Heart and Vein

Skin Rejuvenation

From Head to Toe, Feel and Look Refreshed!

As we age skin loses its tone, feels less firm, and sags. Time, lifestyle and environmental factors, sun damage, and heredity cause skin irregularities that result in a dull and aged appearance. Acne scars, pigment changes, and broken blood vessels compound the problem even more.

With laser skin rejuvenation you can easily clear many undesirable skin imperfections on your face and body. Here, we take a comprehensive, individualized approach to treatments, for preventative personal maintenance.

Skin rejuvenation can treat:

  • Visible wrinkles that do not change with movement.
  • Expression lines and folds that develop from facial movements and environmental exposures.
  • Benign pigmented skin lesions; freckles, sun spots, and darkened patches caused by sun exposure and age.
  • Acne scars and other injuries to the skin that are pitted and discolored.
  • Discrete telangiectasia (spider veins and other vascular lesions).
  • Lost skin tone and texture due to weak structural support from collagen and elastin fibers.
  • Refine pore size.

How Does It Work?
Non-ablative, laser rejuvenation procedures induce a dermal healing response without notable injury to the epidermis and results in; a wound repair response, fibroblast stimulation, and collagen reformation. It works by delivering pulses of energy deep into the skin, targeting pigment and stimulating collagen for a smoother and more even appearance. With no downtime, these laser procedures are popular among patients who need to immediately return to their everyday life.

Although skin has many layers, it can generally be divided into three main parts:

  • Epidermis- The outer layers: contains; skin cells, pigment, and proteins.
  • Dermis- The middle layers: contains; blood vessels, nerves, hair follicles, and oil glands. The dermis provides nutrients to the epidermis.
  • Subcutaneous- The inner layer under the dermis: contains; sweat glands, some hair follicles, blood vessels, and fat.

*Each layer also contains connective tissue with collagen fibers to give support and elastin fibers to provide flexibility and strength.

Skin changes are related some of the following:

  • Environmental factors
  • Genetic makeup
  • Nutrition
  • Medications

    Sun exposure is the greatest single contributing factor to cellular breakdown. That is why it is important to treat the skin on the body as a whole. Skin exposed to the sun and ones outside environment will break down differently than skin that’s not exposed to these elements. You will notice over time how the integrity of the skin will change in accordance to this.

    Pigment
    Causes of Pigment

    • Ageing processes
    • Sun damage and exposure
    • Heredity
    • Pregnancy
    • Hormones
    • Environmental factors
    • Lifestyle factors
    • Medication
    • Injury or trauma

    The pigment in your skin is caused by a cell called a melanocyte. The melanocyte produces a brown to black pigment called melanin, within the bottom layer of the epidermis, otherwise called the epidermal-dermal junction. Once it is produced, it works its way into the cells which then spread out above the nucleus, where they stay, protecting the DNA inside the organelle from harmful UVR. The pigment and damage can take several years before it surfaces.

    Laser light is attracted to pigment within the cells of the skin. Proper parameters will cause the pigment within the treated lesion to darken and surface. The treated lesions will take on a “coffee ground” or crust-like appearance, as the melanin or pigment lifts to the surface of the epidermis. Once the pigment flakes off, the area underneath will be red or pink, and sensitive for up to a week. In order to avoid unintended scarring, it is essential not to pick, exfoliate, or wash the area too vigorously. It may take up to six weeks for the treated area to fully heal. During this time, it is important to protect the area from sun exposure or other irritants.

    Superficial lesions, such as age spots, usually require fewer sessions than a deeper lesion. Deeper lesions and damage often requires a layered removal approach, which will take several sessions. In certain instances, not all of the pigment can be removed.Once treated and healed, these treated lesions do not return. However, if you are prone to acquiring brown spots, new ones may form. To reduce the appearance of new lesions, it is essential to avoid sun exposure and always wear sunscreen and protective clothing when you spend time in the sun.
    To achieve optimal benefit, 1 to 3 procedures may be necessary about 2 to 3 weeks apart.

    Lines and Wrinkles
    Causes of Lines and Wrinkles

    • Ageing processes
    • Sun damage and exposure
    • Muscle movement
    • Gravity
    • Injury or trauma
    • Acne
    • Hormones
    • Environmental factors
    • Lifestyle factors
    • Medication
    • Smoking (Smokers are five times more likely to have wrinkled facial skin than non-smokers)

    Wrinkles and lines form when the connective tissue within deeper layers of the skin, which provides the support structure for the surface skin layers, loosens and unravels. Changes in the connective tissue reduce the skin’s strength and elasticity (This is known as elastosis) and as a result the skin sags, and small to large wrinkles and lines form. They are the most noticeable in sun-exposed areas (solar elastosis). Elastosis produces the leathery, weather-beaten appearance, common to people who spend a large amount of time outdoors.

    There is often a degree of asymmetry to the lines and wrinkles that form, as people tend to:

    • Smile or frown more on one side than the other.
    • Consistently sleep on the right or the left cheek.
    • Receive more sun damage due to exposure while driving.

