Laser Treatment

Skin Rejuvenation – Fraxel

fraxel-repairOne of the most exciting advances in the medical field has been the introduction of the routine use of lasers. For skin resurfacing, the effectiveness of the laser in reducing wrinkles in the face and around the eyes, removing unwanted brown spots from age and sun, skin tightening and general skin textural improvement is unquestioned. However, until recently, there was a significant trade-off between the results of the laser treatment and the extended recovery time it required. With the traditional CO2 or erbium lasers, patients essentially had controlled burns that took between 5-9 days to heal followed by months of redness. With the introduction of the new fractionated lasers, effective laser treatment has become possible with minimal to no down time. The Fraxel re:store laser is FDA-cleared for the treatment of wrinkles around the eyes, areas of uneven pigmentation, acne scarring, surgical scarring and for general skin resurfacing. Patients typically undergo three to five treatments that are performed by Dr. Rothfield. The laser treatments take about 20 minutes and are usually separated by several weeks. They require only topical anesthesia which is applied to the treated area one hour prior to the procedure. Following the laser treatment no special care is required. There is no open wound to take care of and the redness that results from the treatment persists for only about a day. In our practice we have found the Fraxel re:store to be effective in treating (1) sun damage, (2) fine lines, (3) acne scarring, (4) skin quality, texture and tone, (5) reducing pore size, (6) softening deep lines, and (7) reducing unwanted brown spots from age and the sun. For those patients seeking the maximal possible result with the least amount of downtime the Fraxel re:store has become the gold standard.

For more information on the Fraxel re:store, or to schedule an appointment with Dr. Rothfield, please contact us at Weston Plastic Surgery.

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Laser Hair Removal


The use of lasers for hair removal has now become routine. Because of its permanence and efficiency as compared to other methods of hair removal such as shaving , waxing, electrolysis or depilatory creams, laser hair removal has become one of the most popular cosmetic procedures. Unwanted hair almost anywhere on the body, including the face, upper lip, chest, back, arms, legs and bikini line can be effectively and safely removed with laser treatment. Dr. Rothfield and his staff use the latest laser technology, employing both Nd:Yag and Alexandrite lasers depending upon the patients skin type, to optimize permanent hair reduction in those patients who desire laser hair removal. By directing the laser light energy to the melanin in the hair shaft, the hair follicle is selectively destroyed while leaving the surrounding tissue unharmed. Unlike electrolysis, which removes hair one at a time, the laser can reach many hair follicles at once.

At any given time, a hair follicle will be in one of three growth cycles. Because the laser only affects those hairs in the active growth phase, patients will require several treatments at regular monthly intervals to get the best results. The ideal time for repeat treatment is when the hair begins to regrow. This will be different for different areas of the body. For the face, armpit and bikini it is usually one to two months. For the back and legs it may be two to three months. Patients with dark hair will have consistently better results than patients with red, grey or blond hair.

Prior to treatment patients should stay out of the sun and should begin treatment without a tan. Patients should not pluck, wax or have electrolysis in the treated area for at least six weeks prior to laser treatment. Patients with a history of herpes simplex 1 or 2 will require oral antiviral medication (Zovirax or Famvir) starting the day prior to the laser treatment. This is important so as to avoid the reactivation of the Herpes virus. Patients using Accutane should stop their Accutane at least 6 months prior to treatment.

Following the laser treatment swelling and redness is expected. The sunburned feeling and swelling usually lasts for one to three hours. The application of ice can provide relief and will also work to reduce the swelling. The redness following the laser can persist for several days and can easily be covered by makeup. Occasionally, several days after treatment it may appear as though the hair is regrowing. The hair is not regrowing. These are actually carbonized hair casts of the hair follicle that has been treated. These casts will be shed without any treatment or can easily be pulled out with tweezers.

*Individual Results May Vary

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Many of our patients travel from nearby cities seeking Dr. Rothfield’s expertise in plastic surgery. We have provided driving directions from the following locations for your convenience.