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Laser Resurfacing

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2 Year 23 Days
Leta Armstrong
I love the results.
I found Dr. Weiner after several CO2 Laser treatments for deep scaring on my face which left my skin... read more »
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3 Year 18 Days
C. Roberts
Dr. Weiner’s Aesthetic Clinique deserves a 10 star rating, but Google allows for only 5!
Growing up in Florida, I have had a lot of sun exposure. Nearing 50, several hyperpigmented areas o... read more »
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Fraxel Dual

 

Fraxel Dual Laser Resurfacing

  • Both 1550nm and 1927nm wavelengths
  • Integrated Zimmer Cooling (cold air)
  • 1550 is for scars, pigment, fine lines, wrinkles and Actinic Keratosis (precancerous lesions)
  • 1927 is for pigment (better than 1550), and for Actinic Keratosis
  • 1550 goes deeper, 1927 is more superficial
 

Frequently Asked Questions

What is different between the new Fraxel re:store Dual and the older Fraxel re:store?

The Fraxel re:store Dual is a combination of the 1550nm laser which the older re:store had, and the 1927nm laser, which is the only laser with this wavelength. With the older Fraxel re:store, 4 treatments were recommended; now the same correction with the Dual can usually be done in only 3 treatments. The improvements in the 1550nm are:

  • Faster Treatment Times — With upgrades in the software, you can cut treatment times by about 25% and have no degradation in effectiveness.
  • More Comfort — The new handpiece has an integrated Zimmer Cooling Device (cold air) which allows for the skin to be chilled directly where the treatment is occurring.
  • Groundbreaking pigment eradication — The 1927 allows for a very superficial resurfacing which can eliminate pigmentation from melasma, hyperpigmentation, sun damage, actinic keratosis safely in all skin types, on all parts of the body.
  • Nonablative superficial resurfacing similar to a very superficial CO2 laser resurfacing — without the downtime or wound care.
  • When used simultaneously with the 1550nm laser, you get more effective resurfacing—a superficial and deep resurfacing—leading to fewer treatments for the same results.
  • Safe for all skin types and all body surfaces.

Please explain further the Fraxel Dual 1550nm nonablative fractional resurfacing?

Fractional laser resurfacing is treating a fraction of the skin with the laser and leaving the majority of the skin unaffected. Typically about 20-35% of the skin is treated with microthermal zones (MTZ's). These MTZ's are columns of tissue heated by the laser that are much less than the diameter of a hair. By only treating a portion of the skin, the downtime and risks are minimized but the treatment depths can actually be higher - leading to more effective treatments. The 1550nm laser is an Erbium laser which is a rather "cold" laser. It causes very little "peripheral" damage when creating MTZ's, and just heats the tissue. This is nonablative resurfacing. In contrast, the CO2 laser vaporizes tissue (removes tissue) which is ablative resurfacing. Typically, nonablative resurfacing will require multiple treatments, and will have less downtime.

What can this laser do?

FDA indications include treatment of pigmented lesions, acne scars, melasma, mild to moderate periorbital rhytids (wrinkles), surgical scars and actinic keratosis. Physicians have been using the 1550 nm restore for stretch marks, burns, and improvement in pore size with great results. The addition of both wavelengths in a single treatment makes the improvements faster and increases its effectiveness.

For pigmentation, should I do IPL or Fraxel Dual?

An IPL is limited by the natural pigmentation in the skin. If there is a large difference between the area of pigmentation which one wants to remove and the natural skin color, IPL is effective. However, if the pigmentation is light, or very close to the skin color, an IPL has trouble safely removing the pigment. The Fraxel Dual does not care what skin color you are or what color the pigment is. It works by going down to the layer of skin where the abnormal pigment is, and renews/resurfaces it. An IPL can take up to 4 treatments to remove pigment and the Dual should take 1 or 2.

What can I expect after the procedure?

You will have pinkness and mild swelling for about 3-5 days. There is no wound care, and no dressing changes. Your skin will feel dry and we recommend a moisturizer such as Cetaphil or other recommended cream. After a few days your skin will bronze and feel rough. It is about to peel at this time, and the peeling will take about 3 days to complete. Your skin will then look very refreshed and pink and will return to its natural color in about 5-7 days. Areas other than the face take up to 2 weeks to fully heal.

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"Get treated by a trainer, not a trainee." - Steven F. Weiner, MD