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Fraxel Laser
"The Fraxel Skin Laser is the only laser of it's
kind. Patients experience a dramatic repair of
Aging and Sun-damaged Skin quickly and with little to no downtime. It's truly a major breakthrough in Laser Technology."
Learn about the new Fraxel CO2 resurfacing laser
New Fraxel DUAL - with fast acting Thulium wavelength for pigmentation

"Younger
Skin, Easier"
Save $2,000 NowFraxel Series of 5 Treatments $4,000 (Regular $1200 each). Add Omnilux Healing Phototherapy for Enhanced Healing and Response Add-on Only $35 (Value $135)
Save $350 Now Fraxel Singles - $850 per single session. Omnilux add-on for $135
Free Cosmetic Consult Certificate
Over 2,500 Fraxel Procedures Performed in our Office
Fraxel Before and After Photos
News Video - Fraxel Laser For Acne Scars
Fraxel Video Links (Auto Audio)
Coverage and comfort is improved with the new Fraxel DUAL which incorporates a built in super air cooler that follows the laser handpiece. This means that deeper scars can be more comfortable and more effectively smoothed. About Acne Scars
Fraxel uses novel technology to restore your skin one small
area at a time instead of a complete removal of epidermal skin, Fraxel Skin Laser Treatment
improves your appearance by affecting only a fraction of your
skin at a time with thousands of tiny microscopic laser
spots, eliminating the need to use protective creams or gauzes. Your healing is complete in a few days with simple at-home care.

From Reliant Tech - "The results of clinical trials studying 50 subjects treated over seven months with the Fraxel SR1500 laser showed that treatment at higher energy levels with more precise focus on smaller fractions of skin had multiple benefits for patients. The procedure provided a 75 percent improvement of acne scars, surgical scars and deep wrinkles, as reported by subjects and independent evaluators. Subjects were followed for three months after their last treatment. Deeper penetration led to greater volume of tissue treated. Efficiency of the laser resulted in reduced risk of post-inflammatory hyperpigmentation, observed during the clinical trial by the overseeing physician, Dr. Zakia Rahman.
“We have seen enhanced clinical efficacy in field tests of the Fraxel Restore laser,” said Dr. Rahman. “Patients noted a comfortable treatment with virtually no interruption in their daily activities and no reported complications".
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Turn Back the Clock on Aging
After your very first
Fraxel Laser Treatment, you will begin to feel the difference in
your skin, as it gradually becomes softer, smoother and fresher.
Fine lines around your eyes will noticeably fade. So will uneven
coloring and the brown spots caused by aging and sun exposure.
The results are natural-looking with no demarcation lines, long-term redness or
the "shiny" face look that was common with older lasers.
After several
treatments, your friends and colleagues will remark on how youthful
and healthy your skin looks. Unless you tell them you've had laser treatments, they'll never know.
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Fraxel for Sun Damage, Pigmentation and &
Wrinkling |
Fraxel Laser Treatment
produces thousands of tiny but deep
columns of treatment in your skin, known as MicroThermal
Zones. This treatment eliminates old epidermal pigmented
cells. It also penetrates deeply into the dermis. Just as
important, though, are the areas of skin the Fraxel laser leaves
untouched.

The Fraxel laser is so precise that it penetrates the
non-living, protective barrier of the skin, called the stratum
corneum, as if it were a window and leaves it completely
intact.
For every microthermal zone the laser targets and treats
intensively, it leaves the surrounding tissue unaffected and
intact. This "fractional" treatment" allows the skin to
heal much faster than if the entire area were treated at once,
using the body's natural healing process to create new, healthy
tissue to replace skin imperfections.
Areas and Problems treated by Fraxel:
- Face - Surface wrinkles,
brown spots, pigmentation and roughness
- Face - ACNE SCARS FDA Approved
- Face, neck and chest - Acne scars
- Neck -
Wrinkles and pigmentation
- Chest - Sun damage,
wrinkles, freckles, brown spots
- Hands - Age spots, weathered
appearance
- Arms - Age spots, rough skin,
actinic keratoses
- Any Body Location - Surgical
Scars
Fraxel for Acne Scars has become one of the most effective treatments available. By disrupting and re-organizing collagen, the skin surface is smoothed considerably. Acne scars, old and new, respond equally well.
The new Fraxel Restore DUAL is especially adept at treating acne scars with minimal discomfort and maximum results.
View Dr. Pilest's
Acne Scar Patient-in-Progess
Before starting
treatment, Dr. Pilest will discuss which area(s) of your skin is
appropriate for treatment, what kind of results you can expect,
what to look for after treatment, and how often treatment will
be scheduled. Because Fraxel™
Laser Treatment spares healthy tissue, it is effective even on
delicate skin areas, such as the neck, chest and hands.
Through a systematic gentle resurfacing of the skin, Fraxel removes even stubborn melasma and has FDA approval for that particular condition. A series of comfortable laser treatments resurfaces 20 to 25% of the treated area each time.
The most ffective treatment regime is a series of
five treatments, spaced from 2 to 4 weeks
apart. However, treatment plans can be very flexible and
effective, even spaced by weeks or months if that best meets the
patient's needs. By design, each treatment session targets
between 20-25% of the skin's surface, depending on the clinical
parameters selected. This assures a quick skin recovery time and rapid healing. Results are immediate and progressive.
Optimal improvement is usually visible in about two to three
months. Fraxel Website

