Laser Treatment

Diode Laser  •  CO2 Laser Resurfacing  •  VBEAM
Integrated Dynamic Cooling Device  •  Fraxel Laser Resurfacing

Diode Laser

What conditions can the laser treat?

  • Vascular Lesions
  • Telangiectasia of the face, facial spider veins of cheeks, nose and chin
  • Cherry Angiomas (bright red bumps on the skin surface)
  • Spider Angiomas (slightly raised spidery shaped spots on face and trunk)
  • Pigmented Lesions
  • Lentigines/ Freckles (flat tan brown spots on the skin seen in sun exposed areas)

What can be expected during and after treatment?

Treatment may vary, depending on the individual patient and the characteristics of the area being treated. During treatment you will wear protective goggles or eye pads. This will protect your eyes from the intense/bright light produced by the laser.

The laser will feel like a warm pinprick or the snap of the rubber band. No anesthesia is required in most cases. If you like, you can apply an anesthetic cream such as Elamax starting an hour prior to treatment. This cream can be purchased over the counter at the pharmacy. We also sell a stronger topical anesthetic cream, BLT, which must be applied one-half hour prior to procedure and reapplied every 15 minutes.

Following the treatment, your skin will be red for about two to four hours. Some swelling may be experienced and last for one to two days. It is recommended that you sleep in a slightly elevated position to help relieve swelling and be prepared to apply cool compresses. Other than the redness and slight swelling the skin should not bruise.

Post-operative care should consist of antibiotic ointment application to the treated sites. Ointments such as Bacitracin or Triple Antibiotic cream are available without prescription. Sun avoidance and sunscreens with an SPF of at least of 30 should be used daily for about one to three months after treatment. Cool compresses and sleeping with the head elevated are helpful should swelling occur. Tylenol is recommended for pain as Aspirin may compromise your ultimate result. Normal daily activities can be resumed immediately following your treatment.

Results of your treatment should be seen in 10-14 days for vascular lesions and two to four weeks for pigmented lesions. Re-treatments or touch-ups should be done four to six weeks after the first treatment to allow for optimal improvements.

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CO2 Laser Resurfacing

Most characteristics associated with aging, such as wrinkles, deep skin furrows, and thick or leathery skin are caused by years of sun exposure, not the natural aging process. Surface imperfections such as acne, scarring, moles and sunspots may also taint the face. Our skin is composed of two layers, the epidermis and the dermis. The dermis, or the deep layer, contains collagen elastic fibers, which give our skin basic structure and support. The sun and other factors such as tobacco or alcohol use can break down these substances in our dermis causing wrinkles and furrows.

The Carbon Dioxide Laser was developed in the 1960ís for the purpose of vaporizing growths on the skin, as well as performing skin surgery in a bloodless field. The advantages of this laser are that it seals blood and lymphatic vessels resulting in a relatively bloodless surgery. Furthermore, small nerve endings are also sealed which may result in less post operative pain.

This technology allows the laser surgeon to perform skin treatment and rejuvenation procedures with more scientific accuracy than ever before. The procedure works by using the powerfully focused light of the laser to remove the top layer of skin at precisely the correct depth. The laser vaporizes the high ridge of wrinkles, smoothing out the surface of the skin. The underlying dermal tissue is actually healthier with smoother texture and younger appearance.

The chemical peeling process is used to enhance the laser efforts as well as provide an overall resurfacing process to all areas of the face. The chemical peel is performed with various agents: primarily Trichloracetic Acid, Acetone and Jessnerís solution with concentrations determined by the doctor for each individual.

The areas to be treated are almost always anesthetized with a local anesthetic agent that is injected into the skin with a fine diameter needle. The laser treatment will create a superficial burn wound. The procedure is done on an outpatient basis and may take from 30 minutes to two hours to perform depending upon the extent of treatment.

In addition to removing layers of skin, the laser peel stimulates new collagen growth in the dermis, effectively restructuring and restoring skin to a healthy state that closely resembles non sun-damaged skin. Your skin will look firmer, smoother and younger.

The exfoliation of the skin requires new skin to grow from the deeper layers. During the first two weeks, a significant amount of redness and weeping of the skin can be expected. Immediately following laser surgery, there will be swelling; this is temporary and usually subsides in one to three days. Patients may expect the treated areas to ooze a moderate amount of clear to light yellow fluid. Scabs or crusting may develop within one to three days: the crusting should fall off with the vinegar/water rinse described in the post operative instructions. The scabbing and crusting must NOT be picked at or allow the skin to become abraded. This could result in infection and/or scarring. Patients must refrain from using make up during the first two weeks. Swelling may also occur and should resolve within the first couple of weeks.


