This was a stubborn brown spot. First, I confirmed it was benign with a biopsy before we began to treat it cosmetically.
It took five monthly treatments with the Excel V laser to get this result. Both Mylene and I did the laser treatments for this patient.
Once clear, my patient has kept the spot from coming back with Obagi dark spot lightener and corrector cream and a Retinoid. The “after” photo is 3 years after treatment. My patient is glad to have it gone and she’s obviously committed to the regimen so it doesn’t reappear.
This diligent maintenance is important! Otherwise, daily activity, sunlight and environmental pollutants will cause recurrence.
My patient granted Dermatology Boutique permission to post her photos on Dr. Golomb’s social media and patient communications. I am grateful that she allowed me to share her photos to help others.
·Lasers·Comments Off on Fraxel vs. CO2 Laser Treatments
I was recently asked about the strength of a Fraxel vs CO2 laser.
CO2 lasers have always been the best choice for fine lines, deeper wrinkles and acne scars. They remove tissue (ablate) resulting in some tightening as well.
Before and After CO2 CoolPeel Laser
Fraxel is a brand of erbium laser that is also very nice for acne scars and texture. Fraxel was one of the first fractionated lasers, hence the choice of the brand name “fraxel.”
Fractionated lasers leave areas of tissue sparing therefore there is quicker healing and less chance of side effects.
My CO2 laser is also fractionated, allowing for quicker healing and less side effects such as hypopigmentation (light or white spots).
CO2 lasers can be adjusted in power (depth of penetration) and type of beam. The Cool Peel technique removes tissue — slender columns with less thermal injury than traditional fraxel.
Healing can be very fast depending on the amount of energy and spacing of energy beams. I can customize this for each patient, depending on whether they want a light, medium or heavy treatment.
The more energy and closer the spacing (fractionation) the “stronger” the treatment, and hence more down time.
For me there is nothing like CO2 laser! That’s why I have it.
We also have a Clear+Brilliant laser at my office. It’s made by the same manufacturer as Fraxel. It has less power so the recovery is quicker. It’s a mini Fraxel.
Of course, the choice depends on your skin type and expectations.
The question, which is stronger, is a good one, but they are different devices.
It’s like comparing a BMW to a Porsche.
Both are amazing!
Call me today for a Fraxel Co2 Laser appointment at 855-465-6621.
Dr. Cynthia Golomb, MD is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes clients for fraxel and CO2 laser treatments from Aventura, Sunny Isles Beach, North Miami Beach, Pembroke Pines & Hollywood, Fl.
My beautiful patient is in her 60s. She wanted to erase a few years. Some have said she looks 20 years younger after her treatments!
First, I did a heavy CoolPeel CO2 laser treatment. CoolPeel tightens fine lines and wrinkles, reduces sun damage discoloration, minimizes pores and improves skin texture and tone with significantly less downtime than regular CO2 lasers.
One week later I injected five syringes of RHA in her cheeks, lips, marionette lines and nasolabial folds.
Then I used Jeuveau for full correction of forehead lines and her crow’s feet.
Are you like my patient who wanted to try fillers, but she didn’t want to look “done?” ?
RHA is designed to perform in the most dynamic areas of the face without looking stiff or unnatural. It is more like the natural hyaluronic acid in your skin.
Jeuveau is a neuromodulator that softens wrinkles and fine lines by relaxing muscle groups. It is especially effective at softening frown lines. You will usually see correction with Jeuveau within two to five days.
Are you ready to erase a few years, or more? Give me a call 855-465-6621.
Earlier I posted a video of the CO2 CoolPeel laser treatment to reduce the festoons under my eyes. Now with these photos, you see what I looked like pre and post-procedure.
Festoons appear below the “eye bags” as a mound or bump around the cheekbones. Or, a festoon could be sagging skin or folds of skin above the cheek.
I was red immediately after the laser treatment, but the CoolPeel has less downtime and less redness than older technology CO2 lasers. The CoolPeel’s new technology delivers energy more precisely, without a lot of thermal damage to the skin, so recovery is faster.
The laser can be set to mild, moderate or aggressive and the downtime increases with the intensity of the treatment.
The treatment I had was moderate and addresses fine lines, superficial wrinkles, dark circles and festoons. The cost for this treatment under the eyes is $850. The downtime is 3 to 5 days. You can begin wearing makeup in 2 to 3 days.
