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Bridge Therapy Frequently Asked Questions

Q: How does Ultrapulse skin resurfacing work?

A: The UltraPulse Encore is a CO2 laser designed to offer the versatility of both deep and light - minimal downtime, skin resurfacing. The wavelength of light emitted by a CO2 laser is very well absorbed by water in the skin. "Ultrapulses" of the laser vaporize lines, wrinkles, scars, dark spots and other irregularities, layer by layer. This process also stimulates the formation over time of new, underlying collagen to provide better elasticity and support for the skin.

Q: Can CO2 laser technology be used less invasively for treating milder indications?

A:With Lumenis' CO2 laser technology, skin resurfacing is so precise that your physician can tailor treatment according to the nature and extent of photodamage, wrinkling, skin type and individual requirements for recovery time. For instance, the Active-FX peel using the unique CO2 Lite feature allows you to achieve a superficial laser peel with just one pass. CO2 Lite utilizes fluences that are below the ablation threshold and with a single pass imparts intraepidermal coagulation that is confined to the epidermis with little to no thermal injury in the dermis. In addition, the CoolScan program on the CPG places pulses in such a manner as to minimize thermal conduction of heat to deeper tissues and reduce the recovery period. The epidermis is typically left intact and serves as a natural wound dressing. The coagulated epidermis sloughs off in 3-5 days. Downtime is typically 4-7 days and offer substantial results. Offering both superior results for treating deep wrinkles and the ability to achieve controlled superficial resurfacing, the UltraPulse Encore treatment is the most logical choice for an "all-in-one" resurfacing laser.

Q: What results can I expect, and how long will the benefits of treatment last?

A: Laser resurfacing can restore your skin to a healthy state, similar to that of skin that has not experienced sun damage or scarring. With proper sun protection, results can persist for more than five years. In areas where muscle activity is strong, lines may begin to reappear sooner. As skin continues to age at a normal rate, we advise you to maintain results with a 'touch-up' resurfacing treatment. In any event, with cosmetic laser surgery you will have definitively 'turned back the clock.'

Q: What are the advantages of using authentic CO2 vs. erbium lasers with extended pulse widths?

A: A bilateral study comparing resurfacing with long pulse erbium:YAG followed by traditional short-pulse erbium ablation to UltraPulse CO2 followed by short-pulse erbium ablation (Rostan E, Goldman M, Fitzpatrick R. Laser Resurfacing With a Dual-Mode, Long-Pulse Erbium:YAG Laser Compared to the 950-Ás Pulsed CO2 Laser. Am J Cosmetic Surg. 2000; 17(4):227-231.) found that there was no statistical difference in healing between the two sides and in 5 patients (26%), greater clinical improvement in periorbital lines, perioral lines, or both was noted on the UltraPulse CO2 side. (A reprint of this article can be ordered from the Lumenis web site, Lumenis Lit. # 5448).

The value of utilizing authentic CO2:

  • When addressing moderate to severe wrinkles, true high-energy short-pulsed CO2 technology has proven to be the superior modality.
  • Physicians report that continued, progressive improvement in solar elastosis is seen post UltraPulse CO2 laser resurfacing.
  • The hemostatic effect only afforded by CO2 provides superior visualization of clinical endpoints.