Laser Dermatology

In-office treatment of wrinkles, brown spots, blood vessels, tattoos and more.

XTRAC Laser

Quick Facts about XTRAC

  • Effective treatment — symptoms** reduced generally in 10-12 treatment sessions
  • Long-lasting relief — typically several months free of symptoms**
  • Painless and quick treatments
  • Relief without messy creams and daily skin care regimen
  • Covered by most major insurance companies, available by Rx

Since receiving FDA clearance in 2000, the XTRAC Excimer Laser has come to be recognized by dermatologists worldwide as the market leader in the treatment of psoriasis and vitiligo.

XTRAC Lasers produce a highly effective, safe, and painless therapy by delivering a targeted, super-narrow UVB band to affected areas, resulting in effective and rapid improvement without the worry of harmful side effects of invasive, systemic agents.

Specifically XTRAC provides several key advantages when compared to other available psoriasis treatment options:

Topical Treatments

  • No messy creams and daily skincare regimen
  • No decrease on effectiveness over time
  • Can be used on hard to treat areas (scalp, elbows, etc.)
  • No risk of skin thinning or stretch marks

Biologics

  • No risk of tuberculosis or other serious infections
  • No worry of harmful side effects such as liver damage, birth defects, heart failure
  • No monthly injections
  • Much lower costs

Standard Phototherapy

  • No UV exposure to healthy skin
  • No risk of skin cancer
  • No monthly injections
  • Significantly fewer treatments
  • Shorter time per treatment
  • Lower cost

Psoriasis: Before & After with XTRAC 

1. In a clinical study, patients achieved a greater than 75% repigmentation after 30 sessions. Individual results may vary.
2. Hadi S, Spencer JM., Dermatol Surg 2004.
3. Felten, Alikhan and Petronic-Rosic, JAAD, volume 65, Number 3.

Vitiligo: Before & After with XTRAC 

Skin has an even chance with XTRAC

Vitiligo is a skin condition which involves loss of melanin, the primary skin pigment, resulting in irregular white patches.

Vitiligo is not forever.
Fortunately, XTRAC treatments can minimize and, in many cases, even eliminate vitiligo depigmented patches. The XTRAC excimer laser delivers a targeted beam of UVB light and only the areas of skin affected by vitiligo receive the laser energy.

Though the laser spot size measures only 18mm x 18mm, due to rapid exposure times, relatively large, discrete areas can be treated in just 5 to 10 minutes, which is much faster than the duration of conventional phototherapy light sessions. And most importantly, XTRAC treatments achieve complete response rates faster in a higher proportion of patients.

Clinical Results
In one clinical study, 32 patients with 55 vitiligo patches were treated with the [XTRAC] 308nm laser. All areas were treated until 75% or greater repigmentation was achieved or for a total of 30 semi-weekly sessions, whichever occurred first.1

The final analyses showed that of 21 facial spots treated, 71.5% achieved 75% or greater repigmentation. The next best responses were attained treating neck and scalp areas, of which 60% benefited with 75% or greater repigmentation.2

Other studies have concluded that when XTRAC is used as monotherapy, repigmentation rates of more than 75% are seen in more than 50% of patients butresponse rates as high as 95% have been achieved, It has also been noted that repigmentation can be seen in as few as 11 treatments.3

praise from clients
  • "Felt extremely comfortable during the entire procedure. Nursing staff was top notch. Barely visible scar!"

    Dana D.
  • "Dr. Cruz was knowledgeable and helped me to understand the process in a way that made me feel at ease."

    Norman R.
  • "He was energetic and showed a genuine concern for my health. I would highly recommend him."

    Steve S.

Lumenis Ultrapulse Encore

Ablative fractional resurfacing with the Lumenis Ultrapulse Encore is a major advance in treatment of skin aging. The Encore uses a CO2 laser in three different modes to produce precise resurfacing of the skin resulting in smoother skin with a more even color. The CO2 laser has been the gold standard in giving excellent results with skin resurfacing for years. Older versions were limited by extensive healing and downtime. By using the latest fractional resurfacing techniques, the skin heals much quicker resulting in an excellent safety profile.

