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Boston Acne-The Best Acne and Acne Scar Treatments

April 29th, 2014

Acne is one of the most frustrating skin conditions that most of us experience at one time or another. People who have severe acne have painful lesions that are very difficult to treat effectively and often have serious emotional stress as a result of acne. Acne scars are difficult to hide and until recently were very difficult if not impossible to remove even with the best plastic surgery techniques.

All of this has improved dramatically in the past few years with very new modern medical and laser therapies which have truly revolutionized the treatment of acne and acne scars. New topical medications, advanced skin exfoliation techniques, and new laser and photo dynamic therapy techniques have enabled us to control acute acne outbreaks. Remarkable new non-ablative fractional laser resurfacing and combined ablative and non-ablative laser resurfacing can dramatically improve even deep acne scarring. Many of these new treatments have been developed right here in the Boston area.

before and after picture of acne scar removal with 1540 fractional laser Above: Before and after acne cyst scar removal with Lux1540 laser made by palomar medical in Burlington, Massachusetts.

However, you will need to follow the new acne skin care programs fastidiously. You will also need to consult an expert dermatologist or plastic surgeon that is up to date and knows how to treat acne. You will need prescription medications. You will also need to have monthly exfoliation treatments by a medical aesthetician who is experienced in acne control treatments.

You also need to start early, at the first sign of an acne outbreak. Delaying treatment only gives the comedones the chance to worsen and possibly cause an acne scar.

What Causes Acne

Acne is caused by obstruction and infection of the oil glands in our skin. Our skin contains oil glands called Sebaceous Glands which secrete normal oil called Sebum which helps moisturize and protect our skin.

If Sebum production is too high, for example during adolescence, or skin debris like dead skin blocks the pore that drains the Sebaceous Gland, the Sebaceous Gland can become distended and obstructed so that oil builds up and distends the gland.

An obstructed, distended Sebaceous Gland provides an ideal place for bacteria to grow and create an infection. Once the Sebaceous Gland becomes infected, the skin overlying the gland becomes red, swollen, and painful, an acne lesion. A whitehead can form on the skin, which is essentially a small skin abscess, called an acne pustule.

Acne tends to occur most commonly in areas where oil glands or Sebaceous Glands are most plentiful, the area around the nose, forehead and chin, called the T zone, and the back.


What Causes Acne Scars

Visible scars are caused by destruction of the Dermis, the deep layer of the skin. When the Dermis is damaged and tissue is lost, a visible depression or scar appears.

Because the Sebaceous Glands extend deep into the Dermis, the infection in the Sebaceous Gland or Comedone causes infection and destruction of the surrounding Dermis. After healing a deep depression or scar forms because the supporting Dermis tissue has been lost.


How to Control Acne Outbreaks

The basic requirements for control of acne involve:

• Reduce oil production of the Sebaceous Glands
• Remove skin debris to prevent obstruction of the Sebaceous Glands
• Treat and prevent infection of the Sebaceous Glands

Topical Benzoyl Peroxide is an anti-bacterial agent and a skin drying agent. It is marketed as Brevoxyl Cream or Brevoxyl wash. It is the most commonly used product to control acne and is very effective. Benzoyl Peroxide reduces oil and helps prevent infection.

Vitamin A (retinoic Acid) derivatives reduce skin oil production by inhibiting the Sebaceous Gland cells. Products that are commonly used are Differin (adapalene), Retin A, Tazorac, and Accutane (isotretinoin). These prescription drugs are very effective but do have side effects like skin irritation dryness and other potential problems, thus they must be used under the direction of a physician.

Topical Clindamycin is the most effective antibacterial agent for controlling skin infection in my experience. It comes as a gel or cream or small wipes called Clindets, which I use most frequently.

Microdermabrasion is the most effective minimally invasive, no down time deep exfoliation method. Microderm treatments are essential to remove debris, open pores and prevent obstruction of the Sebaceous Glands and the development of a Comedone.

Oral Antibiotics like Minocyclene and other Tetracycline derivatives are widely prescribed for acne control. They can be effective, but my own prejudice is that it is very hard, if not impossible, for an oral antibiotic to reach a skin abscess like a Comedone. The skin abscess forms a thick wall of inflammation that is almost impossible for the oral antibiotic in the bloodstream to penetrate.

