Laser Resurfacing Diary

FotoFacial Rejuvenation IPL Before and After Photos

Sun spots, age spots and rosacea removal treatments

Photo Rejuvenation is an IPL/Laser based procedure to improve the condition of skin and make it appear more attractive and youthful. A dermatologist may perform this procedure for aesthetic or medical skin care, depending on the needs of a particular patient. Photo Rejuvenation IPL Before and After Photos

Dr. Steven Zimmet provides a wide range of dermatology treatments, including Advanced FotoFacial Rejuvenation, to his patients in Austin, TX and nearby areas. Dr. Zimmet makes use of before and after photographs to educate new patients about various aspects of Photo Rejuvenation.

What are FotoFacial Rejuvenation Before and After Images?

Before and after photographs with reference to FotoFacial Rejuvenation procedure refer to a pair or group of pictures belonging to a previous patient who has received the same treatment with successful results. The pictures include photos taken prior to the treatment and after the treatment, at a time when all treatment sessions have been completed and full effects of FotoFacial Rejuvenation can be seen. These pictures are taken with the consent of the patient, and shown to new patients in a discreet manner.

The goal of the dermatologist is to use to these pictures as a visual tool to educate new patients about various aspects of FotoFacial Rejuvenation. Dr. Zimmet ensures that before and after photos are made available to his dermatology patients wherever possible. Patients in Austin, TX and surrounding locations may review these photos during the initial consultation at Dr. Zimmet’s office.

Benefits

When a new patient visits a dermatologist’s office to seek a skin care treatment such as FotoFacial Rejuvenation, they may have only a vague idea of what the procedure can or cannot do for them. During the initial consultation, the dermatologist will show Photo Rejuvenation before and after pictures to help them make an informed decision about undergoing the treatment.

FotoFacial Rejuvenation procedure may be needed for removal of sun spots, age spots or reduction of medical skin conditions such as rosacea. The severity and nature of each case may be different, which will require different number and intensity of treatment in each case. It can get difficult for a new patient to comprehend how many treatments may be beneficial for them, and how their skin will appear after the treatment is completed. This is where before and after photos can help the patient choose the right treatment option and have a more transparent idea on what to expect.

This is just better for everyone involved and mitigates any doubt or problems after the procedure is performed.

Realistic Expectations

In a non-surgical procedure such as Advanced FotoFacial Rejuvenation, it is important to ensure that the patient understands clearly what the procedure can or cannot do for them. Each patient’s skin condition is different, and the treatment may only help within limited parameters. Photo Rejuvenation before and after images can ensure that the patient has a very clear idea of the potential effectiveness of the procedure, and he or she forms realistic expectations about it.

Photos on the Website

Some skin care experts may decide to provide the digital versions of FotoFacial Rejuvenation before and after pictures on their practice website. This can provide free access to the photos to new patients who can review them online even before they visit the dermatologist’s office for a consultation.

7 Factors Your Doctor Considers for Laser Procedure

Lasers and Intense Pulsed Light (IPL)  - Austin, TX

ipl illus 7 Factors Your Doctor Considers for Laser Procedure  | Austin Dermatology

 

 

 

 

 

 

 

Lasers and Intense Pulsed Light (IPL) can provide excellent results in the treatment of a long list of skin problems.

  • Rosacea
  • Fine Lines and Wrinkles
  • Sun Damage
  • Loss of Skin Tone
  • Spider Veins
  • Cherry Angiomas
  • Port Wine Stains
  • Melasma or Hyperpigmentation
  • Keloids/Scars
  • Freckles
  • Tattoo Removal
  • Pigmented Lesions
  • Blood Vessels on the Face, Neck and Chest
  • Hair Removal
  • Precancerous Cells
  • Acne and Acne Scarring

There are many lasers and IPL choices. A laser is a source of high-intensity light tuned to a specific single wavelength. IPL, on the other hand, delivers a broader spectrum of wavelengths, rather than the single wavelength of a laser. The light energy is preferentially absorbed by target tissue selected for treatment, such as blood vessels, tattooed skin, a brown spot, or hair follicles, for example (see list above). The absorbed energy produces heat in the target tissues.