To ensure the best possible healing, you will need to follow the SKINPros post-care instructions careful. This details the pre-procedure care and after care recommended for the best possible outcome.

Active FX

Excellent treatment for brown spots and sun damage

Helps superficial skin texture and fine lines

1-2 sessions usually required

Healing appearance: redness and pinpoint scabs

Downtime usually 5-6 days

Deep FX

Designed for deep treatment of wrinkles, scars and skin tightening

1-3 sessions usually required

Healing appearance: Immediate bleeding, crusting and swelling for 2-4 days

Redness for less than 7 days though skin may be pink for longer

Downtime usually 5-6 days

Total FX

A combination of both Active FX and Deep FX performed the same day

Helps with both superficial and deep skin rejuvenation

Pinpoint bleeding, redness, swelling and scabs

Downtime usually 7 days

SCAAR FX

Dramatically improve the appearance and functionality of severely scarred skin

Addresses the tone and texture of scars, as well as their pliability and the pain and itching

3-5 session usually required

Redness and swelling to varying degrees

Downtime usually 7 days

Before & After: Lumenis Ultrapulse Encore

M22’s Universal IPL

One Applicator for All IPL Applications

M22’s Universal IPL module enables you to treat a myriad of conditions with a single, versatile handpiece. The Universal IPL handpiece is designed with 7 ExpertFilters tailored to the condition being treated and computer-enabled filter recognition for enhanced safety and ease-of use.

With the Universal IPL handpiece, change ExpertFilters in seconds instead of attaching a whole new handpiece. The Universal IPL handpiece saves not only treatment time and storage space, but is also extremely cost efficient because there is no need to purchase multiple IPL handpieces.  Two SapphireCool lightguides, for large and small areas, maximize patient comfort with continuous contact cooling.

ResurFX

Why ResurFX?

Optimally tailored to address even the early signs of aging.

Noticeable results for fine lines, skin texture and overall skin appearance.

Experience minimal downtime in a “lunch-time” treatment and return to your busy lifestyle.

What is it?

The Lumenis ResurFX treatment is a fractional skin rejuvenation solution, enabling your physician to offer you remarkable results for younger, healthier, glowing looking skin.

Our unique fractional rejuvenation technology, the ResurFX non-ablative skin resurfacing, allows for comfortable, fast, and effective treatment.

How does it work?

The ResurFX fractional laser is a state-of-the-art, non-ablative, skin resurfacing technology. ResurFX fractional laser stimulates the production of new collagen and elastic fibers in the deeper layers of the skin. Stimulating new collagen production is the key to a more radiant, youthful looking skin.

The ResurFX technology enables your physician to achieve excellent clinical results over a sequence of treatments while keeping your comfort maximal and downtime minimal.

To ensure utmost comfort, your physician should typically apply a topical numbing cream before treatment and/or use air cooling during treatment. Depending on your specific concern, you can expect the session to last 15-30 minutes.You may experience a warm or prickling sensation as the laser is applied to the skin, but the treatment is gentle and should not feel uncomfortable.

What should I expect?

The Lumenis ResurFX treatment works with your skin to stimulate deep collagen regeneration over a sequence of treatments. Typically, about 3 sessions are needed to have visible improvement in the skin texture and fine lines. But, already after the first treatment, you will notice changes in pores dimensions. Optimal results are achieved after 3-5 sessions in 4-5 weeks intervals. However, you will continue to see improvements for up to six months following the treatment.

Immediately following treatment, you may experience some redness or swelling, depending on your customized treatment settings. The swelling will diminish after a few hours and the redness as quickly as the next day or over the next few days. Most patients are able to resume their daily activities the very same day. Typically your physician should advise to stay out of direct sun for a few days following the treatment and to apply sun screen.

