Laser Peel

Our Service Gallery
BMe, LP, PDT, Acne, Botox Filler, left, chin

BEFORE

Before: Cystic Acne with severe scarring

BMe, LP, PDT, Acne, Botox Filler, left, chin

AFTER

Several resurfacing and fractionated laser peels (ErbYag) as well as a few PDT sessions & some Hyaluronic Acid Fillers

Note:  Acne scarring is notoriously difficult to eradicate, even with excellent laser peels. Improvement is the best expectation.  True complex acne scarring may be improved upon. It is usually also associated with long, near complete remission in adult acne.  Dermal Hyaluronic Acid fillers are also invaluable in improving the contours of the resurfaced cheeks.
Laser Peel

BEFORE

Aging, volume loss, sun damage

Laser Peel

AFTER

Botox, Fillers, Laser Peel

Note: Although this woman is almost 4 years older in the After picture, she looks younger and healthier. Note the radiance of her skin, the absence of sunspots, the full round facial contours, and the diminished eye circles.  She is a healthy living positive person who worked hard through a few treatments and deserves to look great.
SPe, LP, PDT, Sun damage, Cancer

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, LP, PDT, Sun damage, Cancer

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
Laser Peel, SC

BEFORE

Aging

Laser Peel, SC

AFTER

Laser Peel, Anti Aging skin products, Botox, Fillers

Note: This woman says she is very happy with the gradual transformation she experienced after laser peel, Botox, Fillers, and anti-aging skin products.  Although she is a positive person to start with, the caring for her body, mind and spirit that she undertook one year ago has positively impacted her social interface during the past year. She is getting older, and she is also getting better.
Botox

BEFORE

heavy brow, eye circles, deflated cheeks

Botox

AFTER

Botox, Fillers to face

Note: Botox has reduced the wrinkling around her eyes and produced a dramatic brow lift to create a smoother, wide-eyed, more positive expression. The fillers have reversed the natural deflation of the cheeks and peri-oral zones. The rounder, uplifted cheeks have given the impression of youth while reflecting light evenly and brightly.

WL, Acne, Acne Acarring, LP, Left

BEFORE

Complex acne scarring

WL, Acne, Acne Acarring, LP, Left

AFTER

Laser Resurfacing

Note:  This young farmer is exposed to a great deal of Ultraviolet light.  He is deeply disturbed by marked acne scarring which is clearly improved now after 2 Laser Resurfacing and 2 Fractionated Laser sessions.  He is happier with his skin now.
WL, Acne, Acne Acarring, LP, Right

BEFORE

Complex acne scarring

WL, Acne, Acne Acarring, LP, Right

AFTER

Laser Resurfacing

Note:  This young farmer is exposed to a great deal of Ultraviolet light.  He is deeply disturbed by marked acne scarring which is clearly improved now after 2 Laser Resurfacing and 2 Fractionated Laser sessions.  He is happier with his skin now.
GRa, LP, Eye Circle

BEFORE

Enlarged Pores, Fine Lines

GRa, LP, Eye Circle

AFTER

Combination Erb Yag Mini Laser Peel

Note:  This young woman was disturbed by her enlarged pores and noticeable eye creases at age 31.  She elected to do a Combination Mini Laser Peel and now 10 weeks later the Before After comparison reveals more refined texture, reduced pore appearance and diminished fine lines around the eyes.  It is still early and she will continue to firm up, even out the color and smooth texture, until peak at 6 months.
WDe, LP, Filler, Anti-Aging, Eye Circle

BEFORE

Darker skinned aging person with prominent Eye Circles

WDe, LP, Filler, Anti-Aging, Eye Circle

AFTER

Tear Trough Fillers and Combination ErbYag Laser Peel (4 mos)

Note: This 61 year old woman had moderate depth combination laser peel and some tear trough fillers approximately 4 months ago.  It is clear that her eye circles are dramatically improved.  Pigment spots are reduced, around the eye wrinkles are smoothed out, the dark under eye pigment is lessened.  She is pleased.
TG, Anti-Aging, Eye Circle, LP

BEFORE

Sun damaged, elastotic (aged) skin

TG, Anti-Aging, Eye Circle, LP

AFTER

Only 11 days After: Combination Mini Laser Peel, more intense around the eyes

Note:  This woman is almost 60 and looks younger and healthier after ONLY 11 DAYS since her Combination Mini Laser Peel using Erbium Yag laser.  It is seen that she has diminished the hyperpigmentation due to sun damage.  Her complexion was somewhat pale prior and more pink afterward.  The crepe-like skin around the eyes is already smoother and firmer.  The amazing fact here is that this is just the beginning.  She will continue to rejuvenate as time passes to peak at 6 months.  Then the «skin renovation» will be complete and stable.
GRa, Eye Circle, Anti-Aging, Laser Peel

