Jesse E. Smith, M.D., F.A.C.S
Dr. Smith is Board Certified by the American Board of Facial Plastic and Reconstructive Surgery. He is one of a small group of surgeons that has achieved Dual Board Certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery.
Chemical peels are capable of addressing a variety of skin problems that range from dark marks (melasma) to acne. Peels are primarily made from fruit acids which are well-tolerated by just about everyone. We also have a wide variety of chemical peels, so that we can safely chose the peel that suits the patients needs and desires.
Chemical peels literally peel away dead layers of skin to reveal newer layers, and encourage the production of collagen. The process is a quick and effective way to freshen up the appearance of facial skin without having to undergo more invasive treatment. The peel process is also a great way to enhance the use of fillers and Botox, Dysport, or Xeomin because they can freshen the superficial skin, as we decrease lines and aging from below the surface with injectables.
Peels work by separating the keratin bond of the skin from the lower dermal layers, releasing the old skin cells much more quickly. The old layer of skin flakes away in a short time after application, and new skin is revealed. A short healing period is needed once the new layer is revealed, but the end result is new, radiant skin along with a reduction in the appearance of any unwanted marks or acne.
Dr. Jesse Smith provides chemical peels in the convenience of his office, and provides patients with full information of the process.
Simply living daily life can be hard on the skin. The effects of the sun, aging, and teenage acne can mean that the skin carries a lot of scars and wrinkles with it as we age.
Laser resurfacing is one way to turn back the clock on your skin and get a smoother complexion. Much like a chemical peel the laser does a very specific amount of controlled damage to the skin in order to peel off unwanted and older skin, and to enhance new collagen formation in the new skin that is under the surface. This can safely decrease unwanted wrinkles, lines, sun spots, and aging spots.
Unlike a facelift and other invasive procedures, this type of cosmetic surgery is non-invasive. It comes with a shorter recovery time than a facelift.
Dr. Smith harnesses the power of lasers to get rid of the damaged outer layer of skin to allow it to grow back without the same discolorations and scarring that were present before. The scars, wrinkles, uneven tones, and other problems will be minimized as the skin layer grows back. Smoother skin can greatly change the way you look, as well as the way you look at yourself.
Ablative laser treatments, like any treatment that injures the surface of the skin, can induce cold sores and fever blisters. If you are prone to them, speak with Dr. Smith or his staff prior to the treatment date.
Excellent for tightening skin, wrinkles, pores, resurfacing scars and acne marks.
The carbon dioxide laser (CO2 laser) was one of the earliest gas lasers to be developed, and is still one of the most useful. Carbon dioxide lasers are the highest-power continuous wave lasers that are currently available. The CO2 laser is also very useful in surgical procedures because water (which makes up most biological tissue) absorbs this frequency of light very well. We commonly employ this laser for skin resurfacing.
The laser has recently been made safer by “fractionating” the beam. A beam fractionator divides the beam into a microscopic pattern so that some normal skin is left beside skin that is treated by the CO2 beams. The treated skin is damaged in a very precise and controlled manner, placing the body’s natural collagen production on fast-forward. The natural aging process, combined with exposure to sun and pollution, destroys collagen — the main protein of connective tissue that keeps skin plump and line-free. When the body repairs the skin from the fractionated CO2 laser, it does so in a very organized fashion, which restores fullness and tightness to damaged and sagging skin. This process produces maximum results with minimal recovery time.
KTP (potassium-titanyl-phosphate, 532-nm) laser
Excellent for superficial vascular lesions, solar lentigines, age spots, rosacea, Port Wine Stains (PWS), hemangioma, telangiectasia, spider nevii, AV Malformations, and red scars.
The treatment involves the use of a laser light specially designed to treat blood vessels in the skin. The light heats the blood and the blood vessel. The heat destroys or damages the blood vessel. The laser emits a beam of green light, which penetrates the skin surface and targets the superficial, abnormal blood vessels. The light is specifically absorbed by the red color, thus, avoiding damage to the surrounding tissues. The laser should reduce the redness of the skin. Many patients find that the redness does not go away completely after the first treatment. However, the skin color should change to match the surrounding skin more closely. You may need to have a course of treatment, with a visit every six to 8 weeks.
