Laser

Sublative Laser Rejuvenation : What To Expect

Laser Resurfacing – Heres’s the Scoop

After having  two Ablative laser resurfacing treatments over the past several years, I opted to try  Syneron’s Elos Sublative  Rejuvenation Treatment for fine lines, skin tone and texture. Sublative Rejuvenation is the newest, safest laser technology with less downtime than other laser procedures.

According to Syneron’s website, Sublative lasers deliver B-polar Radio Frequency energy  deep into the dermal layer to build collagen, treat mild to moderate wrinkles and textual irregularity with minimum down time. The treatment protocol  is for 3 treatments 4-6 weeks apart.

My Experience:

LA Dermatologist Dr. Jason Emer invited me to participate in his Sublative treatment study at the Menkes Clinic in Northern California.

I had been treated before by Dr. Emer, so I the utmost trust that my face was in skilled hands.

Sublative Treatment

After Treatment

With BioShield on My Face

With BioShield on My Face

Elos Sublative Tip

Elos Sublative Tip

After numbing for about 45-minute to 1 hour, my 1st Sublative treatment was tolerable. As part of the study, Dr. Emer used an aggressive setting and preformed 5 passes over my entire facial region. During the treatment, I held a cooling hose ( see above) to cool my face as Dr. Emer was preforming the treatment with the tip seen in the photo above. Some areas of my face were more sensitive than others during the first sublative treatment. On a scale of 1-10, the discomfort was about 34. Afterwards my face felt like I had a very bad sunburn. Not too bad, as I knew what to expect from previous treatments. If you are a newbie, be prepared to feel
a strong burning sensation on your face. Total treatment time from prep to post-laser about 1.5-2 hours. Don’t plan to go back to work after sublative rejuvenation treatments, unless the treatment is on a lower settings with less passes. But then what’s the point?

As I was driving home with a greasy face full of Aquafore, I iced my face in the car and then afterwards for the first 24-48 hours. The burning sensation does lessen over the next several hours.

Minimum downtime- no not really. If you have an aggressive treatment be prepared to be red, and slightly swollen for 2-3 days then pink and peely up to 7 days.  Peeling time was less than my other ablative laser treatments, Mixto and Pearl and healing time was faster. I could wear make-up by day 3 and face the world on day 4.  But I was still crusty and pink in some areas. Underneath my eyes I was slightly puffy for about 10 days.

My second treatment was a little more uncomfortable, especially on my forehead, temple and chin area.  There were a few times that it really hurt despite the numbing cream. Post treatment I was given a Skinceutical cooling mask, which I absolutely loved. It felt soothing, cool and fabulous. It made my drive home much more comfortable.  I also applied Jan Marini Skin Research, BioShield. I love, love this post laser product.  My healing time was shortened by a couple of days. It’s a little tricky to apply, but a must for any post-laser treatments. Worth the price of $130.00.

My third treatment felt the worst. I’m not sure why. I felt a couple of zingers that were extremely painful in the area of my forehead and chin. Had I felt these zingers during treatment #1, I may not have continued. Perhaps my skin was more sensitive in those areas, I’m not sure. Dr. Emer was not sure either what caused this. Afterwards, my skin looked and felt like all the other treatments. My recovery time for treatment #3 seemed shorter than the first two treatments. I was not as swollen as the first time, with the exception my of  mouth area which was treated more aggressively for fine lines, as part of the study.

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POPULAR TRENDS : PLASTIC SURGERY

What will be the most popular trends in 2012?

With new shows like Bridalplasty and media coverage on Mommy Makeovers.  I  predict that there will be an increase in Liposuction, Tummy Tucks, Breast Augmentation; all trending younger.  The 30- something and 40- something group is already trying Botox, Dsyport and  Xeomin and using fillers especially for lip plumping.

For nonsurgial facial rejuvenation HA Fillers, such as JuvedermPerlane, Resytane will continue to be popular. Since HA fillers are temporary, consider them a great alternative to permanent fillers. If you don’t like the look, you can always have it dissolved with a product called Hyaluronidase, which is safe to use.

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Is Pearl Fusion worth it??.. update

It has been 2 months since my laser treatment on my chest, neck and peri-oral area.  Is it worth it??

I am not going to give a definitive answer yet, however, these are my observations.

1. My chest area is still slightly bumpy, slightly pink and in the light you can still see the vertical lines from sleeping all these years on my side. It does look a little better and smoother.

