Fraxel DUAL La Jolla Cosmetic Laser

Now at La Jolla Cosmetic Laser Clinic …. the new

Fraxel re:store®

Potential side effects include prolonged redness, swelling, blistering, scarring, infection, pigmentary changes (hyperpigmentation), herpes reactivation and acne flare-up.

FDA indications include skin resurfacing procedures and the treatment of periorbital wrinkles, acne scars, surgical scars, dyschromia and pigmented lesions, such as age spots, sun spots, actinic keratosis and melasma.

© 2009 Solta Medical, Inc. All rights reserved. Fraxel re:store are trademarks or registered trademarks of Solta Medical, Inc. and its subsidiaries.

The most recent, state-of-the art, fractional laser technologies for Pigmentation and

Resurfacing

Healing Sequence Photos“What to expect”

Subject SSK63 One Week Healing Sequence 1927nm, TL-7, 50% Coverage, 10mJ, 8 passes

Days 3-4 Post Treatment - SSK63

Right Side - SSK63 1927nm, TL-7, 10mJBaseline 1week Post Treatment

Left Side - SSK63 1927nm, TL-7, 10mJBaseline 1week Post Treatment

Baseline and Post Treatment - SSK63

1927nm, TL-7, 10mJ


1927nm, TL-7, 10mJ


1927nm, TL-7, 10mJ

Upcoming Video

Note: The next slide contains an autoplay video about the Fraxel DUAL.

If you are on a computer in a public area, you may wish to turn the volume down or off.

Subject SSK64 One Week Healing Sequence 1927nm, TL-7, 50% Coverage, 10mJ, 8 passes

Right Side - SSK64 1927nm, TL-7, 10mJ Baseline & 1 week Post Treatment

Left Side - SSK64 1927nm, TL-7, 10mJ Baseline & 1 week Post Treatment

Baseline & Post Treatment - SSK64

1927nm, TL-7, 10mJ

Days 1 & 2 Post Treatment - SSK64

1927nm, TL-7, 10mJ


1927nm, TL-7, 10mJ

Days 5 & 7 Post Treatment - SSK64

1927nm, TL-7, 10mJ

Patient Results

Fraxel re:store® DUAL

Before Immediately Post 1 Treatment

Fraxel re:store® DUAL LaserHealing Progression

Courtesy of the Solta Medical Aesthetic Clinic

1 Day Post 1 Treatment 2 Days Post 1 Treatment



3 Days Post 1 Treatment 1 Week Post 1 Treatment




10 Days Post 1 Treatment 2 Weeks Post 1 Treatment


Fraxel re:store® DUAL Laser Treatment

Before 2 Weeks Post 2 TreatmentsCourtesy of the Solta Medical Aesthetic Clinic

Fraxel re:store® DUAL Laser TreatmentBlue Channel Photography

Before 2 Weeks Post 2 Treatments



Before 1 Month Post 1 Treatment



Before 1 Month Post 1 TreatmentCourtesy of the Solta Medical Aesthetic Clinic

Baseline 1 Month Post 1st Treatment




Before 2 Weeks Post 1 Treatment



Before Post 3 Treatments



Before 2 Weeks Post 3 Treatments


Fraxel re:store® DUAL Laser Treatment Melasma

Before 4 Months Post 1 Treatment



Before 1 Week Post 1st Treatment

Courtesy of the Roy Geronemus, M.D.

Patient’s Diary - Day 1 • The numbing gel really works, I’m totally numb and glad that I am numb• The procedure was completely painless and actually felt nice with the cooling air that sort of felt

like cool mist. I had no pain whatsoever.• My face started to tingle about 10 minutes after the procedure but the numbing gel was still

working, which felt a bit weird with the effects of the treatment, sort of like I couldn’t move my face

• When the numbing gel wore off my face felt hot and very tingly, like a “fresh” sunburn, this lasted about an hour.

• Later in the afternoon, my face feels sunburned but not unbearable, just tight. The moisturizer (Aussie) helps and so does ibuprofen. I am not touching my face but am wondering how it will feel when I go to sleep tonight, if the pillow hitting it will make it a bit uncomfortable. We’ll see.

• Overall not that bad, but I am super pigmented, my freckles are very brown and my face is bronzy red. I expected this since I had seen others, I wouldn’t go out for drinks with this look, that is for sure.

• 8:00 pm, my face is feeling pretty good especially after washing with my usual product Cetaphil and then I switched to the Aquaphor and it feels really soothing. The other product is fine but Aquaphor feels cooling (more). I'm a little tight feeling but not super uncomfortable. I took another ibuprofen and I think that really does help. I'm turning more bronzy in color still quite a bit of color to my face but not quite as red. Very pigmented! So far so good!