Is it safe?

Developed by the pioneer of aesthetic medicine and trusted by leading professionals around the world, the ResurFX is FDA cleared. The ResurFX technology is clinically validated to gradually achieve noticeable results, with minimum downtime.

Before & After: ResurFX

Laser Tattoo Removal

For Removal of Tattoos: Lumenis M22 Q-switched Nd:yag

What is a Q-Switched Laser?

A Q-Switched Nd:YAG laser is a solid state laser that uses an optical technique called “Q-switching” to create very short and high power pulses. This optical technique is unique and cannot be generated by normal lasers. The Q-switched Nd:YAG produces the same wavelength, or color, as a normal laser of the same type (like Nd:YAG) and its energy is absorbed by the chromophroes but at a very different power and pulse structure.

How does a Q-Switched Laser Work?

The Q-switched Nd:YAG laser generates wavelengths that are absorbed by chromophores like melanin and blood. The wavelengths are the same as those generated by long pulsed Nd:YAG lasers and the difference is that the Q-Switched laser delivers the energy in very short and high power pulses.

As a result, there is a very fast interaction of the light energy with the target area and once the light hits the target it photo-mechanically breaks it up into fragments.

The fragments are more easily processed by the body and the debris is cleared using natural metabolic pathways.

Gemini Laser

FDA approved for more than 20 cosmetic applications. Wrinkle reduction, Acne treatment, Facial veins, Leg veins, Laser hair removal and many other treatments.

Laser type: KTP and Long-Pulsed Nd: YAG Integrated cooling system Spot size options: 1 mm up to 10 mm Wavelength: 532 nm and 1064 nm.

Smooth Beam Laser

Acne Treatment

The Smoothbeam laser employs a combination of laser light at 1450 nm and cryogen spray cooling.

The laser light heats the dermis, sebaceous glands, and associated structures within the dermis. The cryogen cooling allows preservation of the epidermis, thus minimizing treatment side effects. The mechanism of action in the treatment of acne is the thermal alteration of the sebaceous glands, which is the cause of pathogenesis of acne lesions.

Student’s t-test (paired samples) was performed comparing the difference in acne lesion count at each follow-up time point from the count at baseline on the treatment side with that on the control side. At each of the follow-up time points, a statistically and clinically significant reduction in lesion count is seen on the treatment side compared to the control side with p < 0.001.

A continuous reduction in acne lesions was observed on the treatment side, while only small changes occurred on the control side. At the 6-week follow-up, there was a 98% reduction in mean lesion count on the treatment side as opposed to 12% reduction on the control side. Similarly, at the 12-week follow-up, there was a 98% reduction in the mean lesion count on the treatment side as opposed to 8% reduction on the control side. Furthermore, 98% reduction in mean lesion count on the treatment side while 3% reduction on the control side was observed for the 17 subjects who had their 24-week follow-up. At the 24-week follow-up, 16 of the 17 subjects had zero lesions on the treated side.

Before & After: SmoothBeam Laser

SmoothBeam Laser before and after

LightSheer Laser Hair Removal

What is it?

Traditional methods for hair removal included plucking, shaving, waxing, electrolysis and chemical depilatories. Some are painful, some are messy, all of them are time consuming and costly.

LightSheer is a permanent hair reduction solution based on clinically proven diode laser technology. LightSheer is comfortable and effective. It features two laser hair removal technologies:

  • High-Speed Vacuum Assisted technology for large treatment areas, requiring no prep and no gel
  • ChillTip Sapphire integrated cooling for smaller more delicate treatment areas

LightSheer uses a state-of-the-art diode laser handpiece with either 805 nm or 1060nm wavelength which allows a tailored treatment for all skin types. A laser pulse targets and damages the hair follicle while the surrounding tissue remains unharmed. The LightSheer allows your treatment provider to customize the treatment for your skin type, hair type and lifestyle by utilizing 2 different handpieces and 2 different wavelengths.

