Bruce P.Robinson, MD
Laser therapy is one of the most exciting treatments for skin resurfacing and rejuvenation. Today’s sophisticated laser technology allows us to achieve excellent, consistent results, without the risk and extended downtime.
Laser energy can be used to target both damaged skin at the surface, as well as aging collagen in the deeper layers of skin. The effect of this treatment is two-fold: first, you’ll see an immediate improvement in skin texture at the superficial level. As the skin heals, the treated area will be resurfaced with the growth of new, fresh skin cells, resulting in smoother, healthier-looking skin. Second, the laser energy also works to improve skin beneath the surface by stimulating the body’s natural healing mechanisms and encouraging the production of new collagen and elastin in the coming months.* Found in abundance in young, healthy skin, collagen and elastin provide natural skin firmness and elasticity.
Laser skin resurfacing can improve skin texture and tone, reduce wrinkles and acne scarring, and promote healthier-looking, more vibrant skin.This treatment is excellent for acne scarring as well as sun damaged or aged wrinkled skin. The laser vaporizes the damaged skin and commences the regeneration of fresh skin during the natural healing process. The thermal heating of the deep tissue stimulates new skin growth, promoting a healthy new collagen growth. This is usually accompanied by a week of healing time.
Absolutely. With a full range of state-of-the-art laser technology at his fingertips, Dr. Robinson can recommend the best treatment or combination of treatments to meet your skin rejuvenation needs. Our HydraFacial MD signature treatment — is a godsend one - two weeks post Fraxel speeds up the shedding process that re-surfacing procedures inevitably induce while deeply hydrating the skin. Once healing is done, it is important to stay out of the sun as much as possible in order to maintain the results. The use of sunscreens, Retinol and skin brightening products will help keep hyperpigmentation at bay. In addition, Dr. Robinson often combines laser rejuvenation with BOTOX® injections and various fillers for maximum cosmetic improvement.
Patients may also take advantage of the unique arsenal of State of the Art Lasers @ The Dermatology Practice of Bruce P. Robinson of NYC. This allows us to combine laser treatments and surgical procedures for the most outstanding results, while minimizing patient discomfort and downtime. For example, patients may choose full facial resurfacing together with Warm Body Contouring.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Laser treatments can be an ideal alternative for treating hyperpigmentation in addition to sun damage and fine lines. There are quite a few laser treatments on the market, but we're here to share information about Erbium laser resurfacing, a treatment that does it all and treats everything from wrinkles, acne scars to sun damage and brown spots/age spots. While this treatment provides a more youthful appearance it usually requires a week of down time.
Erbium laser resurfacing uses light energy and is designed to remove the upper most superficial layers. Removing brown spots and benign and precancerous bumps/growths. The Erbium laser results in a narrower area of heating of adjacent tissues compared with other laser skin-resurfacing methods. This results in a more focused removal of old skin cell layers. And this means that a benefit of Erbium laser resurfacing is minimal burning of surrounding tissue and fewer side effects such as swelling, bruising, and redness, so the recovery time should be faster than with CO2 laser resurfacing. During the healing process new collagen is generated for a more youthful appearance.
Helps reverse sun damage
Treats fine lines, wrinkles, and hyperpigmentation
Requires no downtime
Can be safer for lighter-toned Black, Hispanic, or Asian skin tones, Erbium laser resurfacing can sometimes be a good option. Patients with darker brown skin may need to consider other skin resurfacing options, such as radio-frequency treatments.
With the use of a potent topical anesthetic the Erbium laser treatment is well tolerated. Usually up to the first hour after treatment it feels like a bad sunburn. After which it may feel sore and have some bruising and mild swelling for a few days. Followed by a few days of skin flaking for another two to three days. Usually, the total recovery/healing on average takes about 10-14 days, depending on the problem and area that was treated.
Despite the downtime, the benefits are that you require fewer laser treatments to obtain your goal of smoother, younger looking skin.
If you're ready to treat skin concerns that your skincare routine cannot address, talk with Dr. Bruce Robinson about Erbium laser resurfacing.
