Laser/Medispa Services / Medi Spa Treatments

Fraxel Laser (re:store and re:pair)

For more information on Fraxel click here (photo gallery, educational information, etc)

Fraxel treatment is a safe, non-invasive laser skin treatment that removes years from your appearance — without the risks, side effects or prolonged downtime of other procedures.

Whether you have sun damage, wrinkles or other signs of age, Fraxel treatment delivers remarkable results with fast recovery. So you can quickly return to work or other activities with renewed skin — and renewed confidence.

Fraxel re:store:

Keep building memories while looking your best
Wrinkles and age spots may signify a life rich with laughter and excitement, but now you can keep the memories without the crow's feet and dark patches. Whether you're off to a new job interview, have a romantic getaway or simply want to erase the signs of aging, Fraxel re:store treatment can return your skin to its original beauty and texture.

What it treats
As the original product in the Fraxel family, Fraxel re:store treatment is the gold standard for quickly rejuvenating your skin and correcting acne scars and other imperfections — all without impacting your daily routine. Fraxel re:store treatment has FDA clearances for:

Wrinkles around the eyes
Acne scars and surgical scars
Age spots/sunspots
Melasma (irregular patches of brown skin on the forehead, cheeks, upper lip and nose)
Actinic Keratoses (precancerous lesions)
Skin resurfacing

Remarkable results, remarkably simple
With Fraxel re:store treatment, you can renew your inner beauty through …

Smoother, fresher, younger-looking skin
Improved tone and texture
Erasing of unwanted brown spots
Reduced fine lines and wrinkles around the eyes
Improved appearance of acne scars and surgical scars

The procedure takes 20 to 25 minutes for a full face, and most people return to routine activities the very next day. Most men and women experience immediate results and see the most benefit in three to five treatments.

re:store Pricing:

Full Face $1,000

Full Face & Neck $1,525

Hands $400

Mouth $600

Neck $700

Scar $800

Stretch Marks $700

*Same Visit: 25% Off 2nd site
*All procedures are sold in packages of 3 performed on a monthly basis. Discount of 20% is applied towards packages.

For more information on Fraxel click here (photo gallery, educational information, etc)

Fraxel re:pair:

What if you could correct wrinkles and skin damage today, while defending against a facelift tomorrow? And do it all in one, non-surgical treatment? The breakthrough Fraxel re:pair treatment makes it possible.

As you age, your skin naturally loses its elasticity, becoming more prone to looseness, wrinkles and deep frown lines. But with Fraxel re:pair treatment, you can not only tighten aged and damaged skin, you can actually prevent loose skin from forming.

What it treats
Fraxel re:pair treatment is a revolutionary new way to correct aged and damaged skin — without the risks, prolonged downtime or adverse reactions of other ablative procedures. Instead, you get dramatic results in a single treatment with fast recovery. Fraxel re:pair treatment has FDA clearances for many indications on and off the face, including:

Wrinkles
Irregular texture
Age spots/sunspots
Sun-induced redness

Remarkable results, remarkably simple
Get life-changing benefits with Fraxel re:pair treatment:

Dramatic results in a single treatment
Tightening that defends against loose, saggy skin
Smoother, more even skin tone and texture
Softening of deep frown lines and wrinkles
Improved appearance of redness caused by sun damage

Depending on the aggressiveness of treatment, the procedure takes 20 minutes for a full face, with most men and women returning to routine activities in 5 to 7 days.

Re:pair Pricing:

Full Face $3,000

Eyes $1,250

Mouth $1,250

Eyes & Mouth $1,750

Scar $1,000

Neck $1,500

Therma-Frax Neck Lift

The revolutionary Therma-Frax Neck Lift procedure combines the best of both worlds- Thermage radiofrequency skin tightening with Fraxel laser skin resurfacing. As we age, our face loses volume and our skin loses elasticity and tone. To make matters worse, sun damage manifests itself progressively with wrinkles, age spots and spider veins. A recent survey conducted by the AAFPRS showed most patients are looking to avoid going under the knife. Instead of more invasive face lifts, they are seeking out new minimally invasive procedures that tighten the skin and treat the sun damage without the protracted recovery seen with older lasers.

