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The DiMario Cosmetic Surgery Center utilizes the latest Laser, Chemical, and Micro-Dermabrasion techniques, providing the best and most dramatic results in skin rejuvenation. Read about a few of the procedures below or contact us for the latest information.
Lasers and Intense Pulsed Light (IPL) Technique Lasers and Intense Pulsed Light (IPL) treatments can be used to treat wrinkles, sagging skin, dark spots, visible blood vessels, rosacea, veins and red moles called angiomas. This is called Photorejuvenation. Fractional Laser Skin Resurfacing - non-ablative Fractional Photothermolysis seeks to only damage certain zones within the selected target area, (producing tiny dot, or pixel-like treated areas on the skin), leaving the other zones within it perfectly intact; hence only causing fractional damage through the heat of the light source. This allows the skin to heal much faster than if the whole area was treated, as the ‘healthy’ untreated tissue surrounding the treated zones helps to fill in the damaged area with new cells. Fraxel™ is one type of this Fractional laser and treats pinpoint areas on the skin, penetrating small fractions by 400 to 700 microns. The 1550nm Fraxel laser works both at the skins surface to remove sun damage, and under the skins surface to help stimulate collagen and smooth out wrinkles. Three separate treatments are recommended for optimal improvement. The skin is usually slightly red for 24 hours after each procedure. Complications in this procedure will include skin discoloration, burning, or scarring. In some cases, dormant viruses or infections can be triggered. Laser skin resurfacing does not stop the aging process. Wrinkles, discoloration, and other imperfections can reappear throughout your lifetime. Dermabrasion Micro Peel Dermabrasion and micro-dermabrasion are techniques used to remove superficial layers of the skin. The techniques can be a superficial technique for minor skin problems or slightly deeper for more advanced skin issues. The superficial skin resurfacing procedure restores smoother, younger looking skin and may be used in treating the following skin conditions: · Fine lines and wrinkles · Sun damaged skin or Patchy Skin · Acne prone skin · Superficial age spots and Hyperpigmentation · Lines around the mouth Dermabrasion is a technique that uses a diamond wheel with rough edges (called a fraise) to remove the upper layers of the skin. The fraise rotates, taking off and leveling the top layers of the skin. In or office we normally use a superficial technique that does not require anesthesia. Dermabrasion, chemical peel, and laser resurfacing are the most commonly used techniques for improving the texture and appearance of the skin. Although these techniques use different methods, they have basically the same effect on the skin by removing the upper layers of skin to allow for skin regrowth. Proceedure The areas to be treated are cleaned and marked. Anesthesia is usually not necessary. For more extensive procedures a topical anesthetic cream or freezing (cryogenic) spray can be used. Common temporary side effects of dermabrasion include but are not limited to: Scarring, redness, swelling, infection, flare-ups of acne or tiny cysts (milia) ( tretinoin, or antibiotics are sometimes needed), increased color in the skin (hyperpigmentation), decreased color in the skin (hypopigmentation) and increased sensitivity to sunlight. Inform the physician of any past history of keloids (scar tissue overgrowth created at the site of a skin injury), previous use of Accutane (Isotretinoin) or unusual scarring tendencies, as well as any history of x-rays treatments to the face or recurring cold sores. The treated skin is highly susceptible to injury, so take care of it. Chemical Peel Treatments Chemical peels are used to improve the appearance of the skin by applying a chemical solution to the skin causing the superficial layers to be removed. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin also is temporarily more sensitive to the sun. Chemical peels are techniques that employ chemical solution treatments to produce improved appearance of the face. Chemical peels produce controlled injury to the superficial layers of the skin, which promotes growth of new skin with an improved, smother, younger appearance. Many different chemicals can be used for chemical peels but in our office, we primarily use trichloroacetic acid (TCA). The advantage of tricholoracetic (TCA) acid application is that the degree and depth of penetration within the skin. The depth of the peel can be controlled by the concentration of TCA 15 to 30% and the number of applications performed. TCA chemical peels are more effective than alpha hydroxy acid (AHA) chemical peels (i.e. glycolic acid) in removing superficial skin; it is considered a medium depth chemical peel. This treatment is most commonly used to: · Reduce fine lines and wrinkles · Improve skin texture and color · Soften the look of acne scars · Clear away black heads, blemishes · Promote skin cell and collagen renewal · Brighten and smoothen skin However, sags, bulges and more severe wrinkles do not respond well to TCA chemical peels. They may require other kinds of cosmetic surgical procedures, such as the laser, a facelift, brow lift, eyelid lift or soft tissue filler . Procedure The TCA chemical solutions, is applied to small areas on the skin. Oral antibiotics or an oral antiviral medicines may be needed. No anesthesia is needed, most patients experience a warm to a stinging sensation that lasts about five minuets. A fan or cool compresses may be applied to help alleviate this stinging. A deeper peel may require pain medication during or after the procedure. The post-procedure reaction is similar to a sunburn. Lighter peels can produce redness and skin peeling for a few days. Mild peels may be repeated at one to four-week intervals until the desired clinical effect is achieved. Medium-depth and deep peeling may result in swelling, as well as the presence of some blisters, that crust, turn brown and peel off over a period of seven to 14 days. Medium-depth peels may be repeated in six to twelve months, if necessary. Risks There is a risk of developing a temporary or permanent color change in the skin (darker or lighter). Taking birth control pills, subsequent pregnancy or family history of brownish discoloration on the face may increase the possibility of developing abnormal pigmentation. There is a risk of scarring in certain areas of the face, and certain individuals may be more prone to scarring. There is a small risk of reactivation of cold sores in patients with a history of herpes outbreaks. Inform the physician of any past history of keloids (scar tissue overgrowth created at the site of a skin injury), previous use of Accutane (Isotretinoin) or unusual scarring tendencies, as well as any history of x-rays treatments to the face or recurring cold sores.
610-400-8300 • West Chester, PA • Bala Cynwyd, PA • info@dimario.com |
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Skin Rejuvenation