Dr. Robinson offers GentleLase and GentleYag hair removal options. The GentleLase Laser is the gold standard for hair removal in caucasians. The GentleYag laser is the gold standard for laser hair removal in patients of color or tanned skin and is also an excellent treatment for facial, leg, spider veins and hemangiomas. Laser Hair Removal can be treated in a lunch hour appointment. Hair removal can be treated every four weeks, and a typical six sessions treatment plan could be completed by June or earlier if the whole six sessions are not required
These treaments also provide excellent results in the removal of brown spots such as sun spots (liver spots) and flat benign brown keratoses. Candela's (the makers of the GentleLase) patented Dynamic Cooling Device (DCD) technology protects the upper layers of your skin with a cooling mist. Together, the long-pulse laser and DCD cooling offer optimal treatment with minimal side effects.
Depending on the amount of hair being treated, the procedure varies from patient to patient. Generally, the treatment will include:
For Women:
For Men:
Hair grows in cycles. The number of treatments required depends upon your skin color, hair color and coarseness of hair and location of treatment. Everyone will require at least 2-3 treatments, as the process is only effective on hair during the early growing cycle. Repeat sessions will be necessary to treat these follicles when they re-enter the early growth phase.
The laser creates a beam of high-intensity light that penetrates deeply into skin tissue, where it delivers a controlled amount of therapeutic heat to the targeted hair or spider veins. Canadela's patented Dynamic Cooling Device (DCD) technology protects the upper layers of your skin with a cooling burst of cryogen. Together, the long-pulse laser and DCD cooling offer optimal treatment with minimal side effects.
Treatment will take place in Dr. Bruce Robinson's New York office. You will wear safety eyewear to protect your eyes from the laser light. Dr. Bruce Robinson will guide the laser to the treatment areas with a small handpiece. Each laser pulse may be preceded and followed by a short pulse of cooling spray. A treatment could take as little as a few minutes to as long as an hour, depending on the area being treated.
Some patients may feel a slight discomfort with each laser pulse, sometimes described as the snapping of a rubber band on the skin. This discomfort resolves in several seconds and is minimized by Candela's DCD cooling. For some patients, a topical anesthetic may be used prior to treatment. Be sure to discuss this with Dr. Bruce Robinson before the procedure if applicable.
The number of sessions depends on the treatment you require and the condition of your skin. Multiple treatments may be required, but many factors impact the efficacy of individual laser treatments, including the severity of the condition being treated.
Your skin should be thoroughly cleaned and dried, removing any makeup, creams, oils, topical anesthetics or self-tanning products before laser treatment. If you have had a history of herpes simplex virus and are scheduled for facial vain or hair removal treatment, prophylactic antiviral therapy may be prescribed. The intended treatment area should not be exposed to sunlight or tanning booth light for 14 days prior to treatment.
A cool compress or gel pack may be applied for comfort following your treatment. If any redness or swelling should occur it resolves within a few hours.
After laser treatment, prevent sun exposure by applying sunblock (SPF 30 or above). In the first few days after treatment, don't scrub or rinse the treated areas with abrasive skin cleansers. Dr. Bruce Robinson may advise additional precautions.
Your risks are minimal. Although rare, effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering and purpura (a laser bruise) in the treated area--these usually do not last more than a few hours to a few days. Permanent side effects are rare. Be sure to discuss potential side effects with Dr. Bruce Robinson.
Most insurance companies do not offer reimbursement for cosmetic procedures. We offer a Cosmetic Consultation Reimbursement policy offered to all our patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. *Procedure must be completed within 30 days of your consult visit.
SculpSure® Transform your body in a series of 25 minute treatments. Non-surgical body contouring is a laser treatment that safely and permanently destroys up to 24% of stubborn fat cells per treatment that has resisted traditional diet and exercise. SculpSure® is a non-invasive treatment that targets stubborn problem areas such as the belly, love handles, back, and inner and outer thighs. There is no downtime so you can swim, spin, and get right back to the gym. Results are often seen as soon as six weeks after treatment.