Non-surgical technology used to smooth out skin laxity has evolved over the years. Thermage has been and remains the leader and gold standard since it was introduced in 2002. Unlike other copy cat technologies, Thermage provides even, safe, heating of the deeper facial structures. This creates corresponding progressive skin tightening by producing new collagen over a 2 to 6 month period. The face is also contoured by decreasing excess fatty deposits in the neck and jowl areas. Unlike some of the other inferior technologies, just one treatment is typically needed. With the new Thermage NXT system, not only are results more dramatic but patient comfort has also dramatically improved. Most patients do not require medication prior to treatment.

Skin resurfacing, where by wrinkles are erased and sun damage eliminated has been increasingly popular over the years, often replacing some of the older, deeper chemical peels. Like the deep chemical peels, safety issues and prolonged downtime has continued to be a problem. It isn’t unusual to lose skin color in lasered areas and to require 2 to 4 weeks of recovery. Over the years new laser technology has proved to be much safer with minimal to no downtime. Unfortunately, results have not been impressive with these non invasive laser therapies- with one exception, Fraxel. When the Fraxel re:store laser was introduced over 5 years ago, it revolutionized the skin resurfacing industry. By only treating a fraction of the skin at a time, much like a pixel on a camera, in a series of 3 to 5 treatments dramatic results can be accomplished safely without the downtime. Fraxel most recently introduced the latest fractionated laser, Fraxel re:pair. This laser provides equivalent or better results when compared to the most aggressive traditional lasers, and is particular useful in treating stubborn deeper wrinkles and advanced sun damage. Fraxel re:pair also has a dramatic effect on skin tightening much like Thermage but with a different mechanism of action. Downtime is also a matter of days compared to weeks with the older CO2 lasers. Other laser companies have tried to copy Fraxel over the years and have fallen short on efficacy, safety and downtime. Patients often ask for Fraxel by name.

Dr. Rubinstein is among the few that has both Thermage, Fraxel re:store and Fraxel re:pair on site. He has found that the combination of Thermage’s radio wave induced skin tightening of the deeper facial structures and contouring with Fraxel’s more superficial skin resurfacing and tightening have created an exponential increase in skin tightening than if performed alone. Combining one and one yields four. Thermage is typically performed first followed by Fraxel. For the most dramatic skin tightening, Fraxel re:pair is used. For those patients that need less tightening and who’s wrinkles and sun damage is less advanced, Fraxel re:store is used.

Despite these dramatic skin tightening results, Dr. Rubinstein, a facial plastic surgeon, cautions that results are not equivalent to a more traditional face lift. For those patients who want to delay going under the knife, ThermaFrax is an ideal procedure. On a final note, replacing lost facial volume with fillers i.e. Sculptra, can enhance and augment the results seen with skin tightening procedures. Whether it’s with a face lift or Therma-Frax, a volume replacement procedure is a great enhancer. Balanced rejuvenation provides the most natural results.

Pricing:

Therma-Frax Neck Lift: $2750.

LASER HAIR REMOVAL

The Most Effective Method of Removing Unwanted Hair

For both men and women, unwanted hair can be difficult to treat. Traditional treatments, such as electrolysis can be painful, less convenient, and can result in scarring. The hair follicles are destroyed by tediously inserting a needle electrode into each individual hair follicle. An electric shock then kills the hair follicle. Treatments often take years. In contrast, specialized lasers can destroy the same hair follicles over large surface areas in just minutes. The laser uses light energy scanned over a wide area. The light is selectively absorbed by the pigment in the hair follicle sparing the surrounding skin. It is this selectivity that allows for these treatments to be performed quickly, safely, and with minimal discomfort. Normal activities are resumed immediately.