    This consistent movement or pressure applied to the skin causes a faster cellular breakdown and will need to be treated accordingly. That is why we provide individualized custom protocols and procedures.
    To achieve optimal benefit, 4 to 6 procedures may be necessary at 2 to 4-week intervals.

    What Results Can I Expect?
    You can expect to see a decrease in the appearance of brown spots, sun damage, scaring, and wrinkles resulting in a smoother, more even skin tone.
    *A series of procedures may be required for desired results.

    • 2-4+ sessions
    • Mild discomfort
    • No downtime

    Laser skin rejuvenation is a medical procedure. As with preparation for any medical procedure, the patient undergoes a physical examination and is questioned regarding medical history and medications currently being taken.

    Expectations Following the Procedure
    Short-Term Side Effects
    Shortly after the procedure, erythematous flare, edema, and hyperpigmentation will be evident around the treated pigmented lesions. Erythema and edema may be evident for several hours. Lesions can continue to change color and darken for up to 12 hours post procedure.

    • Mild Sensitivity within treatment area.
    • Pustules or pimples may develop in the first few days following the procedure. The affected area should be kept clean and treated with care.
    • Erythema and edema may be seen for 24-48 hours post-procedure.

    Rare Risks (some of which are permanent):

    • Burns
    • Permanent pigment changes
    • Scars

    Each procedure conducted is influenced by characteristics of the individual patient: for example; hair pigmentation, skin color, skin thickness, and any previous skin conditions. The number of laser pulses delivered, the number of sites treated during the procedure, and the duration of a procedure can also all be influenced by patient characteristics. Changes in skin color may occur, although this is very rare. Skin that is tanned or has high levels of pigment has a higher risk of side effects. That’s why it’s important to allow your sun tan or artificial tan to fade before treatment. If your skin is naturally more pigmented, you may need additional treatments. This is due to the fact that pigmented skin is treated more conservatively to minimize side effects.

    Pre and Post Care Instructions
    Pre-Procedure Care
    Pre-procedure preparation is a key component in achieving successful results. Prepping the skin before a laser procedure can; improve healing time, shorten the recovery period, make the procedure safer and more tolerable, and deliver more effective results overall. Enhanced, more consistent, and even penetration can be achieved with these regimens thereby maximizing the efficacy of any laser treatment. The pre-procedure phase occurs days to weeks prior to the actual procedure itself.

    Pre-procedure protocols will be set up during the initial consultation

    • To obtain maximum results: Prior to the actual procedure, wash and clean skin to remove all; makeup, lotions, deodorant, and oil from the area to be treated. Clean area thoroughly using a facial cleanser or mild soap and water, and then 70% isopropyl alcohol to remove the oils.
    • Discontinue the use of Accutane (6 months before the procedure).
    • No sun exposure, tanning beds, sunless lotions, and tanning creams 2-4 weeks prior to the procedure.
    • Avoid use of systemic steroids (prednisone, dexamethasone) 2 weeks before and throughout the course of your Laser protocol.
    • 3 days before the procedure, discontinue use of all retinoids, Retin-A, Tazorac®, Differin®, and “anti-aging” products containing glycolic, alpha-hydroxy and beta-hydroxy acids.
    • Cleaned shaved the night before or the morning of procedure.
    • History of cold sores or herpes virus needs to be pre-treated for facial veins.
    • Hydrate: Remember to drink plenty of water as it assists the healing process and penetration of the laser energy.

    Post-Procedure Care

    • Ice should NOT be applied to the procedure site–as heating up of the collagen in the skin adds to your results. If you are lifting pigmentation only, apply ice packs or a cold compress to the area; five to ten minutes at a time, every one to two hours, post-procedure to help reduce swelling and redness. Do not put ice directly on the skin.
    • Discontinue use of all retinoids, Retin-A, Tazorac®, Differin®, and “anti-aging” products containing glycolic, alpha-hydroxy and beta-hydroxy acids for 24-48 hours post treatment.
    • Over the counter medication such as Zyrtec or Cetirizine may also decrease some of the swelling and itching
    • Hydrate: Remember to drink plenty of water post procedure as it assists the healing process
    • If you are experiencing “hive-like” symptoms, a mild-potency topical corticosteroid may be applied.
    • If crusting or blistering occurs, a restorative skin cream such as Cicalfate may be applied.
    • Avoid direct sunlight and sun exposure for at least three months after treatment. If unable to, reapply sunscreen every 2 hours.
    • Avoid strenuous exercise, sports, hot baths, steam rooms, and saunas for 24 hours following the procedure.
    • Do not shave or scrub the area if swelling, crusting, or scabbing is present.
    • Do not use any products or topical medications that have not been recommended. In doing so you increase the risk of complications. Some of these include; AHA’s, BHA’s, Vitamin C, Retinoids, or other exfoliates.

    3-5 Days Post

    • Restart at home regimen once normalization of the cutaneous area or tissue occurs, or according to professional recommendations.

    Post-procedure skin care instructions must be followed to prevent any complications. Please contact the office with questions or concerns regarding your procedure.
    Protocols are adjusted to fit everyone’s lifestyle. Speak to your provider regarding desired downtime, comfort, and results.
    *Individual results may vary and are not guaranteed.

    Before and After Photo Gallery

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