Your Renewed Skin

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Procedures

For facial cosmetic surgery in Oakville, Ontario, south of Toronto, contact the Institute of Cosmetic & Laser Surgery. Our doctors are committed to providing superior results in a comfortable environment.

Accreditations

These are a few of our accreditations.

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Choose a Laser Procedure for more info...


Accolade Laser

The Accolade laser is used for the removal of "difficult to remove" tattoos, it specifically targets green, blue, orange and black ink. The laser breaks down the tattoo pigment, and the body reabsorbs and excretes it. With the dual pulse design of this laser there is a benefit of quicker treatment, larger area coverage, greater penetration, and quicker healing time.

Intense Pulsed Light (IPL™) / Broadband Light (BBL™)

Patients with fine facial wrinkles, brown blotchy pigmentation (sun damage) and scattered blood vessels will benefit from having IPL™ or BBL™ treatments. IPL™ or BBL™ photo rejuvenation removes the pigmentation from sun damaged skin and will also improve skin texture. Patients will not experience the extended downtime (scabbing, severe peeling) associated with ablative lasers such as CO2 or the deep Erbium laser. Some collagen tightening and remodeling occurs with repeat treatments of the IPL™ or BBL™.

Patients with minimal wrinkles and blotchy uneven texture with facial blood vessels can expect great improvement with IPL™ or BBL™. Those that have severe wrinkles and scars will likely require a more assertive treatment program.

Pre-Treatment

For many patients, the SkinTx™ skin care program can be started before you commence your treatments. The 4% hydroquinone within the products will help to loosen and diminish your pigmentation and skin texture problems prior to having your course of treatments. The SkinTx™ program can also be used as a maintenance program.

Prior to treatment, the face should be clean and free of all makeup. Patients cannot be tanned during the course of this treatment as it increases the risk of pigmentation problems. A sunscreen should be used daily to decrease the potential for the skin becoming tanned.

Details of Procedure

A layer of gel is applied to the area of skin being treated, and the hand piece is placed on the same area and light is emitted. There is a bit of discomfort associated with an IPL™ or BBL™ treatment, and ice packs can be used to help soothe the skin. A warm or stinging sensation may also be felt a few hours after the treatment and this is normal.

Post-Treatment Care

The low energy nature of an IPL™ or BBL™ treatment makes it very safe to resume all regular activities immediately after your treatment. After an IPL™ or BBL™ treatment is completed the treated area will have a flushed appearance, and there is a possibility of some swelling, which may last from a few minutes to several hours after the treatment. The pigmented spots may also appear darker. This is normal and will disappear as the spots come off. The area should be kept clean, however, be careful not to scrub the area for the first few days after. An SPF 60 will be applied to the areas treated following your treatment and we do recommended continued daily use of an SPF 30-60.

For most patients 4-5 treatment sessions will be required in order to attain your desired result. These appointments will be scheduled 4-6 weeks apart. Patients should expect to be in the office anywhere from 1-2 hours.

Once your IPL™ or BBL™ treatments are completed you may need to return for a treatment once a year to maintain your results.

Possible Risks

In those rare circumstances where scabs develop, patients can use antibiotic ointments like Polysporin, Fucidin or Bactroban. This should be used 2-3 times a day in a thin layer, very sparingly.

Products to compliment the procedure

If an IPL™ or BBL™ is being suggested for facial rejuvenation, fine lines and wrinkles or aging skin, the SkinTx™ line of products would be an excellent addition to this treatment program. SkinTx™ helps to eliminate pigmentation problems while simultaneously rejuvenating the skin by evening skin tone and texture, reducing pore size and restoring a youthful glow. There are many different options when using the SkinTx™ line so it is best if you spoke with either Dr. Sheetal Sapra or one of his staff members if you are interested in starting this program.

CoolGlide Laser

The CoolGlide Laser is a long-pulse 1064 nm laser that is effective in the treatment of the following;

  • Permanent hair reduction on all skin types, including tanned skin
  • Treatment if pseudofolliculitis barbae

CoolGlide Vessels Laser

The CoolGlide Vessels Laser is a long pulse 1064 nm laser that is used for the long term reduction of blood vessels on the face. This laser uses light to destroy the vessels without damaging the skin’s surface. This procedure provides a greater comfort level for patients with minimal down time. The refrigerated cool tip of the hand piece protects and cools the skin allowing the deep penetration of the laser. The haemoglobin in the blood absorbs the laser light pulse. This destroys the vessel without damaging the surrounding tissues. The body will then re-absorb the vessel, and the blood flow is redirected through the deeper veins, where it should be.

Cynergy Laser

The Cynergy Laser is the first system to combine a long pulse pulse-dye-laser and a high powered Nd:YAG into one system. These wavelengths were chosen for their absorption character¬istics and depth of penetration. Both wavelengths are well absorbed by blood and are also absorbed by melanin. The wavelengths are synergistic in their depth of penetration criteria, the PDL has a more shallow depth of penetration while the Nd:YAG penetrates deeper.