Laser (and electrolysis) targets only those hair follicles, which are visible i.e. in the growth phase of the hair cycle. Only 25 % of hairs are in their growth phase at any one time. The growth cycle lasts about one month. It is for this reason that on average, 4 treatments, at one-month interval, are most effective. Those hair follicles which have been destroyed will not regrow hair. It is possible, with time, for dormant hair follicles to become active and grow new hair requiring touch up treatments.

Laser hair removal technology has advanced tremendously over the past few years. Until recently, a major limitation in laser technology was that people with darker skin could not have safe laser treatments. The laser light was absorbed equally by the hair follicle and darker surrounding skin because the lasers could differentiate between the brown hair pigment and the darker skin pigment. This created a high risk for burns and scarring. Due to this risk, people with tan or darker skin could not have safe laser hair removal treatments. Dr. Rubinstein uses the latest laser technology, the Long Pulse YAG laser, which is super selective for the hair follicle pigment allowing for safe treatments even in people with dark skin.

Another advance in hair removal therapy is the ability to permanently treat bothersome ingrown hairs. Men with irritated ingrown beard hairs can now have successful laser treatments to alleviate this condition. In just a few treatments, the laser decreases the density and thickness of the hair follicles making them less likely to become embedded under the skin.

The only remaining limitation in laser hair removal is in those people with white or very blond hair. The light hair does not contain sufficient pigment for laser absorption. Electrolysis and waxing, performed at the skin care center, remains the only option.

Laser hair removal consultations are performed by Dr. Rubinstein and one of his medical estheticians who have extensive training and experience in laser hair removal. Treatments are performed under the supervision of Dr. Rubinstein in the comfort of the Medical Spa.

Laser Hair Removal Prices

Face
Body

Chin $100 Hands $300

Eyebrows $100 Forearms $400

Ears $100 Underarms $300

Lip $100 Shoulder / Upperarms $450

Face (full) $200 Chest (upper front) $500

Sideburns $100 Breast / Nipple $200

Beard (men) $200 Abdomen $400

Neck (front) $150 Lower Back $450

Neck (back) $150 Upper Back $450

Full Back $750

Bikini Line $300

Extended Bikini Line $400

Buttocks $400

Thighs / Upper Legs $425

Lower Legs $500

Entire Legs $750

Laser Hair Removal Packages: 6 treatments highly recommended for best results.
Series of 6 treatments 20% off.

*Same Visit: 25% off 2nd site (only applies towards laser hair removal on face)

LEG SPIDER VEINS

Enjoy the look of legs without unsightly red, blue, and purple spider. Dr. Rubinstein and his staff offer the latest in spider vein treatments. Traditional laser treatments resulted in poor results for spider veins greater than 2 mm in size. Laser treatments were also contraindicated in people with darker skin. Dr. Rubinstein uses the new Long Pulse YAG laser to successfully eliminate spider veins as large as 4 mm safely in all skin types.

Prior to laser treatment, a comprehensive examination is performed to determine if there are any underlying venous problems. Often, spider and varicose veins develop from a problem with the valves in the deeper veins causing an increase of backpressure. Venous Doppler studies may be performed to test the valves in the deeper veins. If there is a deeper venous disorder, surgery may be needed prior to spider vein treatment to ensure long lasting elimination of the spider veins.

The treatments are performed in our relaxed spa environment There is minimal discomfort and routine activities are resumed immediately. Treatments last about 30 to 45 minutes. Two to three treatments are needed with 8-week intervals between treatments. Spider veins larger than 4 mm respond best to injection sclerotherapy. The smaller spider veins are then eliminated by laser treatments. After the treatment, there can be some mild short lasting tenderness at the treatment site. The treatments result in coagulation of blood within the veins, which disappear gradually over several weeks as they are absorbed by the body.

After the laser and sclerotherapy treatments special support hose available on site are worn for one week. Routine activities are resumed immediately. It is important to avoid hot baths and strenuous exercise for several days. Bruises may develop around the treated areas and usually disappear after the first week.

