What cosmetic laser services do you offer?

We provide a wide range of treatments using advanced laser technology, including:

-Laser Skin Rejuvenation & Resurfacing

-Laser Hair Removal

-Treatment for Pigmented Lesions (sunspots, age spots, freckles)

-Treatment for Vascular Lesions (telangiectasia, rosacea, port-wine stains)

-Acne scar treatments (see dedicated FAQ below)

What types of devices do you use?

We use clinically proven devices tailored to each skin concern:

-Thulium 1927nm and Erbium Glass 1550nm

-Endolaser 1470nm-to tighten skin

-HIFU

-RF Microneedling

-CO₂ & Erbium:YAG – ideal for skin resurfacing and scar revision

BRAND: Candela CORE

-Picosecond Laser – for acne scars and overall skin rejuvenation

BRAND: Cutera Enlighten & Picoway

-IPL (Intense Pulsed Light) – for pigmentation, redness, and photodamage

BRAND: Lumenis M22, Cutera Limelight & Rohrer Spectrum

Who is a good candidate for laser treatment?

You may be a good candidate if you want to treat:

-Sun damage or uneven tone

-Unwanted hair

-Pigmentation (lentigines, freckles, age spots)

-Vascular lesions (broken capillaries, rosacea)

-Acne scars, fine lines, or texture concerns

During consultation, we’ll assess your skin type (Fitzpatrick I–VI) and goals to determine the safest and most effective option.

What should I expect after a cosmetic laser treatment?

-Gentle skin care and daily SPF are required.

-Avoid heat (exercise, sauna, hot tubs) for 48 hours.

-Downtime depends on the treatment: minimal for IPL/hair removal, longer for ablative resurfacing.

-Mild redness, swelling, or warmth for 24–48 hours is common.

Are cosmetic laser treatments covered by insurance?

Most laser procedures are cosmetic and not insurance-covered. We’ll review costs with you during consultation.

What options are available for acne scar treatment?

We offer a combination of advanced procedures, often used together for the best results:

-Subcision – releases tethered scars.

-Picosecond Laser Rejuvenation – safe for all skin types with little downtime.

-CO₂ or Erbium:YAG Laser Resurfacing – powerful resurfacing for moderate to severe scars in lighter skin tones.

-Filler Injections – instantly lift deep or boxcar scars.

-PRP (Platelet-Rich Plasma) Injections – enhances healing and collagen growth.

Which treatment is right for me?

It depends on your scar type and skin tone:

-Rolling scars → Subcision (often with filler)

-All skin types → Picosecond laser or PRP

-Moderate to severe scars, lighter skin (Fitz I–III) → CO₂ or Erbium laser resurfacing

-Deep or boxcar scars → Filler for instant lift

How many sessions will I need?

-Subcision/Filler: 1–3 sessions with possible touch-ups

-Picosecond/PRP: 3–5 sessions, spaced 4–6 weeks apart

-CO₂/Erbium: Usually 1–2 sessions with longer downtime

What is the downtime?

-Picosecond/PRP: Minimal, redness/swelling 1–3 days

-Subcision: Bruising 1–2 weeks

-CO₂/Erbium: 7–14 days of healing

-Filler: Mild swelling or bruising, resolves in a few days

Are there risks?

All treatments are safe when performed by a trained physician. Possible side effects include redness, swelling, bruising, or pigment changes. Rare risks include infection, scarring, or vascular complications (with fillers).

What should I do before and after treatment?

Before:

-Avoid tanning/sun exposure for 2 weeks

-Stop retinoids or strong exfoliants 5–7 days prior

-Let us know about pregnancy, isotretinoin use, or history of cold sores

After:

-Use gentle cleanser + moisturizer

-Daily SPF 30+

-Avoid makeup until healed (for laser treatments)

-No picking/scratching

-Avoid sweating, hot tubs, or saunas for 48 hrs (longer after ablative laser)

-Use gentle cleanser + moisturizer
When will I see results?

-Filler: Immediate lift

-Subcision/Pico/PRP: Gradual results over weeks to months

-CO₂/Erbium: Noticeable improvement after healing, with continued remodeling over months

Are acne scar treatments covered by insurance?