BEFORE

Asymmetrical Brow Droop

GRa, Eye Circle, Anti-Aging, Laser Peel

AFTER

Erb Yag Combination Laser Peel

Note:  This 31 year old has a right brow droop, acquired gradually during the past 5 years.  She has had a great deal of UV exposure as an outside worker, accelerating her aging process, sometimes more on one side than the other.  If it isn’t bad enough that our brows droop with age, it is worse when it is asymmetrical.  The easiest solution is to act early and prevent this drooping. This young woman had a Mini Combination Laser Peel using Erb Yag, and it is evident here that she is beginning to firm up the brow with a discrete lift evident even at the 2 month mark after her peel.  Generally, the visible tightening and contouring changes after a laser peel occur between 2 - 3 months, so she can be happy that this therapy is aiding her to lift both of her brows such that she looks younger, as she did when she was in her early 20’s.  It can be expected that her brows will continue to lift and firm during the next 6 months, typical of such a laser peel.  She began with a Mini Combination as a trial, but she would benefit by a deeper peel once in her future.
WKa, LP, Anti-Aging, Eyes

BEFORE

Droopiness, wrinkles

WKa, LP, Anti-Aging, Eyes

AFTER

Moderate Depth Erb Yag Laser Peel

Note:  This woman did a light to medium strength ErbYag laser peel to achieve the reduction in her frown creases, fine lines around the eyes, smoother texture, and more even color.  Her eye brows are not so low over her lids.  She is only at three months in this photo comparison, so it is reasonable to expect considerably more tightening over the next 3 months.  She will clearly look younger, especially around the eyes.
BMe, LP, PDT, Acne, Botox Filler

BEFORE

Cystic Acne with severe scarring

BMe, LP, PDT, Acne, Botox Filler

AFTER

Several resurfacing and fractionated laser peels (ErbYag) as well as a few PDT sessions & some Hyaluronic Acid Fillers

Note:  Clearly this woman has suffered scarring cystic acne.  It left white scar mottle all over her forehead, cheeks, chin.  Keloid scarring is evident in between the eyes.  There is still some inflammatory acne that appears on a regular basis.  Like others with acne scarring, she was determined to finally halt acnebreakout, and smooth skin to more normal appearance.  It took several laser peels and some Hyaluronic Acid Fillers (Teosyal) to achieve the great improvement shown here.  She looks older, but better.  
BMe, LP, PDT, Acne, Botox Filler, left

BEFORE

Cystic Acne with severe scarring

BMe, LP, PDT, Acne, Botox Filler, left

AFTER

Several resurfacing and fractionated laser peels (ErbYag) as well as a few PDT sessions & some Hyaluronic Acid Fillers

Note:  Clearly this woman has suffered scarring cystic acne.  It left white scar mottle all over her forehead, cheeks, chin.  Keloid scarring is evident in between the eyes.  There is still some inflammatory acne that appears on a regular basis.  Like others with acne scarring, she was determined to finally halt acnebreakout, and smooth skin to more normal appearance.  It took several laser peels and some Hyaluronic Acid Fillers (Teosyal) to achieve the great improvement shown here.  She looks older, but better.
SE, Filler, LP, Anti-aging

BEFORE

Advanced volume loss & Skin elastosis (loss of elasticity)

SE, Filler, LP, Anti-aging

AFTER

18 weeks after Combination ErbYag Laser Peel & Juvederm

Note:  This woman was near 80 when she elected to «reboot» her skin.  The resurfacing stimulated such a proliferative / growth event in her skin such that her volume visibly increased while her skin firmed up, evened out the color, and smoothed the wrinkles.
SD, Anti-Aging, LP

BEFORE

Advanced aging, laxity, wrinkles

SD, Anti-Aging, LP

AFTER

Deep Erb Yag Laser Resurfacing

Note:  This woman was in her late 60’s when she did a deeper ErbYag laser peel with a goal to firming up, and eradicating some cysts on the chin.  She certainly did tighten and volumize as seen by this photo.
SD, Anti-Aging, LP , chin

BEFORE

Advanced aging

SD, Anti-Aging, LP , chin

AFTER

ErbYag Laser Peel

Note:   This woman was disturbed by cysts on her chin.  As an active senior who liked to play in card tournaments, she was always self conscious of the bulging pink cysts in such social situations.  She did undergo an ErbiumYag laser peel requiring approximately one week of recovery until she could camouflage her pink skin with foundation makeup.  The skin begins to grow new cells and build new collagen for the next 6 months until peak, as seen in this Before After comparison.  The cysts were destroyed and the skin and lips were much better off for firming and volumizing.
TP, front, LP, Hyperpigmentation

BEFORE

Profraction

TP, front, LP, Hyperpigmentation

AFTER

One month after just one Profraction

Note: Reduction in brown patches of Melasma.  It is clear that she has already reduced the brown intensity, but she may expect more reduction in the next couple of months as the skin turns over.  With a second or third treatment, as needed, she will likely achieve near complete removal of her brown patches.  At the age of 40 when she underwent this therapy, she can be reasonably assured that the melasma will not return, as estrogen events in her life become less influential. It is noteworthy that the Asian type 4 skin is suitable for this therapy.
TP, left, LP, Hyperpigmentation

