Bruce P. Robinson, MD

Sculpsure Body Contouring

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.

How does SculpSure® Work?    

  • Small laser applicators target and heat fat cells under the skin without affecting the skin’s surface
  • SculpSure® raises the temperature of fat cells damaging their structural integrity. Contact Cooling™ stays on throughout the treatment, which keeps the skin safe and comfortable
  • The damaged fat cells are removed naturally from your body through your lymphatic system
  • Once the fat cells are removed from your body they cannot regrow

"Before & After" SculpSure

Is SculpSure Right For Me?

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.

SculpSure® vs Fat Freezing-Cool Sculpting

How Many Treatments Will I Need? 

Every patient is different. Most patients see the best results when they have a series of treatments.  

What Should I Expect During The Treatment? 

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®.

How Long Before I Can Resume Normal Activities?

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.

When Will I See Results?

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.

How Long Will the Results Last?

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

Fraxel Laser

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:

  • The 1550 wave length: penetrates deep into the skin layers, specifically targeting concerns such as wrinkles or acne scarring.
  • The 1927 wave length: effectively targets tone, texture and other more superficial signs of aging

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, back and hands. Fraxel Laser protects against skin cancer while making your skin look young again.

How Can Fraxel Dual Laser Make Your Skin More Resistant To Skin Cancer?

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.

Using Non-Ablative Fractional Laser Therapy For The Treatment of Skin Cancer

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.

What to expect during a Fraxel Laser "Regenerative" Re-Store/ Resurfacing Treatment?

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.

How many treatments will I need?

The number of treatments needed depends on your goals and constraints. Typically, patients require a minimum of 2 treatments @ 4 week intervals.

What skin types and what parts of the body can be treated?

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.

What kind of results can I expect?

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.

When do the results appear, and how long do they last?

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.

What will I look like immediately after the procedure? Can I go right back to work?

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.

Post Fraxel Treatment

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.

Can I get a Fraxel treatment if I already had other procedures?

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.

Acne Treatments

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.

Topicals

  • Dr. Robinson may prescribe topical creams, gels, lotions with vitamin A acid-like drugs, benzoyl peroxide, or antibiotics to help unblock the pores and reduce bacteria. These products may cause some drying and peeling. They will advise you about correct usage and how to handle side effects.
  • Before starting any medication, even topical medications, inform your doctor if you are pregnant or nursing, or if you are trying to get pregnant.

Special Treatments

  • Acne surgery may be used by Dr. Robinson to remove blackheads and whiteheads. Do not pick, scratch, pop, or squeeze pimples yourself. When the pimples are squeezed, more redness, swelling, inflammation, pigmentation and scarring may result.
  • Lasers and microdermabrasion may be used to remove the upper layers of the skin improving irregularities in the surface, contour, and generating new skin.
  • Light chemical peels with salicylic acid or glycolic acid help to unblock the pores, open the blackheads and whiteheads, stimulate new skin growth and improve pigmentation (dark spots).
  • Injections of corticosteroids may be used for treating large red bumps (acne cysts). This may help them go away quickly and prevent scarring.

Oral

  • Antibiotics taken by mouth such as tetracycline, doxycycline, minocycline, or erythromycin are often prescribed for acne cyst or painful acne pimples.

Birth Control Pills

  • Birth control pills may significantly improve acne, and may be used specifically for the treatment of acne. It is also important to know that oral antibiotics may decrease the effectiveness of birth control pills. This is uncommon, but possible, especially if you notice break-through bleeding. As a precautionary measure use a second form of birth control.

Other Treatments

  • In cases of unresponsive or severe acne, Accutane (isotretinoin) may be used. Patients using isotretinoin must understand the side effects of this drug. Monitoring with frequent follow-up visits is necessary. Pregnancy must be prevented while taking the medication, since the drug causes birth defects.
  • Women may also use female hormones or medications that decrease the effects of male hormones to help their acne.
  • Laser, microdermabrasion and chemical peels can be helpful in treating acne as well.

Dr. Robinson will evaluate your ance and suggest the best treatment regimes considering your age, sex, and the type of acne you have.

Treatment of Acne Scarring

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.

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