Is it right for me?

LightSheer laser hair removal treatments are not suitable for everyone and carry some risks. LightSheer is not suitable when you have active infections or inflammations, viral/fungal/bacterial disease, active cold sores, open lacerations or abrasions in the treatment area.

Risks may include: change in skin pigmentation, changes to skin texture, or burns. Be sure to consult with your treatment provider before choosing this treatment.

What should I expect?

Multiple treatments are required to achieve permanent hair reduction. This is due to the increased effect of the laser on hair in the early growth stage (anagen). Not all the hairs are in the same phase at a given time.

The appearance of the treated area following treatment varies from patient to patient, depending on the characteristics of the patient and treatment given. During the treatment, some hairs will shed from the follicle immediately, while the remaining will shed in the following weeks. Transient redness and swelling around the hair follicle may appear immediately after the treatment, but are in fact, positive results indicating the follicle’s response to the treatment.

Following the treatment, you will be provided with guidelines, namely in terms of sun exposure.

How Does It Work?

High-Speed Vacuum Assisted Technology

  • High-Speed technology incorporates suction to elevate and stretch the skin. In doing so, the laser achieves maximum absorption into hair follicles while covering a large area, shortening treatment time and reducing the sensation of heat.
  • With High-Speed technology vacuum gently draws skin into the handpiece, stretching it thin and pulling the target closer to the energy source.

ChillTip Integrated Cooling Technology

  • ChillTip technology uses a proprietary integrated Sapphire cooling system that momentarily numbs the skin while compressing the handpiece to the skin rotating the hair follicle for better energy absorption.
  • With ChillTip, the skin is cooled before and during treatment. It is then compressed and the laser beam is directed to the skin.

Before & After: LightSheer

Vein & Vascular

Why Vein & Vascular Treatments?

  • Non-invasive treatment for leg veins, facial veins, broken capillaries and rosacea
  • Tailored to address your specific concern, from thicker varicose veins to fine capillaries
  • Noticeable results with no downtime

What is it?

The Lumenis Laser and IPL Vascular Treatment enable your physician to effectively treat spider veins, reticular veins (blue veins), broken capillaries and rosacea.

The unique technology enables tailoring of the light source and energy to target the vascular condition and cause it to fade away.

Is it right for me?

Lumenis energy-based treatments are not suitable for everyone and carry some risks. Lumenis Leg Veins & Vascular treatment is not suitable when you have active infections, viral, fungal or bacterial diseases, inflammatory skin conditions or skin cancer.

Risks may include: redness, swelling, scarring or change of pigmentation. Be sure to consult with your treatment provider before choosing this treatment.

What should I expect?

In many cases, improvement is seen immediately after treatment. Darkening of the vessels may be apparent, with slight redness along the vessel.

You should avoid hot baths and excessive physical exercise for 1-2 weeks following your treatment. However, you should be able to continue with your normal activities immediately.

Full clearance of the veins might take several weeks as they slowly fade away. In the case of multiple veins, 2-3 sessions in 6-8 weeks intervals may be needed.

How Does It Work?

Vascular Technology

The laser or IPL create heat inside the blood vessels, which closes the vein’s walls, eventually causing the vein to disappear. The laser is very precise and only impacts the selected blood vessel and not of the surrounding skin. The IPL filter also targets the blood only and none of the surrounding skin.

Both Lumenis technologies enable cooling of your skin between pulses, which reduces the chance of skin damage, producing great results.

The Treatment

Just before treatment, the doctor will apply a thin layer of clear gel onto the treatment area. During treatment, your physician will treat the targeted veins by applying a few pulses on each blood vessel source. The treatment may take between 10-20 minutes, depending on the number of blood vessels being treated.

During the treatment you may experience a stinging or burning sensation, but it is tolerable.

Before & After: Vein & Vascular Treatments