Minimally Invasive Anti-Aging Procedure
NON-ABLATIVE REJUVENATION (NAR)
Pulse Dye Vascular Laser
Treatment of Blood Vessels
or Wrinkle Reduction:
Non-Ablative Skin Rejuvenation is a non-surgical process that gives significant improvement in mild to moderate skin lines by combining gentle light laser treatments with Particle Skin Resurfacing (PSR). This combination of modalities gives more significant improvement in the skin, but still with minimal downtime and without concern of immediate post treatment appearance of one’s face in public. Improvement in the skin has been demonstrated both in the epidermis as well as the deeper dermal layers on histiologic studies. The results of Non-Ablative Rejuvenation procedures are much more subtle and gradual than those obtained with ablative procedures such as the Carbon Dioxide or Erbium Lasers. Non-Ablative Skin Rejuvenation aims to bypass the injury to the epidermis while stimulating collagen remodeling with dermal heating, as well as significantly improving red vessels and lesions. Achieving a satisfactory result with Non-Ablative Skin Rejuvenation requires a series of at least 4 laser treatments delivered at monthly intervals. These laser treatments combined with Particle Skin Resurfacing, require strict treatment intervals to achieve maximum improvement. Average improvement anticipated is 40-50%, and is optimal at 3-4 months following the last treatment. With any laser therapy there is a possibility for adverse effects, although they are rare. Following laser treatment, the area may continue to sting slightly or feel warm like a sunburn for a few hours or days. Applying ice packs to treated areas can alleviate any discomfort experienced following the procedure. The usual treatment session lasts 15-20 minutes.
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Pulse Dye Vascular Laser –
For Treatment
of Blood Vessels or Wrinkle Reduction:
The following information will help you to understand how the Pulse Dye Vascular Laser is used to clear your vascular lesions or other skin conditions, including some red scars. The Pulse Dye Laser can also be used for facial wrinkle reduction, also known as NAR (Non Ablative Resurfacing).
Please take the time to read this information. If you have any questions, please call the office (303) 443-2277, or IV Seasons Skin Care (303) 938-1666.
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How does the Pulse Dye Vascular Laser work?
The Pulse Dye Vascular Laser produces an intense but gentle burst of light that selectively destroys the blood vessels of your spider veins, and some other skin conditions or lesions, without damaging the surrounding tissue. After laser treatment, the skin overlying the treated area remains intact and healing occurs with new collagen formation in the deep layer of the skin. The blood vessels clot due to the effect of the laser light energy. They gradually diminish in visibility over several months.
The Pulse Dye Vascular Laser, at a wavelength of 595 nanometers, targets the red to brown color spectrum. It is reliable, safe and comfortable due to its built in cooling device which sends a burst of cool air prior to the burst of light. The operator can control the delivery of laser energy very precisely, therefore controlling purpura (bruising). Downtime post treatment is significantly reduced over other treatment modalities for similar skin conditions.
For vascular lesions, 3-5 treatment sessions 4-6 weeks apart is needed to achieve maximum improvement, and for facial wrinkle reduction 4 treatment sessions 4-6 weeks apart is recommended. The final result is not expected, and cannot be judged, for 3-4 months following the last treatment. This time line is dictated by the gradual healing of the skin due to the new collagen formation, and the obliteration of small blood vessels in the treated areas. More aggressive treatment of blood vessels, skin lesions, or skin wrinkles can cause bruising for up to 14 days. Although the more aggressive treatment may reduce the number of treatment sessions, the downtime is much more significant.
Applications for Pulse Dye Vascular Laser treatment include blood vessels, rosacea, certain types of acne lesions, sebaceous adenomas of the face, poikiloderma (the red-brown pigment in the skin of the neck), facial wrinkle reduction, stretch marks, and some red scars. For wrinkle reduction, as with other treatment parameters, the mechanism for improvement is tissue healing due to the stimulation of collagen production in the skin by fibroblasts. Wrinkles can be reduced by as much as 1/3 in many cases. The results however can be less, and are not always predictable. New collagen synthesis is maximized at 3-4 months post treatment.
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Are there other ways to
treat my vascular lesion?
