Patel Plastic Surgery Salt Lake City and St. George
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  • Conditions
    • Aging Of The Face
    • Aging of Lower Eyelids
    • Aging of the Forehead and Brows
    • Aging of Upper Eyelids
    • Aging of the Cheeks
    • Aging of the Neck
    • Aging of the Lips
    • Aging of the Mouth
    • Aging of the Chin
    • Aging of Eyelashes
    • Aging of the Hands
    • Aging Of Skin Colour
    • Aging Of Hair
    • Aging of the Jowls
    • Aging of Men
    • Aging of the Skin
    • Aging of Veins and Vessels
    • Scars
  • Cosmetic
    • Facelift
    • Browlifts
    • Lower Blepharoplasty
    • Upper Blepharoplasty
    • Midface Lift/Hammock Lift
    • Necklift
    • Cosmetic Surgery for Men
    • Lip Lines
    • Lips
    • Mouth
    • Neck Liposuction
    • Fat Transfer
    • Skin Resurfacing
    • Cheeks
    • J-PLASMA SKIN RESURFACING
    • J-PLAZTY FACE
    • Removal of Moles, Lesions, Tags, Cysts and Blemishes
    • Facial Implants
    • Otoplasty, Ear Pinning, or Bat-Ear Repair
    • Complications?
  • Reconstruction
    • Acquired Ptosis and Dermatochalasis
    • Congenital Ptosis
    • Ptosis in Myasthenia Gravis
    • Blepharophimosis Syndrome
    • Entropion
    • Ectropion
    • Thyroid Eye Disease
    • Nasolacrimal Duct Obstruction
    • Skin Tumors
    • Orbital Tumors
    • Blepharospasm
    • Pterygium
    • Anophthalmos and Microphthalmos
    • Enucleation and Evisceration
    • Exenteration
    • Symblepharon
    • Congenital Anomalies - Lid Disorders
    • Acne Rosacea
    • Trauma
    • Infections
  • Non Invasive
    • Photorejuvenation
    • Aerolase Laser
    • Botox
    • Radiesse
    • Restylane
    • Juvederm
    • Fractional Carbon Dioxide CO2 Laser
    • Fractional Resurfacing Lasers: Erbium lasers
    • Laser Hair Removal
    • Kybella
    • Chemical Peels
    • XEOMIN ®
    • Voluma
    • LATISSE EYELASH TREATMENT
    • Leg Veins and Spider Vein Treatment
    • Sculptra
    • Neck and Chest Cosmetic Concerns
    • Dysport
    • Accent Radiofrequency
    • Microdermabrasion and Light Chemical Peels
    • Melasma
    • Laser Tattoo Removal
    • Color and Texture Issues – Brown Spots on Face, Redness
    • Scars and Acne
    • Permanent Cosmetic Makeup
  • Resources
    • Patient Forms & Downloads
    • Out Of State and Overseas Patients
    • Reviews
    • VIDEOS Patel Plastic Surgery
  • About
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Fractional  Resurfacing Lasers:  Erbium  lasers

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What kind of fractional lasers are there?

There are two types of fractional lasers:
The more gentle and more superficial erbium fractional lasers
The more aggressive fractionated CO2 lasers

In general, the erbium lasers treat more superficial changes and are better for younger patients (under 50), mild to moderate acne scarring, and fine wrinkles.  The CO2 systems are better for older patients, deeper wrinkles, some skin tightening, deeper acne scarring, and other scars. The fractional CO2 lasers can treat more deeply, but they also can require more downtime than the erbium lasers. ​
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What are fractional Erbium lasers best for?

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These erbium glass fractional lasers treat the following:
  1. Sun damage, fine wrinkles, and aging on the face, neck, chest and hands but also on the arms, legs, and back;
  2. Certain cases of melasma;
  3. ​Certain kinds of acne scarring and surgical scars;
  4. To improve the crepiness and fine lines around the eye and on the eyelids.
  5. To improve skin texture and tone.
  6. To reduce precancerous lesions by replacing sun damaged skin with new skin.​
These fractional lasers are generally NOT good for redness, but work somewhat on brown pigment and the above issues.  A series of treatments (generally 3-5) are performed, usually one every 3-8 weeks. The benefits of fractional laser treatments are achieved with little discomfort and minimal risk.