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SculpSure® :
Treatments take just 25 minutes per treatment area
Treatments are customized for a variety of shapes and sizes
Contact Cooling Technology keeps the skin comfortable during the treatment.
Side effects are mild and temperary in nature, with the most common being tenderness.
The feathering of heat provides a natural - looking result.
Clinical studies have shown 83% to 100% patient satisfaction rate.
Every patient is different. Most patients see the best results when they have a series of treatments.
Most patients feel a tingling, warming, sensation intermittently throughout the treatment which is generally well tolerated. Breathe away pain and anxiety with PRO-NOX, Nitrous Oxide, relief is now in your control, empowering you to safely control your pain relief during in-office procedure(s) such as SculpSure®.
There is no recovery period or downtime with SculpSure®, you can have the during during your lunch hour, have the treatment and spin, swim or get right back to the gym immediately.
Patients may start to see results as early as 6 weeks following treatment as the body begins to gradually lose the targeted fat cells, with optimal results typically seen at 12 weeks.
Treated fat cells are permanently destroyed and will not regenerate.
What is the Difference Between Fat Loss and Weight Loss?
The number of fat cells in our bodies typically remain constant throughout our adult life. After the SculpSure treatment, the destroyed of fat cells will never return. However, as we lose weight, the size of the fat cells beome smaller, but typically do not decrease in number. Even with diet and excercise, many people have difficulty losing weight in these trouble areas.
View Dr. Robinson discuss SculpSure and treat a patient
The Fraxel® DUAL Laser system has the unique advantage of two treatment modes/wave lengths in one Laser which is an improvement from the original single mode Fraxel® Laser system. Fraxel® DUAL laser can treat a broad range of skin damage, such as age spots, sun spots, wrinkles and other signs of aging. The laser treats only a fraction of the skin tissue at a time, leaving the surrounding tissue intact, which promotes rapid healing. This stimulates your body’s own natural healing process replacing the old and damaged cells with fresh, glowing, healthy skin.
Fraxel DUAL Laser Modes/Wave Lengths:
This non-surgical procedure will be tailored to your desired outcome. You can enjoy the full benefits of both/or one mode/wave length. The Fraxel® DUAL Laser treats only a fraction of tissue at a time, leaving the surrounding tissue untouched to enable rapid healing. This stimulates your body's own natural healing process, replacing the old and damaged cells with fresh, glowing, healthy skin. The result is more youthful, radiant skin with minimal down time. Any area of the body can be treated: face, chest, neck and hands. Fraxel Laser protects against skin cancer while making your skin look young again.
New research has shown that, in addition to repairing your skin, Fraxel can actually help you defend against skin cancer while making your skin look young again. Fraxel triggers the healing process, producing collagen which will revitalize your skin with a smoother, younger look, but it also makes use of the older cells of your skin to produce substances that are protective against skin cancer.
Depending on the size, location and condition of the area to be treated, a Fraxel treatment can take approximately 20 minutes.
Dr. Robinson is improving skin cancer treatments with less invasive treatments. No scarring, no bleeding, functional & cosmetic results are superior to cold steel excision & MOHS. Patients on anticoagulant therapy do not have to stop their medication before treatment, therefore not increasing their risk for stroke and/or heart attack, quick healing, & no risk of post-operative complications! This is especially helpful with Infirm or older patients, great for professionals who can't afford downtime or a scar.
Using non-ablative fractional laser therapy offers a Gentle Approach to Treating Pre-Cancerous Growths and Overall Healthier Skin.
Skin cancer is the most prevalent cancer in the United States. More than 3 million Americans are diagnosed with non-melanoma skin cancer(s), such as basal cell & squamous cell carcinoma each year. These two types of cancers are collectively known as keratinocyte carcinoma or (KC).
In individuals with a history of a prior KC, the risk of developing subsequent KC remains a significant concern.
In our study using non-ablative fractional laser therapy, including 4 sessions spaced at 2-4 week intervals, w/ follow-up assessments, 1-3 months after the final treatment session 60% had greater reduction of the development of KC and had improved overall health of sun-damaged skin. There was also a lower recurrence rate of MOHS. Lowering the rate of infection directly related to lack of having an open wound.