Heredity, skin characteristics, activity (sedentary vs. ambulatory), pregnancy, and physiologic fluctuations in hormonal levels all contribute to the visibility, prominence and recurrence of the small vessels pre and post treatment. The primary treatment for lower extremity spider veins consists of injection with a sclerosing agent, which irritates the vessels and causes blood to clot within them. Injection therapy is to some degree self limited, in that residual vessels become smaller and smaller in diameter and are unable to be cannulated with even the smallest hypodermic needle. These types of vessels are best treated with vascular laser therapy. Some types of leg telangiectasias are best treated by vascular laser initially. Blue vessels respond poorly to laser. Facial telangiectasias are best treated with vascular laser therapy versus injection sclerotherapy, as injections into facial vessels are dangerous. Injection therapy and vascular laser treatment for lower extremity spider veins are complementary procedures whose application must be individualized to clinical circumstances and desires.
For other types of vascular lesions, such as port wine stain birthmarks, stretch marks, scars, facial spider veins or warts, some patients have tried surgery, electrocautery, cryotherapy (freezing the area) or tattooing. These procedures may result in scarring or may leave an unsatisfactory result.
Other lasers such as the Ruby Laser, Argon Laser and CO2 Laser have also been used to treat vascular lesions. These lasers are not as specific to the destruction of the blood vessels in vascular lesions and have resulted in scarring in many individuals. Because of the chance of scarring, the use of these lasers in infants and young children is not recommended.
If you have been treated by other modalities, which resulted in scarring or loss of pigment, the lesion may not respond as well with the Pulse Dye Vascular Laser therapy. The scarring or loss of pigment may become more evident after treatment with the laser.
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Are there any reasons that would not make me a candidate for Pulse Dye Vascular Laser therapy?
The Pulse Dye Vascular Laser is not recommended for patients who are darkly pigmented. Because of the increase in skin pigment, the laser will be less effective in damaging the blood vessels of the spider veins, vascular lesions, or for wrinkle reduction. It is also not recommended for tanned skin.
The depth of penetration of the Pulse Dye Vascular Laser is limited to vessels about 1.5mm in depth. Therefore, vessels deeper than this may not respond to the therapy. Additionally, blue vessels may not respond as well as red ones. Mature scars, those that are white rather than red, will also not respond to treatment.
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What should I expect from
this laser treatment?
Treatment with the Pulse Dye Vascular Laser will consist of multiple (3-5) treatments for best results. These treatments occur on an average of every 4 to 6 weeks. Individual situations may vary and it is best to discuss yours with Dr. Kuisle, or your IV Seasons Skin Care aesthetician.
The type of vascular lesion to be treated will determine the number of treatments needed. Red veins respond better than blue veins and the smaller, matting vessels will respond sooner than the vessels up to 1.5mm in size. Port wine stain lesions have more vessels to be treated and require multiple treatments, but the number of treatments is unknown in advance.
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Are there any adverse effects?
With any laser therapy there is a possibility for adverse effects. The following are adverse effects that may occur with the Pulse Dye Vascular Laser:
- The treated area may hyperpigment, or appear darker after the bruising/red discoloration heals. Normal skin color usually returns within 6 months after laser therapy.
- Scarring is a risk with the use of any laser. The Pulse Dye Vascular Laser has had no reported incidence of scarring. If the post treatment skin care instructions are not followed, this can increase the chance of scarring.
- The treated areas may show a slight depression after the laser treatments. This depression usually resolves within a few months.
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Will the laser treatment hurt?
For some areas, a topical cream anesthetic or local injection can be used if requested. The cooling device included with Pulse Dye Vascular Laser treatment automatically cools and numbs the skin prior to the laser light burst. The feeling of a laser pulse has been described as that of being snapped by a rubber band or a slight stinging sensation. Following laser treatment, the area may continue to sting slightly or feel warm like a sunburn for a few hours or days.
If a larger area is to be treated, anesthesia may be used. A small test area can be performed before the entire area is treated to evaluate your pain tolerance. Most patients tolerate this procedure without any need for anesthesia. Applying ice packs to treated areas can alleviate any discomfort experienced following the procedure.
How long will the laser treatment last?