BEFORE

Profraction

TP, left, LP, Hyperpigmentation

AFTER

One month after just one Profraction

Note: Reduction in brown patches of Melasma.  It is clear that she has already reduced the brown intensity, but she may expect more reduction in the next couple of months as the skin turns over. With a second or third treatment, as needed, she will likely achieve near complete removal of her brown patches.  At the age of 40 when she underwent this therapy, she can be reasonably assured that the melasma will not return, as estrogen events in her life become less influential. It is noteworthy that the Asian type 4 skin is suitable for this therapy.
DSu, Filler, LP

BEFORE

Elastosis, Advanced, due to extreme Ultraviolet Damage

DSu, Filler, LP

AFTER

Laser Resurfacing, Erbium Yag, and some Teosyal Dermal Filler

Note:  This is an example of a «Florida girl» who has enjoyed the sun a great deal.  Even though she has had laser peel in the past, she is still advanced in her skin aging due to mega Ultraviolet exposure.  She did undergo another laser peel, this time Erbium Yag, to improve the skin structure and function.  Improvement is seen around the mouth, although it will take another laser peel to bring her back to age-appropriate skin elastosis (collagen loss).
BMe, LP, Anti-Aging, Sun Damage

BEFORE

Photoaging, sun damaged skin

BMe, LP, Anti-Aging, Sun Damage

AFTER

Erb Yag resurfacing in 2009, and Fractionated CO2 laser in 2012

Note:  This woman showed the signs of sun damage on her skin prior to laser resurfacing with Erb Yag.  This was highly effective in reducing brown spots and improving the texture and firmness of her skin.  Well after her laser peel she elected to «buff up» prior to her wedding with a fractionated CO2 laser, known as «Deep FX».  The latter produced a very bright complexion and fullness, even just 1.5 months later.
Laser Peel

BEFORE

nodulocystic acne with residual discolored skin

Laser Peel

AFTER

PDT and Profraction, breakout pattern remitted for months, cosmetic improvement

Note: This young woman was not tolerant of the various acne topical and oral medications. She elected to proceed with light based acne therapy, including Levulan PDT and Profraction. Not only was the acne nicely remitted, but so too was her skin radiant and smooth.  What looks like acne is not always acne.  This young woman experienced breakout to her face that wasn’t always acne.  She had a Celiac condition that also breaks out on her face.
SM, Skimmer

BEFORE

Aging

SM, Skimmer

AFTER

«Skimmer» laser peel (light resurfacing using Erbium Yag

Note:  This woman had attractive skin changes after the lightest of laser peels, the «Skimmer».  Her complexion is more radiant, bright.  Notice the chin skin texture is much smoother, and the wrinkles above the lip are diminished.  There is some firming and fullness improvement in the cheeks.  She was happy with the results.
CC

BEFORE

Extreme sun damage evidenced by dense Telangiectasia and Pre-cancer of skin, (Actinic Keratoses)

CC

AFTER

spot ablation and IPL Photorejuvenation

Note: Extreme UV damage causing dense telangiectasia (spider veins) and skin pre-cancers. Outdoor workers experience similar kinds of «sun and element aging». This man had spot ablation of the pre-cancers, IPL Photorejuvenation (2) to reduce the veins. He looks much healthier in his skin. He would be advised to screen from UV light more carefully in the future, plus guard against cold and wind injury. He will need to stay vigilant for new pre-cancers. A PDT in the future might be a rewarding treatment for him, removing the «bad guys» microscopically from the field of skin cells.
DL

BEFORE

Hyperpigmentation

DL

AFTER

1 session each of light resurfacing Erb Yag Laser Peel and Fractionated Erb Yag Laser Peel

Note:  Reduced pigment marks, more even, radiant complexion after light laser resurfacing.
DS

BEFORE

Severe Sun Aging in Fair Skinned Person

DS

AFTER

Combination Erb Yag Laser Peel

Note: This woman spent all her life enjoying the sun especially in equatorial regions.  She is a fair skinned person who suffered a number of sunburns in her lifetime.  It is not necessary to be a smoker to achieve these deep thick wrinkles, although there were years when she did smoke.  The laser peel improved her skin quite considerably from severe to moderately photoaged.  If she elected to repeat the laser peel she would improve another increment, reversing so much of the look of sun aging on her face.
GV

BEFORE

Aging, deflated soft tissue, wrinkles, mottled

GV

AFTER

CO2 Laser Peel

Note: The skin is so much brighter after treatment, more even colored, and smoother.  The wrinkle pattern is diminished greatly around her mouth, chin, and eyes where she had both CO2 fractionation and resurfacing. The face is more full and firm, more evenly pink instead of the sallow yellow of aging.  Her only treatment was the laser peel and some healthful cosmeceuticals.
LK

BEFORE

Sun Damaged, Aging, Crows wrinkles, brown spots

LK

AFTER

Mini Combination Laser Peel Erb Yag

Note: Note firmer, smoother skin which is more radiant and even colored.  This kind of laser peel requires approx 5 - 7 days until make up and return to work.
TG

