20 Oct LightPod Neo Laser Effective on Acne and Acne Scars

Laser therapy is an excellent alternative to topical and oral acne treatments.

Available at Sieveking Plastic Surgery in Nashville, Tennessee, The LightPod Neo, long used by physicians to successfully treat acne scars, has been FDA approved for acne treatment. This multi-purpose laser can be used to control acne and reduce the look of redness and scarring.

Acne blemishes and acne scars are common skin conditions that can affect patients of all ages and sexes.

Acne can have a significant effect on one’s physical appearance and mental well-being. While there are a multitude of treatment options available on the market, each offers its own advantages and disadvantages. Depending on the severity of the acne, some treatments may prove more successful or suitable than others. In cases where topical creams are irritating or ineffective, and oral medications are not a suitable or desirable option, laser therapy is a promising alternative.

The LightPod Neo is an FDA approved laser that can be used on both acne and acne scars.

The LightPod Neo uses MicroPulse-1064 technology to deliver 15000 watts of power in small, controlled bursts of 0.65 milliseconds that effectively destroy acne bacteria in the sebaceous glands, reaching the deeper layers of the skin. Its patented cooling system helps keeps patients comfortable while reducing the risk of damage or irritation to other areas of the skin. The laser hand piece does not come into contact with the patient’s skin, making it a well-tolerated and hygienic treatment that can be used on even the most sensitive skin.

The LightPod Neo offers dramatic results in the treatment of mild to moderate inflammatory acne vulgaris.

The LightPod Neo can be used to treat acne and scars on the face, and is also ideal for use on larger areas, such as the back and chest. There are fewer side effects associated with the laser than with topical and oral medications, and significant improvement can be seen soon after several treatments. The procedure is non-invasive, and no downtime is required. The laser can also be used to stimulate the production of collagen, thereby further improving the tone and texture of the skin. Blemishes and scars will be reduced, as will any redness or unevenness.

Laser therapy is an innovative and effective treatment choice against acne and acne scars.

The LightPod Neo laser offers both patients and physicians many advantages over other forms of treatment. Patients benefit from clearer skin, reduced redness, and diminished scars, without having to deal with the side effects of oral or topical treatments. With the LightPod Neo, physicians gain a multi-purpose tool that can be used in combination with other therapies to ensure maximum results that can be tailored to meet each patient’s individual needs.

Contact Dr. Nicholas Sieveking

To learn more about the LightPod Neo, or to schedule a skin rejuvenation consultation, please contact Dr. Nicholas Sieveking in Nashville, Tennessee today. Our knowledgeable staff will be happy to assist you in any way we can.

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14 Sep PicoWay Laser Tattoo Removal – Nashville TN – Frequently Asked Questions

PicoWay Laser Tattoo Removal FAQ’s.

1. What is the PicoWay Laser System?

Available at Sieveking Plastic Surgery in Nashville, Tennessee, PicoWay is a remarkably innovative dual wavelength picosecond laser from Syneron Candela. PicoWay enables removal of multi-colored tattoos, recalcitrant tattoos and benign pigmented lesions on any skin type. PicoWay’s unique mode of action is based on delivering ultra-short picosecond pulses of energy to the tissue. These bursts of energy create a photo-mechanical impact which breaks up the tattoo ink or pigmentation into smaller, more easily eliminated particles.

2. What are the advantages of PicoWay?

PicoWay is the world’s first and only dual laser device with proprietary PicoWay technology: • Dual wavelengths – 1064 nm & 532 nm wavelengths in one laser system • Treat the widest range of tattoos – 2 wavelengths to treat most tattoo colors & types, including recalcitrant tattoos • Treat dermal and epidermal pigmented lesions – Large spot sizes enable deep penetration when needed • Highest peak power – For effective energy over the broadest range of spot sizes • Shortest picosecond pulses – 40% shorter picosecond pulses mean effective, yet lower energy for less risk of side effects

3. Why is PicoWay the best picosecond laser on the market?

PicoWay’s unique, proprietary mode of action has the highest peak power and shortest pulse duration of any picosecond device on the market for superior efficacy, safety and comfort. PicoWay’s ultrashort pulses enable the strong photoacoustic impact needed to fracture pigment particles using lower fluences, for better clearance in fewer treatments. PicoWay’s novel design architecture enables PicoWay to be robust, reliable and scalable for future application developments.