2. Hardly any pink around my mouth area. I really so not see much difference here in the vertical lines. The technician was agressive in this area using both YAg and Ablative. I will discuss setting and depth in another blog post. I developed a very small hypotropic scar above my lip line, which I hope resolves. I am not sure why this happened- however, I apparently healed too quickly in this area. I also noticed that my lips looked flatter, consequently I felt like a needed to plump them.

3. My initial reaction is that Co2 Lasers are more effective in building collagen and go deeper.  This seems to be the gold standard. Cutera (http://www.cutera.com) is the manufacturer of the Pearl Fusion and it is not a Co2 Laser.  There is much controversy in the laser resurfacing arena.

So far I am not impressed with Cutera’s Pearl Fusion.  If anyone has had any laser resurfacing experience, I welcome your comments.

After Laser Resourfacing with Cutera’s Pearl Fusion

It has been 18 days since my Cutera Pearl Fusion laser resourfacing treatment of the decollete, neck and vertical lines around my mouth. Plus frown lines.

I’m using a mild facial cleanser, followed by a rich moisturizing cream. I was using a barrier repair lipid formulation which is rich and creamy.  I recently switched and am testing a new skincare cream with stem cells to see if it will speed up the healing process.  I have only begun using it, so I can not comment on this yet.

My chest is slightly pink now it looks like a I  have a mild sunburn. My sun lesions look much better and I think the texture is better. Though I really need to see my before pics to compare. It looks smoother, yet  I still have the vertical lines, which also seem less noticeable.

My peri-oral area and frown lines are  still pink too. I can cover it with light mineral make-up. I purchased Oxygenetix by Ceravitae as a foundation cover-up for $60.00. It was too dark, too thick-  I found it pasty. Not a fan.  I prefer to use my Colorscience corrector kit.  Works great and blends well.

My neck area after the Pearl is not pink.  I was very conservative with the neck because I did not want to have any problems.  The laser nurse, Jeff, used  the lowest setting of the Peral Fractionated system.  The neck skin is so thin that you can run the risk of scarring if you have an aggressive treatment. I would rather opt for another treatment in this area, than be aggressive.  I am not sure that I notice any difference here.  If there is it is only slight improvement in color, no improvement in texture yet.

My opinion at this point:

I am not wowed about Laser resourfacing with  Pearl Fusion yet!  I see slight improvement and know that over time collagen builds. I will have a much better sense by August, whether I think this is worth the money.

If you really want significant improvement Co2 laser is still probably the way to go.. however, there is a lot of downtime associated with this type of Laser resourfacing procedure.

The Pearl Fusion- is milder with quicker recovery time.

Here are my observations.

It has been 2 months since my Pearl Fusion treatment on my chest, neck and peri-oral area.  Is it worth it??

I am not going to give a definitive answer yet, however, these are my observations.

1. My chest area is still slightly bumpy, slightly pink and in the light you can still see the vertical lines from sleeping all these years on my side. It does look a little better and smoother.

2. Hardly any pink around my mouth area. I really do not see much difference  in the vertical lines above my lips.  The laser nurse was agressive in this area using both YAG and Ablative. I will discuss setting and depth in another blog post. I developed a very small hypotropic scar above my lip line, which I hope resolves. I am not sure why this happened- however,  according to one dermatologist, I apparently healed too quickly in this area. I also noticed that my lips looked flatter, consequently I felt like a little Juverderm was in order.

3. My initial reaction is that Co2 Lasers are more effective in building collagen and go deeper.  This seems to be the gold standard. Cutera (http://www.cutera.com) is the manufacturer of the Pearl Fusion and it is not a Co2 Laser.  There is much controversy in the laser resurfacing arena.

So far I am not impressed with Cutera’s Pearl Fusion.

UPDATE:

SIX MONTHS LATER

Chest:

Slight difference in pigmentation, red bumps gone. Texture shows little improvement. No improvement with vertical chest lines.

Neck: No improvement

Peri-oral area (around the mouth):

Persistant bump above the lip area. It is unclear exactly what this bump is. There have been mix-diagnosis from various dermatologists. It coud be a hypertropic scar. However, it is not conclusive. What I do know is that is developed after the laser treatment. The fine lines are around my mouth are slightly better. However, I had Juverderm injected in certain areas that appear deeper or more noticeable than before the treatment. The results of the Pearl Fusion do not appear to be uniform. Some areas are showing deeper vertical lines than other areas.

 My overall opinion is that one treatment of the Pearl Fusion is not enough if you have pigmentation and vertical lip lines. Was it worth the price?  At this time I would say no.