BEFORE

Fair Skin Sun Aging

TG

AFTER

Combination Erb Yag Laser Peel

Note: This fair skinned woman enjoyed the great outdoors but the UV light caused volume loss, pigment marks, dull skin, and wrinkles.  She was relieved to see some improvement after an uncompicated combination Erb Yag laser peel.  Note the wrinkles have lessened, her skin firmness is evident, and the hyperpigmentation is much improved.
Laser Peel, BJ

BEFORE

Volume loss, loss of elasticity

Laser Peel, BJ

AFTER

IPL, PDT, Laser Peel, 1 each

Note: This 39 year old woman is beginning to show volume loss and skin laxity prior to a couple of invigorating skin treatments.  Clearly the radiance is apparent, the jawline is sharper, the cheeks are more full, the color is more uniform, and the wrinkles reduced.  She used no injectables.  She is pleased.
DJ, LP Botox

BEFORE

Hyperpigmented, volume depleted, droopy right eyebrow & wrinkled downturned mouth

DJ, LP Botox

AFTER

Mini Combination Laser Peel, Modest Botox and Fillers treatments

Note:  This woman had a Combination Mini Laser Peel which clearly improved the radiance and clarity of her skin.  There is also modest Botox and Fillers therapy that provided some facial and lips volume, rejuvenation.  Her forehead and frown zones are smoother, even her eyebrows are lifted after therapies. Her right eyebrow prior to Botox is droopy, and indeed the Botox treatment provided an eyebrow lift which brought greater symmetry.
SPe, Sundamage, Anti-aging

BEFORE

Severe Sun Damage causing pre-cancers of the skin, and other non-malignant brown and red marks

SPe, Sundamage, Anti-aging

AFTER

1 full face laser resurfacing procedure, & 1 Photodynamic Therapy session

Note:  This man presented in his 70’s with plenty of spots on his face and ears that were increasingly scabby, bumpy, red, and some were ulcerating. He was diagnosed with multiple pre-cancers and cancers of the skin.  These non-pigmented pre-cancers are often referred to by the public as «farmer’s cancers», because they are prevalent in farmers who have had a lifetime of heavy Ultraviolet exposure.  This man proceeded with the laser resurfacing to the full face with extra emphasis on visible lesions.  Then he elected to do the next level of treatment which addresses the microscopic «field» of the skin, before they become visible, that treatment being Photodynamic Therapy.  He did two such PDT sessions and is very happy with the healthful change in his skin.  The picture speaks for itself.  His ears were the most seriously affected, and the site with the ultimate greatest improvement.  He was pro-active and avoided the requirement for surgery to his ears.
Laser Peel, FAn

BEFORE

Melasma, acne, enlarged pores

Laser Peel, FAn

AFTER

Profraction

Note: Reduction in the hyperpigmentation pattern of melasma, subdued inflammatory acne, smoother texture 3 months after only one Profraction.
DSa, LP, Anti-aging, acne

BEFORE

Dense Blackheads, dull skin, scarring, age related volume loss

DSa, LP, Anti-aging, acne

AFTER

Combination ErbYag Midi Laser Peel

Note: This young woman had an unusually prominent pattern of dense blackheads on her face.  Even though she wasn’t getting much acne breakout, the blackheads were visible and conspicuous.  She was so relieved to discover that this Combination Erb Yag laser peel was successful in reducing to about 15% of the original density of blackheads, while the face filled out and her skin firmed up, rounded out, texture became softer, color more even.  She is very pleased, receiving a number of compliments beginning around three months after the laser peel.  The compliments will keep coming as the skin gets increasingly attractive.
BMa, f.face LP

BEFORE

Combination Erb Yag Laser Resurfacing with Fractionation

BMa, f.face LP

AFTER

10 months later

Note:  Acne scarring and hyperpigmentation were prominent on this Phillippina but clearly the Combination Midi Erb Yag Laser Resurfacing with Fractionation has diminished the scarring quite happily for her.  She did experience the transient hyperpigmentation, not unexpected for a young darker skinned woman, but this is transient and resolves spontaneously in most by 3 months or so.  She looks healthier and more youthful.
BMa, checks, left

BEFORE

Acne Scarring

BMa, checks, left

AFTER

10 months after Midi Combination Laser Resurfacing

Note:  Acne scarring is notoriously difficult to treat.  This young woman had good improvement with just one treatment, now smoother, fewer dark marks.   She could do a second with expected greater improvement.
BMa, checks, right

BEFORE

Acne Scarring

BMa, checks, right

AFTER

10 months after Midi Combination Laser Resurfacing

Note:  Acne scarring is notoriously difficult to treat.  This young woman had good improvement with just one treatment, now smoother, fewer dark marks.   She could do a second with expected greater improvement.
SDa, Acne, Anti-aging, LP

BEFORE

Large, prominent pores and dense «blackheads»

