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Cynthia Golomb, MD | Dermatology Boutique

CoolPeel CO2 Laser

Fraxel vs. CO2

· Lasers · Comments Off on Fraxel vs. CO2

I was recently asked about the strength of CO2 lasers vs. Fraxel.

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!

Renew and Refresh

· Fillers, Lasers, Neurotoxin (Botox, Dysport, Jeuveau and Xeomin) · Comments Off on Renew and Refresh

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.

Also, The RHA Filler Collection can last longer than other fillers, up to 15 months.

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.

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