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Sculpting New York - Non Surgical Fat Reduction & Laser Surgery New York (NY)

Q-Switched Alexandrite Laser

Brown spots, also known as lentigines, are abnormal amounts of pigment in the epidermis creating small, brownish patches on the face, neck, hands, arms, neck and chest. Brown spots are most commonly the result of sun damage and aging.

The Q-Switched Alexandrite Laser, or the Alex laser, is specifically designed to treat pigmented lesions.  The energy from the laser is selectively absorbed by the pigment in the skin and the pigment is broken down and removed, that leaves fresh skin in its place.  This laser is also ideal for tattoo removal.

What happens during treatment?
Typically area is numbed either with a topical numbing cream or with injections.  Dr. Rokhsar then treats the area with the Alex laser.  Treatments last between five and 20 minutes, depending on the size of the area being treated.

Is there any down time?
There is no medical down time with this procedure.  Pigmented leisons may appear darker and crusted for a time and patients are instructed to keep the area moist with Vaseline.

When will I see results?
This depends on the area and type of lesion being treated.  For small brown spots, you will see full results one week after treatment and additional treatments are often not necessary.  Tattoos can take anywhere from three to ten sessions depending on the color of the pigment, age of the tattoo, and technique used to place it.

Alexandrite Q-Switched Laser: Patient Before Treatment

Alexandrite Q-Switched Laser: Before

Alexandrite Q-Switched Laser: Patient After Treatment

Alexandrite Q-Switch Laser: After















Fraxel Dual for Brown Spots
Fraxel relies on fractional laser resurfacing technology, which utilizes a laser to improve skin texture and is used to treat a variety of cosmetic and medical conditions such as acne scars, traumatic scars, fine lines, wrinkles, sun damage, and loose skin. The Dual is a non-ablative fractional thulium laser that creates micro thermal sections of damage to the brown spots to destroy the pigment and create an evenly toned surface.
Fraxel Dual is one of the three Fraxel lasers available today; Fraxel Re:store, Re:pair and Fraxel Dual. The Fraxel Dual works with two different wavelengths in order to smooth out wrinkles with one wavelength and treat scars with the other. It is similar to the Fraxel Re:store system, which involves minor redness and swelling that can will decrease with after-care protocols, while the Fraxel Re:pair is distinguished by its ability to treat tissue deep within the dermis however the treatment requires more downtime. The Dual laser is equipped with a cooling system used to eliminate the need for an assistant. With only an hour of topical numbing cream for treatment, the procedure will be complete in 15 minutes.

The micro damage stimulates collagen, a naturally occurring protein responsible for keeping the skin tight and smooth. Located in the deeper layer of skin, the dermis, collagen has the ability to partially reverse the aging process.

Dr. Rokhsar was involved in the development of the Fraxel laser in 2003 and designed many of the protocols for treatment of wrinkles, scars, stretch marks, and pigmentation currently in place. He has trained more physicians on the use of Fraxel laser for fractional resurfacing in the world than any other physician. Dr. Rokhsar worked alongside dermatologist, Dr. Richard Fitzpatrick, and were the first physicians to introduce the clinical applications of the Fraxel laser technology.

The laser works by treating microscopic sections of the skin at a time, stimulating collagen production which creates a tighter and less wrinkled skin appearance. Collagen is the key protein in the skin structure. The more collagen production is encouraged, the more youthful the skin appears to be.