4. Why is PicoWay better than traditional Q-switched lasers?

Q-Switch technology requires numerous treatment sessions, causes significant discomfort during treatment and, in many cases, incompletely removes tattoos and pigmented lesions. Picosecond technology, has ultra-short pulse durations, 100 times shorter than Q-switch lasers, and in the trillionths of a second. These bursts of energy create a photoacoustic impact which breaks up the tattoo ink or pigmentation into smaller, more easily absorbed particles. PicoWay’s unique, proprietary mode of action has the highest peak power and the shortest pulse duration of any picosecond device on the market for superior efficacy, safety and comfort. PicoWay is the answer physicians are looking for to combat the reluctance patients may have to treat tattoos or more complex pigmented lesions.

5. What are the indications for PicoWay laser treatment?

PicoWay is indicated for the treatment of tattoos and benign cutaneous pigmented lesions. The decision to treat with laser therapy should be based upon appropriate diagnostic evaluation and consideration of all patient factors.

6. What types of pigmented lesions can be treated?

Pigmented lesions that can be treated with PicoWay include, but are not limited to the following: Laser Skin Toning, Solar or Senile Lentigines, Freckles (Ephelides), Café au lait, Nevus of Ota, Beckers Nevus.

7. What types of tattoos can be treated?

Many kinds of tattoos can be treated including professional, amateur, traumatic and even recalcitrant tattoos. Recalcitrant tattoos are tattoos that have been proven to be resistant to nanosecond laser treatment.

8. What are the wavelengths for PicoWay?

With the 532 nm and 1064 nm wavelengths for the system, laser irradiation is selectively absorbed by the targeted pigment with minimal effect on the surrounding tissue. This is accomplished by careful selection of the wavelength that yields maximum absorption by the target and minimum absorption by surrounding skin structures. In addition, the laser pulse duration is controlled to be equal to or shorter than the thermal relaxation time of the target, to minimize heat transfer to surrounding tissues. PicoWay’s dual wavelengths enable removal of multi-colored tattoos, recalcitrant tattoos and benign pigmented lesions on any skin type.

9. Is the treatment safe for all skin types?

Yes, PicoWay treatment is indicated for all skin types. Ideally, the wavelength selected for eradication of the tattoo should be highly absorbed by the tattoo pigment and only minimally absorbed by other chromophores in the skin. Absorption of radiation by most pigments in amateur and professional tattoos is strong in the near-infrared region of the spectrum. By contrast, the surrounding melanin has a very broad absorption band throughout the ultra-violet, visible, and near-infrared regions of the spectrum, with absorption of light greatest in the ultraviolet, and least in the near-infrared. Other chromophores in the skin, such as hemoglobin and oxyhemoglobin, should have little to no absorption of light within the selected wavelength. The 532 nm and 1064 nm wavelengths produced by the PicoWay laser have been carefully selected to utilize the difference in absorption for the treatment of tattoo pigments. Treatment of tattoos can therefore be performed with minimal adverse effects on normal skin structures.

10. What is the effect of the pulse duration on the efficacy of tattoo removal?

To be effective, the laser pulse duration should be shorter than the thermal relaxation time of the target absorbing the laser radiation to confine the thermal damage and spare surrounding skin structures. PicoWay’s ultra-short picosecond pulse enables the strongest photoacoustic impact needed to fracture pigment particles into smaller particles than other lasers, using lower fluences, for better clearance in fewer treatments. The relaxation time of a target is determined by its size. Fragmenting the absorber into smaller particles enables the phagocytes to more effectively dispose of the fragmented particulates. Because the wavelength and pulse duration of the laser are closely controlled, treatment of pigmented lesions and tattoos can be achieved with minimal energy densities, reducing the possibility of adverse effects on adjacent normal skin structures.

Contact Dr. Nicholas Sieveking

To learn more about PicoWay Laser Tattoo Removal please contact Dr. Nicholas Sieveking today in Nashville, Tennessee. Our knowledgeable staff will be happy to assist you in any way we can.

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16 May Thermi Laser Treatment, is it worth it? General feedback and reviews from around the country

Thermi Laser – Skin Care Treatment in Nashville, TN

I Like my Photos Again – Plymouth Meeting, PA

For the past year or two, I have hated every picture I’ve been in. My neck/chin looked awful. I have been a patient of Dr. Allan Wulc’s in Philadelphia for years (fillers/Botox) but I wasn’t ready for surgery. He suggested an in office treatment he just started doing called ThermiTight. WOW.   Thank you.