Although complications following laser resurfacing/chemical peeling surgery are infrequent, the following may occur:

  1. Pain and Discomfort: the level of pain and discomfort varies with a personís tolerance, and both may be experienced during the treatment when no anesthetic is used. Oral pain medication will be prescribed for the postoperative period at the patientsí request.
  2. Swelling: Immediately following laser surgery, there may be local swelling; this is temporary and usually subsides in one to three days. Areas more likely to swell are around the eyes and neck.
  3. Healing: Laser surgery causes a superficial burn wound, which can take weeks to heal. Deeper wounds, necessary to remove deeper wrinkles, will take a longer time to heal and may leave more of a scar. After healing, the area treated is red and may be sensitive to the sun. After the first two weeks, the redness can be camouflaged with make-up. The redness fades to pink over the next several weeks and then to normal skin color in an average of three months.
  4. Scarring: Although unsightly scarring is extremely rare, some scars are more visible than others. The quality and appearance of scarring is variable and related to the personís genetic make-up. While good wound healing is expected, abnormal scars may occur whenever there is a break in the skinís surface. If there is any history of unfavorable healing, it must be reported to Dr Applebaum or staff before the procedure. To minimize risk of scarring, postoperative instructions must be followed carefully and Dr Applebaum must be notified if there is a problem.
  5. Skin Pigmentation: The treated area may heal lighter or darker in color than the surrounding skin. Any changes in pigmentation are usually temporary but occasionally may be permanent.
  6. Recurrence of lesions: some skin conditions may be improved partially or not at all by the laser and may require surgical or other treatment.
  7. Infection: Any invasive procedure carries a risk of infections and may require treatment with antibiotic, antiviral and antifungal medications.
  8. Allergic Reactions: it is possible that an allergic reaction to an anesthetic agent, topical cream or oral medication may occur.
  9. Ectropion: In rare instances, a downward pull of the eyelids can result after laser resurfacing. This is a very rare complication.
  10. Acne: Flare up of acne can occur in the postoperative periods.

All research and clinical evidence to date indicates the laser is as safe as other therapies used to treat unwanted facial wrinkles, resurface scars and other skin surface irregularities. However, the long term side effects of laser light on human tissues are not completely known, although no long term adverse consequences have yet been described.

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With 15+ years of use and 300+ published papers, the Vbeam delivers the safety and efficacy of the clinically proven pulsed dye laser. More safety and efficacy for our patients!

Versatility for Vascular Lesions

Vbeam's versatility enables us to address a wide range of vascular lesions, including: periorbital wrinkles, facial veins, rosacea, leg veins, port wine stains, hemangiomas, scars, stretch marks, and warts. More solutions for our patients!


Cosmetic Procedures with No Downtime

Vbeam's user-selectable pulse duration features Candela's innovative Ultra-Long pulse, which minimizes the problematic purpura seen with earlier versions of PDL technology. More flexibility and convenience for our patients!

Cosmetic Procedures with No Downtime
By heating targeted vessels more gently, Vbeam's ultra-long pulse duration minimizes problematic purpura seen with earlier versions of pulsed dye laser technology.
Purpura caused by short-pulsed dye lasers
No Purpura
The Vbeam's longer pulse duration minimizes post treatment purpura without compromising therapeutic efficacy
Giving your patients more flexibility and convenience

Vbeam's user-selectable laser pulse duration (0.45 - 40 ms) features Candela's innovative ultra-long pulse duration, the longest offered in a dye laser. The ultra-long pulse duration delivers laser energy to targeted blood vessels over a longer period of time, resulting in a gentle heating effect and uniform coagulation.

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Integrated Dynamic Cooling Device

Candela's patented Dynamic Cooling Deviceô (DCDô) sprays cryogen onto the epidermis prior to each laser pulse for quick and effective cooling and protection of the epidermis. Vbeam is the only pulsed dye laser with integrated DCDô. Greater comfort for our patients!

Greater comfort for our patients

The integrated Dynamic Cooling Device (DCD), emits a short spray of cryogen onto the skin, milliseconds before each laser pulse, minimizing the thermal effect on the superficial layers of the skin without affecting underlying targeted structures.

By selectively cooling the epidermis, while leaving the underlying target at normal temperatures, the DCD minimizes thermal injury, pain, and the risks associated with anesthesia without decreasing the effectiveness of the laser treatments.

The DCD's advantages

  • Greater comfort for our patients during treatment
  • May decrease the risks of side effects such as hyper- or hypo-pigmentation
  • Possibility of using higher energies for greater clinical efficacy
  • Possibility of treating dark skin types
  • Selective cooling of the epidermis
  • Fully automated system

Most of our patients will require one to two treatments to bring about optimal results of 70-90% clearing. There will be a charge for each session.

  • Each treatment will last approximately five to 10 minutes.
  • These are cosmetic procedures and insurance will not be billed.
  • Payment is expected at the time of treatment.
  • Price will depend on area(s) covered and should be discussed with doctor prior to appointment.
  • When scheduling please specify laser treatment needed as multiple lasers are used in our office and on certain days.
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Fraxel Laser Resurfacing

The treatment choice for acne scars or signs of aging like fine lines, wrinkles, skin laxity and uneven pigmentation is Micro Fractional CO2 Laser Skin Rejuvenation.

Fractional means that only a fraction of the skin surface is exposed to the laser beam, leaving untreated skin around each treated micro spot. This promotes fast natural healing and a short recovery time. The beneficial effects of the laser beam expands under the skin surface to stimulate new collagen production across the entire area. The innovative technology of the MiXto SX minimizes discomfort during the treatment.

CO2 Laser Fractional Resurfacing technology allows the laser surgeon to perform skin treatment and rejuvenation procedures with more scientific accuracy than ever before. The procedure works by using the powerfully focused light of the laer to remove the top layer of skin at precisely the correct depth.

The MiXto SX delivers a therapeutic matrix of tiny beams of light energy (each about the size of a hair) to the top and mid layers of the skin with minimal discomfort. This results in

  • Immediate shrinkage of damaged skin
  • Softening of fine lines and wrinkles
  • Removal of age spots and sun spots
  • New collagen production
  • Minimal post treatment down-time
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