Laser Treatments

Laser skin resurfacing successfully treats sun-damaged skin, facial wrinkles and scars.

For cosmetic procedures, specially designed lasers produce a beam of light capable of removing unwanted tissue, such as scarred, lined, wrinkled, and otherwise imperfect skin. The laser vaporizes skin cells by emitting bursts of radiation that are absorbed by water in these cells. Laser light penetrates to a very precise, controlled depth, making the procedure safe and predictable, while reducing the risk of scarring or pigmentation problems. Laser resurfacing is bloodless and may be performed under light sedation. Laser resurfacing leaves the skin smoother and more natural looking.

Depending on the goals of the procedure and the laser used, many cases require only one treatment. The initial redness fades in a few weeks to a light pink, which can be concealed with makeup. The pink discoloration usually disappears in one or three months but in rare cases can last longer.

Laser Resurfacing

The laser is used to reduce tiny wrinkles, acne scars and other minor skin imperfections, especially around the mouth and eyes. It can improve sun-damaged and acne scarred skin, problems that often cause concern to both men and women. The collagen or the scaffolding to skin loses its elasticity as we age. The most remarkable application of the CO2 laser is that it can restructure the interlacing of the collagen fibers of aged, sun-damaged skin and renew the elasticity and smooth tone of the skin. This has been especially enhanced with the new technique of the fractionated laser, specifically known as Active FX or Deep FX. Active FX techniques are used for less severe facial wrinkling and hyperpigmentation. Deep FX is used for skin that has less tone and more pigmentation problems.

Laser resurfacing can be used as an alternative to chemical peel and dermabrasion. The benefits of using this technique are that there is less pain and a faster recovery time. Drs. Carlotti have successfully treated over one thousand patients with this technique. Nevertheless, each patient presents with a unique skin type, texture and goal for rejuvenation or removal of precancerous sun-damaged skin. Therefore, as much as there is tremendous science behind the application of the laser, judgment on the part of the surgeon with regards to the power (density) of the beam applied to the skin, the number of passes and the areas to be treated is ART rather than science. The complications of laser treatment are almost universally caused by the inexperienced surgeon, improper post-operative management of the patient or non-compliance on the part of the patient.

In most cases, only one laser treatment is needed. The advent of Laser Seal, a silicone “mask” applied like “frosting on a cake” over the treated areas of the face has dramatically improved healing time and created a virtually painless recovery. The Laser Seal mask is applied to the patient’s face before they leave the operating room and remains in place for 4-6 days. Upon removal of the mask, there may be minor crusting around the lips (where the mask won’t adhere due to lip movement) and along the forehead hairline. The patient will begin showers in a tub-shower three times a day with a gentle spray to the face from 3-5 feet from the spicket. Within 2 weeks the facial skin is well healed and the patient may apply a mineral-based makeup such as Jane Iredale to cover any residual pinkness. The discoloration usually disappears in one or three months. The goal of laser resurfacing is to enhance facial appearance. Expectations by the patient must be realistic, and results should be anticipated as improvements rather than total corrections. Results of the surgery depend on many factors such as the size, shape and location of the imperfection and the patient’s heredity, age and general skin condition.

American Academy of Cosmetic Surgery: For Patients/patients/

Fraxel Laser

The latest advancement in minimal downtime is fractional laser, or fraxel laser, treatment for aging skin.

With the NEW fractional DeepFX treatments, your physician is able to treat the deep layers of your skin, but keep downtime to a minimum. Now, deep wrinkles, skin texture and scars are dramatically improved after just one treatment.

The low-downtime procedure uses fractional CO2 laser microbeams to precisely target the deep dermal layers of the skin. This stimulates a cascade of healing responses that leads to tissue regeneration and new collagen formation throughout the entire treatment area. And because only a fraction of the skin is actually touched by the laser, healing time can be limited to just a few days.

Fraxel laser treatments with DeepFX preformed at the Carlotti Center for Cosmetic Surgery and last for about 20 minutes. An anesthetic cream may be used prior to treatment to aid with comfort. As the microbeams are applied, you will feel a warm sensation at the treatment area.

Immediately following the laser treatment, your skin will feel warm and will be similar in appearance to a deep sunburn. Over the next several days you will follow a gentle washing and moisturizing regimen, and avoid direct exposure to sunlight. As you skin heals, it will begin to flake and you will notice improvement in your wrinkles, fine lines and scars.

IPL Technology

The Carlotti Center for Cosmetic Surgery is proud to offer one of the most versatile and advanced lasers available, the Lumenis VascuLight SR. The Lumenis VascuLight SR is an innovative system for non-invasive treatment of benign vascular lesions, pigmented lesions and tattoos, as well as Intense Pulsed Light (IPL) Hair Removal and for IPL Skin Treatments through the process of photorejuvenation.

From small shallow facial veins to deeper and larger leg veins, our Vasculight SR through a series of treatments will minimize if not eliminate unsightly veins. The entire procedure is brief and non-invasive-no needles are used at any time.

Our Lumenis IPL age-defying therapy treats fine lines and wrinkles, helps diminish pore size, reduces rosacea and facial flushing, port wine stains, sun damage and hyperpigmentation. The Vasculight SR can also eliminate if not significantly reduce unwanted hair on the face, back, legs, bikini line or any other body area.

Drs. Carlotti determine an IPL treatment plan for each new patient, accounting for the number and severity of skin conditions being treated, as well as skin type. On average, four to six IPL treatments are recommended, scheduled at three-week intervals. Each session usually lasts about 20 minutes, with patients returning to normal activity immediately afterwards, in fact, patients can often schedule their IPL treatments over their lunch hour. IPL treatments provide gradual, natural improvement with excellent long-term results.