SDa, Acne, Anti-aging, LP

AFTER

Deep Laser Peel, only one month after, still pink

Note:  This young woman was thrilled to smooth pores, pitted scars and remove a large fraction of her dense and very prominent «blackheads».  See the various parts of the face before and after to scrutinize the dramatic reduction in blackhead prominence and density.  Also note the improvement in acne scarring on her chin.  The depressed scars are diminished, and the chin is more rounded, less indrawn.  The skin is still pink but that is because she is still in the first month after a deep laser peel.  The results will visibly improve over the next 5 months as the pink fades to natural radiant skin tones.
SDa, Acne, Anti-aging, LP forehead

BEFORE

Large, prominent pores and dense «blackheads»

SDa, Acne, Anti-aging, LP forehead

AFTER

Deep Laser Peel, only one month after, still pink

Note:  This young woman was thrilled to smooth pores, pitted scars and remove a large fraction of her dense and very prominent «blackheads».  See the various parts of the face before and after to scrutinize the dramatic reduction in blackhead prominence and density.  Also note the improvement in acne scarring on her chin.  The depressed scars are diminished, and the chin is more rounded, less indrawn.  The skin is still pink but that is because she is still in the first month after a deep laser peel.  The results will visibly improve over the next 5 months as the pink fades to natural radiant skin tones.
SDa, Acne, Anti-aging, LP, half face

BEFORE

Large, prominent pores and dense «blackheads»

SDa, Acne, Anti-aging, LP, half face

AFTER

Deep Laser Peel, only one month after, still pink

Note:  This young woman was thrilled to smooth pores, pitted scars and remove a large fraction of her dense and very prominent «blackheads».  See the various parts of the face before and after to scrutinize the dramatic reduction in blackhead prominence and density.  Also note the improvement in acne scarring on her chin.  The depressed scars are diminished, and the chin is more rounded, less indrawn.  The skin is still pink but that is because she is still in the first month after a deep laser peel.  The results will visibly improve over the next 5 months as the pink fades to natural radiant skin tones.
SDa, Acne, Anti-aging, LP, left check

BEFORE

Large, prominent pores and dense «blackheads»

SDa, Acne, Anti-aging, LP, left check

AFTER

Deep Laser Peel, only one month after, still pink

Note:  The Chicken Pox will begin to visibly improve between 2 - 6 months as collagen is just beginning to appear in the microscope. This young woman was thrilled to smooth pores, pitted scars and remove a large fraction of her dense and very prominent «blackheads».  See the various parts of the face before and after to scrutinize the dramatic reduction in blackhead prominence and density.  Also note the improvement in acne scarring on her chin.  The  depressed scars are diminished, and the chin is more rounded, less indrawn.  The skin is still pink but that is because she is still in the first month after a deep laser peel.  The results will visibly improve over the next 5 months as the pink fades to natural radiant skin tones.
SDa, Acne, Anti-aging, LP, right check

BEFORE

Large, prominent pores and dense «blackheads»

SDa, Acne, Anti-aging, LP, right check

AFTER

Deep Laser Peel, only one month after, still pink

Note:  The Chicken Pox will begin to visibly improve between 2 - 6 months as collagen is just beginning to appear in the microscope. This young woman was thrilled to smooth pores, pitted scars and remove a large fraction of her dense and very prominent «blackheads».  See the various parts of the face before and after to scrutinize the dramatic reduction in blackhead prominence and density.  Also note the improvement in acne scarring on her chin.  The  depressed scars are diminished, and the chin is more rounded, less indrawn.  The skin is still pink but that is because she is still in the first month after a deep laser peel.  The results will visibly improve over the next 5 months as the pink fades to natural radiant skin tones.
GV, LP, Anti-aging, Eyes

BEFORE

Aging redundant skin around eyes

GV, LP, Anti-aging, Eyes

AFTER

Combination Midi CO2 Resurfacing

Note:  This woman is looking younger, more energetic since laser resurfacing has produced an anti-aging effect on the eyes.  Notice how the eyelid was buried under redundant skin on either side.  Now, after the laser induced remodelling the skin has tightened up to reveal eyelashes and eyelid again.  Also note the much brighter, smoother skin around the face. The fine lines and creases are diminished in all parts of the face.   She is looking much younger, and very happy about it.
Laser Peer, BJ Eye

BEFORE

Loss of volume & elasticity

Laser Peer, BJ Eye

AFTER

Mini Laser Peel (no other treatments)

Note: This 39 year old woman is happy to see the smoother, more radiant skin after treatment. She is noticing reduction of wrinkling around beneath her eyes, for example.  The skin color is more uniform and she is more radiant.
KDo, LP, Anti-aging, hyperpigmentation

BEFORE

Aging skin, thin dehydrated skin, «age spots»

KDo, LP, Anti-aging, hyperpigmentation

AFTER

Laser Resurfacing, Retinoid, Vit CE, just one month later, expect more as skin continues to rebuild