That is why I place so much emphasis on topical care to reduce oil production, deep exfoliation to remove debris and allow the oil out of the gland, and topical Clindamycin applied directly to the infected oil gland or Comedone.


IPL, Diode Laser and Blue Light Treatments
can kill the bacteria Propionibacterium acnes (P. acnes) which cause the infection or Comedone and some can reduce oil or Sebum production. These therapies are effective when used properly.

Acne Control Program

The control program depends on the severity of the acne.

Mild Occasional Outbreaks

• Monthly professional medical grade microdermabrasion treatments
• Topical Benzoyl Peroxide-(Obagi Clenziderm MD penetrates the best)
• Clindamycin- Clindets for acute lesions

Moderate to Severe Acne

• Monthly to bi-weekly microdermabrasion
• Obagi ClenzidermMD Benzoyl Peroxide
• Topical Clindamycin-Clindets
• Retin A Derivative-in increasing order of strength-Differin, Retin A, Tazorac, Accutane
• Consider IPL, Blue Light or Diode Laser Therapy

before and after acne treatment with microdermabrasion to remove acne and improve acne scars Above: Before and after acne control treatment with microdermabrasion, topical Clindamycin and Retin A.

Severe Cystic Acne

• Microdermabrasion
• Obagi Clenzidrm
• Topical Clindamycin Clindets
• Accutane
• IPL, Diode Laser or Blue Light treatments

How to Remove Acne Scars

Traditionally dermabrasion or surgical excision was used to remove scars. However, with the advent of laser resurfacing in the mid 90”s, laser resurfacing with the CO2 laser became the most common method. However, CO2 laser resurfacing required prolonged recovery, often caused the skin to lose color, and CO2 laser resurfacing only smoothed the surface of the skin and did little to improve deep acne scars caused by destruction of the Dermis by the acne infection process.

Deep ice pick scars still require a special surgical procedure called floating grafts followed by CO2 laser resurfacing for effective removal. During this procedure, under local anesthesia, a small circular punch or trephine is used to cut around, but not remove the ice pick scar. The punched area floats up above the surface of the surrounding skin. After 2 weeks, the protruding graft has taken, which means it has new blood supply and will survive. At this point, the CO2 laser is used to plane down the protruding grafts flush with the surrounding skin. The new graft closes the ice pick scar. This is the only method I have seen that effectively corrects ice pick acne scars.

New non-ablative fractional laser skin resurfacing is able to significantly improve deep acne scars by building new collagen to replace the collagen lost in the Dermis by the Comedone infection.

These new fractional non-ablative skin resurfacing lasers do not break the skin thus no healing time is required. You will need at least 4 treatments scheduled 4-6 weeks apart. The laser energy is fractionated, that is broken up into many small beams that pass through the skin without injuring it, and heats the deep dermis to build new collagen to actually plump up the acne scar.

The fractional non-ablative resurfacing laser is a revolutionary advance in scar removal treatment.

Before After Starlux 1540 Fractional Laser Skin Resurfacing
Above: Before and after acne scar removal with Starlux 1540 fractional laser skin resurfacing scar removal (Palomar.)

Where Do You Find a Good Acne Care Program?

First, re-read this article and be armed with the facts about acne skin care. Many physicians just prescribe Minocyclene and do not understand the importance of a comprehensive approach to acne skin care.

I recommend that you consult two board certified dermatologists or plastic surgeons that have an interest in acne skin care. Check their websites, do they offer all acne related services.

It is important to find a doctor who offers microdermabrasion treatments and laser therapy in their office. That means they are up to date on current technology.

I also believe that it is essential that the physician have an excellent experienced medical aesthetician in their office. Most of your contact and the most important person in your program will be the medical aesthetician, and she needs to know what she is doing.

You are very unlikely to find the expertise you need in a walk in Medical Spa without a board certified doctor present to examine you and recommend a course of therapy. Physician supervised in the Medical Spa world usually means the doctor is actually at an office some distance from the Medical Spa and provides his/her supervision in the form of a phone call when something goes wrong.

Do your homework.