Non-ablative fractional laser therapy has already demonstrated remarkable success with minimal downtime & discomfort as a gentle yet effective treatment of actinic keratosis (AK), the most common type of pre-cancerous skin conditions. Other benefits to using non-ablative fractional laser therapy is it's ability @ ameliorating photo damage, utilizing precise photothermolysis to stimulate collagen and elastin production, promote dermal wound healing & decreasing and improving hyperpigmentation, telangiectasias, skin tone, skin laxity, and tactile roughness. Now we can add treatment of certain skin cancers to the list.
Most patients describe an increased sensation of heat during the treatment. Prior to the procedure we will apply a topical anesthetic cream, which helps minimize any discomfort during treatment.
The number of treatments needed depends on your goals and constraints. Typically, patients require a minimum of 2 treatments @ 4 week intervals.
Fraxel lasers can treat women and men of all ages and skin colors. Any area of the body can be treated: face, arms, legs, back. abdomen and buttocks. Fraxel treatments also work on delicate skin areas like the neck, chest and hands.
Your skin will feel softer, look brighter and improve skin tone. Other benefits of treatment include: reducing the appearance of acne scaring, treatment of actinic keratosis, reduction of fine lines and wrinkles, smoother, fresher, younger looking skin, improved tone and texture, erase unwanted brown spots, age spots & melasma.
There are both immediate and progressive results. Soon after the treatment, the surface of your skin will feel softer, look brighter and show improved tone & texture. The next 3 to 6 months will bring additional improvement as the deeper layers of the skin continue to heal. Results can last for several years depending on your age and skin condition.
You will experience redness and/or swelling resembling a bad sunburn after the procedure that diminishes over the next 3-4 days. The evening after your treatment, your face will feel hot, applying cool compresses will provide comfort. We recommend using the prescribed ointments after treatment during the healing process. Usually by days 4-5 you will begin to peel, revealing smoother, younger looking skin. Total downtime is usually 5-7 days. Dr. Robinson will work with you to determine the best option within your lifestyle and work constraints.
HydraFacial MD is a godsend one week post Fraxel to speed up the shedding process that re-surfacing procedures inevitably induce while deeply hydrating the skin. Once healing is done, it is important to stay out of the sun as much as possible in order to maintain the results. The use of sunscreens, Retinol and skin brightening products will help keep hyperpigmentation at bay.
Fraxel Laser compliments other cosmetic procedures, such as dermal fillers, Botox, TempSure Envi & HydraFacial MD.
Our Cosmetic Consultation Reimbursement policy is offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. *Procedure must be completed within 30 days of your consult visit.
Control of acne is an ongoing process given that acne can be a chronic problem. All acne treatments work to reduce current acne pimples but work better at preventing new acne breakouts. Acne treatments usually take 6 to 12 weeks to become fully effective. During that time existing blemishes may take time to heal and you may experience temporary worsening before improvement. Chemical peels and laser treatments can speed the time to improvement and often help clear pigmentation and scars. . Your treatment will vary according to the type of acne i.e. acne cysts, pustules, whiteheads or blackheads.
Occasionally, an acne-like rash can be due to another cause such as make-up or lotions, or from oral medication. It is important to help Dr. Robinson by providing an updated history of what you are using on your skin or taking internally. Many non-prescription acne lotions and creams help mild cases of acne. However, many will also make your skin dry. Follow instructions carefully.
Dr. Robinson will evaluate your ance and suggest the best treatment regimes considering your age, sex, and the type of acne you have.
Dr. Robinson can treat acne scars by a variety of methods. Skin resurfacing with laser, dermabrasion, chemical peels, or electrosurgery can flatten depressed scars. Soft tissue elevation with subcision or filling agents such as Radiesse, Restyene, Juvederm, Cosmoderm or Cosmoplast can elevate scars. Scar revision with microexcision and punch grafting can correct pitted scars. Combinations of these surgical treatments can make a noticeable difference in appearance.
