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521 Park Avenue, New York, NY 10065
Tel 212-223-8300
Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Laser Skin Rejuvenation

We empower beauty. ®

Lasers are excellent for improving the skin ranging from minimally invasive procedures with little to no down time to aggressive skin resurfacing for highly sun damaged skin. The choice of procedure and laser depends on your goals and how it matches what can be achieved with various lasers. Dr. Pearlman and his staff will help determine which treatments are best for you. Most of our patients find that the Cutera laser can help treat all but the most wrinkled skin.

Non-Invasive Laser Procedures

The most advanced laser skin rejuvenation technology is now available in our office for treating aging skin. Photo damaged skin is more than just wrinkles; it is hyperpigmentation (discoloration), enlarged pores, telangiectasias, and brown “age spots”.

Classical treatment for most of these conditions has been dermabrasion, deep chemical peels and laser resurfacing with either CO2 or Erbium lasers. However, these treatments require significant healing time for patients. We are happy to share that alternative solutions have been provided through IPL or Intense Pulsed Light laser with no visible healing time in most patients.

Why Non-Invasive Lasers?

  • Minimal discomfort and no “down time”
  • Slow down the signs of aging, unwanted hair, small veins, and other blemishes
  • Reduce the redness associated with Rosacea
  • Diminish red and brown spots
  • Reduction of imperfections in the skin along with improving pore size

The laser that we offer is from Cutera and offers all the following platforms:

  • Sciton Halo
  • BBL Treatment
  • Deka Dot™ Fractionated CO2
  • LimeLight™
  • CoolGlide Excel® Vascular Laser
  • Cutera CoolGlide® Laser Hair Removal
  • Laser Genesis™

Sciton Halo

Our Sciton Halo with be your guardian angel against aging. Everyone’s skin is different. Everyone’s needs are different. Some patients have a lot of sun damage and pigmentation, some are more concerned with redness and broken capillaries, and some are concerned with fine lines and wrinkles. Halo allows us to customize your treatment to fit your individual need and lifestyle, we can now treat all 3 in a single session! In the past, you had to choose between a procedure that offered really great results but had a lot of downtime, or a procedure with a fast recovery but insignificant results. With the Halo you get the best of both worlds: amazing results with minimal downtime. This one-of-a-kind hybrid technology combines deep dermal rejuvenation with epidermal renewal for a combined synergistic effect that you can’t get with any other treatment.
Halo precisely targets years of damage to your skin, including:
•    Discoloration
•    Sun damage
•    Visible signs of aging
•    Uneven skin tone
•    Enlarged pores
•    Poor texture
•    Fine lines
•    Acne and other scarring

BBL Treatment

Our BBL treatment (Broad Band Light) is one of the latest non-invasive techniques to achieve younger looking skin, with less visible signs of aging. We are now able to treat age spots, hyper-pigmentation, sun damage, wrinkles, Rosacea and broken capillaries with unparalleled precision. The unique dual lamp technology is designed to provide the precise amount of energy that is necessary to improve appearance of the skin in the targeted area. ALL WITHOUT DOWNTIME! Every patient’s treatment is 100% tailored to meeting your specific needs, to ensure your desired results are reached!

BBL precisely targets a multitude of skin conditions, including:

•    Hyper-pigmentation
•    Sun damage
•    Brown spots
•    Uneven skin tone
•    Broken capillaries
•    Rosacea
•    Acne

The Cutera Laser is one of the latest and newest laser and light technologies on the market today. This laser is used at our office for a customized treatment for ALL skin types. It provides the ability to have a wide range of laser procedures such as hair removal, vein reduction/removal, pigment (brown spots) and redness reduction/removal, as well as skin texture enhancement.

Deka Dot™ Fractionated CO2 Laser

The CO2 laser is considered to be the most effective weapon for combating wrinkles, aging and many other skin imperfections Click for more information

LimeLight™

The LimeLight facial is a new, non-invasive approach to skin rejuvenation. The procedure offers the advantage of improving skin tone and surface imperfections associated with aging and photodamage. This procedure is ideal for any part of the face, neck, décolleté, and hands with skin redness, telangiectasia (tiny “spider” veins) or brown spots. It is also well-known as an IPL or Photo-rejuvenation treatment. This laser also works well for patients who have Rosacea. Rosacea is a skin condition that leaves people with red/flushed faces that comes from dilated blood vessels. This laser helps to heat and cauterize the veins and thus improve/diminish redness of the skin.

Pigmented brown “age” spots are treated with the same device at a different setting. The light targets the irregular or pigmented lesions that are usually caused by sun damage and age. Once targeted by the laser the melanin (pigment granules in the skin cells) absorbs the laser energy, and within one to three weeks the darkened spots will flake off and fade. The LimeLight laser works in a series of treatments. To reach significant improvement typically requires 5 sessions. However, after each treatment, there is little visible healing other than some darkening of the skin or mild redness for a few days to a week. These can usually be covered by makeup as of the day of treatment.

CoolGlide Excel® Vascular Laser

The CoolGlide laser is used to treat facial and leg spider veins. This laser can be used for women and men of ALL skin types and is much less painful than injections. Using the most advanced laser technology, the CoolGlide can safely and effectively treat both tiny superficial face veins, spider veins, hemangiomas, and deep retricular (blue) leg veins. The system delivers pulses of light energy which cause the blood within the vein to coagulate, eventually destroying the vessel which is later reabsorbed by your body. Blood flow will then be redirected to veins deeper below your skin’s surface, where it should be. Most patients find that the majority of the treated veins will show improvement within two to six weeks. For optimal results two to three treatments are recommended. However, the number of treatments can vary depending on how many, color, and size of the vessels being treated.

