea. The Vbeam pulsed dye laser is the gold standard for treating facial redness and rosacea. Generally a series of five sessions are needed for each treatment area, spaced one month apart, to reduce your acne rosacea. The Vbeam laser treatment will significantly reduce the appearance of broken capillaries on the skin, spider veins, stretch marks, leg veins, and acne lesions. It reduces redness in any given area, including the redness of acne, surgical scars, and in particular acne scars. Dr. Green has successfully used the Vbeam laser for acne scars for over the past two decades with amazing results.

vbeam before after male MGwatermark

Find out more about the Vbeam® Laser

Candela Alex TriVantage Laser

The Alex TriVantage laser is a fantastic laser for treating sunspots, sun damage, freckles, and pigmented lesions. Generally, these sun spots are on the sun exposed skin, primarily on the face. However, the Alex TriVantage is also used commonly to treat sun spots on the décolletage, neck, arms, legs, back, and hands. It can treat any area of the skin with has had sun exposure. The Alex TriVantage laser has different spot sizes, and is able to treat even the smallest dark spot, and leave the surrounding skin untouched. The treatment time is only 15 minutes and there is almost no discomfort. However, for larger areas, where there are many sun spots, such as the legs or arms, the treatment time may exceed 30 minutes. There is little down time after the procedure, and the treated areas have fine scabs which peel off in five days. It is important to avoid sun after the laser treatment and apply sunscreen of SPF of 50 or greater, for two weeks. Depending on how deep the sun spots are, usually only one to two treatment sessions are needed to clear up the skin and restore an even, clear, and more youthful appearance.

Additional info about the Candela TriVantage® laser

RL 74yo male before and after ED AlexTrivantage and Fraxel MGWatermark

74 year old with AlexTrivantage & Fraxel

Intense Pulsed Light (IPL)

The first FDA approval for the IPL came in 1995 for the treatment of telangiectasias. As the years have gone on, more indications have been approved and IPL is now utilized for complete photorejuvenation. The IPL  treats age spots, broken capillaries, sun spots, skin tightening, laser hair removal, and general sun damage. The IPL is used to help even out skin tone, reduce the redness caused by rosacea, and the pigmentation and sun spots from excessive sun exposure. The IPL laser is a gentle procedure and has no downtime after the quick 15 minute session. Unlike other lasers which use a single wavelength of light, the IPL uses a broad spectrum, which coincides with using interchangeable filters, to treat multiple cosmetic skin conditions. Since the IPL can treat rosacea, pigmentation, skin tightening, tone, and texture, it is the ideal procedure for someone looking for laser skin rejuvenation.

Read more about Intense Pulsed Light treatments

Thermage® Skin Tightening

For individuals who are experiencing facial sagging or noticing the start of jowls forming, then the most popular skin tightening laser, which requires no injections or surgery, is the Thermage®  laser. Sagging, loose skin is a sign of collagen loss and aging. Through the Thermage laser, the skin can be treated effectively, tightened, and rejuvenated. The new generation of Thermage, the Thermage FLX, is even better able to help boost the body’s natural collagen production which in turn makes the skin appear younger-looking.

Another advantage of the Thermage® laser, for skin tightening, is that it can be used to tighten the skin on any area of the body, including hands, knees, arms, legs, buttocks, face and abdomen. Read more about the benefits of Thermage.

Sciton SkinTyte®/BBL

Where this particular procedure shines is for the treatment of sagging skin on the face and neck. The treatment uses infrared technology to deeply heat dermal collagen and helps promote collagen regrowth, which makes the skin tighter and appear younger. In fact, the treatment has been been coined “forever young” due to its ability to effectively rejuvenate the skin.

Generally, a series of six treatments will be required, spaced four weeks apart for maximum effect. Most patients have maintenance sessions once or twice a year, to produce new collagen and maintain the positive effects of the BBL. Another advantage of this treatment is that sessions are only 20 minutes long, with no discomfort, and no recovery time.

Learn more about Sciton SkinTyte

eMatrix™ Sublative Rejuvenation

The eMatrix™ uses bipolar radiofrequency energy to heat below the skin surface while keeping the top layer of skin intact. After the treatment, new collagen is produced by the body, helping rejuvenate the appearance of the skin. Typically, three sessions will be required, spaced four weeks apart to gain the full effects from the laser treatment.

However, straight after the first treatment patients will be able to see an improvement and these improvements will continue for up to a year after the treatment has concluded. A key benefit of this laser treatment is that it has been designed to be used safely on all skin types.

IMAGE62 25 34 year old woman treated with acne scars treatment vbeam and ematrix MGWatermark

Discover all the benefits and advantages of the eMatrix™ Sublative Rejuvenation laser

How much does laser skin rejuvenation cost?

Ablative laser resurfacing is more expensive than nonablative laser resurfacing, due to the anesthesia and increased complications of the procedure. The American Society of Plastic Surgeons reported a range of $3,000 for an ablative laser procedure, and $1,500 for a non-ablative procedure, like the Fraxel laser. Other skin rejuvenation procedures are priced differently, depending on the credentials of the physician performing the procedure, like a board certified dermatologist, versus an uncertified technician.

Is laser skin rejuvenation safe?

Laser skin rejuvenation is entirely safe and almost every person can benefit from this type of rejuvenation. The concern is that lasers are complicated procedures and the professional who is operating the laser must be familiar with the nuances of different skin tones and the complexities and side effects of lasers. Patients who suffer hyperpigmentation, burns, or hypopigmenation, generally are going to spas or technicians for their laser treatments and not board certified dermatologists or plastic surgeons who have years of experience with these laser skin rejuvenation procedures.

Does laser skin rejuvenation work?

Laser skin rejuvenation is extremely effective and works to remove years of sun damage, sun spots, broken capillaries, redness from rosacea, and even out skin tone and texture.  Many patients benefit from laser skin rejuvenation from photo damage and treat fine lines and wrinkles and reverse the visible signs of aging. Dr. Green treats many patients with laser skin rejuvenation to repair their acne scars and other surgical scars. With all of the state-of-the-art lasers available at the office of Dr. Michele Green, she is able to rejuvenate and improve your skin concerns and restore healthier, younger-looking skin.

Am I a good candidate for laser skin rejuvenation?

A careful review of your medical history and past cosmetic procedures is important to ascertain if you are a good candidate. If you are in good health, most of the laser skin rejuvenations would be ideal to restore texture, tone, and remove sun damage. However, careful attention must be paid to your skin type. If you have a darker skin tone, certain ablative and even non-ablative lasers may cause hyperpigmentation or even hypopigmentation, or lack of pigment. It is important to review all of these concerns and choose a board certified dermatologist, like Dr. Michele Green, who is an expert in laser skin rejuvenation for the best cosmetic results.

If you are ready to bring out the best in your skin, Dr. Michele Green has the latest laser skin rejuvenation treatments to help you. Contact us online today or call 212-535-3088 to learn more about how Dr. Green can customize a personalized skin rejuvenation regime, in her NYC boutique office, created especially for you.

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