The Cynergy Laser is effective in treating facial redness caused by conditions such as; Rosacea, Telangiectasia or any other blood based skin lesions.

Cynosure® Photogenic V5 Pulsed Dye Laser

The Pulsed Dye Laser is set at 585 nm. It is excellent for the treatment of:

  • Facial blood vessels.
  • Hypertrophic red keloid scars
  • Red acne scars
  • Red stretch marks
  • Red traumatic scars
  • Warts involving the body and hands

Erbium Laser

The Ebium Laser is an Er: YAG laser that utilizes a wavelength of 2490 nm. The Erbium Laser also has range of 10 to 50 microns to enable a tailored treatment for each patient, ranging from a MicroPeel to the depth of a CO2 resurfacing.

The Erbium Laser is used to minimize wrinkles and fine lines as well as correct the texture of the skin, thus reducing the signs of aging. Acne scarring can also be effectively treated by this laser. The Erbium Laser provides an accurate and less painful method of restoring softer, smoother and more youthful appearing skin, with uniform color and better texture.

Fraxel® Laser

Up until now, there have been two primary categories of laser skin rejuvenation. These two technologies are known as ablative and non-ablative laser or light-based therapy. Ablative techniques regenerate aging and sun-damaged skin with superior cosmetic results, but can be associated with more significant risks as well as prolonged healing and recovery times. Non-ablative techniques, generally carry fewer risks but require numerous treatments over several months, producing sometimes limited clinical results of cosmetic improvement.

Fraxel® laser treatment represents a new science and category of cosmetic skin surgery that offers patients the positive results of ablative resurfacing with the low-impact benefits of non-ablative therapies. Unlike older ablative lasers that remove the top layer of skin, Fraxel® produces tiny, microscopic sites of thermal impact separated by areas of unaffected, healthy tissue. The innovative Fraxel® laser is specially designed to alter only fractional volumes of target tissue. This significantly diminishes the amount of downtime experienced. The spared healthy tissue between treatment zones contains viable cells that promote rapid renewal of the outer skin layers. At the same time, each microthermal abrasion penetrates between 400-700 microns into the dermis to remodel collagen. Fraxel® strives to achieve the skin improvements obtained with conventional CO2 laser resurfacing but without the associated side effects or downtime.

It is advisable to have at least 4 treatments 4-6 weeks apart. It is important to remember that while changes in colour and texture may be noticeable after your first few treatments, improvement in wrinkles and scars is slow. It often takes 4-6 months after your last treatment to see the best results in scar and wrinkle therapy.

Pre-Treatment

Patients cannot be tanned during the course of this treatment, as it increases the risk of pigmentation problems. A sunscreen should be used daily.

Details of Procedure

Photos will be taken prior to treatment. A topical numbing cream (Lidocaine) will then be applied to the area and left on the skin for 1 hour. This will help to diminish discomfort, which has been described as a mild to moderate prickling/burning sensation. Treatment is well tolerated, but pain can vary from patient to patient. Patients should expect to be in the office for approximately 2½ - 3 hours.

Post Treatment Care

Cicaplast (accelerated topical healing ointment) and SPF 60 will be applied to your skin following your treatment. We do recommend purchasing both of these products at the Skin Spa to use in between your treatments. It is very important to wear a minimum SPF 60 post treatment. Side effects typically involve swelling and redness.

Swelling usually subsides within 1-3 days, and can range from mild to severe. The redness may resemble a moderate sunburn and will fade over several days. Patients can use makeup immediately following treatment to cover some of the residual redness.

The Skin Spa offers complimentary consultations and colour matching if you are interested in purchasing an anti-microbial/anti-inflammatory mineral makeup which is fantastic for use after any skin treatments.

Patients can return to routine activities right away, however in order to reduce the amount of swelling, it is preferable to take a day or two off from any vigorous exercise, use ice packs regularly, 10 minutes on and 10 minutes off, sit up for the rest of the day, and use some extra pillows to sleep. Also, if you have a history of cold sores, Valtrex may be prescribed for you to reduce the risk of an outbreak.

Some patients have also experienced itching, dryness and flaking after treatment. Some roughness and a sandpaper feeling on the surface of your skin are common for several days after your treatment. Use non-reactive moisturizers and moisturizing sunscreens that do not cause irritation to help this condition. Please do not scrub the treated area aggressively when cleansing after your treatment. You may wash with a mild cleanser, but do not use any harsh or active topical products during the Fraxel treatment series. Avoid the use of retinoids and topical corticosteroids for 1-2 weeks following treatment. Avoid systemic steroids (ie Prednisone, Dexamethasone) throughout the course of the Fraxel® treatment.