The duration of your laser treatment depends on the size of the area you will have treated or the time allotted by Dr. Kuisle or his designated operator to perform your treatment. The usual treatment session lasts 15-20 minutes, and may be repeated at a minimum of 4 weeks intervals.
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More about
Non-Ablative Rejuvenation
Non-Ablative Skin Rejuvenation is a non-surgical process that gives significant improvement in mild to moderate skin lines with gentle light laser treatments.
This gives significant improvement in the skin, but still with minimal downtime and without concern of immediate post treatment appearance of one's face in public. Improvement in the skin has been demonstrated both in epidermis as well as the deeper dermal layers on histiologic studies.
The results of Non-Ablative Skin Rejuvenation procedures are much more subtle and gradual than those obtained with ablative procedures such as Carbon Dioxide or Erbium Lasers. Non-Ablative Skin Rejuvenation aims to bypass the injury to the epidermis while stimulating collagen remodeling with dermal heating, as well as significantly improving red vessels and lesions.
The Pulse Dye Vascular Laser produces an intense but gentle burst of light that selectively destroys the blood vessels of spider veins and heats the collagen in the skin without damaging the surrounding tissue. The blood vessels clot due to the effect of the laser light energy. They gradually diminish in visibility over several months. Skin collagen gradually renews and remodels itself to a better, more elastic and healthier structural layer, improving the appearance of fine lines and making skin appear more youthful. The Pulse Dye Vascular Laser is reliable, safe and comfortable due to a built-in cooling device which sends a burst of cool air prior to the burst of light. The operator can control the delivery of laser energy very precisely, therefore controlling purpura (bruising).
Applications for the Pulse Dye Laser treatment include blood vessels, rosacea, certain types of acne lesions, poikiloderma (the red-brown pigment in the skin of the neck), facial wrinkle reduction, and some red scars. For vascular lesions 3 to 5 treatment sessions 4 to 6 weeks apart are needed to achieve maximum improvement. For facial wrinkle reduction, four treatment sessions, four weeks apart are required. The final result is not expected, and cannot be judged, for 3 to 4 months following the last treatment.
Although more aggressive treatment may reduce the number of sessions, the downtime is much more significant. Scar and acne treatment require multiple sessions but with more variable intervals, depending upon the response.
Achieving a satisfactory result with Non-Ablative Skin Rejuvenation requires a series of at least 4 laser treatments delivered at monthly intervals. These laser treatments require strict treatment intervals to achieve maximum improvement. Average improvement anticipated is 40-50%, and is optimal at 3-4 months following the last treatment.
With any laser therapy there is a possibility for adverse effects, although they are rare. Following laser treatment, the area may continue to sting slightly or feel warm like a sunburn for a few hours or days. Applying ice packs to treated areas can alleviate any discomfort experienced following the procedure. The usual treatment session lasts 15-20 minutes.
SkinTyte offers a non-ablative approach to firmer skin. The SkinTyte procedure utilizes a broadband of light energy to deeply heat dermal collagen. This process promotes partial denaturation and contraction of collagen. The heat also initiates the body's natural healing process which creates a renewed collagen foundation leading to increased skin firmness.
Since the SkinTyte procedure is non-invasive there is no downtime so you can resume regular activities immediately following treatment. You can also apply makeup and sunscreen after each session.
SkinTyte treatments are safe for all skin types and can be performed on any area of the body where an improvement in your skin firmness is desired. Popular areas include the face, neck, abdomen, and arms.
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Estimated Costs
PULSE DYE VASCULAR LASER (595 nano m)
For “red” face For Vascular/Rosacea treatment on the face:
EACH……………………………………………………………………..…..$350.00
PACKAGE OF 4……………………………………………………….…. $1,225.00
Laser for scar reduction:
The scar must be red in appearance in order to be a viable candidate for this treatment. Three to six treatments are usually recommended.
EACH………………………………………………………………………..$140.00
\PACKAGE OF 4……………………………………………………………$490.00
Laser for acne treatment to enhance clearance of active acne breakouts:
We recommend receiving regular peels and using consistent home care for acne.
SINGLE (localized lesion)………………………………………………$100.00
PACKAGE OF 4…………………………………………………...……….$350.00
EACH (multiple lesions)…………………….…………………………….$275.00
PACKAGE OF 4……………………………………………………………$962.50

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