40 Year Old Mom. In Good Shape, but Had Lax Skin in Jowls and Neck. – Scottsdale, AZ

I was given the opportunity to try ThermiTight for my neck and jowls. Wow!!! So far, I am only a little past a month post treatment and my “turkey neck” is almost gone. My jowls are tight against my jaw line now. I am told the 3 month mark is the WOW moment. I can’t imagine it even getting any better.  Its already amazing.

ThermiTight Took 10 Years off my Face & Neck.. – Raleigh, NC

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06 Nov Going Deeper, a New Approach to Skin Tightening with Thermi

We found this fabulous article about skin tightening from Thermi.com.  Check it out:

Going Deeper, a New Approach to Skin Tightening: Integrating the Use of Skin Thermal Imaging with Subsurface RF Probe Feed Back Loop Heating Douglas Key, M.D.

Background and Objectives
The true target of skin tightening is not just the dermis, but the deeper structures of the hypodermis and fascia. Current methods of laser, ultrasound and radiofrequency (RF) skin tightening are transdermal, and as such are limited as to depth. This study evaluates the safety and efficacy of a method of structural tightening of the skin using a subcutaneous placed radiofrequency (RF) probe guided by Thermal Image Monitoring (TIM).

Study Design and Methods

  • A retrospective analysis of 35 patients was completed on patients having undergone the new procedure ThermiTight™ for submental and jowl tightening.
  • Treated sites included underchin and jowls. Neck banding and jowl laxity were pre-marked along the points of greatest severity.
  • Photographs taken at baseline and between 60 and 180 days post-procedure were assessed by three blinded reviewers. Theywere randomly asked to sort order of sequence of treatment and to rate the photographs using a 4.0 skin laxity scale*.
  • A t-test for paired samples evaluated the mean difference between baseline and post-procedure skin laxity severity scores.  Bland-Altman statistics analyzed the reported mean change in laxity severity scores between each blinded reviewer.

Results
Of the study population, 72.4% of subjects demonstrated a clinical improvement in skin laxity based on combined reviewer laxity scores. Forty-six percent of subjects reported an improvement of one grade or more.

Conclusions
Blinded reviewers reported a statistically significant improvement in skin laxity severity scores. The procedure is shown to be a safe and effective strategy for comprehensive 3-dimensional skin contracture of the jowl and submentum.

The prior existing approaches to non-invasive treatment for skin laxity are transcutaneous thermogenesis – achieved using ultrasound, radiofrequency, or light. These approaches use heat to promote neocollagenesis, denaturation of collagen cross-links, activation of wound healing pathways, contraction of collagen, and increase in collagen fibril size. The clinical results of current transdermal energy delivery are attenuated by factors such as depth, and variably influenced by pigmentation and water content of the skin. These are critical limitations as the collagenous structure of the subcutaneous and underlying superficial fascial compartments are extremely important in restoring the three-dimensional quality of skin we call tightness.

A newly emerging approach that provides precise and controlled subdermal heating in a 3-dimensional approach is “smart” thermistor-controlled subsurface skin tightening.  His approach uses a percutaneous treatment probe to administer radiofrequency-induced heating to all three structural compartments of the skin – dermis, subcutaneous and fascial. Subsurface temperatures are monitored and controlled by a thermistor integrated at the distal tip of the handpiece. Concurrently, epidermal temperatures are monitored using an infrared camera system. Therefore, both dermal and subsurface collagenous tissue reaches therapeutic temperature thresholds necessary for collagen remodeling.

Treatment entry points were created on the left and right lateral sides of the neck just inferior to the jowl, and left and right paracentral in the submentum, immediately superior to the apex of the platysmal bands. Each patient was infiltrated with preheated tumescent solution (37oC) containing 0.17% lidocaine and 1:600,000 epinephrine. A blunt 10 cm long, 18 gauge, percutaneous treatment probe was inserted at an angle nearly parallel to the dermal plane. The distal end of the treatment probe administered the radiofrequency, which possessed a temperature sensor that initiated an automatic feedback loop to allowed surface heating to occur only with the range of default temperature settings. The probe was guided at a deliberate pace, treating a surface area of 3.0 cm2 every two minutes. The clinical endpoint was an epidermal temperature of 42oC, not to exceed 45oC, as measured by a FLIR infrared imaging system. Continue reading.

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