Cutera CoolGlide® Laser Hair Removal

The CoolGlide Laser Hair Removal is making unwanted facial and body hair a thing of the past. No more wasting money on endless cycles of painful waxing, razors, or electrolysis. The CoolGlide laser can treat men and women of ALL skin types safely and effectively, year-round. The hair follicles absorb the intense light pulses creating very localized intense heat. This heat destroys the follicle and re-growth potential. This creates a long lasting reduction in hair. Some patients experience a mild pinching or stinging sensation. The number of treatments required depends on a number of factors- hair thickness, the area treated and your hair’s growth cycle. Not all hairs are actively growing at the same time and actually go through three distinct phases: growth, regression, and resting. CoolGlide treatments work by disabling the hair that is principally in the active growth phase at the time of treatment. Since other hairs will enter this active growth phase at different times, additional treatments may be necessary. About a week after the treatment you may experience what seems to be regrowth of hair. Actually, most of these hairs are being shed as a result of your treatment and are not re-growing. Between treatments you should not wax or pluck your hair, but it is permissible to shave. Patients with dark hair or hair with color are good candidates for this procedure. Blonde, White or Gray hair will not be eliminated as there is no pigment for the laser to reach. A minimum of six to eight sessions are recommended for optimal results.

Laser Genesis™

Laser Genesis is a breakthrough non-ablative procedure that provides multiple skin therapy benefits. This advanced innovative technology promotes vibrant and healthy looking skin for men and women. Laser Genesis addresses common skin conditions due to the aging process and the result is a healthier, younger-looking complexion. This procedure safely treats fine-line wrinkles, diffuse redness, helps manage large pores, and improve uneven skin texture (sun damage) and scars. This technique works by gently heating the upper dermis well below your skin’s surface which stimulates collagen regrowth. This helps to restore the skin’s youthful glow and appearance. On average, a total of four to six treatments are recommended for optimal results. Every patient’s condition and needs may vary. Subtle yet consistent results are seen after each treatment without unwanted side effects such as bruising, clogged pores or irritation. The overall effect of multiple treatments can be quite dramatic and very liberating.

Why Deep, Invasive CO2 Laser Resurfacing or Peels?

For highly sun damaged skin, minimally invasive procedures may not be enough. Skin resurfacing is an excellent way of reducing deeper facial wrinkles and reversing the effects of aging on the skin. This is accomplished by stripping away the dead outer layer (epidermis) of skin and stimulating re-growth within the deeper layer of the skin. Newer, more youthful skin then re-grows, like the baby skin you get under a scrape or a superficial burn. This field of cosmetic surgery has been revolutionized by the use of lasers.

A laser is a high intensity light of a specific wavelength, which has very precise and predictable effects on the skin or any substance being treated. The mainstay for skin resurfacing is the Carbon Dioxide laser, referred to as the CO2 laser.

The CO2 laser accurately vaporizes the skin layer by layer. There is some effect on the collagen fibers as well during deeper laser treatments, adding strength and causing re-organizing of collagen bundles to efface deep wrinkles.

In the hands of an expertly trained laser surgeon, like Dr. Pearlman, who understand the effects of the laser, laser resurfacing can lead to routinely good results. This treatment is not for everyone. Patients with darker skin may not be candidates for CO2 laser resurfacing.

Changes that can be made using the CO2 laser:

  • Reduce wrinkles and fine lines
  • Soften deep laugh lines and frown lines
  • Restore sun damaged skin
  • Even out sun induced pigmentation
  • Remove brown age spots
  • Smooth acne and facial scars

Immediately following laser treatment the skin appears deep red. Various dressings are used which occlude and protect the skin in some fashion. The length of recovery depends on the depth of laser treatment and the patient’s skin type. Camouflage make-up can usually be applied commencing 5 to 8 days following the procedure. Side effects can be reduced by routinely using antibiotic and antiviral medications. The skin may become transiently darker, called hyperpigmentation, which is treatable.

Chemical Peels for the Face

Chemcial peels have been used for many decades to restore smoother, more youthful skin. These techniques have become less popular with the advent of the laser. However, similar results can often be achieved to invasive laser treatments. Basically, both are controlled burns that leave behind the “baby smooth” skin that you might see after any burn. The choice of chemical peel depends on the depth of treatment desired, the skin thickness and the healing time. For more information, click here.

  • Superfical peel: Office glycolic peel
  • Light Medium depth peel: Jessner’s peel; a few days of peeling and flaking
  • Medium Depth peel: TCA, trichloracetic acid peel
  • Deep Medium Depth peel: Jessner’s and TCA combined
  • Deep peel: Baker Gordon Phenol based peel

FAQs

Answers to frequently asked questions about the procedure

Q: How long do I have to stay out of the sun?

It's important to stay out of the sun following laser skin rejuvenation. The length of time depends on the laser used and how aggressive a treatment it was.

Q: Will I need more than one?

With the lighter skin rejuvenation lasers, such as the DOT Fractional CO2, to get much smoother, “creamier skin”, treatments may need to be repeated. Especially with the lighter treatments such as the weekend peel.

Q: What is the recovery like?

Recovery depends on how deep a laser peel is performed. The lightest, IPL has no downtime but needs the most treatments. Basically, the longer you look bad, the better the result.

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