These are cosmetic procedures, so they are not insurance-covered. Pricing and treatment plans are discussed during consultation.

Skin Tightening Therapies: Clinical Summary

-Endolift (Laser-Assisted Subdermal Tightening)

• Indications: Jowls, nasolabial folds (NLF), sagging neck, lower face laxity

• Mechanism: Subdermal laser fiber delivers targeted energy, stimulating collagen remodeling and immediate tissue contraction

• Onset/Results: Gradual improvement over weeks to months; no foreign material left behind

• Downtime: Mild swelling/bruising; compression garment may be recommended

• Complications: Low risk; rare nerve or vessel injury

-RF Microneedling

• Indications: Mild to moderate skin laxity, fine lines, acne scars, texture

• Mechanism: Fractional radiofrequency delivered via microneedles stimulates dermal collagen and elastin

• Onset/Results: Gradual tightening and texture improvement over several sessions

• Downtime: Mild erythema/edema for 1–3 days

• Complications: Rare PIH, transient swelling

-Erbium:Glass (Non-Ablative Fractional Laser)

• Indications: Mild skin laxity, texture, photodamage

• Mechanism: Fractional non-ablative laser induces controlled dermal injury, stimulating collagen

• Onset/Results: Gradual improvement; minimal downtime

• Complications: Low risk of PIH, transient erythema

-Skin Resurfacing (CO₂ or Erbium:YAG Laser)

• Indications: Moderate to severe laxity, wrinkles, photodamage, scars

• Mechanism: Ablative laser vaporizes epidermis/dermis, inducing robust collagen remodeling

• Onset/Results: Noticeable tightening and resurfacing after healing (1–2 weeks downtime)

• Complications: PIH, infection, scarring (rare)

-PDO/PLLA Threads

• Indications: Immediate lift for jowls, cheeks, NLF, neck

• Mechanism: Absorbable threads provide mechanical lift and stimulate collagen

• Onset/Results: Instant lift, with further improvement as threads dissolve over months

• Complications: Palpable threads, irregularity, bruising, infection, thread extrusion

• How many sessions are needed?
  Most patients see improvement after 2–3 sessions, spaced a few weeks apart.
• Is it painful?
  The injections are usually well tolerated with numbing cream; mild discomfort may occur.
• How long do results last?
  Results can last 9–12 months, with maintenance recommended.
• Are there side effects?
  Temporary swelling, redness, or bruising may occur but resolve quickly.

Who is a good candidate?
Men and women with early to moderate hair thinning or pattern hair loss.

When will I see results?
Noticeable thickening usually appears after 3–4 months, with continued improvement over time.

How many treatments are needed?
Typically 3–6 sessions spaced 4–6 weeks apart, followed by maintenance every 6–12 months.

Are the results permanent?
Results last with ongoing maintenance and healthy lifestyle support.

• What is included in a medical weight loss program?
  Personalized nutrition guidance, lifestyle counseling, and sometimes prescription medications.
• Are weight loss injections safe?
  Yes, when prescribed and monitored by a physician, they are considered safe and effective.
• How quickly will I lose weight?
  Safe, sustainable weight loss is typically 1–2 lbs per week.
• Do I need to exercise and diet?
  Yes—these treatments work best when combined with healthy lifestyle changes.

• Which treatment works best for small fat areas?
  Kybella injections or Endolift laser are ideal for small, stubborn areas like the chin.
• Are results permanent?
  Yes—once fat cells are destroyed, they do not return. However, weight gain can enlarge remaining fat cells.
• How many sessions will I need?
  1–3 sessions for smaller areas; more may be required for larger deposits.
• Is downtime required?
  Minimal downtime—temporary swelling, bruising, or tenderness may occur.

• Which treatment is best for skin tightening?
  Endolift laser and radiofrequency microneedling are most effective for non-surgical tightening.
• When will I see results?
  Some tightening is immediate, with continued collagen remodeling over 3–6 months.
• How long do results last?
  Results can last 1–2 years, depending on skin condition and aging.
• Can all skin types be treated?
  Yes, most treatments are safe across different skin types with appropriate settings.