Optimal treatment requires not only the selection of an appropriate laser or IPL, but also proper settings and technique. Here are 7 factors your doctor should be thinking about carefully when planning your treatment.

1.    Are You a Good Candidate?

Your doctor, in consultation with you, must establish that you are likely to benefit from treatment. Then, in addressing your particular requirements, your doctor will customize your procedure.

2.   Are We on the Right Wavelength?

Your doctor must choose the correct light device to obtain the best outcome. The optimal wavelength will be well absorbed as it is pulsed over the target. The aim is to destroy the target, but not harm surrounding tissue. Also, as different wavelengths penetrate to different depths, the depth of the target must also be considered.

3.   How Much Light Energy?

How much energy to apply to the pulse of light? Too little energy will not adequately destroy the target or deliver long-term success. Too much will cause collateral damage to surrounding tissues. Your optimal energy level should be within the therapeutic window, giving good results but not causing collateral damage.

4.   Shorter or Longer Pulse Duration?

The duration of the light pulse should be selected based on what’s being treated, the size of the target, and type of laser.

5.   What’s Your Skin Type?

Your skin type is important is determining wavelength, pulse duration, and light energy level. Darker skin colors tend to absorb more light energy. This tendency increases the risk for burns, unless appropriate adjustments are made. This pertains especially to patients with a tan. If you have a tan, you will get better results with less risk of complications if you schedule your treatment after the tan fades.

6.   How to Stay Cool?

Cooling techniques are used in most laser and light procedures to reduce discomfort as well as the risk of skin injury. The most common methods of cooling include chilled air, cryogen spray, and contact cooling.

7.   What Are Potential Side Effects and Risks?

Your doctor will inform you of potential side effects and the likelihood of their occurrence for your specific situation and procedure. Some possible side effect include:

  • Temporary pain, redness, bruising, blistering and/or crusting
  • Infection, including reactivation of herpes simplex
  • Pigment changes (brown and white marks), which may be permanent
  • Scarring, rare when treatment is performed properly
  • Eye injury, which is why appropriate goggles must be worn

In expert hands, the risks of a laser and IPL treatments are small. Be sure you are treated by a qualified and experienced practitioner to avoid the more severe risks associated with treatment by untrained, inexperienced, or unethical personnel.

If you’re considering laser treatment, Zimmet Vein & Dermatology can help determine if laser is a good option for you. We have years of training and experience in the use of medical lasers for dermatology and vein conditions. Contact us today to make an appointment.


Ask a Cosmetic Dermatologist Expert about Fractional CO2 Laser Resurfacing

FreckledFace pic 300x200 Ask a Cosmetic Dermatologist Expert about Fractional CO2 Laser Resurfacing  | Austin Dermatology

Have you ever considered a cosmetic dermatology procedure, but had a question you couldn’t find the answer to online?  Can you really trust the information you find on Yahoo Answers, Twitter or Google?  Here’s your chance to ask a cosmetic dermatology expert!  Every month, Dr. Zimmet will provide up-to-date answers to frequently asked skincare & cosmetic dermatology questions submitted to his blog.

May’s topic is Fractional CO2 Laser Resurfacing.

Does laser resurfacing hurt?

Laser resurfacing feels hot. We find that it’s pretty well tolerated with good topical anesthestics that are applied an hour before the treatment, along with local anesthetic nerve blocks and a cold air blower (Zimmer Chiller). We also offer Xanax to help you relax and a pain medication, if desired.

Why take Valtrex before CO2 fractional laser?

Valtrex is used to prevent a herpes fever blister outbreak. Many, if not most physicians recommend this for all patients undergoing facial resurfacing, even if there is no history of fever blisters.

What are pre-op instructions for fractional C02 laser?

