LASIK Eye Surgery

One of the most popular ways to correct vision is with a procedure called LASIK (laser in-situ keratomileusis), which uses a laser to change the curvature of the cornea (outer window of the eye). LASIK has quickly become the procedure of choice for most patients because they recover quickly
and have fewer side effects and complications than with other methods of vision correction. In fact, most LASIK patients notice a significant improvement in their vision soon after surgery. LASIK removes tissue within the cornea to treat low to high levels of nearsightedness, farsightedness and astigmatism.

To treat nearsightedness, the steep cornea is made flatter by removing tissue from the center of the cornea. This moves the point of focus from in front of the retina to directly on the retina.


Treating nearsightedness,
the cornea is made flatter

To treat farsightedness, the flat cornea is made steeper by removing tissue outside of the central optical zone of the cornea. This moves the point of focus from behind the retina to directly on the retina.


Treating farsightedness,
the cornea is made steeper

To treat astigmatism, the cornea is made more spherical — like a basketball instead of a football. This eliminates multiple focusing points within the eye and creates one point of focus on the retina. Astigmatism can be treated at the same time as nearsightedness and farsightedness.


Treating astigmatism,
the cornea is made more spherical

LASIK is for those who:

  • want to reduce or eliminate their dependence on glasses or contacts
  • are at least 18 years of age
  • have had a stable eye prescription for at least one year
  • have no health issues affecting their eyes
  • have no signs of glaucoma or cataracts

What to expect on surgery day

You will arrive at the laser center about half an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye. Anesthetic eye drops will be used to numb your eyes; no injections or needles will be used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.


The area around your eyes will be cleaned and
a sterile drape may be applied around your eye

Next, a laser called a Femtosecond laser will create a hinged flap of thin corneal tissue, and your doctor will gently fold the flap out of the way. During this process, you may feel a little pressure, but no pain. You will then be asked to look directly at a target light while the laser reshapes your cornea. The Excimer laser will be programmed with the information gathered in your pre-operative exam. The laser treatment will be completed in less than a minute or two, depending on the amount of correction needed. To finish the procedure, the protective layer will be folded back into place where it will bond without the need for stitches.

Following your procedure, your eye(s) will be examined with a slit lamp microscope. Then you will be given additional eye drops, and your eyes may be shielded for protection. Your vision will probably be a little blurry at first, so someone will need to drive you home. You should relax for the rest of the day. You may experience some discomfort for 12 to 24 hours, but this is usually alleviated with an over-the-counter pain reliever. Some people experience sensitivity to light, and watering or swelling of their eyes for a few days following their procedure.


Following your procedure, your eye(s) will
be examined with a slit lamp microscope
You will be asked to come back the next day for another examination of your eye(s). Most people can actually see well enough to drive the next day but it’s best not to drive until you have been examined. You should be able to resume your normal activities the day after surgery.
Vision can fluctuate for up to six months, but most people can see well enough to pass a driver’s license vision exam following their procedure.

Realistic expectations

The decision to have LASIK is an important one that only you can make. The goal of any refractive surgical procedure is to reduce your dependence on corrective lenses. However, we cannot guarantee you will have the results you desire. The vast majority of our patients are extremely happy with their vision after LASIK and can do most activities without dependence on corrective lenses.

Serious complications with LASIK are extremely rare. LASIK is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Many of the risks and complications associated with this procedure can be reduced or eliminated through careful patient selection and thorough pre-operative testing using the latest diagnostic technology.

After LASIK, you may experience some visual side effects. These visual side effects are usually mild and diminish over time. But there is a slight chance that some of these side effects won’t go away completely, such as feelings of dryness, glare and halos.

Since everyone heals somewhat differently, some patients may over react to the procedure and some may under react resulting in overcorrections and undercorrections. Once the eye has stablized (3 to 6 months) you and your doctor can discuss whether a re-treatment could help fine tune your vision if you are over or under corrected.

After a thorough eye exam, you and your doctor will determine if LASIK is an option for you. If you are a good candidate, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Eyelid Surgery

Blepharoplasty

Through modern techniques and advances in an eyelid rejuvenation procedure called blepharoplasty, your doctor can help restore a more youthful, alert and healthy look to your droopy eyes. Sometimes referred to as a “mini face-lift,” blepharoplasty has become one of the most popular cosmetic procedures for both men and women because of its high level of patient satisfaction. Blepharoplasty can be performed on both the upper and lower eyelids.

Blepharoplasty is for those who:

  • Have eyelids encroaching on their field of vision
  • Want to reduce loose skin over their eyes or bags under their eyes

Before and After Pictures

D. Reske P1 8-4-11Before-sm
D. Reske P3-20-12After-sm
D. Cooper P2 6-23-11Before-sm
D. Cooper P11-1-11After-sm
Before
After
Before
After
B. Johnson P3 8-2-11Before-sm
B. Johnson P10-25-11After-sm
C. Hildebrand P2 6-7-11 Before-sm
C. Hildebrand P1-12-12After-sm
Before
After
Before
After

Before surgery

Your doctor will evaluate the condition and health of your eyes. Specifics regarding your vision, tear production, use of contact lenses, use of medications and personal expectations will be discussed. This information, along with other factors such as age, skin type and ethnic background will allow both you and your surgeon to come to a mutual decision. A plan will be discussed regarding the surgical technique, amount of surgery and type of anesthesia to be used.

What to expect on procedure day

You will arrive 30-60 minutes prior to your procedure. Once you have been checked-in and settled comfortably, you will be prepared for surgery. Blepharoplasty is generally performed using a local anesthetic. You may be given a mild sedative to help you relax.

If you are having surgery performed on your upper eyelids, your surgeon will remove the excess skin, muscle and fatty tissue that have accumulated in the inside corner of your eye, next to your nose. The incisions will be made along the natural folds in your skin so that as the incisions heal, they become difficult, if not impossible to see.

If your surgery is on your lower eyelids, your surgeon will make the incision inside or behind the eyelid (providing there is not too much excess skin). This technique is called a transconjunctival blepharoplasty, which allows the removal of fatty deposits while avoiding the need for an external incision. If you have excessive skin or muscle folds below the eye, an incision may also be made just below the base of the eyelashes. As this incision heals, the fine scar should become barely visible.

After the procedure you will need to have someone drive you home. You may experience some bruising and swelling for a week to a month after the surgery, longer in some cases. Cold compresses and head elevation will help reduce these effects. Your doctor may also recommend eye ointments and/or eye drops to keep the eye moist and clean.

Postoperative discomfort is usually relatively mild, but your eyes may feel sticky, dry and itchy for a week or so after the procedure. You will need to take special care in cleaning around your eyes for the first week or two.

Stitches are usually removed within five to ten days after surgery. Self-absorbing stitches will dissolve on their own. Make-up or sunglasses may be used to camouflage temporary bruising after the stitches are removed.

Expectations

The decision to have blepharoplasty is an important one that only you can make. The vast majority of our patients are extremely happy with their appearance after blepharoplasty, however, we cannot guarantee you will have the results you desire. Although the positive effects on your appearance from having blepharoplasty are immediate, your results will not be considered final for up to a year as the healing process continues.

Serious complications with blepharoplasty are extremely rare, but like any surgical procedure it does have some risks. If you decide that blepharoplasty is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Blepharoplasty is generally considered a cosmetic procedure and most insurance companies will not pay for the procedure. However, if your eyelids are encroaching upon your field of vision, the procedure may be covered as “medically necessary” surgery. We would be happy to contact your insurance carrier to determine if they cover the procedure.

Eyelid Malposition – Entropion & Ectropion

Two of the most common forms of eyelid malposition are entropion and ectropion.

Entropion

Entropion is the inward turning of the eyelid, usually the lower, causing the lashes to rub against the cornea (the clear surface of the eye). Patients complain of eye pain, excessive tearing, redness and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and some vision loss.

Causes of Entropion

Laxity of eyelid tendons combined with weakening of muscles with age commonly cause entropion, although it could also occur as a result of trauma or scarring.

Ectropion

Ectropion is an outwardly turned or sagging lower lid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.

Causes of Ectropion

Common causes of ectropion include age-related tendon laxity, trauma, scarring, or facial nerve paralysis associated with Bell’s Palsey.

Treatment

Initially, lubrication drops or ointments may give temporary relief from the irritation caused by entropion and ectropion; however, surgical treatment is usually the only long term solution.

Anesthesia

Entropion repair is normally performed on an outpatient basis under a local anesthesia.

Recovery

This surgery is usually performed on an outpatient basis, so you will go home the same day. There is minimal discomfort after the procedure. You may experience blurred vision, which should last under 24 hours. Ice packs are recommended for the first two days while bending and heavy lifting should be minimized. Swelling and bruising around to eyes lasts for seven to ten days. Most patients can return to work after one week.

Argon Laser Trabeculoplasty (ALT)

Laser surgery has become increasingly popular as an intermediate step between drugs and traditional glaucoma surgery. The most common type of laser surgery performed for open-angle glaucoma is called Argon Laser Trabeculoplasty (ALT). The objective of the surgery is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

Although your eye care professional may suggest ALT surgery at any time, it is often performed after trying to control intra-ocular pressure with medicines. In many cases, you will need to keep taking glaucoma medications even after ALT surgery.

ALT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that ALT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day

Your treatment will be performed in a specially equipped laser room. It does not require a surgery center. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your doctor will hold up a special lens to your eye as a high-energy beam of light is aimed at the lens and reflected onto the trabecular meshwork inside your eye. You may see flashes of bright green or red light. Your doctor will make 50-100 evenly-paced laser applications in 10-15 minutes. This will be done in one or two treatment sessions. The laser beam will cause some areas of your eye’s drain to shrink, resulting in adjacent areas stretching open to permit the fluid to drain faster. You will not feel any pain during the procedure.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any soreness or swelling inside your eye. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. Most patients resume normal activities within a few days.

Realistic expectations

The effect of the surgery may wear off over time. Two years after ALT surgery, the pressure from glaucoma increases again in more than half of all patients. Serious complications with ALT are extremely rare, but like any surgical procedure, it does have some risks. You will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Pan-Retinal Photocoagulation

Diabetic retinopathy does not usually impair sight until the development of long-term complications, including proliferative retinopathy, a condition in which abnormal new blood vessels may rupture and bleed inside the eye. When this advanced stage of retinopathy occurs, pan-retinal photocoagulation is usually recommended.

Pan Retinal Photocoagulation stops vessels on the retina from leaking

During this procedure, a special laser is used to make tiny burns that seal the retina and stop vessels from growing and leaking. Hundreds of tiny spots of laser are placed in the retina to reduce the risk of vitreous hemorrhage and retinal detachment. Targeted laser applications can treat specific areas in the central vision that are leaking. The laser is used to destroy all of the dead areas of retina where blood vessels have been closed. When these areas are treated with the laser, the retina stops manufacturing new blood vessels, and those that are already present tend to decrease or disappear.

The goal of pan-retinal photocoagulation is to prevent the development of new vessels over the retina and elsewhere, not to regain lost vision.

Pan-retinal photocoagulation is for those:

  • who have been diagnosed with proliferative retinopathy
  • whose doctor has determined that pan-retinal photocoagulation is the appropriate treatment for their condition

What to expect on procedure day

Your treatment will be performed in a specially equipped laser room. It does not require a surgery center. It is usually performed without anesthesia, although some will want a local anesthetic.

Before your procedure begins, an eyelid holder will be placed between your eyelids to keep you from blinking. Next, your ophthalmologist will begin laser treatment with an argon or diode laser. The laser treats the peripheral (outside) and middle portions of your retina. It does not treat the central or macular region because this would likely cause serious loss of vision.

The initial treatment usually consists of approximately 1,500-2,000 spots of laser per eye. This will be done in two or more sessions.

Your vision will be poor immediately after the treatment, but will recover to the pre-treatment level over time. You should plan to have someone drive you home, and you should relax for the rest of the day. Most patients resume activities within a few days. Regular follow-up visits are required.

Expectations

The goal of pan-retinal photocoagulation is to prevent the development of new vessels over the retina and elsewhere, not to regain lost vision. There is no improvement in vision after the laser treatment. Vision may decrease due to edema/swelling of the retina, after the laser treatment. It may improve to its previous level in two to three weeks or may remain permanently deteriorated. Recurrences of proliferative retinopathy may occur even after an initial satisfactory response to treatment.

This procedure sacrifices peripheral vision in order to save as much of the central vision as possible and to save the eye itself. Night vision will be diminished. After pan-retinal photocoagulation, blurred vision is very common. Usually, this blur goes away, but in a small number of patients some blur will continue forever.

Serious complications with pan-retinal photocoagulation are extremely rare, but like any surgical procedure, it does have risks. These risks can be minimized by going to a specialist experienced in pan-retinal photocoagulation.

If you and your doctor decide that pan-retinal photocoagulation is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Amniotic Membrane

AmbioDisk Bright AmbioDisk

AmbioDisk™ is a 4th generation amniotic membrane (AM) technology created by IOP Ophthalmics. It is a sutureless, overlay AM disk for the office-based or surgical treatment of the ocular surface.

The 15mm AmbioDisk configuration is available in both the Ambio2™ (35 microns thick) and Ambio5® (100+ microns thick) technologies. Our new 9mm diameter version is available in the Ambio2 option.

Conventional Uses

  • Non-Healing Epithelial Defects
  • Neurotrophic Ulcerations
  • Corneal Erosions
  • Acute Chemical/Thermal Burns
  • Post-Infectious Keratitis (herpetic, vernal, bacterial)

Viable and Biostructurally Intact

  • The scientifically-based Ambio2 process removes bioburden and potential virulency, but retains the devitalized, cellular components.
  • Photomicrograph shows intact epithelial and fibroblast cell components – with dense extracellular matrix.

Ambio2 Amniotic Membrane Allografts

  • Each allograft is cleaned, dehydrated and sterilized based upon strict, quality-controlled protocols.
  • In its dry state, Ambio2 allografts are translucent, lightweight and thin.
  • Nominal thickness: 40 microns.

Tissue Safety

All tissue recovered meets stringent specifications related to donor screening and testing.

Tissue Quality

Each allograft is processed, sterilized and packaged with proprietary, device-like methods – to ensure consistent, high quality tissue for transplantation.

Simple Storage and Preparation

Ambio2 Allografts are provided dehydrated for room-temp storage. No freezing or refrigeration required. Ambio2 activates with sterile saline within minutes. No thawing or soaks required.

Cataract Surgery

Over fifty percent of people over the age of 60, and quite a few younger than that, suffer from cataracts. Currently there is no medical treatment to reverse or prevent the development of cataracts. Once they form, the only way to see clearly again is to have them removed from within the eye.

In your parents’ or grandparents’ day, cataract surgery was considered risky, required a lengthy hospital stay and was usually postponed for as long as possible. Today, cataract surgery is performed on an outpatient basis and takes only a few minutes. It is now one of the most common and successful medical procedures performed. In fact, following cataract surgery, many patients experience vision that is actually better than what they had before they developed cataracts.

Cataract surgery is for those who:

  • believe that their quality of life has been impaired by poor vision
  • have been diagnosed with cataracts
  • have no health issues affecting their eyes

What to expect on surgery day

You will arrive at the surgery center about an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye.
Eye drops or a local anesthetic will be used to numb your eyes. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your eye will be completely numbed before the procedure.

A very small incision will be made and a tiny ultrasonic probe will be used to break up the cataract into microscopic particles using high-energy sound waves. This is called phacoemulsification.

The cataract particles will be gently suctioned away. Then, a folded intra-ocular lens (IOL) will be inserted through the micro-incision, then unfolded and locked into permanent position. The small incision is “self-sealing” and usually requires no stitches. It remains tightly closed by the natural outward pressure within the eye. This type of incision heals fast and provides a much more comfortable recuperation.

Intra-Ocular Lens replaces the natural lens of the eye.
The IOL is placed inside the capsular bag of the eye.

If your eye has pre-existing astigmatism, your surgeon may elect to make micro-incisions in the cornea to reduce your astigmatism. These are called LRIs or limbal relaxing incisions.

Pre-existing astigmatism can be treated with limbal relaxing incisions.

 

You will go home soon after the surgery and relax for the rest of the day. Everyone heals somewhat differently, but many patients report improvement in their vision almost immediately after the procedure. Most patients return to their normal activities within a day or two.

Realistic expectations

The decision to have cataract surgery is an important one that only you can make. The goal of any vision restoration procedure is to improve your vision. However, we cannot guarantee you will have the results you desire.

Once removed, cataracts will not grow back. But some patients may experience clouding of a thin tissue, called the capsular bag, that holds the intra-ocular lens. In most cases, a laser is used to painlessly open the clouded capsule and restore clear vision with a procedure called a capsulotomy.

The capsular bag may become cloudy in the future.

Serious complications with cataract surgery are extremely rare. It is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with cataract surgery.

After a thorough eye exam, you and your doctor will determine if cataract surgery is an option for you. You will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Posterior Capsulotomy

A posterior capsulotomy is a non-invasive laser procedure to eliminate the cloudiness that occasionally interferes with a patient’s vision after cataract surgery. In modern cataract surgery, the cataract is removed, but a thin membrane that held the cataract is left in place to hold the implanted artificial lens.Leaving the capsule in place during cataract surgery is a great advancement because it allows the vision after surgery to be more stable and ensures fewer surgical complications. However, sometimes the posterior or back portion of the capsule becomes cloudy over time. This can be resolved with a quick in-office laser procedure.

The capsular bag can become cloudy over time.

A posterior capsulotomy is for those who:

  • have had cataract surgery
  • believe that their vision is being affected by cloudiness

What to expect on procedure day

Once you have been checked-in, drops will be used to numb your eye; no injections or needles are used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your ophthalmologist will use a YAG laser to create an opening in the center of the cloudy capsule. The opening allows clear passage of the light rays and eliminates the cloudiness that was interfering with your vision.

Opening the bag with the laser allows for clear passage of light rays.

The entire procedure takes only about five minutes and you can leave soon afterward. The results of the procedure are almost immediate, however your vision will probably be a little blurry from the drops so someone will need to drive you home. Your doctor may prescribe anti-inflammatory drops for you to use for a few days following the procedure. Most patients resume their normal activities immediately.

Realistic expectations

Serious complications with posterior capsulotomy are extremely rare. It is a safe and effective procedure, but like any medical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with posterior capsulotomy.

If you and your doctor decide that posterior capsulotomy is an option for you, you will be given additional information that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Doctors Allergy Formula Testing

Doctor’s Allergy Formula provides an FDA- approved, non-invasive proprietary, diagnostic test designed to objectively diagnose your specific allergies. This simple, painless (shot free) 3-minute test is covered by major medical insurance. The results of the test are read after only 10- 15 minutes. Once we identify what you are allergic to, we can create custom treatment protocols specific to your needs.

Should I get Allergy Tested? – If you suffer from any of the following symptoms, then you would be a candidate for our DAF Test:

– Itchy Eyes
– Red/Bloodshot Eyes
– Watery Eyes
– Swollen Eyes
– Dark Circles under Eyes
– Congestion
– Runny Nose
– Flaky/Red Skin
– Asthma

Why Should I Get Tested?

– Allergies are the 5th leading chronic disease in the US
– 60 million American suffer from allergies – and 24 million have ocular allergies
– Many people suffer for years before being tested or even realizing that ocular allergies are the issue
– Allergies interfere with your day-to-day life and can result in loss of productivity, missed work or school, and an overall poor quality of life
– Testing with DAF is the key to finding out the cause of your eye irritation and the key to treatment of ocular allergies

What Causes an Allergic Reaction?

Our immune system keeps us alive by attacking dangerous germs. An allergy occurs when our immune system attacks a harmless substance, like pollen (an allergen), against something it should ignore. Allergy symptoms occur as an irritating reaction to environmental allergens, such as trees and grasses, dust, pollen, pet dander, and mold spores. This attack releases chemicals that cause allergy symptoms. The eyes are particularly sensitive to airborne allergies, which cause irritation and discomfort. Medication, like antihistamines, mask the symptoms but do not identify the underlying problem.

What is Involved in a “Scratch” Skin Test?

A skin “scratch” test is a simple, non-invasive procedure that superficially scratches the surface of the skin applying the allergen to be tested to the exposed surface of the skin:

Allergy Testing
The device contains small amounts of the 58 most common allergens in your area in addition to both a positive and negative control so we can objectively diagnose your particular allergies. If you are allergic to an allergen, a small mosquito bite-like bump will appear. Because everyone is unique in what their specific allergic triggers are, knowing what you are allergic to is important for the effective treatment of allergies.

How Are Allergies Treated?

Once the eye doctor knows the allergens that are causing your symptoms, an effective treatment plan can be recommended. These treatment plans include:

Allergy Treatment

Hair removal treatments

Introducing powerful, versatile, and innovative aesthetic treatments, with the Palomar StarLux® Pulsed Light and Laser System.

Permanent Hair Reduction Through Pulsed Light

The Old Solutions

If you live with unwanted hair, you’ve probably tried some of the typical solutions such as shaving, waxing and electrolysis. If so, you’ve found that:

  • Shaving is a daily nuisance.
  • Waxing is painful and only a short-term solution.
  • Electrolysis is effective, but since it only treats one hair follicle at a time, it’s not practical for large areas and is extremely time consuming.

The Pulsed Light Alternative

Palomar Pulsed Light Systems offer a lasting solution for unwanted hair.

  • Permanent: Concentrated pulses of light loosen the hair and disable the cells responsible for new hair growth.
  • Fast: Small areas, such as underarms and upper lip can be treated in 10 minutes or less. Even large areas, like the back or legs, can be treated in under half an hour.
  • Comfortable: Various cooling methods keep the light pulses mild and skin safe, allowing for more comfortable treatments than electrolysis or waxing.
  • Convenient: Unlike waxing, there is no need to let hair grow out between treatments. You can remain hair free all the time.

Frequently Asked Questions

How does Palomar pulsed light work?

Palomar Systems uses specialized hand pieces which filter light from different parts of the spectrum. Each band of the spectrum has a wavelength that is ideal for different treatments, such as hair reduction, sunspot removal and acne treatment.

The Palomar hair removal hand pieces emit pulses of light into the hair follicles. The light is absorbed by the pigment in the follicles and converted to heat. The heat then loosens the hair and disables cells responsible for hair growth.

How is Palomar pulsed light different than a laser?

Pulsed light systems and lasers are very similar, but Palomar Pulsed Light Systems use a much larger treatment window than most lasers. This spreads light over a wider area of skin and allows faster coverage of the skin and quicker treatments as a result.

What body areas can I get treated?

Any area except around the eyes. The upper lip, face, neck, underarms, bikini line, legs, chest and back can all be treated.

What are Palomar treatments like?

Your treatment provider will move the hand piece over the skin, pulsing it all the while. Each pulse will send a beam of light through your skin. A flashing light, an audible tone and a mild sensation on the skin will tell you when the hand piece is being pulsed.

What should I expect after treatment?

  • Immediately after treatment, you can expect a mild sunburn-like sensation, possibly accompanied by minor swelling. This usually lasts 2 – 24 hours, and can be soother with cold gel or ice packs
  • The treated hair will continue to appear for 7 – 30 days post-treatment. This is not new hair growth but the treated hairs being expelled from the skin.
  • At any given time, some of your hair is not in a phase of active growth. Therefore, you will need more than one treatment to affect the growth of all your unwanted hair.

Rejuvapen

Rejuvapen Micro-Needling Device

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Rejuvapen Results

Before&After

BOTOX® Injection–COMING SOON!

BOTOX® injection is a revolutionary wrinkle reduction procedure that can reduce or eliminate wrinkles in the upper third of the face, including forehead lines, frown lines between the eyes and crow’s feet around the eyes. It is not surgery. There is no chance of scarring.

Before
After

BOTOX® is a protein that weakens and inactivates muscles that wrinkle the skin. When BOTOX® is injected in extremely small doses directly into a specific muscle, it blocks the signals from the brain from reaching the muscle. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkles caused by muscle contractions soften and often disappear. The effect can last from 4 to 5 months.

BOTOX® injection is for those who

  • want to reduce or eliminate facial wrinkles

Before your treatment

Ask your doctor to determine if you are a candidate for BOTOX® injection. Together, you will determine the number and regularity of treatments best for you.

What to expect on procedure day

Your treatment can be performed in an examination room environment. Since it isn’t a surgical procedure, it does not require a surgery center. Your doctor will inject an extremely small dose of BOTOX® into designated facial muscles using a micro-needle. It will only take a few seconds. You might feel a stinging sensation that will subside quickly.

You won’t see the effects of the initial injections for three or four days, and improvements will continue for several days after that. If you experience any discomfort after the procedure, you can use ice compresses or over-the-counter pain medication. You may have a little bit of bruising.

Before
After

Because this procedure is non-invasive and non-surgical, you may return to your normal activities immediately.

Realistic expectations

BOTOX®, when used in these extremely small doses, has a high level of safety. Since Botox proteins are only attracted to muscles, it has no effect on the central nervous system. It does not cause numbness in the area of the injections, and muscles related to other facial expressions are rarely affected. One or two patients in every hundred may experience a temporary drooping of the eyelid, but this usually goes away in a week or two.

Serious complications with BOTOX® injection are extremely rare, but like any medical procedure, it does have some risks. Going to a specialist experienced in Botox injection can significantly minimize the risks. The vast majority of our patients are extremely happy with their appearance after BOTOX® injection, however, we cannot guarantee you will have the results you desire.

If you decide that Botox injection is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

BOTOX® is a registered trademark of Allergan, Inc.