• Endolift: Patient Preparation FAQ

What is Endolift?

Endolift is a minimally invasive laser treatment that tightens and contours the skin from the inside out. We insert a hair-thin laser fiber under your skin to melt stubborn fat and stimulate deep collagen production. It offers results to micmic a surgical lift but without the scalpel, scarring, or long recovery.

How does it work?

The laser energy serves two purposes:

Melts Fat: It targets small pockets of fat (like in the jowls or under the chin) and liquefies them. It is not as effective as liposuction but probably the next best thing.

Tightens Skin: It heats the internal tissue network, causing immediate retraction (shrinking) and triggering a long-term healing response that builds new, stronger collagen over the next 3–6 months.

Is it painful?

Most patients find the procedure very tolerable. We use a local anesthetic (numbing fluid) to completely numb the treatment area before we begin. You may feel some pressure or a strange "crackling" sensation during the treatment, but sharp pain is rare. Afterward, the area may feel sore or tender, similar to a deep bruise or a workout.

What is the downtime?

Social downtime is typically 3–7 days, primarily due to swelling. You may look "puffy" or like you have had dental work for the first few days. Bruising is possible but varies by patient. Most people feel confident returning to work and social events within a week.

When will I see results?

You may see some immediate tightening right after the procedure, but this is just the beginning. The real results appear as your body produces new collagen. You will see noticeable improvement at 4–6 weeks, with the final, peak results visible at 3–6 months.

Is it safe?

Yes, Endolift is FDA-cleared and considered very safe when performed by trained specialists. The laser features safety mechanisms to prevent overheating. Rare side effects can include temporary numbness or minor nerve weakness (which typically resolves on its own in a few weeks). It can be used pretty much anywhere on the body (undereyes, upper eyelids, jowls, neck, under arm, legs, buttocks, abdomen, etc).

Endolift Post-Procedure Care: The Essentials

* IMMEDIATE AFTERCARE *

Chin Strap (Crucial): You must wear the provided chin strap to support your tissues as they heal. Wear this continuously as much as possible for the first 3 days, and then nightly for the first few weeks, or exactly as directed by your provider. This helps reduce swelling and ensures the skin adheres smoothly to the new contour, similar to facelift recovery.

Medications: We have prescribed a course of steroids (to control swelling) and antibiotics (to prevent infection). Please follow the dosage instructions on the bottle and finish the full course unless otherwise instructed.

Ice & Elevate: Apply ice packs (wrapped in a cloth) to the treated area for 15 minutes every hour for the first 24–48 hours. Sleep with your head elevated on 2 pillows for the first 3 nights to minimize swelling.

* CLEANING & HYGIENE *

Entry Points: You may have tiny pinpoint scabs where the fiber was inserted. Keep these clean and dry. You may apply a small amount of antibiotic ointment (like Bacitracin) if instructed.

Washing: You can gently wash your face with a mild cleanser and cool water the next day. Do not scrub or rub the treated area.

Makeup: Avoid makeup for 24–48 hours to prevent clogging the entry points.

* ACTIVITY RESTRICTIONS *

No Heat: Avoid saunas, steam rooms, hot tubs, and hot showers for 1 week. Heat can increase swelling.

No Strenuous Exercise: Avoid heavy lifting or intense cardio for 1 week. Keeping your heart rate down helps reduce swelling and bruising.

* WHAT TO EXPECT (NORMAL SYMPTOMS) *

Swelling: Moderate swelling is expected and normal. It typically peaks on Day 2 or 3 and subsides over the next week.

Numbness: The treated area may feel numb or "tight" for several weeks. This is a normal sign that the deep tissue is healing.

Hardness: You may feel firm lumps or ridges under the skin. Do not massage them aggressively; they will soften and resolve on their own over 2–4 weeks.

WHEN TO CALL THE CLINIC

Contact us immediately if you experience:

Sudden, severe pain not relieved by Tylenol.

Pus or excessive redness at the entry points.