For more information on acne control or acne scar removal call 978-369-44999 or email us. Read our free newsletter to keep up on the latest information on laser and non-surgical skin care. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Boston Tummy Tuck–Laser Tummy Tuck in Boston

April 7th, 2009

New laser liposuction technology called SlimLipo can remove belly fat and tighten skin and make the traditional surgical tummy tuck operation unnecessary for many people. SlimLipo is a unique new skin tightening and fat dissolving laser which can contour the abdomen and tighten the tummy without abdominoplasty surgery or traditional traumatic liposuction. The results can be incredible, see before and after pictures of laser tummy tuck below:

before and after picture of boston laser tummy tuck_edited-11 Before and after pictures of laser tummy tuck alone, no abdominoplasty was done.

The Slimlipo laser tummy tummy procedure can also be used to sculpture the abdomen and help define an abdominal six pack and countour the upper abdomen and tighten skin around the belly button during a mini tummy tuck. See before and after pictures of mini tummy tuck and S;limLipo laser contouring to tighten upper abdominal skin below:

before and after boston laser tummy tuck and mini tummy tuck Above: before and after laser sculpting of abdomen and mini tummy tuck.

How Does the Laser Tummy Tuck Work?

The new SlimLipo laser system uses a 924nm and combination 925/975nm laser wavelengths passed through a small fiber into the fat beneath the tummy skin. The 924nm laser is selectively absorbed by the fat and actually melts the fat. The 924/975nm combination tightens the tissue beneath the skin and pulls the skin tighter against the underlying muscles.
This is new technology-previous laser liposuction machines used a 1064nm or 1308nm laser wavelength. The 924nm is absorbed by fat 5 times more than the 1064nm and 3 times more than the 1308.
The result, in my experience, is more effective fat removal and skin tightening.

What Are the Advantages of the Laser Tummy Tuck Over a Surgical Tummy Tuck?

The most important of course is that the laser tummy tuck does not require large incisions and a surgical procedure on the abdomen. The laser liposuction fiber is placed under the skin through a tiny hole made in a hidden location in the skin. The major benefits are:

• No Long Surgical Scars
• Quicker Recovery
• Many Can Be Done Under Local Anesthesia
• Loose Skin and Fat Above the Belly Button Can Be Corrected Without Major Surgery

What are the Advantages of Laser Tummy Tuck Over Plain Liposuction of the Abdomen?

Traditional liposuction is used to remove fat from the abdomen and is very effective at fat removal. However, in my experience, there are several problems associated with liposuction done without the laser, mainly loose skin and contour irregularities and dimpling of the skin.
In my experience so far I have been very impressed with the skin tightening after the laser liposuction tummy tuck procedure. I have also been able to use the technique on thinner patients and have not seen the skin irregularities and contour deformities I have seen with liposuction without the laser. The benefits of the laser liposuction method in my practice are:

• Tighter Skin
• Smoother Skin- Fewer, if any, Irregularities
• Less Tissue Trauma-Gentler Procedure

Learn More

You may read more about this procedure on my website. Also, you can keep up to date on new technologies and discoveries in aesthetics, self enhancement, and plastic surgery in my monthly free email newsletter.
Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Boston Hair Removal—How to Get Rid of Hair with IPL and Laser

March 5th, 2009

Laser and IPL hair removal are the most common laser and photomedicine procedures done in the United States. None of us like to be too hairy, I guess it reminds us too graphically of our hairy friends in the animal world! Especially women do not like dark excess hair on the face, legs, bikini line and under arm, especially women in the US and Asia. I assume, dark facial hair makes a young woman feel less feminine. This is a cultural phenomenon, as many cultures do not have an obsession with hair removal.

Laser and light based hair removal has improved dramatically in the past 5 years. Early hair removal lasers were not fully effective and were so powerful that burns and scars were a possibility. In addition, early lasers could not be used on dark skin and were effective at removing only very dark black hair. Newer IPL and some laser hair removal machines are a vast improvement and can be used on darker skin and can also remove lighter hair. The newer IPL machines are less painful and there is less chance of burning and skin scarring.

The best earliest laser for hair removal was the Lightshear Diode invented by Palomar Medical. Palomar subsequently developed the IPL hair removal method to be able to treat hair with less energy using the safer IPL technology which is also less expensive to build. The advantages of the new IPL method became clear when they sold their rights to the Lightshear Diode to Lumenis to pursue what they felt was a better IPL hair removal method.