Note:  After just one month, there are two favorable changes.  The brown spots have disappeared, taking years off in appearance of her hands without the «age spots».  There is still some pink discoloration but this will resolve with another month or so.  The other notable change is quite remarkable for this early point, only one month after treatment.  Notice how fragile the skin was.  Now the skin appears firmer and more cushioned with thicker smother skin protection.  This is the anti aging effect due to «rebooting the old skin».  As a result of this single treatment, she will continue to «grow & remodel» her skin for yet another 5 months to achieve in the end a much younger looking hand.
KDo, LP, Anti-aging, hyperpigmentation, R.Hand

BEFORE

Aging skin, thin dehydrated skin, «age spots»

KDo, LP, Anti-aging, hyperpigmentation, R.Hand

AFTER

Laser Resurfacing, Retinoid, Vit CE, just one month later, expect more as skin continues to rebuild

Note:  After just one month, there are two favorable changes.  The brown spots have disappeared, taking years off in appearance of her hands without the «age spots».  There is still some pink discoloration but this will resolve with another month or so.  The other notable change is quite remarkable for this early point, only one month after treatment.  Notice how fragile the skin was.  Now the skin appears firmer and more cushioned with thicker smother skin protection.  This is the anti aging effect due to «rebooting the old skin».  As a result of this single treatment, she will continue to «grow & remodel» her skin for yet another 5 months to achieve in the end a much younger looking hand.
BM, anti-aging, LP, Eyes, Filler

BEFORE

Tired sunken and darkened eye circles (minimal but bothersome for this person)

BM, anti-aging, LP, Eyes, Filler

AFTER

The under eye circles are smooth, even colored, firm and flat

Note:  This woman was unhappy with tired eye circles, slightly darkened, sunken, and wrinkled in the «Before» picture, now brighter, smoother, and firmer in the «After» picture. This was accomplished with a Restylane Tear Trough treatment, plus a laser resurfacing procedure.  It was all done in one day with a 5 - 7 day period of time until make up would camouflage some residual pinkness lasting perhaps 4 weeks.
Botox, BLi

BEFORE

Slightly serious expression

Botox, BLi

AFTER

Botox

Note: Note the nice improvement in the overall appearance of this 41 year old. Sometimes photos don’t do the results justice, and in this case it may be so.  She was thrilled with the wide eyed happy look achieved with just a small amount of Botox to the frown zone. It is safe, reasonably priced, takes only a few moments, and there is no downtime.  There is no need to book ahead.  Nirvana is a Walk In Clinic.
Laser Peel, BT

BEFORE

Elastosis, Photoaging, Volume Loss

Laser Peel, BT

AFTER

Laser Resurfacing, Topical Products, Botox, Dermal Fillers

Note: This patient had very poor skin at time of presentation after years of sun, smoking, and menopause. The improvement is quite remarkable after some laser resurfacing, Botox, Dermal Fillers, and some topical products.
BSa, LP

BEFORE

Sun Aging on fair skin, Melasma Hyperpigmentation, crepey wrinkles, droopiness

BSa, LP

AFTER

Midi Combination Erb Yag Laser Resurfacing, only 5 weeks later

Note:  This woman was fed up with melasma hyperpigmentation after a high estrogen quintuplet pregnancy.  Now that the family is accustomed to the rigors of raising the quintuplets and the other young sib, she is in damage control of her body. She elected to do a Midi Combination Erb Yag Laser Resurfacing procedure and on follow up visit, in mid-summer, it is apparent that much of the blotchy pigment has grown out.  Even when pigment is generally highest in August she is smoother, brighter, more even colored after much of the pigment in the aged disorganized old skin has grown out, replaced by new firm organized skin. She has 5 months to go before she will fully appreciate the extent of the benefits of this laser peel while pink blotchiness side effect resolves within the next month or so.
FM, LP

BEFORE

Sun Aging, hyperpigmentation mottle, dull

FM, LP

AFTER

Only 21 days

Note:  Day 21 post Mini Combination Laser Peel it is clear that most of the sun spots are clear now from her nose and cheeks.  She still has some pink-brown patchiness that is not unusual in a young dark eyed woman in the first month after a laser peel, resolving by 3 months in most cases.  By that time, the skin will be firmer, tighter, rounder, and certainly more radiant as can already be seen in this view.  The eye circles will diminish and her brows will continue to lift off the eyelid like it was when she was younger. In short, hyperpigmentation is not unusual after a laser peel in a young woman, and it resolves spontaneously within months.  And, it takes time to see the full benefit of laser peel anti-aging.
FM, LP, Hafce face

BEFORE

Melasma masking, hyperpigmentation, deep

FM, LP, Hafce face

AFTER

Early after Laser Ablation with Profraction/ resurfacing

Note:  The dark mask around her mouth is known as Melasma, a well known condition of hyperpigmentation, especially in women, especially around the mouth.  This occurs in 20’s and 30’s concommitant with high estrogens and active outdoorsy lifestyles which associate with UV exposure.  Sometimes the birth control pill will contribute to this condition as well.  It has been traditionally very difficult to eradicate, but nowadays the advent of modern lasers has been finally good for melasma.  The Profraction is an ablative laser that pokes tiny holes like a grid or an array, each causing a micro injury - response  skin reaction which is followed by repair and remodelling.  This is usually sufficient to remove the deep hyperpigmentation while simultaneously boosting skin firmness, contours, collagen, radiance, smoothness, etc.  This is only day 21, far short of the peak ultimate benefit.  Expect more positive to come.
Laser Peel, CE