Asymmetry in your smile or difficulty moving your mouth that persists beyond the anesthesia wearing off.

CO2 Laser Resurfacing: Patient Preparation FAQ

What is CO2 Laser Resurfacing?

This is an ablative laser procedure, meaning it removes the outer layers of damaged skin to reveal fresh, underlying skin. It is the "gold standard" for treating deep wrinkles, severe sun damage, acne scars, and uneven texture. It also stimulates significant collagen production for long-term tightening. Settings for resurfacing could be from a light peel to remove sunspots/freckles to significant contraction for skin tightening. Talk to your provider about your goals vs downtime.

How much downtime should I expect?

Because this is an intensive treatment, you should plan for 7–14 days of social downtime.

Days 1–3: Significant redness, swelling, and oozing. You will likely not want to leave the house.

Days 4–7: The skin will darken, crust, and peel.

Days 7–14: Usually finished peeling. The skin is pink and healing. You can usually wear makeup to cover the pinkness after day 7-10.

Is it painful?

We use strong topical numbing cream (and rarely local anesthetic injections) to maximize your comfort. Most patients report feeling heat or a "sunburn" sensation during and immediately after the procedure, rather than sharp pain.

How do I prepare for the procedure? (CRITICAL)

To ensure safe healing and prevent complications, you must follow these guidelines:

STOP Active Skincare (Vitamin A/Retinols): Discontinue all Retin-A, Tretinoin, Retinol, Glycolic Acid, and Salicylic Acid products 7–10 days prior to your appointment. These can make the skin too sensitive.

STOP Blood Thinners: To minimize bleeding and bruising, avoid Aspirin, Ibuprofen (Advil/Motrin), Vitamin E, Fish Oil, and Omega-3 supplements for 1 week prior, unless prescribed by a doctor for a medical condition.

No Tanning: You cannot have an active tan or sunburn. Avoid direct sun exposure for at least 4 weeks before treatment.

Prescriptions: We will prescribe a course of Steroids (to reduce swelling) and Antibiotics (to prevent infection). Please fill these before your appointment if you want them to be ready at home.

CO2 Laser Post-Care: The Essentials

* IMMEDIATE AFTERCARE *

Medications: Start your prescribed Antibiotics and SterAquaphorctly as directed on the bottle. Finish the full course of antibiotics unless instructed otherwise. If you were prescribed an antiviral (like Valtrex), continue taking that as directed.

Keep it Moist (The "Occlusive" Rule): Your skin must never dry out. Apply a thick layer of the recommended ointment (e.g., Aquaphor, Vaseline, or specific post-care balm) continuously. If it feels tight or dry, apply more.

Sleep Elevated: Sleep with your head propped up on 2 pillows for the first 3–4 nights. This is crucial to help drain fluid and minimize the significant swelling that occurs around the eyes.

* CLEANING & HYGIENE *

Gentle Washing: Wash your face 2–3 times a day with cool water and a very gentle cleanser (like Cetaphil or CeraVe). Use only your fingertips—do not use a washcloth or scrub.

Vinegar Soaks (If Instructed): If we have advised vinegar soaks, mix 1 teaspoon of white vinegar with 1 cup of cool water. Soak clean gauze in the solution and gently lay it on the skin for 10–15 minutes to soothe and clean.

Do Not Pick: As the old skin begins to darken and peel, do not pick, pull, or scrub it off. Let it slough off naturally during washing. Picking can cause scarring.

* WHAT TO EXPECT *

The "Ooze": It is normal for the skin to weep a clear, yellow fluid for the first 48 hours. This is part of the healing process.

Redness: Your skin will be bright red (like a severe sunburn) for the first week, fading to pink over the next few weeks.

Itching: As the skin heals (Days 4–7), it may become very itchy. You can take an over-the-counter antihistamine (like Benadryl or Zyrtec) to help.

* STRICT SUN AVOIDANCE *

No Sun: New skin is extremely sensitive to UV light. You strictly avoid direct sun exposure for 4 weeks. Once the skin has healed (after peeling is complete), you must wear a broad-spectrum SPF 30+ every single day to prevent hyperpigmentation (dark spots)