Cosmetic Stretch Mark Removal Cleveland Ohio

When is Laser Skin Tightening An Alternative to A Tummy Tuck Craig Jonov Lynnwood WA

Jonov Hi, my name is Craig Jonov.I'm at the Gallery of Cosmetic Surgery in Lynnwood, Washington just north of Seattle.I'm here to talk about when one can use skin or laser liposuction to help tighten the skinin reference to a potential tummy tuck. This question comes up because people want to knowwhat they can do to minimize their down time and risks. The involvement of laser liposuctionor what we have here is Smart Lipo, is that laser is induced underneath the tissues tohelp tighten the tissues. You heat it to a certain degree and you're going to increasethe contraction of that area. In mild cases, where we have areas of skincontraction that we feel that can give a smooth

outcome, we look at the quality of the tissues.If there's large amounts of stretch marks and the tissue appears to be not as firm,then it's probably less likely it's going to have a predictable outcome. Then we mayneed to recommend a more potential tummy tuck to excise that lessthanideal quality tissueversus if there's just a little bit of tissue and fullness from some subcutaneous fat thatjust needs to be contoured, the Smart Lipo would be an excellent option to help tightenthat area and smooth and contour the region.

The Different Treatment Depths of ProFractional Erbium Laser and Fractional CO2 Laser

Thank you for your question! You're asking a question that you are planningto get a deep profractional laser treatment full face and you're asking will it affectthe fat transfer that you had with your facelift. Well, I can give you some understanding ofthe interaction of the lasers and the skin relative to what you had in terms of graftingbut it may be difficult to be as specific as you like. To give you a little background, I'm a boardcertified cosmetic surgeon and a fellowship trained oculofacial plastic and reconstructivesurgeon. I've been practicing in Manhattan

and Long Island for over 20 years and I'vehad a lot of experience with lasers since using the original CO2 lasers back in themid90s then switching to erbium laser, ablative erbium laser for many years and then comingback to fractional CO2 laser. And what I think is a challenge for a nonphysician and someonewho's not even familiar with the brand names of these lasers is that the term fractionalis getting confusing. There are a couple of concepts to understand to differentiate erbiumand CO2 laser. To begin with, the erbium laser is a laserthat generates and causes ablation but doesn't generate as much heat to the deeper area ofthe skin which causes tightening of the back

bone of the skin called the dermis. Now, theprofractional laser is an erbium laser. So that's one factor that might be to youradvantage in terms of affecting potentially what's going under the skin. Hopefully,your was able to explain that to you because a lot of times people think that they'regetting a fractional CO2 laser and fractional CO2 laser penetrates deeper and deeper doesn'talways mean better but it just means that there's more thermal energy delivery tothe deeper layers of the skin that can cause some skin tightening. So you also have tounderstand what's desired outcome. When I did full faced erbium laser, I would saythat the skin appeared a little bit tighter

but it was more about resurfacing and gettinga smoother quality skin. Now, if you think about fat grafting, youknow fat is grafted below the skin and if the fat has already healed, then it's notlikely that it will have a direct effect on the fat under the skin. With that being understoodand it depends on the timeline since you've had your face lifting and fat grafting procedure,a lot of times when fat grafting is done, it's not done in exactly the same areasas the flap of the facelift but rather in areas which haven't been undermined becauseyou need a very good stable blood supply. So chances are, it's not going to be anissue at all. People who've had a facelift

whether it's at the time of the faceliftprocedure or even after, it's always important to communicate that with the or ifit's a different performing the resurfacing procedure to understand the timeline sincethe procedure because it is a trauma. Laser is a trauma to the skin and I always explainto patients that there's a certain amount of limit on whether it's heat energy orresurfacing or abrasion or whatever it is that the skin can tolerate. In our practice, we advocate very stronglyregenerative technology such as the use of plateletrich plasma and Acellular matrixto help rejuvenate skin without being too

aggressive ablation. This is from so muchexperience that I have in what happens to skin long term after aggressive laser treatment.That's no way am I contradicting to what your is recommending but in terms ofthe integrity of the fat that was placed under the skin, it's not likely to be a problem.Sometimes when there's skin inflammation, that can be a problem. If there's an infection,that can be a problem but as long as you and your have a good sense of communicationabout what to expect and if you're basically using an erbium laser to resurface the skin,what you should see is an improvement in fine lines, you should see an improvement in discolorationbut you should also not have a prolonged amount

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