Lasers in Plastic Surgery
Dr. Glicksman first started using lasers in cosmetic plastic surgery in 1988. At that time there were very few applications for lasers and high quality aesthetic results were very difficult to obtain. Laser technology has come a long way in the last 25 years. Dr. Glicksman has always had a keen interest in the use of lasers and has kept up to date with this rapidly growing technology. It is extremely important to always utilize the correct laser for the proper individual application. One laser cannot treat all problems. Lasers can be used to successfully treat a variety of skin problems, and can be devided into ablative (removes the surface tissue) and non-ablative (pigmented light) lasers.
Non-Ablative Lasers for Hair, Brown Spots, Veins and Tattoo Removal
Complete Tattoo Removal
When an area of skin is treated with a laser, the laser light penetrates through the skin to reach the desired target. This may be a hair follicle, tattoo ink, or a small blood vessel. When the laser light reaches its target, it is immediately absorbed as heat. Due to the extremely short pulse that a laser is capable of firing, the surrounding tissue should not be damaged. In addition, the laser energy is often delivered through a chilled handpiece, so the skin is protected and there is less discomfort to the patient. Laser treatments are in-office procedures that are often performed with the use of a topical anesthetic to lessen any discomfort.
Pigmented related problems
- Hyperpigmentation and solar lentigos from sun damage can be safely lightened or completely removed through the use of the Q-switched Nd:YAG .This relatively painless procedure can remove brown spots and hyperpigmentation that may have been resistant to bleaching creams or chemical peels. All pigmented lesions will be carefully evaluated prior to any laser procedure to determine if a biopsy is necessary.
- The LightSheer Diode Laser System® is an FDA approved laser designed to permanently reduce unwanted hair. Based on its ability to be absorbed as heat by the melanin (pigment) in and around a follicle, it can permanently destroy unwanted hair. The laser is pulsed, or turned on for only a fraction of a second, just long enough to damage the hair follicle. The handpiece has a cooled tip, protecting the skin, while providing greater comfort during the session. Most patients require a minimum of three to four sessions to achieve their desired results.
- Tattoo removal has come a long way since the earliest surgical and sanding type procedures of the 70’s and 80’s. With a growing popularity in tattoo art, there is a greater need for a safe, effective and cosmetically superior method of removal. This is a staged procedure that gently fades the pigment while producing the least damage to the overlying skin. Dr. Glicksman is presently using the Hoya ConBio™ laser. This type of laser is a Q-switched Nd:YAG that can safely remove dark blue, black, and red ink tattoos, as well as most shades of green and light blue. It is one of the most advanced aesthetic medical lasers, emitting multiple wavelengths to provide for a full spectrum of tattoo removal.
- Lasers, such as the Lyra® can also be used to treat vascular lesions, including small hemangiomas, facial telangectasias and unsightly leg veins, based on laser light energy being absorbed as heat by another pigment found within the blood vessels. The Laserscope Lyra® can produce a very long wavelength and long pulses, combined with high energies. This design produces a beam that can safely and effectively treat all skin types, including very dark and tanned patients. This laser also is equipped with an integrated chilled handpiece that protects the skin and provides increased comfort.
Skin Resurfacing-Ablative Lasers
The UltraPulse® CO2 Fractional Laser is the latest advancement in treating wrinkled, aged, sun damaged or scarred skin. The Active FX skin resurfacing laser offers patients an office based procedure with minimal downtime. Unlike the pigmented lasers, the wavelength of light emitted by a CO2 laser is absorbed by the water in the skin. The “Ultrapulses” of the laser vaporize the top layers of the skin, removing brown spots, areas of hyperpigmentation, fine lines, and acne scars. This new technology differs from the older CO2 type resurfacing lasers as small bridges of normal tissue are left untouched to aid in regeneration. The process is clinically proven to stimulate collagen contraction and remodeling, which improves not only the appearance of the skin, but the texture and elasticity over time.
Active FX CO2 Fractional Resurfacing can:
- reduce discolorations and brown spots secondary to sun damage and hormones
- improve fine lines and skin texture
- produce an improvement in collagen contraction and skin elasticity over 6 months post-procedure leading to long-term remodeling
- produce an improvement in acne, chicken pox or post-traumatic scars
- be repeated at 6 months if desired
- be performed as an office-based procedure with only topical anesthetic. Rapid return to normal activities with minimal downtime, usually less than five days.
For more information on any of the laser procedures offered by Dr. Glicksman please contact us and for more information on plastic surgery and lasers go to: