Fractional Laser Resurfacing
Refresh your skin with personalized Fotona Laser Treatment
Fine lines, acne scars, and sun damage can leave skin looking uneven. At Pristine Wellness Center, Dr. Homeira Izadi offers Fotona fractional laser resurfacing to improve skin texture and support a smoother, refreshed appearance.Your treatment begins with a consultation to assess your skin, discuss your goals, and determine an appropriate treatment plan.
What is Fractional Laser resurfacing?
Fractional resurfacing treats small areas of skin in a precise pattern, leaving surrounding skin untreated to support healing.Fotona’s Er:YAG laser can resurface damaged skin and stimulate the skin’s natural renewal process. Treatment intensity is adjusted to your skin concerns, medical history, and available recovery time.
What can it help improve?
Fractional laser resurfacing may improve:
Fine lines and wrinkles
Certain acne scars
Rough or uneven skin texture
Signs of sun damage
Overall skin smoothness and appearance
Not every scar or discoloration responds the same way.
Dr. Izadi will explain what improvements are realistic for your skin.
Your treatment at Pristine Wellness Center
Before treatment
Dr. Izadi evaluates your skin type, pigmentation history, medications, and previous treatments. You will receive individualized instructions about skin preparation, sun protection, and products to avoid.
Some patients need a period of skin preparation before treatment.
Every patient who needs laser treatment, should apply a compounded cream on the area every night for at least one month in order to prevent post inflammatory hyperpigmentation ( PIH) which is the darkening of the skin ( might happen with any energy device). The compounded cream: Tranexamic acid, Niacinamide and Azelaic acid.
Before the visit for the laser treatment, please wash your face, remove all jewelries, no make up and wear a comfortable clothes with open front so you can remove it at home after the treatment without rubbing it on your skin.
5-7 days prior to peel:1. Inform the doctor if you have taken Accutane ( oral acne medication) in the past 3 months.2. Stop application of al topical retinoids and vitamin A derivative products3. Stop use of all glycolic or chemical exfoliants4. Avoid facial waxing and tweezing5. Avoid excessive sun exposure and tanning beds6. If you have a history of cold sores, your physician will prescribe acyclovir ( oral antiviral medication) please start the medication 24hours prior to the peel and continue the course after the peel.
During treatment
The laser is applied to the selected treatment areas using settings tailored to your needs. Comfort measures and treatment duration depend on the area treated and the intensity of resurfacing.
After treatment
Redness, swelling, sensitivity, and peeling may occur. Recovery varies with treatment depth and your skin’s response; fractional resurfacing should not be assumed to have no downtime.
Following your aftercare instructions and protecting your skin from the sun are important for healing and maintaining results.
Here is the specific care after any peeling:
Post peel skin care:
1. Avoid direct sunlight on the treated area and apply broad spectrum sunscreen SPF of 40 and above daily and reapply every 2 hours.
2. Keep your skin well hydrated, moisturizing liberally and frequently with a protective barrier such as aquaphor
3. Wash your face with a gentle cleanser, cool water, using hands only and pat dry 4 hours after the peel.
4. Apply diluted vinegar soaks with gauze or clean hand towel : 1tablespoon of white vinegar diluted in one cup of cold water (you may add ice cubes as well) apply the soak for 20-30 min at a time, two times a day and start 24 hours after the procedure. This soak should be soothing and not causing burning.
5. If any skin care products cause stinging or burning, rinse of and try again in 48-72 hours
6. Avoid using abrasive products such as scrubs or exfoliating cleansers for 7-10 days
7. Avoid using topical retinoids or glycolic acid-containing products for 7-10 days
8. Vitamin C antioxidant serums may be resumed 48 hours after the peel if not causing burning or stinging
9. Avoid strenuous exercise or sweating for 24 hours.
YOU DON'T HAVE TO COMPLETELY REMOVE THE AQUAPHOR FROM YOUR SKIN DURING THE SHOWER, DO NOT RUB OR SCRUB YOUR SKIN IN THE SHOWER UNTIL YOU COMPLETE THE PEEL.