These machines are sophisticated medical grade instruments that should only be used under the supervision of a physician. While the popularity of this procedure has resulted in light based laser and IPL hair removal being offered in Salons and Spas without a doctor present, new legislative action will soon limit most of these devices to a physician supervised office. I recommend that you stay ahead of the curve and receive the safest most effective hair removal treatments in a board certified plastic surgeons or dermatologists office. Your safety should be your first concern. Results of IPL hair removal can be excellent as seen in the before and after picture of IPL hair removal of the under arm to eliminate shaving below:

Hair Removal Under Arm Above: Before and After IPL hair removal of the under arm to avoid shaving.


How Does IPL or Laser Remove Hair?

All light based therapies which include laser and IPL, also called Photomedicine techniques, work on the same principle. This principle is that a specific color of light can be directed to be absorbed or taken up by one specific color of tissue on the skin. Light is energy, and energy can produce heat. When light energy, the IPL or Laser beam, is absorbed by a specific colored tissue on the skin, the tissue is heated, injured, and is removed. Hair follicles are black or brown, thus a black or brown laser or IPL light is flashed on the skin that contains the hair follicle, the follicle absorbs the light energy, is heated, damaged, and the hair follicle shrinks and loses color. The new smaller hair follicle is then able to grow only fine light colored peach fuss after treatment.

This light based technique is called target specific photothermolysis-a specifically colored target receives color matched light energy (photo), is heated (thermo) and damaged or dissolved (lysis).

The color of light used is very important because hair follicle color is different for different colors of hair. Thus the same color light will not remove all hair colors. Most commonly an 800nm laser wavelength (Lightshear Diode) has been used, however the newer IPL based systems can quickly treat in a range of 525-1200nm (Palomar LuxRed and LuxYellow) to treat a wider variety of hair colors. IPL hair removal is a very quick effective technique as seen in the results of IPL hair removal of the Bikini line below:

Bikini Line Hair Removal (Palomar Medical-Khatri)

These machines do not really remove hair. Rather they damage and shrink the hair follicle so that new growth is small, thin, blond peach fuzz. The follicles can only be damaged during one of three growth phases. Only 1/3 of the follicles in any area are susceptible at any one time, so at least three treatments separated by 6 weeks are necessary to achieve the best result. After the first IPL hair removal session you will see a significant difference as in the before and after picture of hair removal of the upper lip first session below:

Fillers-Contact Dr Seckel

hair-removalAbove: Before and after first session of IPL hair removal, already a nice reduction in lip hair is seen. One or two more sessions will remove the remaining hair.

When Will I See A Result?

Soon after your first treatment the hair falls out and your skin will be smooth and bare. However in 6 weeks 2/3 of the follicles will re-sprout new growth. It will take at least two more sessions to catch the follicles in a susceptible phase to complete the removal processes. Very heavy thick growth may require touch ups even after the first three sessions. See before and after IPL hair removal of chin below:
Chin Hair Removal Before and after IPL hair removal on neck and chin of female.

What Areas Can Be Treated?

Almost any body area can be treated. The most common are:

In Women:
• Upper lip
• Chin
• Under arm
• Legs
• Bikini line
• Cheeks
• Arms
• Back

In Men:
• Back
• Chest
• Neck
• Beard


Special Treatments for Medical Conditions

There are two very painful medical conditions that can be treated with these light based techniques.
Ingrown hairs and razor bumps, called pseudofolliculitis barbae, is a painful condition affecting millions of African American men. These new light based techniques can provide dramatic effective relief for these conditions.

Pilonidal cysts, a very painful recurring infectious draining condition affecting the sacrum or tail bone area is caused by abnormal follicular and sebaceous cell growth in this area. These new light based techniques can significantly help this painful debilitating condition.

Where Should I go For hair Removal?

As I mentioned earlier laser, IPL and light based therapies are very sophisticated medical technologies. While they can achieve remarkable results, success is very dependent upon the skill with which they are used. Furthermore, protective eyewear is essential, as powerful light beams can damage the unprotected eye. In addition, these machines work by using controlled heat applied to the skin, and heat can create a burn or scarring if not applied properly.

Photomedicine is a very complex field and the doctor must understand light physics and light tissue reaction of the skin. It truly takes years of study and experience to understand how to properly use lasers and IPL.

Too often these technologies are perceived as push button devices that anyone can safely use. That could not be further from the truth.
Currently only the residency training programs in Plastic Surgery and Dermatology provide formalized training and testing for board certification in these fields which apply lasers and IPL to the skin. I recommend that you seek consultation with a board certified plastic surgeon or dermatologist before having any light based therapy. Not all plastic surgeons and dermatologists are experienced in these techniques, so you will have to search their websites and ask appropriate questions.