Treatment Cost

$ 800

CLASSIC EUROPEAN FACIAL

A traditional deep pore-cleansing facial.

Includes cleansing, special enzyme exfoliation enhanced by steam to remove impurities and dead skin cells, extractions , a relaxing massage and a special mask best suitable for any skin type to balance and restore the skin’s moisture and elasticity.

Skin feels clean, retextured and supple.

Recommended for all skin types.

A mini-version of this treatment can be done in only 30 minutes. $60.00
A full-version treatment is done in one hour. $85.00
A concentrated cleansing treatment for all skin types, teenagers and men .
A perfect /ideal introduction to all of our treatments.

LASER FACIAL (Laser Toning)

The Laser & Cosmetic Surgery Specialists, PC is one of the first centers in the Hudson Valley to include laser anti-aging treatments. Visit our center of excellence where our patients combat fine lines, spider veins, age/sun spots without any downtime and with minimal discomfort in a relaxing environment that allows them a brief escape from the stresses of their everyday lives.

For deep lines and scars, traditional surgical laser resurfacing is still the treatment of choice. Traditional skin rejuvenating treatments, such as CO2 and Erbium lasers, deeper chemical peels, and dermabrasion exfoliate the protective outer layer of skin. However, these treatments require anesthesia, bandages and a 5 to 10 day recovery period. The Laser Facial, was designed to treat the signs of aging in a softer and gentler way by preserving the outer skin layer and selectively stimulating the dermal (collagen) layer.

Dr. Rubinstein’s unique Laser Facial has three components that address the three different skin layers in one 60-minute treatment. The first step utilizes microdermabrasion (or glycolic acid peel) to gently exfoliate only the dead outer (epidermal) layer leaving behind healthier smoother skin. This also allows for more effective laser penetration (2nd and 3rd steps) into the dermal or collagen layer stimulating new collagen formation. The use of two different lasers provides for superior results while protecting the outer layer of your skin. Each of the two laser penetrates the dermal layer (collagen layer) at a different depth allowing for complete rejuvenation, resulting in skin toning, eliminating fine lines, spider veins and age/sun spots. Typically, four 60-minute treatments are performed at one-month intervals. Final results are seen by 6 months. Rejuvenation is maintained with monthly microdermabrasion or glycolic peels or quarterly laser facials. The cost is only one third of traditional laser resurfacing and no anesthesia is needed.

About Laser Facials

Dr. Rubinstein and his skin care specialists are one of the first to offer this unique anti-aging treatment in the Hudson Valley. Eliminate fine lines, spider veins, age/sun spots without any downtime and with minimal discomfort. For deep lines and scars, traditional surgical laser resurfacing is still the treatment of choice.

Traditional skin rejuvenating treatments, such as CO2 and Erbium lasers, deeper chemical peels, and dermabrasion exfoliate the protective outer layer of skin which requires anesthesia, bandages and a 5 to 10 day recovery period. The Laser Facial was designed to treat the signs of aging in a softer and gentler way by preserving the outer skin layer and selectively stimulating the dermal (collagen) layer.

Facial Spider Veins

Unsightly facial spider veins can now be treated safely and effectively by laser therapy. Some of the causes for facial spider veins include heredity, hormonal therapy, birth control, rosacea, sun exposure, and the natural aging process. Rosacea is a common skin condition, which results in embarrassing red facial flushing and spider veins. Dr. Rubinstein uses the latest in laser technology to treat spider veins as well as rosacea.

Traditional treatments include inserting a needle into the spider veins and using an electric cautery to burn the blood vessels. This frequently resulted in pain, blisters, frequent change in skin color and possible scarring. Other treatments included sclerotherapy injections. A solution is injected into each spider vein resulting in collapse of the blood vessel. This treatment is effective but very time consuming and inefficient. Sclerotherapy is still used for treating very large spider veins on the legs. The laser light is selectively absorbed by the spider veins. In most cases, this results in collapse of the blood vessel wall and immediate disappearance of the spider vein. In larger vessels, the blood coagulates and the body absorbs the vein until it finally disappears over a 4 to 6 week period. On average, two treatments are needed at 4-week intervals. Dr. Rubinstein uses different lasers for different types of facial veins. He uses a diode laser for very small pink/red spider veins. For larger purple facial spider veins, the long pulse YAG laser is used because it emits greater light energy penetrating deeper into the vein, making treatments more effective with minimal discomfort.

There is minimal discomfort with the laser treatments. The sensation is similar to that of a rubber band being snapped on the skin. Some patients elect to have topical anesthetic cream applied one hour before the treatment. Treatments last about 15 to 30 minutes. After the treatment, there is mild skin tenderness, redness and swelling which can last several hours. Occasionally, some blistering can occur. This can be covered with make up and will fade away in about one week. Vigorous exercise and excessive heat exposure should be avoided for 48 hours. Use of any harsh skin cleansers or skin products with vitamin C, fruit acids, or Retin A 48 hours before and after the treatment should be avoided. All other routine activities can be resumed immediately. Regular use of sunscreen will help prevent new spider veins from developing.

1st treatment

$ 350 to 500

Age Defense Laser Facial

A series of 4 to 7 monthly non-ablative laser treatments are recommended
An ultimate anti aging treatment to boost collagen production, strengthen elastin fibers and improve skin firmness and elasticity. Procedure takes 30 to 60 minutes with minimal discomfort. No anesthesia is needed. There is no downtime. State of the art lasers are used.

Full face $ 500

Customized post-laser maintenance programs will maintain the results achieved from the laser treatments

Laser Facial with Levulan (for Acne & pre-cancerous lesions)

An alternative to the laser facial, Dr. Rubinstein will sometimes recommend this combination of treatments for patients suffering from active acne or for those who have darker, pre-cancerous lesions. The results are dramatic. However, patients undergoing such treatments must commit to avoiding sunlight for 48 hours. Additionally, the use of a medical grade sunscreen is highly recommended. Usually, only two or three sessions are needed for maximum results. The cost is $700 per session.

Articles

Don't stress the small stuff, it can lead to premature aging!

Stress has negative effects on our physical and mental well-being. The physical changes influence your appearance and cause premature wrinkling. Learn how stress affects you and what you can do to minimize its impact.

Stress aggravates many parts of the body, including the skin. Our body's reaction to stress is the "fight or flight" response. In order to prepare for action, the body produces higher levels of cortisol and adrenaline. The body does not distinguish between physical or emotional stress; blood pressure goes up and the body is put on high alert. When stress remains constant or becomes chronic, this causes the most damage. Do you remember waking up with a pimple on your big day—wedding day, job interview, major presentation—wondering why of all days? Your body has been reacting to the stress by producing higher levels of cortisol, which has caused changes in the skin allowing acne to flare up.

Science has proven that chronic stress leads to premature aging. Studies have looked at the DNA and chromosomes of people who experienced high levels of chronic stress. If DNA is like a strand of string, each strand has a protective tip called a telomere. These thin as we age and lose their protective telomeres. Participants with chronic stress had DNA that appeared much older than their actual age. This biological evidence seems to prove that stress contributes to premature aging.

As we age, the skin loses elasticity and becomes thinner. The skin begins to break down and wrinkles appear. The wrinkle eventually becomes a crease and the crease a furrow. An example of this is crow's feet.

You can learn to limit the affects of stress on your facial features. Start with your attitude; stay positive and be flexible. Studies have shown that people who are "go with the flow" and known as resilient, can manage stress better and seem to age better too. As the saying goes, it is not what happens to you, but how you deal with what happens to you that is important. Another tip is to become more aware of when you are furrowing or squinting. What is contributing to this? It may be due to worry, sunlight, poor vision, intense concentration, etc. If you are aware of when you are tensing these muscles, then you can learn to temper and adapt new habits, instead of contributing to premature wrinkling.

There are also medical treatments that can reduce the appearance of wrinkles. Botox®, for example, helps reduce unwanted muscle contractions that lead to wrinkles and creases in the forehead and around the eyelids. To know more about the techniques—surgical or non-surgical—to help reduce the signs of stress and aging, make an appointment with your facial plastic surgeon. You will be more relaxed knowing you did.

Dr. Ran Rubinstein among First in Region to Showcase Breakthrough Procedure for Wrinkles, Sun Damage, Acne Scars, Sagging Skin

Revolutionary Fraxel Treatments Offer Younger Appearance without Surgery

Newburgh, NY – Dr. Ran Rubinstein, board-certified facial plastic surgeon and founding physician of Laser & Cosmetic Surgery Specialists PC, is among the first in the tri-state region offering two new aesthetic solutions to turn back the clock on aging and sun-damaged skin. These breakthrough laser procedures, Fraxel re:store and re:pair, provide the benefits of traditional skin resurfacing techniques without significant downtime and risks. They are the most advanced skin rejuvenation treatments available on the market today.

“The results we are achieving with both the Fraxel re:store and re:pair laser systems are remarkable,” said Dr. Rubinstein. “Fraxel treatments represent new-generation laser resurfacing with predictable results. They allow me to rebuild damaged skin like digital photo modification – spot by spot.”

With the revolutionary new Fraxel re:store and re:pair laser treatments, patients receive:

· Plumping of acne scars and surgical scars

· Smoother skin texture

· Reduced wrinkles and fine lines

· Improved skin tone

· Softening of deep frown lines

Fraxel procedures are done in the office with minimal discomfort and downtime.

Fraxel re:store and re:pair offer two levels of laser treatment according to Dr. Rubinstein. “While both Fraxel re:store and Fraxel re:pair reduce the appearance of acne scars, surgical scars, wrinkles, age and sun spots, I recommend re:store for anyone who wants more vibrant, younger looking skin with little to no downtime,” said Dr. Rubinstein. Three to five re:store treatment sessions are recommended at two to four week intervals.

“Fraxel re:pair is the more intensive treatment – best for more damaged skin,” explained the doctor. The fractionated laser technology in Fraxel re:pair has reduced downtime to as little as five days, in most cases. Usually only a single treatment is required. The added safety of both Fraxel technologies has made laser resurfacing safe for the face, as well as the neck, chest and hands Dr. Rubinstein added.

Aware of the varying needs of his patients, Dr. Rubinstein has brought both of the incredibly effective Fraxel laser technologies to his office in order to best serve their unique skin care needs. For even greater effectiveness, Dr. Rubinstein is able to combine Fraxel laser resurfacing with Thermage, a non-surgical treatment modality for skin tightening.

“I am thrilled with the results of my Fraxel re:pair procedure,” said Patty of Middlehope. “Within days I was seeing results and every day my skin looks better and better. My daughters are astounded at how radiant my skin looks before I even put on any makeup,” Patty continued.

“I’ve been a patient of Dr. Rubinstein’s for a long time,” Falcetano adds. “When I decided to do something to refresh my skin, I knew he had great credentials and the procedure could be done in his office. Dr. Rubinstein truly enjoys helping people feel better about themselves and I’m so happy with the incredible results from Fraxel.”

Dr. Rubinstein cautions those seeking fractionated laser technologies to ensure that they are receiving genuine Fraxel treatment. There are physicians who are claiming to offer “Fraxel” when in reality they are offering an inferior fractionated laser technology. Treatment with these inferior lasers often cost less but patients often pay the price by receiving poor results with significantly higher risks of adverse outcomes. Dr. Rubinstein cautions patients to ask their doctor if they are receiving genuine Fraxel technology.

Dr. Rubinstein has been selected as a “center of excellence” by Solta Medical, the makers of Fraxel lasers and Thermage. Physicians seeking to adopt this technology can receive first hand training experience under Dr. Rubinstein’s expert guidance. Additionally, he serves as an assistant clinical professor at the prestigious Columbia New York Presbyterian Hospital, Dr. Rubinstein has trained some of New York’s finest future facial plastic surgeons. He is also on the national education faculty for Allergan, Medicis, Bioform and Sanofi Aventis where he trains dermatologists and plastic surgeons on the most advanced techniques in Botox and filler injections.

