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Laser Skin Care

Combining the capabilities of two Best-in-Class lasers – GentleLASE and GentleYAG – Candela announces GentleMAX – the first multiple wavelength workstation uniquely configured to address aesthetic medicines’ most commonly requested procedures, including permanent hair reduction, leg and facial vein removal, vascular and pigmented lesion removal and skin tightening. The GentleMAX offers practitioners the same unsurpassed speed, efficacy and ease-of-use found in all Candela lasers along with the additional advantages of expanded treatment versatility and convenience. Only Candela can offer its customers a configurable, multiple wavelength device without compromising product specifications, power or performance.
Hair Removal for ALL skin types

Leg and Facial Veins

Beard Bumps (PFB)

Pigmented Lesions

Age/Sun Spots
Freckles

Vascular Lesions

Hemangiomas

Wrinkle Reduction

Skin Tightening










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Leg and Facial Veins

Facial Veins

What are spider veins?
Spider veins, also called telangiectasias, are tiny visible vessels within the skin. They develop most commonly on the face and legs. They begin as tiny capillaries and appear as blue or red squiggles. They are small red, blue or purple veins that commonly appear on the surface of the thighs, calves and ankles. It is estimated that at least one third of the adult female population is troubled with this common problem. People often seek treatment for spider veins because of cosmetic concern. However, it is also common for spider veins to cause symptoms, such as aching, heaviness, itching and night cramps. Spider veins may be isolated or associated with “feeder” veins. They can also be associated with larger underlying varicose veins.

What do spider veins look like?
Spider veins usually take on one of three forms: They may appear in a spider shape with a group of veins radiating outward from a central point. They may appear in a pattern that resembles branches on a tree or they may be in a linear pattern that appears as thin separate lines.

How are varicose veins different?
Spider veins may be isolated or associated with “feeder” veins. They can also be associated with larger underlying varicose veins. Varicose veins are distended veins beneath the skin. They may appear as bluish bumps and often cause discomfort. Those with unsightly varicose veins and aching pain often choose to have surgery to remove their varicose veins. Because varicose veins are no longer functional, their presence is not missed. Ask your general surgeon about varicose vein treatment. If you have both varicose and spider veins, your varicose veins must be treated first. Treating spider veins first is generally futile because, in the presence of varicose veins, they are bound to return soon.

What causes spider veins and varicose veins?
The below factors may play a part in the development of varicose and spider veins:

• Heredity
- There is a significant relationship between heredity and the development of varicose veins and spider veins.

• Age - The development of varicose veins and spider veins may occur at any age but usually occurs between the ages of 18 and 35 years, and peaks between 50 and 60 years.

• Gender – Females are affected approximately four to one to males.

• Pregnancy
– Pregnancy is a common factor contributing to the formation of varicose and spider veins. The most important factor is circulating hormones that weaken vein walls. There is also a significant increase in the blood volume during pregnancy. This tends to distend veins, causing valve dysfunction which leads to blood pooling in the veins. Additionally, later in pregnancy, the enlarged uterus can compress veins, causing higher vein pressure leading to dilated veins. Varicose veins that form during pregnancy may spontaneously improve or even disappear a few months after delivery.

• Lifestyle/Occupation - People who are involved with prolonged sitting or standing in their daily activities have an increased risk of developing varicose veins. Thus, the weight of the blood continuously pressing against the closed valves causes them to fail, leading to distention in the veins.

Lifestyle factors that may contribute to the development of varicose and spider veins are:

• Binding clothing
• Chronic constipation
• Hormonal changes such as Birth control pills/estrogen replacement therapy
• High-heeled shoes
• Obesity
• Sedentary lifestyle
• Number of pregnancies
• Westernized population
• Heat

How can I prevent the development of spider veins?
Not all varicose and spider veins can be prevented. But some things can reduce your chances of getting new varicose and spider veins. These same things can help ease discomfort from the ones you already have:

• Wear Sunscreen to protect your skin from the sun and to limit spider veins on the face.
• Exercise regularly to improve your leg strength, circulation, and vein strength. Walking, climbing stairs, cycling and swimming keep your calf muscles in motion to activate the calf muscle pump. This reduces pooling and pressure in the veins.
• Control your weight to avoid placing too much pressure on your legs.
• Do not cross your legs when sitting.
• Elevate your legs when resting as much as possible- keeping your feet positioned higher than heart level.
• Do not stand or sit for long periods of time. If you must stand for a long time, shift your weight from one leg to the other every few minutes. If you must sit for long periods of time, stand up and move around or take a short walk every 30 minutes.
• Wear elastic support stockings and avoid tight clothing that constricts your waist, groin, or legs. Support stockings provide external graduated counter-pressure to aid in venous blood flow to the heart. They reduce pooling and pressure in the veins. They also may reduce the risk of forming a deep vein blood clot. Consider wearing them during long plane or car rides.  
• Eat a low-salt diet rich in high-fiber foods. Eating fiber reduces the chances of constipation which cancontribute to varicose veins. High fiber foods include fresh fruits and vegetables and whole grains, like bran. Eating too much salt can cause you to retain water or swell.


How can spider veins be treated?
The two options for spider vein treatment are laser and sclerotherapy. They can be employed independently or in combination. Lana Gray does not provide sclerotherapy treatment. During your medical consultation at Lana Gray, we will discuss which veins will be treated most effectively with laser treatment and which veins would not be appropriate.
Laser surgery-
New technology in laser treatments can effectively treat spider veins in the legs. Laser surgery sends very strong bursts of light onto the vein. This can makes the vein slowly fade and disappear. Lasers are very direct and accurate. So the proper laser controlled by a skilled doctor will usually only damage the area being treated. Most skin types and colors can be safely treated with lasers.
Laser surgery is more appealing to some patients because it does not use needles or incisions. Still, when the laser hits the skin, the patient feels a heat sensation. Cooling helps reduce the pain. Laser treatments last for 15 to 20 minutes. Depending on the severity of the veins, two to five treatments are generally needed to remove spider veins in the legs. Patients can return to normal activity right after treatment. For spider veins larger than 3 mm, laser therapy is not very practical.

Sclerotherapy (larger vein injection)
Sclerotherapy involves injecting a liquid agent through a tiny needle directly into your spider veins, causing them to contract and collapse. Because this technique relies upon fitting a tiny needle into a tiny vein, it is best suited to medium and large spider veins. Afterward, you will wear ace bandages or compression hose for three to ten days as recommended by your plastic surgeon. You may resume sedentary activities immediately but should avoid exercise, hot baths, and alcohol for two to three days. Understand that some spider veins may never be successfully treated through sclerotherapy or laser therapy.
How can I treat spider veins of the face?
A patient with spider veins in the face will usually choose to have laser therapy rather than sclerotherapy. Laser treatment may cause minor bruising that usually improves within a week, but often, recovery is immediate. Two to four treatments may be required to achieve your desired result. Immediately following treatment, you may apply makeup for a presentable appearance.

For spider veins of the face or legs- you will continue to see improvement of the vein appearance for up to three weeks after treatment.

What do I need to do before laser treatment?
For 4 weeks prior to laser treatment, you should avoid sun exposure as much as possible and use a sunscreen with an SPF of at least 30. Do not use oils or creams on your skin the day of laser treatment. And any make-up will need to be removed just before therapy begins. You may continue your normal activity, medicine and dietary schedule before the treatment. Do NOT take extra Tylenol, Motrin or aspirin prior to laser treatment. Do let the practitioner performing the laser treatment know of any changes in your health or medicine (including vitamins or herbal treatments).   

What will happen the day of laser treatment?
A local anesthetic or the application of suction to the surface of the skin will be used for pain during the procedure. You will not need the use of local anesthetics requiring needle injection, anesthetic creams or sedation during this procedure.

Before the procedure begins, you'll be fitted with protective eyewear to shield your eyes throughout the procedure

What do I need to do after laser treatment of spider veins?
Immediately following treatment, avoid vigorous activity such as jogging or aerobics for 24 hours. Apply polysporin to any crusting or scabbing areas. Avoid direct sun exposure to the affected areas for several weeks. In Florida, direct sunlight is unavoidable. Please wear sunscreen even if you only go outside to and from activities.

How will I look after laser treatment?
In most cases, you will look the same with the exception of the treated veins appearing more pink than blue. Your skin may be pink to lightly red immediately after the procedure. But; this color change tends to return to normal within 1 day and usually within 1/2 hour.  Some patients will experience mild swelling of the area treated. Again, this is also usually very short lived. You may want to apply a cold cloth to the area treated immediately after the procedure very briefly for increased comfort.
On uncommon occasions you may see some crusting or irritation of the areas treated developing a few days after the treatment.