BEFORE

Rhinophyma (Variant of Rosacea)

Laser Peel, CE

AFTER

1 month after After PDT and Laser Peel

Note: The patient was very pleased to smooth the bumpy distortions off his nose.  «Rhinophyma» is a variant of Rosacea that occurs more often in men.  This older war vet was tired of people staring at him.  He was thrilled to have a «normal» nose again.
PR

BEFORE

Sun Damaged with brown spots

PR

AFTER

Erbium Yag laser resurfacing, 2 months afterward, expect more anti-aging to become evident soon as smoother, thicker, more elastic skin

Note: This 79 year old man was most embarrassed by the brown spots on his hands.  He elected to do a resurfacing laser on his hands, specifically the Erbium Yag Fractionated and Full resurfacing combination laser peel.  Now just 6 weeks afterward, he is thrilled that his hands look younger.  He is still early in the time frame of skin building.  He is using a couple of stimulating topicals that make him abit dry, however, they are nourishing the old skin to GROW!  Six months after his laser procedure there will be clear firming, fullness of the skin of his treated hands, more consistent with that of a much younger man.  This photo comparison is good because the browns spots are gone, but the benefit of skin firming and fullness will be clear in a few more months.  Notice already that the tiny blood vessels are not so visible now as the skin is thicker.
Laser Peel, EB

BEFORE

Nodulocystic Acne with Scarring

Laser Peel, EB

AFTER

1 Profraction and 3 PDT's

Note: This young man was thrilled to see long term remission, possibly cure, for his nodulo-cystic scarring acne after 3 sessions of PDT and 1 Profraction. The acne pimples became fewer and smaller as he did each PDT, and then they stopped after the Profraction (Fractionated Erb-Yag Laser Peel).  Meanwhile, the acne scarring smoothed and pigment marks resolved, nearly completely after just one Profraction.  This regime of PDT plus Profraction as treatment for severe acne, without pills, has been very effective in the majority of our patients.
JAn, LP

BEFORE

Dense hereditary and UV induced hyperpigmented benign spots

JAn, LP

AFTER

Laser resurfacing

  Note:  This woman suffered a great deal of hereditary and UV mediated hyperpigmented spots and bumps that made her feel dissatisfied with her appearance.  She elected to proceed with an ablative laser to first spot treat then resurface her face.  Only 7 days later she returned for her follow up visit.  She looked so much better. She had one touch up spot and then she left with expectations of continued improvement over the next 6  months.  The color will even out and the wrinkles will reduce.  The skin will firm up and the contour will round out.  She will radiate.  Her husband liked it.
Laser Peel, DL

BEFORE

Hyperpigmentation

Laser Peel, DL

AFTER

1 session each of Mini resurfacing Erb Yag Laser Peel and Fractionated Erb Yag Laser Peel

Note:  Reduced pigment marks, more even, radiant complexion after light laser resurfacing.
RD, LP

BEFORE

Dark Eye Circles, some bulging of fluid under his eyes

RD, LP

AFTER

Tear Trough Fillers, Mini Eye Laser Peel

Note:  This is an example of tear trough fillers and mini laser peel for eye circles. This attractive looking young man was self-conscious of the eye circles that appeared depressed and bulgy and dark all at once.   One month after this therapy he was thrilled to look 10 years younger, and much healthier without the prominence of his eye circles.
Laser Peel, FA

BEFORE

Melasma

Laser Peel, FA

AFTER

8 weeks After Profraction

Note: This  young woman is genetically at risk for pigment marks, and she is loaded with female hormones at her age.  It is sun damage on top of her risk factors that ultiimately leads to the brown blotches.  The treatment for «melasma» is sun protection, some Retinoid cream, some whiteing cream, and a good combination laser peel, necessitating 5 - 7 days of downtime.  The «creams» alone are not potent, but when combined with laser peel there is dramatic improvement.
Laser Peel, GE

BEFORE

Hyperpigmentation

Laser Peel, GE

AFTER

Profraction, IPL Photorejuvenation

Note: Diminished blotchy hyperpigmentation, increased in facial volume, and greater reduced after just one Profraction and 3 IPL sessions.
GM Left

BEFORE

Extreme Ultraviolet Damage, Several Skin Cancers, (Basal, Actinic Keratosis)

GM Left

AFTER

Levulan Photodynamic Therapy (PDT)

