Lasers are powerful tools that can provide amazing benefits to skin. Dr. Guida has been using lasers to improve a variety of skin conditions since the inception of his practice. Click here to read more about Dr. Guida’s experience and laser team.
Laser Skin Resurfacing & Wrinkle Reduction
Laser skin resurfacing can significantly reduce wrinkles, fine lines, and pigment irregularities caused by sun damage to the skin. A tired looking, sun damaged face can obtain an entirely new, fresh look with healthy, glowing smooth skin. There are different levels of laser resurfacing available, depending on the patient’s condition, the level of “down time” or recovery period a patient can tolerate, and cost. Nonabalative skin resurfacing leaves the outer surface intact while treating and tightening the deeper layer known as the dermis. There is very little down time with nonablative laser resurfacing. Ablative laser resurfacing is the most effective way to resurface facial skin (see link to fractional CO² laser resurfacing on website). A CO² laser is used to exfoliate the dead outer layer of skin (epidermis) and also tighten the deeper dermis, giving a more youthful, fresher look to the skin. Dr. Guida can help you decide which option is best for your skin type.
Laser Skin Rejuvenation
These treatments are often referred to as nonablative laser resurfacing, because there is no real removal of the outer dead layer of the skin, the epidermis, during the treatment. A laser or special light is used to selectively heat up the collagen in the dermis (deeper layer of skin) to stimulate collagen remodeling. The superficial part of the skin is spared; therefore, there is no injury to the outer layers of skin. This means that there will be no break in the surface of the skin. This is called nonabaltive skin resurfacing.
Nonsurgical Skin Tightening
Many patients want to tighten the skin of their face, tummy, chin or neck but do not want to be bothered with the time, expense and anesthesia associated with a surgical procedure. Noninvasive skin tightening with the Titan offers an excellent alternative. The Titan is an FDA approved nonsurgical tissue tightening treatment offered in our office requiring no anesthesia and no downtime.
Laser Scar Revision
Advanced laser technology allows for superior means of reducing appearance of scars that are the result of acne, accidents, or previous surgery. There are several options when using lasers to improve the appearance of scars. Some scars are thick and raised, often referred to as “keloids”. Others are wide and red, and some can be flat and lighter in appearance than the surrounding skin. The CO² laser can smooth out acne scarring, reduce the elevation or thickness of a thick (hypertrophic) or keloid scar as well as even out the edges of a depressed or raised scar relative to the surrounding normal skin to help it blend in better. If a scar is red, a Nd:Yag laser, the Laser Genesis, is used to treat the blood vessels and inflammation of the scar, making it significantly less noticeable. Often these procedures can be done simply with topical anesthesia or a local anesthetic with no down time. Afterwards, the area may be light pink for a few weeks and is easily covered by makeup. Dr. Guida and his laser team will need to evaluate the scar to determine if surgical scar revision or laser surgery is the best course of action.
Laser Brown Spot & Pigmented Lesion Removal
Laser therapy for pigmented lesion allows for safe, effective treatment of pigmented lesions, sun damaged skin, brown aged spots, freckling, and melasma (mask of pregnancy). Laser technology has advanced to the point of being able to remove pigmented lesions and age spots safely without damage to surrounding normal skin, yielding fresher, smoother, clear looking skin.
Most often this treatment requires no anesthesia except for occasional use of topical anesthetic cream. After treatment, the area may be red and slightly swollen. Cool compresses after the procedure are comforting and help reduce swelling. Occasionally a light crusting will develop requiring coverage with an antibiotic ointment. This usually heals in a several days. The laser heat breaks up the pigment in the skin and it may take several days to a few weeks for the lesions to fade. Often, one treatment will successfully remove the pigmented lesion. However, there are times when several treatments are needed depending on the number, size, and color of the lesion(s). There are several lasers we currently use, depending on the nature of the pigmented lesion. Dr. Guida and his will decide which modality is most appropriate.
Laser Removal of Veins & Vascular Lesions
What type of lesions can the vascular laser treat?