How many times will I need to have a spider vein treated?
To eliminate the spider veins usually requires two to three treatment sessions. In some cases the laser may fail to completely eradicate the spider veins.

How long will the veins stay gone after the laser treatment?
Once a vein is gone, that particular vein should not reappear However, The laser does not prevent the development of new spider veins. You will be starting with a new baseline.

Regardless of treatment, you should anticipate the development of new spider veins over time, just as you would if your spider veins had not been treated. Spider vein therapy treats current spider veins but does not prevent new ones. This is the time to use preventative techniques discussed above and slow new spider vein development

Are there any side effects to laser therapy?
Possible side effects of laser surgery include:
  • Redness or swelling of the skin right after the treatment that disappears within a few days.
  • Discolored skin that will disappear within one to two months.
  • Rarely burns and scars result from poorly performed laser surgery.
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Beard Bumps

Pseudofolliculitis barbae

What is pseudofolliculitis barbae?
Pseudofolliculitis barbae (razor bumps) is a common condition of the beard area occurring in African American men and other people with curly hair. The problem results when highly curved hairs grow back into the skin causing inflammation and a foreign body reaction. Over time, this can cause keloidal scarring which looks like hard bumps of the beard area and neck

Who gets PFB? (pseudofolliculitis barbae)

PFB is most common on the male face, but it can also happen on the female and on other parts of the body where hair is shaved or plucked, especially areas where hair is curly and the skin is sensitive, such as genital <http://en.wikipedia.org/wiki/Pubic_hair>  shaving (more properly termed pseudofolliculitis pubis or PFP). Men of African, Mediterranean, Jewish, Nordic, and other peoples who have naturally coarse or tightly curling hair will often get 'razor bumps' in their beards

What causes pseudofolliculitis barbae?

After a hair has been shaved, it begins to grow back. Curly hair tends to curl into the skin instead of straight out the follicle, leading to an inflammation reaction. PFB can make the skin look itchy and red, and in some cases, it can even look like pimples. These inflamed papules or pustules can form especially if the area becomes infected.

If left untreated over time, this can cause keloid <http://en.wikipedia.org/wiki/Keloid>  scarring in the beard area.

How can you treat PFB?
• A 100% effective treatment is to let the beard grow. Once the hairs get to be a certain length they will not grow back into the skin. Initially, let the beard grow for 30 days to eliminate ingrown hairs.

• Washing the beard area with Lever 2000 soap using a Buf-Puf helps raise the hairs from under the skin and prevents them from growing back into the skin. This should be done twice a day. Buf-Pufs are available without a prescription at your local drug store.

• When you resume shaving, use a single blade razor. Double or triple-edged blade razors cut the hairs too short allowing them to grow in.

• Alternatively, use electric hair clippers or a razor with an attachment that leaves the cut hairs long. Aim to have a 5 o'clock shadow immediately after shaving.

• Shaving every other day, rather than daily, will improve pseudo-folliculitis barbae.  Do not pull the skin taut when blade and shave in the direction of the follicle, not against it.

• If you have severe pseudofolliculitis barbae, ask your doctor whether a prolonged course of tetracycline <http://dermnetnz.org/treatments/tetracycline.html>  or one of its derivatives would be suitable for you.

• Consider laser hair removal <http://dermnetnz.org/procedures/lasers.html> . In some cases, this is much more effective than any other measure.

• If you must use a blade, before shaving wash the face with a mild cleanser such as Cetaphil Lotion, then rinse. Massage the beard area gently in a circular motion with a warm, moist, soft washcloth for five minutes. This will free up the hair tips so they can be cut with the shaver. The warm water will also soften the hairs, making them easier to cut.

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Laser Complexion Blending


Sun Spots Reduction

Laser resurfacing to improve cosmetic flaws, such as wrinkles, acne scars, and aging and sun-damaged skin, is the latest scientific breakthrough in skin rejuvenation.

Laser removal of hyperpigmented lesions and complexion blending has been made safer since  the advancement of lasers through more wavelengths  and pulse  widths. Prior to the newer lasers, treating patients of color had a high risk of side effects. One of the more common side effects of the past was post inflammatory hyperpigmentation of the skin.

What is the laser?
Laser stands for Light Amplification by the Stimulated Emission of Radiation. Lasers work by producing an intense beam of bright light that travels in one direction. The laser beam can gently vaporize and/or ablate skin tissue to improve wrinkles, scars and blemishes, seal blood vessels or cut skin tissue. The laser has the unique ability to produce one specific color (wavelength) of light, which can be varied in its intensity and pulse duration. The newest laser systems have become remarkably precise and selective, allowing treatment results and safety levels not previously available.