Below is Dr. Zimmet’s fractionated CO2 (Active/Deep FX) pre-op care instructions:

-Avoid sun exposure and self-tanning cream for 4 weeks

-Avoid topical exfoliation for 2 weeks

-Understand the post-op care, and prepare by getting old pillowcases, shirts, etc

-Start the antiviral (Zovirax, Valtrex), if prescribed, the day before the procedure

- Eat a meal the morning of the procedure

-Shower and wash your face with an anti-bacterial soap

-Shampoo your hair

-Wear an old button-down shirt

Women (morning of procedure):

Do not use make-up, mascara, lipstick, lotions

Don’t wear jewelry

Do not use hair products of any kind

Do not use perfume

Men(morning of procedure)

Do not use any lotions on your face

Do not use hair products

Shave areas to be treated

What are post treatment instructions for fractional CO2 treatment?

Your physician should provide clear and preferably written instructions on how to care for your skin. The most important things are to apply Aquaphor to the treated area several times a day, and to be very gentle with your skin. Check out our survival guide for fractionated CO2 resurfacing.

Will I experience skin dryness after fractional C02 laser?

Your skin may ooze for the first day or so. We recommend Aquaphor ointment to speed healing. Without Aquaphor ointment, your skin would become very dry. Letting your skin dry out will greatly impede healing, so the Aquaphor or similar ointment is very important.

Can I use Cerave moisturizer after laser resurfacing?

I recommend nothing but Aquaphor ointment until your skin peels, generally about 5-6 days for the face. Following this, we advise SkinCeuticals Epidermal Repair for about 1-2 weeks.  Beyond 2 weeks, we recommend daily application of moisturizers like Cerave or Cetaphil.

What is the recovery time for fractionated CO2?

Recovery time depends on the area treated, the depth/aggressiveness of treatment and on the individual. Generally you can expect the following for the initial major healing phase: Face 5-6 days, Neck 7-10 days, Chest 10-14 days.

Should I ice my face after CO2 fractional laser?

Cold compresses or ice packs can help reduce the sunburn sensation that is typical the first day after treatment, and help reduce swelling.

Should I lay down after fractional laser?

You may be tired after the treatment, and laying down is fine. However, I do recommend sleeping with your head elevated for a couple of days, to help minimize facial swelling.

What are some tips for healing from C02 active laser?

The most important things are to apply Aquaphor to the treated area several times  a day, and to be very gentle with your skin. Your physician should provide clear and preferably written instructions on how to care for your skin. Check out our survival guide for fractionated CO2 resurfacing.

When does peeling start after fractional C02?

Peeling can start within a day or so, and is usually completed by day 5-6.

What does it look like when you have fractionated C02?

Your skin will usually be rather red for about a week, with gradual fading over a several week period. In my experience things look much better once the treated skin is fully peeled, usually about 5-6 days after treatment. There may be some oozing the first day, and swelling may be present the first few days. Learn more by reading our laser resurfacing diary.

Why does your face itch after fractional laser?

Itching is very common after fractionated CO2 resurfacing. The underlying cause probably relates to nerve signals stimulated by the inflammation and healing process. Medication such as Benadryl may be recommended if the itching is significant, but don’t drive or do similar activites as Benadryl can cause drowsiness.

Photo: By Craig Cloutier

Three months after my laser Active FX resurfacing: A Patient Diary

Clare laser resurfacing 257x300 Three months after my laser Active FX resurfacing: A Patient Diary   | Austin Dermatology
by Clare Sargent

It’s been a little more than three months since I had the laser Active FX resurfacing procedure at Dr. Zimmet’s office. I am happier than ever with the results. My skin has never looked better. It has continued to improve since I had the procedure. The thing I notice most is that my skin is tighter overall than it was before. Because the treatment stimulates collagen formation, it should continue to improve for a year. Friends who know that I had the treatment and who don’t see me every day have remarked that they can see the difference from month to month. It’s been very gratifying to receive lots of nice compliments on my skin.