Vascular Laser Therapy allows for safe, effective treatment of broken, dilated and unsightly leg veins, facial spider veins, birth marks such as hemangiomas and port wine stains, as well as Rosacea and other unwanted vascular lesions such as cherry angiomas or red spots which can appear anywhere on the body.
- Leg Veins up to 3.5mm in size can be diminished or removed with the use of laser. The laser treats these vessels noninvasively and without the use of painful needles. Recent laser vein therapy has been found to be the most effective method to treat this condition.
- Facial Spider Veins is a common ailment that makes your complexion appear to be red. While this condition is typically hereditary, it also can be caused by excessive sun exposure or by certain medications. Treatment with laser usually involves two to three treatments and there is no down time.
- Port-wine Stains is a condition where the skin is purple or red (usually from birth). This condition is now treated using laser to gradually reduce the lesion until it completely is gone. Minor pain combined with no downtime has made this the most effective laser therapy available.
- Hemangioma/Angioma’s are small, red spots that can appear anywhere on the body. Using a deeper penetrating laser these spots can be removed in one to two sessions. The lesions can be treated in adults as well as infants with congenital hemangiomas.
A specific laser is utilized to selectively heat up and remove the hemoglobin in the blood of the vascular lesion without with damaging the surrounding tissue and skin, thus decreasing risk of scarring. These treatments are done in Dr. Guida’s office and generally do not require anesthesia except for occasional use of topical anesthetic cream. The treated area may be red and slightly swollen right after treatment. You can resume normal activities immediately after treatment with light make up application, if needed. Sometimes, redness and bruising can occur at the treated sights and this will resolve over several days. Often, one treatment will successfully remove the vascular lesion or vein. However, there are times when several treatments are needed depending on the size and color of the lesion.
There are several lasers we currently use, depending on the nature of the vascular lesion. Dr. Guida and his laser team will decide which modality is most appropriate.
Laser Hair Removal
Dr. Guida has been using the Lyra laser exclusively for laser hair removal for over ten years because of its increased effectiveness in hair removal and its ability to be used on all skin types, from very dark skin, to suntanned skin to white skin with no pigmentation. He believes that Lyra laser is the most advanced approach to laser hair removal available today. The Lyra is the first and only treatment for pseudofolliculitis barbae (commonly called razor bumps or shaving bumps) that has been cleared by the FDA. In addition, it is FDA approved for treatment of all skin colors and the first hair removal laser that can be safely used on tanned or darkly pigmented skin. Click here for laser hair removal frequently asked questions.
Laser Tattoo Removal
Laser technology allows for safe, effective treatment of virtually any tattoo, from a simple single-colored tattoo to complex, multi-colored tattoos. Laser technology allows for a progressive fading and potential disappearance of the tattoo with no resulting scarring or blemish. Laser treatments for tattoo removal often require either an injection of local anesthetic or application of a topical anesthetic cream. Once the treatment is complete, an antibiotic ointment and bandage is placed. After the treatment, the area may be red and slightly swollen. Cool compresses afterwards are comforting and help reduce swelling. A small amount of bleeding and light crusting may occur, requiring coverage with an antibiotic ointment and bandage. This usually heals in a few days. It may take a week or so for the crusting to heal. You can resume normal activities immediately after treatment.
There will be significant fading after 1 to 2 treatments. Your individual skin type, color of tattoo, and type of inks used all determine how many treatments will be needed for near total fading of the tattoo. Often as many as 5 – 8 treatments may be needed for near total fading. There are cases when the tattoo can be completely removed with laser treatments. Frequently, most of the tattoo is faded and difficult to see after adequate treatment.
Due to the nature of certain tattoo ink, variability of placing tattoos worldwide, and different skin types, it is impossible for Dr. Guida to accurately predict exact number of treatments for a satisfactory end point of treatment. Though uncommon due to advanced laser technology, risks and potential complications do exist and include, but are not limited to, incomplete removal of all pigment, infection, scarring, and alterations in pigment of skin after treatment.
If you would like to know more about our Laser Services, please call us at 212.871.0900 or Click Here to request an appointment.