Diode Laser (800nm or 810 nm wavelength)
Excellent for hair removal and Pseudofolliculitis Barbae (PFB)
There is no laser that has received FDA clearance for a claim of permanent hair removal. However, the Diode laser was the first to be cleared by the FDA for permanent hair reduction. That is defined by the FDA as 85% or greater hair reduction. It is possible that follicles in the treated area, while not being completely destroyed, will be sufficiently disabled to the point where they produce only fine, light hairs that do not respond to further treatment. This is backed up by extensive clinical studies and you should be wary of anyone who claims otherwise.
This laser targets the pigment located in the hair follicle and shaft. The light is absorbed by the pigment in the hair follicle and this energy is converted to heat which results in damage to the hair follicle. This damage causes delayed re-growth of hair and, in most cases, permanent destruction of many of the hair follicles. Unlike electrolysis, which disables one hair follicle at a time, the laser reaches and treats hundreds of follicles at a time.
IPL (Intense Pulsed Light)
IPL uses broad-spectrum light that filters out unwanted wavelengths as a means of treating a host of skin conditions and abnormalities: Age spots, Liver spots, Fine lines and wrinkles, Facial flushing, Redness, Superficial Broken capillaries, Telangiectasias (purple or blue veins on the face, also called spider veins), Hemangiomas (red, purple, or blue birthmarks formed by blood vessels), Freckles, Minor sun damage, Large pores
Unlike laser resurfacing, chemical peel and dermabrasion, there is almost no downtime with IPL. That means no blisters, burns or long recovery period, and you can go right back to your life after your treatment is complete. A series of treatments will result in improvement of sun and age spots, broken capillaries, spider veins, rosacea, red acne scars, facial redness and fine lines and wrinkles.
Treatments can be performed on the face, neck, chest and hands and required little or no downtime. There is a very high degree of patient satisfaction with this very predictable and safe type of treatment.
Suction IPL (Isolaz)
Isolaz is a unique acne light treatment that combines a vacuum and painless broadband light to deep cleanse and purify your pores from the inside out. Acne is one of the most common skin conditions affecting people of all ages. It affects people in their teens, 20s, 30s, 40s and beyond. Acne is caused by the over-production of androgens, hormones that stimulate the sebaceous glands causing them to enlarge and increase production of sebum. This increase in oil production, coupled with dead skin cells results in blockages in the hair follicle and sebaceous glands. No matter your age or skin type, Isolaz is a revolutionary way to achieve deep pore cleansing and help you have a radiant, clear complexion.
Isolaz clinical studies show immediate results within 24-48 hours, including reduced redness, clearing of skin discoloration and immediate drying/ flattening of the blemish. Non-responders to oral medications, topical medications and lasers had over a 75% reduction in lesions within 2 months. Other clinical studies showed a significant decrease in number, and severity of “breakouts” and a decrease in the amount of oil production. Isolaz also helps jump-start topical base treatments, by helping your skin absorb these lotions better
PDT (Photodynamic Therapy)
Excellent for acne, skin rejuvenation, rosacea, and precancerous lesions of the skin (actinic keratosis).
Photodynamic therapy (PDT) is a medical treatment that uses a photosensitizing drug (a drug that becomes activated by light exposure) and a light source to activate the applied drug. The result is an activated oxygen molecule that can destroy nearby cells. Precancerous cells and certain types of hypermetabolic cells can be treated this way. The procedure is easily performed in a physician’s office or outpatient setting.
PDT essentially has three steps. First, a light-sensitizing liquid, cream, or intravenous drug (photosensitizer) is applied or administered. Second, there is an incubation period of minutes to days. Finally, the target tissue is then exposed to a specific wavelength of light that then activates the drug and selectively destroys hypermetabolic (over-acting) cells. PDT light sources include laser, intense pulsed light, light-emitting diodes (LEDs), blue light, red light, and many other visible lights (including natural sunlight). Photosensitizer drugs may become activated by one, or several types of light. The optimal light depends on the ideal wavelength for the particular drug used and target tissue.