Note:  This 87 year old man has had plenty of sun over his lifetime.  The effects are seen by the many spots on his face, comprised of abnormally growing cells, pre-cancers.  He wasn’t concerned about the cosmetic side of this, rather he felt and looked unhealthy.  He presented over the years to burn off the mutated cells with the laser, and this was very helpful, but he continued to «sprout» new growths every month or two.  Finally he elected to do the Photodynamic Therapy which targeted the mutated cells  at the microscopic level, clearing the skin of abnormal cell lines before they became a visible growth.  He felt so much better, and it may be seen that he looks more healthy.  Since then the appearance of new lesions has reduced by approximately 90%.
Laser Peel, JD

BEFORE

Melasma, Aging

Laser Peel, JD

AFTER

Profraction, Fillers, Botox

Note: Blotchy brown pigments have diminished, although the recent photo is only 2.5 weeks after her 2nd Profraction treatment with inadequate time to assess the response. It may be seen, however, that the face is more full, radiant. The cheeks angle up as compared to the before picture. Her mouth is much more attractive and remains natural after treatment with Fillers. At least 2 months must pass to make any judgment on the benefit of the recent Profraction, but more improvement is expected.
Laser Peel, KD Left

BEFORE

Aging, sunken cheeks, dark eye circles, wrinkles

Laser Peel, KD Left

AFTER

After 6 mos: Mini CO2 laser resurfacing, lighter settings

Note: This woman has had firming and rounding of her cheeks.  Her eye circles are firmer, lightened, and smoother.  The skin is smoother in general.  The chin is notably smoother.
Laser Peel, MI

BEFORE

Cystic Acne, dyspigmentation

Laser Peel, MI

AFTER

Fractionated Laser Peel, (Profraction)

Note: This woman was very pleased after a small amount of dermal filler and a fractionated laser peel on her full face.  There was great relief for her to finally obtain relief from nodulo-cystic acne and some of the resulting pigment marks.  Despite her dark skin pigment, she had no complications.
Laser Peel, MJ

BEFORE

Melasma, Sun Aging

Laser Peel, MJ

AFTER

After 2 weeks: Fractionated and Full Erb Yag Resurfacing

Note: This young woman is only just over 2 weeks since a moderate laser peel, and hence the pink face.  She was considerably hyperpigmented to start with, and it may be seen that she has some streaky hyperpigmentation since treatment as well.  Streaking is common and it will fade, usually to near zero within 3 months.  In the meantime, her skin is building more matrix, collagen.  She will evolve to beautiful skin within 3 months.  Already the radiance is seen, and the blotchy browns are reduced. It should be emphasized that side effects are first and the benefits come later, usually becoming noticeable to family and friends around the second month.
Laser Peel, MJ, right

BEFORE

Melasma, Sun Aging

Laser Peel, MJ, right

AFTER

After 2 weeks: Fractionated and Full Erb Yag Resurfacing

Note: This young woman is only just over 2 weeks since a moderate laser peel, and hence the pink face.  She was considerably hyperpigmented to start with, and it may be seen that she has some streaky hyperpigmentation since treatment as well.  Streaking is common and it will fade, usually to near zero within 3 months.  In the meantime, her skin is building more matrix, collagen.  She will evolve to beautiful skin within 3 months.  Already the radiance is seen, and the blotchy browns are reduced. It should be emphasized that side effects are first and the benefits come later, usually becoming noticeable to family and friends around the second month.
Laser Peel, ML

BEFORE

Melasma

Laser Peel, ML

AFTER

Profraction Therapy: Reduction in hyper- pigmentation of upper lip

Note: The pigment improved over and under her lips, and so too did the acne.  The skin is remodelled by the laser peel bringing about turnover of the brown pigment blotches, and removal of the clogs within the pores.  Notice how much better she looks on her cheeks.  Even her glow is back.
Laser Peel, MT

BEFORE

Hyperpigmentation, frown prominence

Laser Peel, MT

AFTER

IPL Photorejuvenation, fractionated laser peel, Botox

Note: This woman was troubled by marked «sun damage», (hyperpigment) and prominence of her frown lines, but some effort with IPL Photo-rejuvenation, fractionated laser peel, and Botox improved matters to her satisfaction.
SJ, LP

BEFORE

Acne Scarring

SJ, LP

AFTER

Smoother

Note:  After one moderate depth laser peel and about 6.5 weeks of skin remodelling time, it can be seen that there is softening and smoothing of the skin surface in this acne scarred young woman.  Her skin is clearly smoother, more even colored, and more radiant.  Remodelling time after a laser peel continues for approximately 6 months until it is complete, so she has 4.5 months before she will fully realize the potential of her laser peel for scar revision.  
RMe, LP

BEFORE

Dull, mottled, wrinkled aged skin

RMe, LP

AFTER

Laser Peel, modest intensity, darker skin

Note: 14 weeks after a modest laser peel this woman looks so much more radiant and smooth.  She feels firmer and the skin is more even colored.  With no other interventions her mouth appears more upturned.  The wrinkles on her cheek are smoother.  Her eye circles are less prominent, and the fine lines here are reduced.  The skin will continue to tighten and remodel for a full 6 months, thus this picture comparison is not final.