How does fractional erbium ​resurfacing work?

The erbium laser creates tiny “microthermal” zones (think pixels) deep into the skin which the skin repairs by pushing out the old sun damaged skin (the tiny pixels) and replacing it with new skin. Each treatment replaces about 15-20% of the sun damaged, scarred or wrinkled skin. It triggers the body’s natural healing process accelerating the production of collagen and new, healthy skin cells. 1,000-2,000 microthermal zones per are created each centimeter squared. The depth of penetration of the erbium lasers is less than that of the CO2 lasers.

Can i do the erbium treatment with other cosmetic treatments?

We often perform erbium laser treatments in combination with botox and fillers (Restylane, Juvederm, Radiesse, etc).

How long does the effects of an erbium treatment last?

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That depends on how well you protect your skin from the sun and your genetic aging process.  If you apply sunscreen and wear sun protective clothing, your skin will look good longer than if you are tanning, including tanning booths, or spend a lot of time outdoors.  If you are careful with your skin, your skin may continue to look good with annual maintenance treatments.

How long does the erbium laser take to work? When will i see results?

Many people notice results within a week after their first treatment.  Their skin feels smoother, looks less blotchy, and has a glow to it. The results depend on what your issue is that you want treated.  If you are doing a series, you may need to wait the full length of the series, which can be 5-6 months, to see the complete and best results.  Usually, collagen will continue to develop even up to 3-6 months after your last treatment.
"Well, the last time I had a picture taken I could hardly see my eyes because of the weight of heavy eyelid. Then I paid attention to how I was actually using my eyes and I really noticed when I was looking at anything especially the computer I was straining my forehead to see better. Since I have had it done I no longer have to lift the forehead and tilt my head to see. It is amazing! I love..."  D. Rock  63 Yrs Old with Fat Droopy Eyes - Salt Lake City, UT

how are erbium laser treatments performed?

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You need to arrive about 1 hour before your treatment. You or a technician will cleanse the treatment area and then apply a numbing cream to the area to be treated. Then you just relax, read, or listen to music, while the numbing cream takes effect. Many patients like to put the anesthetic cream on the face before they leave home so they are ready to be treated by the time they arrive to the clinic.

After about 45 minutes, the numbing cream will be removed. No gel is needed for treatment with the newer Erbium lasers. The skin is cooled using the amazing Zimmer cooler and the laser treatment is commenced.
The level of discomfort is about a 3 out of 10. At the end of the treatment, the face is cleansed and a moisturizer is applied. Plan on being in the office for 1 ½ hours total. Most people drive to and from their own Erbium laser appointments.

what is the process for erbium eyelid treatment?

Patients should try to arrive with a clean face, including all eye cosmetics, and you should inform your clinician if you have any permanent makeup before beginning the treatment. Numbing eye drops are placed in the eye to aid in the insertion of a contact lens-like eye shield to protect the eye. The shield fits comfortably within the eye.
The eye treatment is then performed on the upper and lower eyelids. Erbium eyelid treatment may be performed at the same time as Erbium face treatment. Remember, it is normal like all areas treated with the Fraxel, to some swelling and redness for 2-3 days after the treatment.
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what do i do prior to my erbium laser treatment?

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  1. Stop use of Accutane 6-12 months before any treatments

1-2 Week Before Treatment:
  1. Buy several bags of ice packs/frozen peas
  2. Buy Cetaphil or another gentle cleanser
  3. Stop use of Asprin, Advil and Aleve if possible.  Tylenol is ok.
  4. Stop use of all Retinols/Retin-A
  5. Stop Renova, Tazorac, “anti-aging” products
  6. Stop use of all glycolic acid treatments
  7. Avoid sun exposure 2 weeks prior to your treatment (use sunscreeb)
  8. Stop minocycline, doxycycline and tetracycline
  9. Stop waxing
  10. Stop abrasive scrubs and microdermabrasion treatments
  11. Call your doctor if you have a history of cold sores-  you may need a prescription for Valtrex or Famvir to begin the day before your treatment.

Day of Treatment:
  1. Eat a meal 1-2 hours before your treatment – this prevents feeling jittery with the numbing cream
  2. No caffeine for 4 hours before your treatment
  3. Wear comfortable/ washable sweats or clothes
  4. Arrive with no make-up or eye contacts
  5. Bring a wide brimmed hat to your appointment to wear after your treatment.
  6. Are you pregnant or breast feeding? If so, you are not a candidate at this time
  7. Tendency to hyperpigment? We will start you on a hydroquinone bleaching cream about four weeks prior to your treatment. ​

what will i look like right after treatment and
​what is the healing time?

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  1. During the first 24 hours after treatment, your skin may feel as though it is sunburned. Ice packs or frozen peas are used 5-10 minutes per hour for the first 5-6 hours after the treatment.
  2. Please apply a moisturizer (see the section on “which moisturizer should I use after laser treatments” for suggestions) four times a day to the treated skin, and more often if the skin feels dry.
  3. Your skin will look very red immediately after the treatment and will fade over the next 1-3 days. Usually you can go back to normal activities including work, with make-up, within 1-3 days (we will estimate for you). Occasionally, the redness may take longer to resolve. Make-up can be worn to reduce the red. Rarely, bruising may develop, which can take up to two weeks to resolve. Allow 2-3 weeks for weddings, reunions, family pictures, etc just to be safe.
  4. Within a few days after each treatment, a “bronzed” look to the skin is common, which can last 1-2 weeks. Your skin may flake and exfoliate a little. Use a moisturizer three to four times a day to the lasered areas: this will help reduce the appearance of dry flakes. Remember, it will take several treatments to obtain optimal results.
"I had a excellent eye lift done by Dr. Patel. He knows what he is doing and is very pleasant. Dr.Patel was easy to get an appointment and he works with you. The office staff was very pleasant and made you feel calm."  D. Gull Highly recommended for eye lift surgery - Salt Lake City, UT

instructions for care after erbium laser treatment? 

  1. Ice for ten to fifteen minutes every hour for the next 5 – 6 hours to reduce swelling.  Use a bag of frozen peas covered with a thin clean cloth/towel.
  2. ​Avoid scratching or rubbing the treated skin – do not put adhesive dressings over treated areas.
  3. Men may shave 1-2 days post-treatment but be gentle. Best to use an electric razor for the first few days!
  4. Avoid all saunas and hot tubs. Showers can be taken, but avoid hot water and direct shower spray to treatment area for 3 days following treatment. You may, however, shower and get the face and treated areas wet the day after the treatment.
  5. Avoid strenuous exercise for 48-72 hours (this includes all yoga, especially the upside down, inside out Bridge-Lion pose.
  6. Avoid alcoholic beverages for 24-48 hours.
  7. Sleep with 1-2 extra pillows at night to keep head raised for the two nights.
  8. Avoid direct sunlight for a minimum of 4 weeks after your treatment and wear a sun block with 10% zinc or titanium for the next 4 weeks.  If actively outdoors, you should reapply your sunscreen every 2-4 hours and wear a wide-brimmed hat
  9. Do not use any retinoid, Retin-A or glycolic products for 1-2 weeks following the procedure.  Do not use any non-prescription creams without checking with us first.
  10. Refrain from any chemical peel treatments or microdermabrasion (or deep facials!) for 4 weeks post-procedure.
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can i go back to work and activities IMMEDIATELY?

No, you will need to take the rest of that day off to ice and care for the treated area. You can go back to all of your activities, including exercise when your doctor approves it, usually 1-7 days after your laser treatment. Swimming in a chlorinated pool is not advised for 1-3 weeks. You may exercise outside with a full brimmed hat and with a high-quality sunscreen with 10% zinc or titanium.

How many treatments will i need?

Three to five treatments, approximately 3-8 weeks apart. An estimate should be given to you at your consultation. The number depends on the extent of your sun damage, acne scarring or wrinkles. Gradual improvement occurs with each treatment. ​However, with Erbium lasers, depending upon what is being treated, each treatment should give you a substantial improvement in appearance.
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are there any reasons not to be treated with erbium lasers?

Reasons not to do a fractional Erbium laser treatment may include use of medications that increase photosensitivity, use of anticoagulants, history of bleeding disorders, and pregnancy.

are there any medical or cosmetic side effects?

The main side effects are temporary swelling, redness, an accentuation of the brown spots, crusting, and an occasional bruise or small superficial blister (like a sunburn blister). 

what about all the different names of lasers people try to
​sell me like fraxel, thermage etc.

Please don’t fall for false and exaggerated claims. A Rolls Royce drives as well as a Bentley and an Aston Martin is as beautiful as a Ferrari. It is the engine that is really important, and so it is with lasers. Every ablative laser (besides the plasma machines which are covered on a different page) will be a type of Erbium laser or a Carbon dioxide (CO2) laser. Of course, many different companies make these lasers (even though the engine of these lasers is often manufactured in Israel, Italy or the United States and rebadged and sold as different machines.

Properly used, a knowledgeable and proficient surgeon can make each of these lasers prform like a Rolls Royce, or a Bentley or an Aston Martin or a Ferrari. It is the results that count. Don’t worship false gods (mixing metaphors).

Always review before-and-after photographs of patients treated for the same condition as you (by your surgeon!), or talk to other patients who have had treatments. Medicine and surgery are best practiced with a thorough knowledge of anatomy, physiology, pathophysiology, knowledge of different wavelengths of lasers and the effects and
​side-effects of the same. And experience!

how does THE erbium laser work on acne scars?

Many of the original studies with this laser were done on patients with acne scarring.  It works well for acne scarring as long as the scarring is mild or moderate.  If the scarring is deep or there is a skin sagging associated with the scars, a fractional CO2 laser is generally a better choice.

How does the erbium laser work on sagging skin

This laser does NOT work well for sagging skin.

how does the erbium laser work on wrinkles?

The Erbium laser has a modest but noticeable effect on wrinkles that are mild to moderate.  It’s not the best choice for deep wrinkles and wrinkles associated with volume loss and sagging.  For wrinkles, younger patients more in the 30-50 range will generally get the best results with this laser.  It still has a very positive effect on sun damage and texture changes due to sun damage if a 3-5 treatment series is performed.

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Dr. BCK Patel MD, FRCS
​1025E 3300S
Salt Lake City, Utah 84106, USA

(801) 413-3599 (phone/text)
E: [email protected]
bckpatel.info


Dr. BCK Patel MD, FRCS
617 E Riverside Dr Suite 101
​Saint George, UT 84790, USA
(435) 215-0014
​E: [email protected]

Let Us answer your questions

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Conditions

Aging Of The Face
Aging of Lower Eyelids
Aging of the Forehead and Brows
Aging of Eyelashes
Aging of the Cheeks
Aging of the Neck
Aging of the Lips
Aging of the Mouth
Aging of the Chin
Aging of Eyelashes
Aging of the Hands
Aging Of Skin Colour
Aging Of Hair
​Aging of the Jowls
Aging of Men
Aging of the Skin
Aging of Veins and Vessels
Scars

Cosmetic

Facelift
Browlifts
Lower Blepharoplasty/Hammock Lift
Upper Blepharoplasty
Midface Lift/Hammock Lift
Necklift
Lips
Mouth
Neck Liposuction
Fat Transfer
Skin Resurfacing
Cheeks
J-PLASMA SKIN RESURFACING
J-PLAZTY FACE
Removal of Moles, Lesions, Tags, Cysts and Blemishes
Facial Implants
Otoplasty, Ear Pinning, or Bat-Ear Repair
​Complications?