Source: Reliant Technologies
Preparing for Treatment
Fraxel Laser Treatments can be performed
right in the Total Dermatology office using only topical
anesthesia in most cases.
Treatment is well tolerated and feels like a prickling
sensation. The
treatment area will be thoroughly washed prior to the procedure.
then a layer of topical numbing gel is applied. Once the the numbing
gel has taken effect,
a clear gel is
applied to the treatment area and your Fraxel Treatment begins.
With the latest Roller Tips and sophisticated software, no blue
dye is needed.
During Treatment
Dr. Pilest will glide the laser
hand-piece across the area to be treated...face, neck, chest,
hands or desired treatment location. A special cooling device
will blow chilled air across the skin as it is being treated. As
the hand-piece delivers the laser energy in tiny "dots", you
will feel a heated prickling sensation and hear a sound from the
machine that resembles radio static. In about 30 minutes, you're
done.

What Happens After Treatment
You will experience a mild sunburn
sensation for about an hour and then virtually no discomfort.
The skin
will have a pinkish tone for
five to seven days. This is a normal sign that the skin is
healing deeply,
that dermal tissue is being repaired, and there is good blood
circulation. Swelling is minimal and generally resolves in two
to three days.
You may
apply make-up or shave soon after treatment.
Typically patients find they can go back
to work soon after treatment or the next day. Some patients may
wish to use Lycogel instead of regular makeup for its special healing and camouflage properties.
What
Happens When You go Home
New epidermal skin develops immediately,
within 24 hours. This process of skin repair involves:
Bronzing:
Your skin will have a bronze appearance
that lasts anywhere from three to 14 days, depending on the
treatment level.
Flaking:
Your skin will naturally and vigorously
exfoliate as the reorganized epidermal skin replaces dead
tissue. Flaking is similar to that of minor sunburn, but
without the associated pain. Use of a moisturizer will mask
the appearance of flaking.
Over the following weeks and
months, the body repairs the deeper dermal
tissues that have been affected by the Fraxel treatment,
producing longer beneficial changes associated with a healthy,
youthful appearance.
Sunscreen: Be sure to use
sunscreen at least twice daily to protect your skin from sun
exposure during both the healing phase and for several months
after treatment. Apply a moisturizing sun block with an SPF of
at least 30-plus.
For added protection, use wide-brimmed hats when in direct
sunlight.
Safety-FDA approved
The Reliant Technologies Fraxel Laser
System is cleared by the FDA for dermatological procedures
requiring the coagulation of soft tissue and for treatment of
periorbital wrinkles and pigmented lesions.
FDA approval for effective
treatment of Melasma, Periorbital Wrinkles, Acne Scars, Surgical
Scars, Pigmented Lesions and Skin Resurfacing.
Fraxel News Videos
Treatment Results Page
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Fraxel is often combined with the following Treatments:
Thermage for
tightening and firming skin and reducing wrinkles
Botox
for relaxing furrows,
frown lines and crows' feet wrinkles
Cosmelan DePigmentation Program
for resistant
pigmentation of chloasma and melasma
Skin Rejuvenation Treatments such as
Obagi or
Chemical Peels
Fotofacial (IPL)
for diffuse sun-induced hyper-pigmentation
Photo Dynamic Therapy
for actinic keratoses and
resistant acne and scarring
Vbeam Laser
for veins
and redness
Dermal Fillers such as
Restylane,
Juvederm
, Prevelle Silk
and
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2010 © Total Dermatology is one of Southern California's top laser dermatology centers offering
laser treatments for
sundamage,
pigmentation,
acne and acne scars
and
Fraxel CO2 laser for 3 in 1 skin rejuvenation. A Nonsurgical Nose Job is possible with simple injections of Radiesse.
Dr. Pilest, a Board Certified dermatologist and one of Orange County's most
popular cosmetic dermatology specialists, offers patients in Orange County a wide variety of
wrinkle fillers such as
Restylane,
Juvederm,
Cosmoderm and Cosmoplast,
Radiesse (also known as Radiance), and
Sculptra. Dr. Pilest treats patients from the Newport Beach, Irvine, Laguna Beach, Laguna Hills,
Tustin, Mission Viejo and Orange County area as well as cities throughout California, the United States and abroad.
He is recognized as a master level injection specialist and is a national
teaching faculty member for Bioform Medical. Dr. Pilest is well known for his
expert treatments in managing
Rosacea,
acne, and
hyperpigmentation.
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