How does the laser work?
The laser creates a beam of high-intensity light that penetrates deep into skin tissue where it delivers a controlled amount of targeted therapeutic heat. Candela’s patented Dynamic Cooling Device™ (DCD™) technology protects the upper layers of your skin with a cooling burst of cryogen. Together, the long-pulse laser and DCD cooling offer optimal treatment with minimal side effects.

Using a wand-like laser handpiece, undesired skin cells and wrinkles will be targeted for change. One of the laser's most significant advantages over traditional techniques for skin is that laser treatment is relatively bloodless. The procedure also offers more control in the depth of penetration of the skin's surface, allowing an increased degree of precision and safety in treating delicate areas. You will see some immediate results but the appearance will continue to change over the next 3-5 weeks after laser treatment.

How do I prepare for the treatment?
If you have had a history of perioral herpes prophylactic antiviral therapy may be prescribed. Your skin should be thoroughly cleaned and dried, removing any makeup, creams, oils, topical anesthetics or self tanning products before laser treatment. The intended treatment area should not be exposed to sunlight or tanning booth light for 14 days prior to treatment.

Based on past history and spot test results, some patients may be treated prior to and after laser therapy with a bleaching agent, steroid cream or other complimentary therapies.

It is critical that the laser practitioner knows all medicine and skin therapy you are using or have used in the recent past. Some over the counter creams, prescribed medications or cleaning habits can increase your risk of side effects.  

Does it hurt?
Some clients may feel a slight discomfort with each laser pulse, sometimes described as the snapping of a rubber band on the skin. This discomfort resolves in several seconds and is minimized by Candela’s DCD cooling.

How many treatment sessions will I need?
The number of sessions depends on the treatment you require and the condition of your skin. Many factors impact the efficacy of individual laser treatments, including the severity of the condition being treated. Three is the average number of sessions required for removal of a hyperpigmented lesions.

What can I expect during treatment?
Treatment will take place in your laser technician's office. You will wear safety eyewear to protect your eyes from the laser light. During the procedure, the activated laser is carefully passed back and forth over the skin until the technician reaches the level that will make imperfection less visible.. Each laser pulse may be preceded and followed by a short pulse of cooling spray. A treatment could take as little as a few minutes to as long as an hour, depending on the area and condition being treated.   For certain treatments, we may recommend that the resurfacing be performed in two or more stages.

What will I look like after the procedure?
Your skin may be pink to lightly red immediately after the procedure .But, this color change tends to return to normal within 1 day and usually within 1/2 hour.  Some patients will experience mild swelling of the area treated. Again, this is also usually very short lived. You may want to apply a cold cloth to the area treated immediately after the procedure very briefly for increased comfort.
What precautions should I take after treatment?

In the months following treatment, it's essential to protect your skin from the sun. If you must be in the sun, apply a strong sun block with a SPF of 30 or higher and shade your face with a visor or wide-brimmed hat. You should also wear good quality sunglasses that have filters to block 100 percent of UVA and UVB rays. In the first few days after treatment, don’t scrub or rinse the treated areas with abrasive skin cleansers. Your technician may advise additional precautions.

Are there side effects?
Your risks are minimal. Side effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering, and purpura (a laser bruise), in the treated area—these usually do not last more than a few days. Permanent side effects are rare. Be sure to discuss potential side effects with your provider.

What should I know about my results?
If you're like most patients, you will notice a significant improvement in the tone of your skin. You should be aware that even though your results will be long-lasting, your face will continue to age. Following your treatment, your natural tendency towards hyperpigmentation will cause new lesions to form. Using sun protections and a skin-care regimen will help to maintain your results.

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Vascular Lesions /Hemangiomas

Hemangiomas

angiomas

What are Cherry angiomas?
Cherry angioma <http://www.healthscout.com/ency/68/18/main.html> is a cherry-red to purple colored benign skin tumor of unknown origin that appears most frequently after age 40. Cherry angiomas are the most common vascular lesions to appear on human skin. They are made up of clusters of dilated capillaries on the surface of the skin, which accounts for the cherry-red or purple color. No one knows exactly what causes them.