Possible Risks

There are limited risks associated with Fraxel® laser. The risk of infection or scarring is extremely rare.

Products to compliment the procedure

If Fraxel® is being performed for pigmented acne scarring, facial rejuvenation or overall pigmentation concerns, SkinTx™ would be an excellent addition to this treatment program. SkinTx™ is a skincare program that helps to eliminate pigmentation problems while simultaneously rejuvenating the skin by evening skin tone and texture, reducing pore size and restoring a youthful glow. There are many different options when using the SkinTx™ line so it would be best if you spoke with either Dr. Sheetal Sapra or one of his staff members if you are interested in starting this program.

LightSheer™ EC Diode Hair Removal Laser System

This is a pulse laser that produces light at 800 nm with a repetition rate of up to two hz. It is useful for the use of hair removal in all skin types.

The Lightsheer™ Laser is effective for dark hair on most skin types and is also effective in the treatment of pseudofolliculitis barbae. The Lightsheer™ Laser uses a high-power diode technology, and is a rapid, non-invasive treatment that entails virtually no patient downtime.

Pixel® Laser

With the Pixel® Laser, energy passes through the Pixel® micro optics lens array and penetrates the skin, affecting just 15-20 percent of the surface. It creates an ablative thermal channel at the pixel area - a micro-injury - without disturbing the surrounding tissue. Those micro-injured areas start the process of healing and the untreated area acts as a reservoir for rapid restoration. As collagen remodels, skin tightens and texture improves.

The Pixel® Laser combines the proven effectiveness of an ablative approach with the patient comfort level and convenience that approaches a non-ablative solution. The gentleness of the procedure allows delicate areas such as the neck, chest and hands to be treated as safely as the face with little downtime or discomfort. The Pixel® Laser is effective in clearing photo damaged skin and smoothing fine lines and wrinkles.

ProFractional™ Laser

The ProFractional™ Laser utilizes a wavelength of 2490 nm for an ablative single-pass procedure that removes micro-columns of damaged tissue resulting in a deep thermal response. The technology of the ProFractional™ Laser reduces discomfort and irritation associated with other ablative treatments and also promotes a quick recovery.

The ProFractional™ Laser is effective in the treatment of wrinkles, acne scars, pigmentation and skin tone and texture.

Pulsed Dye Laser (Cynosure® Photogenic V5 Pulsed Dye Laser)

The Pulsed Dye Laser (please add highlighted) is set at 585 nm. It is excellent for the treatment of:

  • Facial blood vessels.
  • Hypertrophic red keloid scars
  • Red acne scars
  • Red stretch marks
  • Red traumatic scars
  • Warts involving the body and hands

Cynosure® Accolade Q-switched Alexandrite Laser

The Alexandrite Laser is useful in the treatment of the following:

  • Multi coloured tattoos including green tattoos
  • Brown age spots
  • Brown birthmarks

Q-Switched Yag Laser: Continuum MedLite IV Laser System

This is a Q-switched, frequency doubled, Nd:YAG laser that generates wave lengths at 532 nm and 1064 nm. It is useful in the treatment of the following:

  • Dark and red tattoos
  • Brown age spots
  • Brown birthmarks, both superficial and deep
  • Some vascular lesions
  • Removal of permanent make-up

Ruby Laser (Wavelight Sinon Q-Switched Ruby Laser)

The Ruby Laser produces pulses of visible light at a wavelength of 694nm, which appears as deep red to human eye. It is ideally suited for the removal of colored tattoos. Adapting the energy output enables the Ruby Laser to remove widely different ink particles. The ink is broken down into tiny particles and is removed by the natural healing process of the body.

The Ruby Laser is also effective in treating pigmented skin alterations such as café-au-lait birthmarks and lentigos, as well as for the removal of permanent make up.

IPL Quantum DL (Photorejuvenation system)

This light system is useful in the treatment of sun damaged skin. Despite not being a true laser, this intense pulse light system is useful for the treatment of:

  • Mottled hyperpigmented involving face, neck, chest and body
  • Mottled blood vessels involving face, neck, chest and body
  • Improving fine wrinkles on predominately the face and neck.

The response of sun damage skin is dramatic with 50-60% improvement and in unwanted facial blood vessels and brown spots.

Sharplan 1040 Feather Touch/Silk Touch CO2 System

This laser is useful in the treatment of:

  • Deep wrinkles involving the face
  • Depressed acne scars involving the face
  • Warts involving the hands, feet and body

Cynosure® V-Star Pulsed Dye Laser

This laser has a variable pulse width set at 585nm. It treats similar conditions as the photogenic of V laser but the parameters allow us to cause less bruising with less down time. It is useful for treatment of the following:

  • Facial blood vessels
  • Hypertrophic red keloid scars
  • Red acne scars
  • Red stretch marks
  • Red traumatic scars
  • Warts involving the body and hands
  • Non-ablative skin resurfacing