Dr. Rubinstein has been practicing in the Hudson Valley for more than 10 years and carries triple board-certification, specializing in facial plastic surgery and nasal and sinus disorders. He uniquely combines his medical and surgical expertise to help patients feel better and look better. Dr. Rubinstein has privileges at Orange Regional Medical Center, St. Luke’s Cornwall Hospital, Fishkill Ambulatory Surgery Center, and New York Presbyterian Hospital, where he also serves as an Assistant Clinical Professor. His beautiful, new state-of the-art office and on site fully certified surgical suite is conveniently located at 200 Stony Brook Court in the town of Newburgh.

To learn more about the Fraxel laser procedures and Dr. Rubinstein’s practice, Laser & Cosmetic Surgery Specialists, visit www.yourfacemd.com or call 845-562-6673 to schedule a personal consultation.

How will you benefit from our laser training center? ...

Meet Patricia

On April 17, 2009, Patricia had a fraxel re:pair laser treatment for acne scarring. She also suffers from rosacea, a common chronic condition where patients develop flushing of the skin and facial spider veins. Fraxel (middle photo) dramatically diminished her acne scarring and sun damage. After her second of four mini laser facials, her rosacea already shows dramatic improvement. Patricia is a good example of how combination skin therapies create optional outcomes.

Dr. Rubinstein has been among the leaders in the Hudson Valley in introducing the best and most technologically advanced laser technologies to his patients. “Being involved in physician education as a clinical professor at Columbia New York Presbyterian over the years has afforded me the opportunity to be among the first to have first hand experience with new technologies,” says Dr Rubinstein. We are proud to announce that Dr. Rubinstein has been selected by Solta Medical to train plastic surgeons and dermatologists on Fraxel and Thermage. This selection was made based on Dr. Rubinstein’s patient experience, and physician education, as well as his on-site state of the art laser technology, and overwhelming patient satisfaction.

So what does this mean for our clients? It gives you the confidence of knowing that you are receiving the best treatments available from a highly-skilled and experienced practioner. Your treatments will also be custom tailored to your needs. “No one laser is capable of tackling every rejuvenation need,” says Dr. Rubinstein. “Our Fraxel lasers are unsurpassed in erasing wrinkles, age spots, sun damage and acne scars without the need for prolonged recovery.” Fraxel does this by treating only microscopic fractions of the skin. Leaving microscopic areas intact allows for aggressive treatments with superb results comparable and often surpassing results only obtained from older invasive lasers. This translates into little to no downtime and minimal risks. In addition, areas once unsafe to treat, such as the neck, chest, hands and stretch marks can now be treated with minimal risk. Many patients have combination skin issues. Laser (Photo) facials are better suited for treating rosacea and erasing spider veins. “By combining both Fraxel and Laser facials in one treatment session we are able to cover all of our bases and offer unparallel skin rejuvenation,” says Dr. Rubinstein,

Being on the cutting edge should not mean that you have to break the bank. As part of a back to school special, a free laser facial is being offered with each already discounted Fraxel treatment as part of a package. Save $ 600 per treatment – an incredible value that will expire October 31, 2009. Visit our website www.yourfacemd.com for full details. We are looking forward to offering you the best skin care available.

Click here to read about Laser Surgery, treatments and options

Considering laser treatments? Know your skin ...

Layers of the skin:

A. Epidermis

B. Papillary dermis

C. Reticular dermis

Laser is an acronym for light amplification by the stimulated emission of radiation. It is a high-energy beam of light that can selectively transfer its energy into tissue. The wavelength peaks of the laser light, pulse durations, and how the target skin tissue absorbs this, determine the clinical applications of the laser types.