The only regret that I have is that I didn’t have the treatment done on my neck at the same time. A friend of mine is about to have the laser FX treatment on her face, neck AND chest. We are about the same age, and one of her main complaints is sun damage including large freckles and brown spots on her skin. I look forward to seeing her results. I sort-of jokingly told Dr. Zimmet that if money were not an object I would have had the treatment on my entire body. That would have made for an interesting recovery!

Clearly, I would recommend the laser FX treatment to almost anyone. The discomfort was minimal, and the results have been totally worth it. Seven days in the house was an investment, but I was prepared for it and it went by quickly. I would definitely do it again. Thank you to everyone for reading my laser FX diary and for your comments. This has been a fun and rewarding adventure.

Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing

Hadley recently posted a Survival Guide on Fractionated CO2 Laser Resurfacing. Here are her photos- before treatment, during recovery, and 40 days after treatment.

Before 150x150 Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing  | Austin Dermatology

Before Fractionated CO2 Laser Resurfacing

Day 1 150x150 Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing  | Austin Dermatology

Day 1 after Fractionated CO2 Laser Resurfacing

Day 4 150x150 Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing  | Austin Dermatology

Day 4 after Fractionated CO2 Laser Resurfacing

Day 61 150x150 Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing  | Austin Dermatology

Day 6 after Fractionated CO2 Resurfacing (Active FX)

Day 40 150x150 Survival Guide 2: Hadley's Photos Before and After Active FX Fractionated Laser Resurfacing  | Austin Dermatology

Day 40 after Fractionated CO2 Resurfacing

Survival Guide: Fractional CO2 Resurfacing (Active FX)

by Hadley, Skin Care Specialist at Zimmet Vein & Dermatology

active deep totalfx Survival Guide: Fractional CO2 Resurfacing (Active FX)  | Austin Dermatology

I recently took the plunge into Fractional CO2 laser resurfacing (Active FX) and survived! As an aesthetician, I’ve experienced a variety of skin treatments but this was by far the most challenging and rewarding. Active FX requires dedicated post-procedure care and maintenance by the patient at home. This process is imperative for proper healing. This guide is based on my personal ActiveFX experience and intended to help patients prepare for and manage the healing phase of Active, Deep or TotalFX.

Laser resurfacing video, part 3

Here is the third and final part of the video from my laser resurfacing procedure, taken by my talented friend Julia Hilder of Hilder Productions. If I do say so myself, my skin looks great. I will post additional “after” pictures soon.

I will never go without sunscreen again.

Day 7 2 150x150 I will never go without sunscreen again.  | Austin Dermatology

Taken with iPhone, day 7.


It’s Day 7 and I am going about my normal activities. So far, no one has pointed and/or gasped. Without the ointment now my face feels tight and very, very smooth. Still a tiny bit of peeling and the one bruise over my right eyebrow still slightly visible. I’m obsessed with being covered with sunscreen, and yet still, for the few minutes I’m in really intense sun walking to my car between meetings, I’m paranoid about my tender new skin. I put on sunscreen at 6:30 in the morning to walk the dog–that’s new. I’m carrying sunscreen in my car in case I need to re-apply, or ever forget to put it on in the first place (unlikely).

Day 6–goodbye, ointment!

Day 6 150x150 Day 6  goodbye, ointment!  | Austin Dermatology

No ointment, yay!

Night 5 was the worst. It was the first night that I didn’t sleep well, I tossed and turned so much that I rubbed most of the ointment off and had to get up in the middle of the night to re-apply. I also managed to get lots of it in my hair—so much so that when I washed my hair the next day it didn’t come out completely. I also realized last night that I was really  not going to be able to go to my morning meeting. Not only was my face still too red, I’d developed a bruise around my right eyelid. I emailed Dr. Zimmet about it, he said that it was probably from one of the nerve block shots, and that bruising was rare but not unheard of. I agonized all evening about whether to call in sick for my 8 a.m. meeting, and at 11 p.m. decided to email my client and reschedule. I never do that—unless I’m contagious I’ll go to meetings when I’m sick to avoid rescheduling—but I just didn’t see how I was going to able to sit across from my client in the bright light of Starbuck’s at 8 a.m.