Frequently asked questions
How many treatments would I need?
Some patients benefit from one treatment, while others need a series.
Your treatment plan depends on your concerns and the level of improvement you hope to achieve.
When will I see the results?
Changes may become noticeable as the skin heals, with further improvement developing over time. You need at least 30 days to notice new collagen production but improvement starts after complete peel and removal of the dead skin usually around day 4 post treatment.
Results vary, and deeper scars or wrinkles may require additional treatment.
Is Fractional resurfacing suitable for every skin type?
Not necessarily. A careful assessment is especially important if you have darker skin, melasma, or a history of pigmentation changes.
Dr. Izadi will discuss whether resurfacing or another approach is more appropriate.
Every patient who needs laser treatment, should apply a compounded cream on the area every night for at least one month in order to prevent post inflammatory hyperpigmentation ( PIH) which is the darkening of the skin ( might happen with any energy device). The compounded cream: Tranexamic acid, Niacinamide and Azelaic acid.
What are the risks?
Potential risks include pigmentation changes, infection, and scarring.
Your consultation includes a discussion of risks, expected recovery, and alternatives.
Schedule your consultation
Explore whether Fotona fractional laser resurfacing is right for you with Dr. Homeira Izadi at Pristine Wellness Center.
Serving San Ramon and Los Altos, California.
Call: (650) 487-0844
Email: info@pristinewellnesscenter.com
Request a consultation:
https://www.pristinewellnesscenter.com/
Individual results vary.
This page provides general information and does not replace a personalized medical evaluation.
Multiple fractional erbium: yttrium-aluminum-garnet laser sessions for upper facial rejuvenation: clinical and histological implications and expectations
Moetaz El-Domyati 1, Talal Abd-El-Raheem, Walid Medhat, Hossam Abdel-Wahab, Mustafa Al AnwerAffiliations Expand
PMID: 24641603DOI: 10.1111/jocd.12079
AbstractBackground: Fractional photothermolysis is a modern resurfacing technique, in which microscopic zones of thermal injury are created, stimulating turnover of both epidermis and dermis. Fractional laser rejuvenation has been developed to overcome the drawbacks of traditional ablative laser.
Objectives: To objectively evaluate the effectiveness of multiple sessions of fractional Er:YAG laser rejuvenation for aging upper face clinically, histologically and immunohistochemically.
Patients/methods: Ten volunteers asking for facial rejuvenation were subjected to multiple sessions (3-5) of fractional Er:YAG laser. Clinical evaluation with both histopathological and immunohistochemical assessment for skin biopsies was carried out before, after 1 month and 6 months of laser resurfacing. Histometry for epidermal thickness and quantitative assessment for neocollagen formation, collagen I, III, and VII, elastin and tropoelastin were carried out for all skin biopsies.
Results: Comparing before, after 1 month and 6 months of fractional Er:YAG laser resurfacing resulted in improved clinical appearance with increased epidermal thickness (P < 0.001). Dermal collagen showed increased neocollagen formation (P = 0.006), with increased concentration of collagen types I (P < 0.001), III (P < 0.001), and VII (P = 0.001). Dermal elastic tissue studies revealed decreased elastin, while tropoelastin concentration increased after laser resurfacing (P < 0.001). An increase in collagen (I and III) and tropoelastin level and decreased elastin content was encountered with increasing the number of sessions, yet it was not significant.
Conclusions: Multiple sessions are effective in rejuvenation of the aging face with high safety, short downtime, and no adverse effects. They stimulated formation of new collagen (type I, III, and VII) up to 6 months after treatment with better improvement in skin texture and fine wrinkles. The variable number of fractional Er:YAG laser sessions (3-5) showed no significant difference as regards efficacy.
J Cosmet Dermatol. 2014 Mar;13(1):30-7.doi: 10.1111/jocd.12079.