Old Cosmetic Reference page

Fractional Laser CO2 Skin Resurfacing is your single-treatment solution for beautiful younger-looking skin. It is a single treatment with minimal patient downtime. During the procedure, a high-energy beam of laser light is used to smooth out lines, wrinkles, and scars, remove brown spots and other irregularities, and tighten the skin. It also stimulates formation of new underlying collagen to continue improvement over time.

With Fractional CO2 Laser Treatment, only a fraction of the skin’s surface is treated by the laser, leaving small “bridges” of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.

Think of your skin as a digital photograph in need of high-quality restoration or touch up. Just as a damaged painting is delicately restored one small area at a time, or a photographic image is altered, pixel by pixel, Fractional CO2 Laser Skin Resurfacing improves your appearance by affecting only a fraction of your skin at a time with thousands of tiny microscopic laser spots.

There is little to no pain associated with the procedure-most patients say they feel warmth similar to a sunburn. A topical numbing agent may be used prior to the procedure to minimize any discomfort.

As the 10600nm wavelength of the CO2 laser has a much higher absorption in water (100 times) compared to the 1550nm of the Fraxel laser, CO2 is ablative (vaporising) and the fraxel is not. The fractionated effect has allowed the safety profile of the CO2 resurfacing to be successfully increased. Even so, the risks and recovery period are still greater than with the Fraxel.

For indications such as perioral wrinkles, the CO2 laser is still considered the golden standard. The new fractionated approach allows the patient to choose the amount of social downtime they find acceptable in relation to the desired result. A classic approach may provide better results in some cases of serious aging of the skin; however, with the known risks.

Results of treatment are LONG TERM and with proper sun protection and skin care regimen, can last for many years. Most effects of treatment become visible right away, whereas others-such as new collagen formation-build up gradually and results in continued smoothing over time. Therefore, most people continue to show improvement up to 6 months after the procedure.

To achieve the best possible results, the energy, whether laser or light, must be delivered below the skin without overheating the top layer of the skin.  This has been the challenge with other more aggressive laser skin resurfacing treatments because they work by overheating the top layer of the skin to the point of complete ablation (removal), forcing new skin to develop.

The energy used for Sublative Rejuvenation is called fractionated bi-polar radio frequency, which penetrates through the skin–sending more energy beneath the surface of the skin to really maximize collagen production–while keeping the top layer of the skin intact. This is an important factor in why it’s safe for all skin types. Unlike other non-aggressive treatments, Sublative Rejuvenation works from the inside out by stimulating cell regrowth.  The results last longer and can be further enhanced with yearly maintenance treatments.

Post treatment, you may notice increased levels of beneficial collagen as new healthy skin cells are produced. Mild to moderate wrinkles and superficial skin discolorations are reduced, and the texture of your skin becomes smoother and more elastic.

Although classified as an aggressive treatment, Sublative Rejuvenation is unique because it delivers optimal efficiency with minimal downtime at an affordable price point–and it’s safe for ALL skin types and color.  A full-face treatment session takes less than 20 minutes.

Sublative Rejuvenation with eMatrix is very tolerable.  During treatment, many patients feel a warm, prickly sensation. After treatment, a pink or red “sunburn” appearance and feeling is common.

No clinical side effects have been reported to date.  The beauty about Sublative Rejuvenation is its capability to offer significant fractional “laser skin resurfacing” results to ALL skin types with little to no downtime.

Sublative Rejuvenation is the only fractional treatment that can be used on all skin types.  Some skin conditions (such as eczema) may prohibit patients from receiving the treatment.

Patients will begin to see results after the first treatment and results will continue to improve up to one year post treatment.  Because this treatment works to rebuild collagen, there are no limitations on how long the results last. Maintenance treatments are recommended once a year to maintain and further enhance current results.

Patients can expect a noticeable reduction of fine lines, wrinkles, acne scars, stretch marks and other scarring, brown spots, sun damage and fine broken blood vessels. In addition, patients will see an improvement in texture and skin laxity. On average, most results appear over a period of three to six months, but some patients notice results immediately after treatment.

Most patients have mild redness and swelling for a few hours after the treatment. You may apply make–up to the treated area after the Sublative Rejuvenation procedure. Results will develop over time and with subsequent treatments. Full results can be appreciated at three to six months following the last treatment. Maintenance treatments may be necessary to maintain the results.

The eMatrix Sublative Rejunation may be combined with many other cosmetic treatments in our office such as Photodynamic Therapy, IPL, Botox Cosmetic and Injectable Fillers. Many patients choose to undergo combination treatments in order to achieve the maximum aesthetic result.

The eMatrix Sublative Rejunation may be combined with many other cosmetic treatments in our office such as Photodynamic Therapy, IPL, Botox Cosmetic and Injectable Fillers. Many patients choose to undergo combination treatments in order to achieve the maximum aesthetic result.

The eMatrix treatment is an affordable and safe solution to regain skin youth look and feel. The total cost depends on the size of the area, the number of treatments required (usually 3 to 4 only) and the intensity level required for best results. Our prices are very competitive.We offer package discounts and run monthly specials.