SSK64

Patient’s Diary - Day 2

• I slept fine, not uncomfortable at all. I washed with Cetaphil® and noticed that I have a slight bleed on my right side, upper cheek bone but it just looks like a little scrape. I had a couple of white (almost look like whiteheads) pop out but after washing they are gone. Without moisturizer my skin feels like “fine” sandpaper, feels better once the moisturizer is on.

• I’m a little itchy but really not too bad, will probably get worse but for now very tolerable. Lots of pigmentation showing.

• I’m wearing the SPF 30 moisturizer plus the clear 45 SPF zinc.

• Still just slightly itchy but I can feel the skin tightening up, contracting almost. But not uncomfortable. I dream of being able to use a washcloth next week.

• 5:00 pm, I’m getting itchier and the cream is harder to absorb into my skin when I first put it on, it stings a little too: MD Forte SPF 30. One thing that is really bugging me is somehow the cream is irritating my contact lenses, really bugging me, can’t wait to take them out.

• Tues pm: I can now see the slight "track" of the laser with small dots that are accentuated by the "browning" of my skin. I'm not worried about it because this is what will be peeling off. I can't get enough moisturizer on my face. Very dry feeling. My eyes were itching a lot so I switched to putting a little dab of vaseline at corners and that seems to help.

SSK64

Patient’s Diary - Days 3 - 4

Day 3• I'm pretty brown, skin very dry, light sandpaper like feeling. I'm a little itchy but I'm not scratching,

it's easy to avoid so not at all unbearable. Vaseline® works better around the eyes.• I was very itchy later today, I didn’t scratch but just dealt with the itch. It felt like I had a pore

minimizer mask on, that I couldn’t take off, tight. The moisturizer with sunscreen wasn’t penetrating anymore, just drying out my face so I switched back to Aquaphor® which felt much better.

• I went home and washed my face immediately with Cetaphil® and put on Aquaphor and it felt much better. At about 9:00 pm, I saw the first signs of peeling and a small reddish (scrape like) abrasion on the bridge of my nose (I swear I didn’t pick or rub) I am so happy to have the peeling begin.

• I felt a little itchy during the night and could feel my skin touching the pillow, I would rub a little but not scratch. I slept fine.

Day 4• WOW, I am officially peeling! And it feels so much better, such a relief! It is peeling from the

middle of my face outward, which is kind of weird. In the shower, by just gently rubbing, it comes off. The sides of my face look like I have dirt smudged on . It’s slightly itchy but not as tight feeling, so am happy for that. The new skin that I can see looks so nice! No pigmentation, nice and healthy and smooth. I’m so psyched to see it all peeled off.

• Thursday evening I washed my face and more sloughing occurred, the only part remaining are the outer portions of my face and forehead and the bridge of my nose. Looks good! I’m using the Aquaphor to keep moisturized.

SSK64

Patient’s Diary - Topical Regime

Products I recommend based on my personal skin type and experience with the procedure.

• Day of procedure: Aquaphor® really seems to be the best moisturizer all around. It penetrates and is non irritating and has a cooling effect. I then would put the clear zinc on for protection (Aussie 45 SPF). I took 4 ibuprofen, two about an hour after the procedure to ease the sunburn feel, which worked and two more before I went to bed and also helped.

• Day 2 and 3: Aquaphor again works the best for moisturizing, penetrating along with Vaseline around the eyes. I tried the Aussie moisturizers and they just didn’t penetrate or feel as good as the Aquaphor. If you have Benadryl® or Claritin®, I would recommend taking to ease a bit of the itch. I did not take any and it was totally bearable, but everyone is different

• Still using Aquaphor to moisturize and now Neutrogena® SPF 75 for face which is very creamy and penetrates well.

• I used Cetaphil® to wash with every day and night, it’s a great product, won’t irritate and feels good.

SSK64

Extra “good to know”

• Fraxel Thulium for Pigmentation may require preparatory treatment with melanin suppressors if your ethnicity originates in Southern Hemisphere, Asian or Middle Eastern countries. Skin type and color are important considerations and will affect your procedure protocol.Patience and preparation guarantees the best outcomes.

• The Thulium is generally a 1 time treatment but may require 2 sessions for those with more intense pigmentation and discoloration

• Fraxel Restore is still the most effective Acne Scarring treatment with the least amount of downtime. Treatment results tend to accelerate after the 3rd to 4th session for scarring.

• Fraxel Restore is now being used frequently to help minimize stretch marks and surgical scars – including scars from breast augmentation

Consultations

Complimentary Consultations are provided to help you make educated decisions about your treatment options.

Call us today at 858 454 2700

La Jolla Cosmetic Laser ClinicLa Jolla, California

Medical Director, Nasrin Mani, MDwww.LaJollaLaser.com

Health & Medicine

Fraxel DUAL La Jolla Cosmetic Laser