Over 40 years ago, the first lasers were used to treat skin conditions. The argon and carbon dioxide laser lightened birthmarks, but had a high rate of scar formation. Major advances in lasers over the past 20 years has revolutionized the use and treatment of many skin conditions. Today, there is a wide spectrum of laser and light technologies available for skin rejuvenation and resurfacing.

The skin is composed of the epidermis and the dermis. Superficial wrinkles and pigmentation problems generally originate in the epidermis. Within the dermis are two layers-the papillary dermis and the reticular dermis-both of which are constructed of collagen, long fibers that loosen and stretch with age and sun damage. If the deepest layer, the reticular layer, is damaged, scars result; while the upper layer of the dermis, the papillary layer, heals from injuries without scarring.

The extent of laser resurfacing depends on the type of laser used. It can diminish wrinkles, skin irregularities, and scars. It can improve the overall skin tone and texture of your skin. After resurfacing during the repair process, your skin rebuilds the tissue allowing a fresh new layer to become the skin surface. Your physician will discuss with you the optimal strategy for improving your appearance, including the type of laser and treatment to best meet your needs.

Ablative lasers remove the upper layers of the skin using the power and heat of the light in a targeted beam. Common lasers include carbon dioxide (CO2) or erbium. The skin is wounded; anesthesia is usually required and there is considerable downtime while the skin crusts, sheds the scabs, and fully heals. The major advantage to this invasive laser resurfacing is that the results are dramatic and long-lasting. Post-operatively, patients must stay out of the sun to avoid damaging the new skin.

Non-ablative lasers include diode, intense pulsed light (IPL), or pulsed dye. These lasers generate heat in the dermis layer to stimulate collagen production and improve the tone and texture of the skin. The upper layers of the skin remain intact, which results in minimal to no downtime and very little discomfort. This treatment may be used to treat acne, veins and discolorations, permanent hair removal, and wrinkles.

A new laser treatment is called fractional resurfacing. The laser treats a fraction of the skin by causing microscopic "wounds" within the targeted areas in the dermis layer. These targeted areas are treated intensively, while leaving the surrounding tissue unaffected. This allows the "wounds" to heal must faster versus if the entire area were affected. Through the healing process, new healthy skin emerges. The United States Food and Drug Administration (FDA) has approved this new fractionated laser therapy to treat acne scars, age spots/brown spots, melasma, and wrinkles around the eyes.

If you are considering laser surgery, keep in mind that many procedures can be performed with different lasers. The choice of laser will depend on the skin condition, size of the treatment area, skin type, ethnic background, and patient expectations.

Common problems improved by lasers

Acne. Lasers can be used to improve active acne and reduce the appearance of acne scars. Multiple treatments may be necessary with a non-ablative or Fraxel laser. The laser works by shrinking the sebaceous glands that feed acne bacteria and stimulating collagen production. An ablative laser can be used to remove the outer layers of the scar tissue and stimulate collagen to tighten and reduce the visibility of the scar.

Tattoos. A non-ablative laser can be used to target the colors of ink most common in tattoos. Blue and red inks are the easiest to remove. It may take between six to 12 treatments over a period of two months to see noticeable improvement.

Fine lines and wrinkles. Various lasers can be used to improve the appearance of lines and wrinkles. It will depend on your skin type and the extent of wrinkles. The treatment will promote the growth of new, smoother and supple skin. The non-ablative and Fraxel treatments are less invasive, but require repeated sessions. The ablative laser is more invasive and requires additional healing time.

Birthmarks. Port-wine stain birthmarks respond remarkably well to laser treatment. The abnormal blood vessels that cause these marks are reduced in size by the laser. This results in a lightening of the treated area. Skin growths, facial "spider veins," and warts also respond to laser surgery.

Pigmented lesions. In order to treat pigmented lesions or sun spots, a laser that absorbs black or brown pigment is used to destroy the unwanted cells, while leaving the healthy cells intact. Most situations take more than one laser treatment, but some respond to a single treatment.

Skin resurfacing removes the epidermis and penetrates into the papillary dermis, which responds by producing new collagen.