Skin & Aesthetic

Our center uses evidence-based practices founded on research AND the collective years of experience of our providers to develop a customized plan of care. Our providers participate in and conduct research trials dedicated to contributing to women’s health care.

We understand the need for individualized treatment may require different and/or a combination of therapies. We offer the latest laser AND radiofrequency therapies.

Pigmented Lesions

What are Pigmented Lesions?

Pigmented lesions arise from a wide range of natural and environmental sources including photodamage, genetic makeup, and the aging process. They may also manifest as side effects of medical procedures. Both can vary in size, shape, and prevalence in a given area. Pigmented lesions include pigment-related birthmarks, age spots, freckles, hyperpigmentation, actinic keratosis and pigmented nevi.
Laser energy targets pigment in tissue, breaks and ablates the pigment so that the body can naturally absorb pigment particle by immune system.

How Does it Work?

Treatment of pigmented lesions depends on the principle of selective photothermolysis; the proper wavelength is applied, and the light energy is absorbed by the chromophore and converted to heat which breaks up pigment. Surrounding tissue remains undamaged. In many cases numerous sessions are required to maximize results.

To successfully treat pigmented lesions one must carefully apply energy to break up pigment or blood but spare surrounding tissue. This can be more or less difficult depending on each patient’s individual characteristics such as skin color. Practitioners can account for these characteristics by adjusting treatment parameters such as fluence, pulse width, and repetition rate to maximize delivery of energy (for better results) and minimize patient discomfort. Many devices are limited in their utility because the different parameters cannot be adjusted independently (if at all). Understandably, treatment of darker skin is more challenging due to the higher concentration of melanin in the skin as a competing chromophore; in those cases treatment may be too painful or cause burning.

Wrinkle Reduction

What Is Wrinkle Reduction Or Skin Rejuvenation?

There are a variety of factors that happen simultaneously that contribute to appearance of wrinkly, ageing skin. Including the thinning out of the dermal layer and increase in moisture loss, decrease in oil production, shrinking of fat cell, and in particular, damaged collagen, making skin less supple. The changes in the support structure of dermis cause the skin to wrinkle and sag. This leads to more noticeable wrinkles and sagging loose skin.

Techniques, Pearls & Management of Complications of Fractional Laer Resurfacing & Blepharoplasty

Presented by: Dr. Julie Woodward

Lasers And Energy Based Treatments
Lasers and energy based treatments provide physicians the most diverse treatment options, ranging from light laser peels which are similar to micro-derm abrasion, through more aggressive fractional treatments which can require more than a week of downtime. Most physicians understand that the correlation between length of recovery is directly related to potential outcomes, the longer the downtime, the more extreme the results. However, Infini’s innovative technology is changing downtime/outcome dependency because of the unique way it’s energy is delivered deep into the dermis.

How Do Lasers And Energy Based Devices Work?
They work by stimulating the body’s natural healing response to create controlled damage and then generate a healing response to rebuild collagen and internal structure. Only INFINI delivers treatment inside the dermis sparing the injury at the surface making recovery comfortable and much faster.

Exploring RF Technology - Can It Erase Time?

Presented by: Dr. E. Victor Ross and Dr. Melanie D. Palm

INFINI
Novel High Intensity Focused RF device for consistent results and low downtime. Infini can be used at any time of the year and on any skin, as Infini does not directly affect the epidermis.

Treatment Options
There are a variety of treatment options for wrinkle reduction, from over the counter beauty products to surgical options such as a face-lift and everything in between. Many products work by hydrating or swelling the skin, temporarily providing a short term reduction in the appearance of wrinkles. As soon as the swelling effect is gone, the original wrinkles return exactly as they were before. Only surgical and energy based treatments, such as fractional laser treatments and the latest High Intensity Focused RF, provide an effective way to treat wrinkles for long term results.

Lutronic Offers 2 Superior Approaches To The Treatment Of Wrinkles:

  • Genius– The newest generation in high intensity RF treatment. Optimized protocols for all skin types, all ages, any time of year. Proprietary impedance feedback and control means you achieve coagulation of tissue, the way you want it and precisely were you want it. Tissue coagulation results in the regeneration of collagen and elastin.
  • Clarity– One of the most versatile dual wavelength platforms on the market for top laser indications aesthetic physicians around the world treat every day. Combining two workhorse wavelengths – long pulsed 755 nm Alexandrite and 1064 nm Nd:YAG in one easy-to-use device, physicians may gently remove pigmented lesions, unwanted hair, wrinkle reduction and ameliorate the appearance of vascular lesions.

Veins & Capillaries

What are Veins?

Vascular lesions such as birthmarks, rosacea, spider veins, varicose veins, and telangiectasias arise from a wide range of natural and environmental sources including photodamage, genetic makeup, and the natural aging process. They can vary in size, shape, and prevalence in a given area.
Laser energy penetrates skin, targets blood and eliminates blood and shrinks vessel/vein.

How Does it Work?

Treatment of veins depends on the principle of selective photothermolysis; the proper wavelength is applied, and the light energy is absorbed by the chromophore (in this case hemoglobin) and converted to heat which breaks up coagulated blood. Surrounding tissue remains undamaged. In many cases numerous sessions are required to maximize results.

To successfully treat veins one must carefully apply energy to break up coagulated blood but spare surrounding tissue. This can be more or less difficult depending on each patient’s individual characteristics such as skin color or the presence of other competing chromophores. Practitioners can account for these characteristics by adjusting treatment parameters such as fluence, pulse width, and repetition rate to maximize delivery of energy (for better results) and minimize patient discomfort. Many devices are limited in their utility because the different parameters cannot be adjusted independently (if at all). Understandably, treatment of darker skin is more challenging due to the higher concentration of melanin in the skin as a competing chromophore; in those cases treatment may be too painful or cause burning.