Laser resurfacing with a CO2 laser encourages the skin’s natural healing process and revitalizes the area by creating better support in the skin. It also tightens the skin by “shrinking” tissue.
My CoolPeel CO2 laser can be customized to your unique needs — it is powerful, fast and gives fabulous results. After your treatment, your skin will look smoother, tighter, fresher and more youthful.
·Lasers·Comments Off on CoolPeel CO2 Laser Treatment for Festoons
Do you have festoons? I do. They are below the “eye bags,” a swollen area appearing as a mound or bump around the cheekbones. Or, a festoon could be sagging skin or folds of skin above the cheek. Festoons can be genetic and often get worse with aging, sun exposure, or smoking unless you seek a remedy such as CO2 laser treatment.
The puffiness under the eyes gets worse with age because the structural support of the skin is deteriorating and the muscles under the eyes weaken. Lower eyelid surgery can sometimes improve the appearance, but it also can make the festoon look more prominent.
Laser resurfacing with a CO2 laser can encourage the skin’s natural healing process and revitalize the area by creating better support in the skin.
Click photo to view CoolPeel video
The laser you see in the video is the next generation of CO2 that has less downtime and less redness. It has power and delivery that is unmatched in any other fractional carbon dioxide laser. The CoolPeel CO2 uses carbon dioxide technology to deliver energy precisely, without a lot of thermal damage to the skin, thus a faster recovery. It can be used for fine lines and to improve skin texture and pigment. It also tightens the skin by “shrinking” tissue.
The laser can be set to mild, moderate or aggressive and the downtime increases with the intensity of the treatment. The treatment in the video was moderate and will address fine lines, superficial wrinkles, dark circles and festoons. The cost for this treatment under the eyes is $850 and full face is $1000. The downtime is 3 to 5 days.
A mild treatment of the full face and neck to improve pigment, sun damage and texture is $850. The downtime for a mild treatment is about 2 days.
An aggressive CoolPeel carbon dioxide laser ablation to treat skin laxity, acne scars, deep lines and wrinkles is $2000. The downtime is 5 days.
My CoolPeel CO2 laser treatment for under eye bags can be customized to your unique needs — it is powerful fast and gives fabulous results. After your treatment, your skin will look smoother, tighter, fresher and more youthful.
Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes clients for coolpeel co2 laser treatment for festoons from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.
·Lasers·Comments Off on Reveal Younger-Looking Skin!
Many of you know our friendly nurse, Franny. She recently had a CO2 CoolPeel treatment that significantly reduced the wrinkles on her face and neck.
The CoolPeel laser helps with stubborn crows feet, lipstick lines, smile lines and pore size. Most notably, CO2 improves wrinkles that cannot be corrected with fillers.
Franny was also one of the first to receive an Infini treatment, which does a great job of tightening skin. Genius is the next generation of Infini. Genius is an improved microneedling treatment with radio frequency. It addresses sagging, crepey skin, turkey neck, jowls and large pores. We upgraded to the Genius device last year.
If you have wrinkles along with loose, lax skin, this duo of treatments might do the trick. Franny has had one CoolPeel and had 2 Infini treatments a couple of years ago.
When you’re in the office, feel free to ask Franny about her treatments and see her results in person!
·Lasers·Comments Off on Coolpeel CO2 laser is here!
So many of my patients have years of sun damage with fine lines that cannot be corrected with fillers. I’ve just added the newest CO2 laser, “CoolPeel,” so I can help you with stubborn crows feet, lipstick lines, smile lines and pore size.
To improve texture, fine lines and pore size, nothing beats a CO2 laser. But the aggressive, ablative (removal of skin) treatment required several weeks of downtime with red, raw oozing skin.
New fractional CO2 lasers changed all that.
Our new, CoolPeel CO2 fractional laser treatment produces skin resurfacing results without the lingering heat that damages surrounding skin. Unlike regular CO2, the CoolPeel has minimal risk of hyperpigmentation, demarcation or infection caused by the procedure.
CoolPeel tightens fine lines, reduces sun damage, minimizes pores and improves skin texture with significantly less downtime than regular CO2.
Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes clients for coolpeel co2 laser treatment from Aventura, Sunny Isles Beach, North Miami Beach, Pembroke Pines & Hollywood, Fl.