Reconstruction

​Entropion
Acquired Ptosis
Ectropion
Congenital Ptosis
Blepharospasm
Anophthalmos and Microphthalmos
Thyroid Eye Disease
Enucleation and Evisceration
Nasolacrimal Duct Obstruction
Symblepharon
Congenital Anomalies - Lid Disorders
Acne Rosacea
Trauma
Infections
Skin Tumors
Orbital Tumors

Non- Invasive

 Photorejuvenation
Aerolase Laser
Botox
Laser Hair Removal
Kybella
Juvederm
Chemical Peels
Fractional Carbon Dioxide CO2 Laser
XEOMIN ®
Voluma
Latisse Eyelash Treatment
Leg Veins and Spider Vein Treatment
Sculptra
Neck and Chest Cosmetic Concerns
Restylane
Dysport
Accent Radiofrequency
Microdermabrasion and Light Chemical Peels
Melasma
Fractional Resurfacing Lasers: Erbium lasers
Color and Texture Issues – Brown Spots on Face, Redness
Laser Tattoo Removal
Radiesse
Acne
​Permanent Cosmetic Makeup

VIDEOS

links
​
www.hammocklift.com

WWW.PATELFACELIFT.COM

www.englishsurgeon.com

www.drbhupendrapatel.com
​
bckpatel.info

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Patel Plastic Surgery  .  Copyright 2022 . All Rights Reserved
  • Home
  • Locations
    • Plastic Surgery Salt Lake City
    • Plastic Surgery St. George
  • Conditions
    • Aging Of The Face
    • Aging of Lower Eyelids
    • Aging of the Forehead and Brows
    • Aging of Upper Eyelids
    • Aging of the Cheeks
    • Aging of the Neck
    • Aging of the Lips
    • Aging of the Mouth
    • Aging of the Chin
    • Aging of Eyelashes
    • Aging of the Hands
    • Aging Of Skin Colour
    • Aging Of Hair
    • Aging of the Jowls
    • Aging of Men
    • Aging of the Skin
    • Aging of Veins and Vessels
    • Scars
  • Cosmetic
    • Facelift
    • Browlifts
    • Lower Blepharoplasty
    • Upper Blepharoplasty
    • Midface Lift/Hammock Lift
    • Necklift
    • Cosmetic Surgery for Men
    • Lip Lines
    • Lips
    • Mouth
    • Neck Liposuction
    • Fat Transfer
    • Skin Resurfacing
    • Cheeks
    • J-PLASMA SKIN RESURFACING
    • J-PLAZTY FACE
    • Removal of Moles, Lesions, Tags, Cysts and Blemishes
    • Facial Implants
    • Otoplasty, Ear Pinning, or Bat-Ear Repair
    • Complications?
  • Reconstruction
    • Acquired Ptosis and Dermatochalasis
    • Congenital Ptosis
    • Ptosis in Myasthenia Gravis
    • Blepharophimosis Syndrome
    • Entropion
    • Ectropion
    • Thyroid Eye Disease
    • Nasolacrimal Duct Obstruction
    • Skin Tumors
    • Orbital Tumors
    • Blepharospasm
    • Pterygium
    • Anophthalmos and Microphthalmos
    • Enucleation and Evisceration
    • Exenteration
    • Symblepharon
    • Congenital Anomalies - Lid Disorders
    • Acne Rosacea
    • Trauma
    • Infections
  • Non Invasive
    • Photorejuvenation
    • Aerolase Laser
    • Botox
    • Radiesse
    • Restylane
    • Juvederm
    • Fractional Carbon Dioxide CO2 Laser
    • Fractional Resurfacing Lasers: Erbium lasers
    • Laser Hair Removal
    • Kybella
    • Chemical Peels
    • XEOMIN ®
    • Voluma
    • LATISSE EYELASH TREATMENT
    • Leg Veins and Spider Vein Treatment
    • Sculptra
    • Neck and Chest Cosmetic Concerns
    • Dysport
    • Accent Radiofrequency
    • Microdermabrasion and Light Chemical Peels
    • Melasma
    • Laser Tattoo Removal
    • Color and Texture Issues – Brown Spots on Face, Redness
    • Scars and Acne
    • Permanent Cosmetic Makeup
  • Resources
    • Patient Forms & Downloads
    • Out Of State and Overseas Patients
    • Reviews
    • VIDEOS Patel Plastic Surgery
  • About
  • Blog
  • Contact