Skin Resurfacing

What is Skin Resurfacing?

Skin resurfacing is the treatment, or removal of some or all of the surface layers of skin as a therapeutic alternative to the surgical face lift. While still the gold standard, surgical lifting is a major procedure with inherent risks, and many patients wish to avoid the procedure altogether. Patients undergoing skin resurfacing treatments may also wish to stave off the need for a future face lift or simply age more gracefully. Although most often performed on the face, skin resurfacing may be performed on the body. Different procedures, alone or in conjunction, vary in invasiveness and have a range of benefits beyond reduction of laxity including improvements in fine lines and wrinkles, firmness, texture, pore size, the appearance of photodamage (such as vascular and pigmented lesions), and a general healthy glow.

Techniques, Pearls & Management of Complications of Fractional Laser Resurfacing & Blepharoplasty

Presented by: Dr. Julie Woodward

How Does it Work?
Energy-based skin resurfacing generally describes the delivery of therapeutic energy to the epidermis and/or dermis for thermal coagulation of tissue and stimulation of neocollagenesis, as well as the vaporization or ablation of surface tissue. Adequate skin cooling maximizes patient comfort and allows practitioners to deliver more energy safely; modulation of treatment parameters allows users to customize treatment based on the condition and skin type of the individual patient, to maximize results as well as manage patient comfort and the potential for side effects. Treatment of darker skin with laser- or light-based modalities can be problematic due to the increased potential for burning or post- inflammatory hyperpigmentation (PIH). In most cases several treatment sessions are required to fully realize outcomes.

Scar Revision

What is Scar Revision?

Scar revision is the therapeutic alteration of scar tissue, usually to improve the appearance of the scar or attempt to eliminate it. Scarring can have a deleterious effect on appearance, self-image, and quality of life; scar tissue can be overly sensitive, stiff/inflexible, painful, or itchy.

Advances in Scar Revision

Dr. Jill Waibel discusses the latest advances using CO2 to treat scars.

Treatment Options
Scars are treated in a variety of ways including use of chemical peels or injectable fillers, dermabrasion, microneedle therapy to induce neocollagenesis, nonablative laser therapy to improve texture or redness, and ablative laser therapy or fractional radiofrequency therapy to vaporize scar tissue and promote a healthy wound healing response as well as stimulate neocollagenesis.

A breakthrough in acne scar treatments* and skin rejuvenation*.
Presented by: Dr. Gilly Munavalli and Dr. Joely Kaufman
*Off-label use by a physician


How Does It Work?
When performing energy-based scar revision therapy, treatment parameters must be carefully managed to promote patient comfort, minimize collateral damage to surrounding tissue, manage energy delivery for improved recovery, and maximize the final result. Treatment of darker skin with laser- or light/energy- based modalities can be problematic due to the increased potential for burning or post-inflammatory hyperpigmentation (PIH). In most cases several treatment sessions are required to fully realize outcomes.

Hair Removal

What is Hair Removal?

Hair removal is among the most common aesthetic concerns worldwide and concerns both men and women.

Treatment Options

There are several options available for hair removal, and many over the counter options, although most are not permanent. Permanent hair reduction can only be achieved through the application of energy directly to the hair follicle.
Laser energy is applied to hair follicle, heat destroys follicle and prohibits future growth.

How To Maximize Speed and Efficiency in Hair Removal

Presented by: Dr. Omar Ibrahimi

How Does It Work?
The removal or permanent reduction of unwanted hair by laser light depends on the scientific principle of selective photothermolysis. When the correct wavelength of laser light is applied to hair in the treatment area, melanin in the hair absorbs the light, which is converted into heat energy. Buildup of thermal energy causes the destruction of hair follicles as well as associated stem cells and dermal papillae, while the surrounding skin is undamaged. Some follicles will only be damaged or may regrow, so numerous treatments are required to reduce or eliminate unwanted hair effectively for a persistent result.

To successfully remove unwanted hair by laser treatment, one must carefully apply energy so that hair follicles are damaged but nearby skin and tissues are spared. This can be more or less difficult depending on each patient’s individual characteristics such as skin color, hair color, and hair thickness. When treating hair with a laser, one can account for these characteristics by adjusting treatment parameters such as fluence, pulse width, and repetition rate. Many devices are limited in their utility because the different parameters cannot be adjusted independently (if at all). Understandably, treatment of darker skin is more challenging due to the higher concentration of melanin in the skin as a competing chromophore; in those cases treatment may be too painful or cause burning.

Other

Clarity II

  • Vascular malformations like spider veins, larger leg veins, and venous lakes
  • Shorten acne outbreaks and reduce oiliness with laser toning – also gives a healthy glow to the skin
  • Treat pigment on lighter skin types
  • Treat Broken blood vessels on face and angiomas

LaseMD ULTRA:

  • Address fine lines and textural concerns – a wonderful complement to the genius with a procedure we call “TotalSkin” that can be done in just one sitting.
  • Completely customizable to treat every individual patient safely, with just the right amount of energy.
  • Improvement in melasma without risk of flaring it

Genius RF microneedling:

  • Volumization without using dermal fillers!
  • Skin tightening on whole body from neck laxity to abdomen and even legs to get your bikini body ready
  • Traumatic and surgical scar revision (c-sections, etc.
  • Stretch mark revision
  • Acne scar revision is one of the hottest selling procedures.
  • Address Excessive sweating from the armpits

KeraLase

  • Groundbreaking new treatment for hair and scalp revitalization. An eight minute procedure
  • No needle sticks, no downtime, and a higher concentration of growth factors than could ever be present in PRP from someone’s blood.
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