Your provider will ensure you are as comfortable as possible; most patients are reclined or lying down depending on the area being treated. Both the patient and the provider will be wearing protective eyewear. When treatment begins, the laser will be calibrated and parameters will be set based on the specific condition being treated, each condition and each individual is unique and these settings maximize the results you will see following treatment.

The only requirement is that you have a desire to improve the condition of your skin. Most patients who receive cosmetic laser treatment opt for procedures to correct skin conditions not out of medical necessity, but because they are interested in improving the appearance of their skin without invasive surgery that would cause downtime away from daily activities. From total facial rejuvenation which involves the reduction and removal of red and brown pigmented lesions with a general firming of the skin, to the removal of sun-spot damage, patients should discuss with their practitioner which treatments are right for them.

The only requirement is that you have a desire to improve the condition of your skin. Most patients who receive cosmetic laser treatment opt for procedures to correct skin conditions not out of medical necessity, but because they are interested in improving the appearance of their skin without invasive surgery that would cause downtime away from daily activities. From total facial rejuvenation which involves the reduction and removal of red and brown pigmented lesions with a general firming of the skin, to the removal of sun-spot damage, patients should discuss with their practitioner which treatments are right for them.

No anesthetics are required, but they may be used. The feeling most patients report is a warming or tingling sensation during treatment. The skin being treated is additionally protected by Candela’s dynamic cooling method, DCD, which delivers a cooling mist on to the skin before the laser pulse is emitted. This cooling mist increases comfort during treatment, as well as protects the skin to minimize side effects like redness.

Some patients experience redness or mild swelling in the treated area immediately following treatment, this usually goes away in a few hours. Occasionally purpura, a laser bruise, may occur. Purpura is transient and usually disappears in three to five days.

It is recommended to avoid sun exposure before and throughout treatment to maximize results. A sunblock of SPF 30 or higher should be worn daily during this time. Post treatment care guidelines depend on the condition treated, and should be discussed with you practitioner.

Most insurance companies do not offer reimbursement for cosmetic and aesthetic procedures. Some carriers will, however, cover the treatment of disfiguring birthmarks such as hemangiomas or port wine stains. In addition, the treatment of psoriasis and rosacea may be covered by some insurance companies. Please consult your insurance carrier for more details.

Cost depends on the size of the area being treated as well as the condition being treated, talk with your practitioner to learn more about treatment fees.

The injection method, a procedure called sclerotherapy is used to treat unwanted blood vessels. One of several kinds of solutions, called sclerosing solution, is injected with a very fine needle directly into the blood vessel. This procedure has been used for spider veins since the 1930’s and before that for larger veins. The solution irritates the lining of the vessel, causing it to swell, stick together and the blood to thicken. Over a period of weeks, the vessel turns in o scar tissue that is absorbed, eventually becoming barely noticeable or invisible.

A single blood vessel may have to be injected more than once, some weeks or months apart, depending on its size. In any one treatment session a number of vessels can be injected.

The solutions available are slightly different and the choice of which solution to use depends on several factors including the size of the vessel to be injected. Dr. Abrams, D.O, will choose the solution that is best for your particular case.
Occasionally larger varicose veins are underneath or associated with the spide weins. In such cases, some phusicians believe these vessels should be treated before the spider veins. This can be done by sclerotherapy, intevascular lase, or radio frequency, followed by compression.

Yes. All skin types and skin colors respond equally well.

Insurance rarely covers treatment of spider veins but may sometimes cover larger vein treatment. If the treatment is solely for cosmetic reasons, it may not be covered. Sometimes a second opinion, laboratory studies, or photographs are required by insurance companies before treatment is started to get the procedure covered for larger varicose veins.

Even with a highly experienced physician performing the treatment, there are some possible side effects.We recommend scheduling a consultation with Doctor Abrams prior to the treatment.

Larger veins may recur even after surgical procedures. Spider veins may also recur. It may seem that a preciously injected vessel has recurred, when in fact, a new spider vein has appeared in the same area.

Not necessarily, but the procedure must be done with caution to lessen the risk of blood clots.

Not necessarily, but the procedure must be done with caution to lessen the risk of blood clots.

Surgically tying veins off (ligation), or pulling them out (ambulatory phlebectomy), are other procedures for treating unwanted blod vessels. These methods are usually reserved for larger varicose veins.

Dr. Abrams recommend to bandage the injected areas and instruct patients to “compress” the treated vessels by wearing support host. This help seal the treated vessels, keep the blod form collecting under the skin, and reduce the development of dark pots. It also help reduce the number of treatments necessary, and the possibility of recurrence.

Dr. Abrams recommend to bandage the injected areas and instructs patients to “compress” the treated vessels by wearing support hose. This helps seal the treated vessels, keep the blod form collecting under the skin, and reduce the development of dark spots. It also helps reduce the number of treatments necessary, and the possibility of recurrence.