Cherry angiomas can occur almost anywhere on the skin, but most commonly on the torso. They rarely occur on the hands or feet. When they first occur, cherry angiomas are about the size of a pinhead and do not protrude above the surface of the skin. However, some grow to 1/4 inch across or more, and become spongy and dome- or mushroom-shaped.

Can cherry angiomas be prevented?
No. It is unknown why one person develops angiomas and another doesn’t. We do know that genetics play some role and we frequently find that if one sibling in the family has multiple angiomas, one of the parents and usually other siblings will also be affected.

If the cherry angiomas are injured, how do you stop the bleeding?

As with any bleeding site, apply direct pressure to stop the bleeding. Make sure the site is cleaned properly. If bleeding continues contact your physician for further care.

Does exposure to the sun intensify the color or size?

There have been some suggestions that increased sun or trauma may increase the number of lesions, but research has not shown this to be true.

If left alone, will the angioma continue to enlarge?

Most angiomas will remain pinpoint width but they may seem more 3-D or taller as they age. Some lesions will increase in size as in the picture. They may also bleed if hit or scraped when shaving.  You will continue to get new lesions in the future with or without treatment. In general cherry angiomas are benign and treatment is for cosmetic reasons. Lesions that bleed profusely or frequently will need to be removed also.  

Treatment of Cherry Angioma
The most common procedures used are (1) electrosurgery – a minor surgical procedure during where a special electrical needle-like instrument is used to remove the angioma, (2) cryotherapy – freezing the affected area with liquid nitrogen, and (3) laser vaporization – using an intense beam of light to remove the angioma. This technique involves minimal harm to surrounding skin tissue. Unless the lesion is particularly large (1/4 inch across or more), you can expect excellent cosmetic results.

What is the method of removal used at Lana Gray International?

At Lana Gray International, we use the YAG LASER (a wavelength of 1064 nm) to remove cherry angiomas, small hemangiomas and spider veins. This allows for rapid removal without scarring or post treatment downtime for the patient.

How many treatments will be needed?
Your first appointment will be a consult with the physician at Lana Gray International to discuss your needs, concerns and safety. In many cases a ‘spot test‘ will be performed while you are at the consult appointment. A few of the smaller angiomas will be gone after the first treatment session. But most patients will require 2-3 treatment visits for complete removal of the lesions present. Laser treatment will treat existing angiomas but will NOT prevent new angiomas from appearing in the future.       

How often are the treatments?

For the angiomas that need to be treated a 2nd or 3rd time, you will return at approximately 8 week intervals.  

What do I need to do before treatment?

Before treatment with the LASER you will need to stay out of the sun and tanning booths for 2 weeks. The day of treatment do not use lotion or creams on your lesions before treatment. If we will be treating angiomas on your face and you want to wear makeup prior to arrival at Lana Gray International, you simply need to remove makeup at our office before treatment. If you are taking any vitamin or herbal supplements or prescription medications, you MUST discuss this with the physician during your consult and keep us updated on any changes. Most medications and supplements are safe, BUT  some supplements such as high dose vitamin E will need to be stopped briefly and some prescription medications are contraindicated when using the laser for vascular  lesions .All specifics will can be discussed with the doctor at your consult appointment.  

What do I need to do after my treatment?
Most importantly avoid acute sun exposure, and use spf 30 or greater sunscreen for the next 4 weeks. For the next 12 hours, avoid strenuous exercise. But otherwise, you may continue on with your normal daily life. You may return to work, play with the kids, walk or swim normal distances.

Are there side effects?

Sunburn, sun tanning, booth tanning or prolonged sun exposure without protection can cause hypo- or hyper pigmentation (lightening or darkening of the skin)  at your treatment sites. You may feel a sting type sensation at the site treated when treating the forehead, hands or face, however most lesions on the chest, abdomen, arms and legs are completely painless. Large lesions (larger than 1/3 inch) may leave a temporary dimple when the vessels of the angioma are gone. This resolves also in 1-2 months.  

After removal, will there be a scar?
NO. For the typical angioma treated you will notice a lightening of the lesion or more commonly a change from red to blue color and then slow disappearance of the lesion over the next 3 weeks.


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Laser Skin Tightening and Wrinkle Reduction

Wrinkle Reduction

Laser resurfacing to improve cosmetic flaws, such as wrinkles, acne scars, and aging or sun-damaged skin, is the latest scientific breakthrough in skin rejuvenation.

Laser skin tightening is intended to give the patient a smoother, youthful-appearing skin of more uniform color. Lasers are an effective tool available today for eliminating wrinkles. Unlike other resurfacing methods, lasers not only exfoliate the surface of the skin, but they also tighten the skin’s collagen fibers, thereby restoring some of the skin’s elasticity. After laser skin tightening, many patients look years younger, and results last about 5 years.

What is the laser?
Laser stands for Light Amplification by the Stimulated Emission of Radiation. Lasers work by producing an intense beam of bright light that travels in one direction. The laser beam can gently vaporize and/or ablate skin tissue to improve wrinkles, scars and blemishes, seal blood vessels or cut skin tissue. The laser has the unique ability to produce one specific color (wavelength) of light, which can be varied in its intensity and pulse duration. The newest laser systems have become remarkably precise and selective, allowing treatment results and safety levels not previously available.

How does the laser work?
The laser creates a beam of high-intensity light that penetrates deep into skin tissue where it delivers a controlled amount of targeted therapeutic heat. Candela’s patented Dynamic Cooling Device™ (DCD™) technology protects the upper layers of your skin with a cooling burst of cryogen. Together, the long-pulse laser and DCD cooling offer optimal treatment with minimal side effects.

Using a wand-like laser handpiece, undesired skin cells and wrinkles will be targeted for change. One of the laser's most significant advantages over traditional techniques for skin is that laser treatment is relatively bloodless. The procedure also offers more control in the depth of penetration of the skin's surface, allowing an increased degree of precision and safety in treating delicate areas. You will see some immediate results but the appearance will continue to change over the next 3-5 weeks after laser treatment.

How do I prepare for the treatment?
If you have had a history of perioral herpes prophylactic antiviral therapy may be prescribed. Your skin should be thoroughly cleaned and dried, removing any makeup, creams, oils, topical anesthetics or self tanning products before laser treatment. The intended treatment area should not be exposed to sunlight or tanning booth light for 14 days prior to treatment.

Does it hurt?
Some clients may feel a slight discomfort with each laser pulse, sometimes described as the snapping of a rubber band on the skin. This discomfort resolves in several seconds and is minimized by Candela’s DCD cooling.

How many treatment sessions will I need?
The number of sessions depends on the treatment you require and the condition of your skin. Many factors impact the efficacy of individual laser treatments, including the severity of the condition being treated.

What can I expect during treatment?
Treatment will take place in your laser technician's office. You will wear safety eyewear to protect your eyes from the laser light. During the procedure, the activated laser is carefully passed back and forth over the skin until the technician reaches the level that will make the wrinkle or imperfection less visible.. Each laser pulse may be preceded and followed by a short pulse of cooling spray. A treatment could take as little as a few minutes to as long as an hour, depending on the area and condition being treated.   For certain treatments, we may recommend that the resurfacing be performed in two or more stages.

What will I look like after the procedure?
Your skin may be pink to lightly red immediately after the procedure. But, this color change tends to return to normal within 1 day and usually within 1/2 hour.  Some patients will experience mild swelling of the area treated. Again, this is also usually very short lived. You may want to apply a cold cloth to the area treated immediately after the procedure very briefly for increased comfort.

What precautions should I take after treatment?
In the months following treatment, it's essential to protect your skin from the sun. If you must be in the sun, apply a strong sun block with a SPF of 30 or higher and shade your face with a visor or wide-brimmed hat. You should also wear good quality sunglasses that have filters to block 100 percent of UVA and UVB rays. In the first few days after treatment, don’t scrub or rinse the treated areas with abrasive skin cleansers. Your technician may advise additional precautions.

Are there side effects?
Your risks are minimal. Side effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering, and purpura (a laser bruise), in the treated area—these usually do not last more than a few days. Permanent side effects are rare. Be sure to discuss potential side effects with your provider.
What should I know about my results?

If you're like most patients, you will notice a significant improvement in the tone and texture of your skin. Many say that their fresher, younger-looking complexion makes them feel more confident at work and in social situations. These results usually last for about 5 years.  

You should be aware that even though your results will be long-lasting, your face will continue to age. Following your treatment, your natural facial movements will eventually cause any "expression" lines to recur. Using sun protections and a skin-care regimen will help to maintain your results. However, some patients decide to repeat the treatment after several years to restore their rejuvenated look.

How many treatments will be required for a visible change?
For skin tightening, most patients will require 3 treatment sessions for the area involved. However some improvement will be seen as early as the first treatment. Touch -up sessions are generally much faster, requiring only one pass over the skin.




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