Please avoid salons and spas, in my opinion they should not be using these techniques without direct medical supervision, and many state legislatures agree with this concept and are taking action.

Who Should Do My Treatment?

A well trained and experienced medical aesthetician, nurse, PA or Nurse Practitioner who works with and is supervised by a board certified plastic surgeon or dermatologist who is trained in Photomedicine, can safely provide these treatments.

The best practitioners agree with this concept and would not try to practice Photomedicine in any location other than a medical office where the doctor supervision is on site. If there is a problem it is very important that the doctor be present and not supervising from an office 10 miles away.

More importantly, in my opinion, is the knowledge and experience of the doctor in diagnosing your particular skin condition and deciding which of the many laser and IPL based treatments will work best for you. In addition, often prescription medications and other treatments are required for you to achieve the best result, and a doctor will be able to provide you with these added benefits.

Do your homework, start on the Internet. Read enough to become knowledgeable about lasers and IPL and how they work and what they can achieve. Then seek consultation with 2 board certified plastic surgeons or dermatologists and decide who you are most comfortable with. This is your best chance for a safe effective result.

For more information on IPL hair removal call 978-369-4499 or email me. Read our free newsletter to keep up on new techniques in non-surgical face and body rejuvenation. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

IPL Boston—How to Get Rid of Hair, Acne, Brown Spots, Sun Damage and More with Photofacial

March 5th, 2009

peach.thumbnail>Whether you have brown spots, broken blood vessels, unwanted hair, Rosacea or acne outbreaks on your face, a new light or Photo medicine therapy called IPL or Intense Pulsed Light can help.

IPL, Intense Pulsed Light treatments, also called Photofacial skin treatments can treat a very wide range of skin problems. Whether you have aging skin, Rosacea, broken blood vessels, unwanted hair, brown spots, acne, or sun damage, IPL treatments are a safe, easy, no down time method to correct these problems.

What Is IPL, Intense Pulsed Light or Photofacial Therapy?

IPL or Intense Pulsed Light is not a laser, but rather a much gentler and safer form of light therapy skin care treatment. IPL uses a flash of visible light, like a very powerful flash bulb or digital flash, not laser light to remove unwanted pigment, blood vessels, red spots, hair, acne and sun damage from the skin.

IPL however uses sophisticated filters that only allow a very specific color or wavelength of the visible light spectrum to pass through on to the skin. The IPL is tuned or set to flash only the color of light that is needed to remove a specific target, such as hair, a blood vessel or brown spot. For example, if you want to remove a blood vessel from the skin, IPL flashes light which matches the color of blood in the vessel. The IPL light energy is absorbed by the blood in the vessel, the blood is heated and the vessel is damaged and removed, but all other tissues around the blood vessel are not affected. Notice in the before and after picture of IPL blood vessel removal below that after the vessel is removed there is no scar and no trace on the skin that anything was done to remove the blood vessel:

before and after Restylane filler in lip in Boston

Before and after Restylane filler in lip

Spider Vein nose

This method is called target specific photothermolysis. What it involves is using light energy to heat a target such as a brown spot to dissolve the unwanted pigment. Photo means light, thermo means heat and lysis means to dissolve. The most important feature of IPL is that this form of light energy can be tuned to only target a specific color and leave the normal skin around the pigment, or other target, undamaged. Unlike surgical removal of a brown spot, which damages normal skin as well as the brown pigment and leaves a scar, light therapy using IPL can be tuned to only remove the brown spot and leave the normal skin intact without damage or a scar.

Why Is IPL Better Than Laser?

IPL is less powerful than laser light. Since all light therapies work by producing heat to dissolve the target, less heat means less danger of burn injury and scarring. IPL is capable of producing enough light energy to remove many skin abnormalities, but is able to do so with less energy, less heat and less risk of over treatment and scarring than with lasers.

IPL treatments are less painful than laser treatments and do not require a topical anesthetic. There is minimal to no down time or visible marks following IPL treatments, unlike laser skin treatments

In my practice IPL or Photofacial light treatments are the treatment of choice for hair removal, acne, brown spots, sun damage, red spots, broken blood vessels, Rosacea, spider veins of the legs, and general facial and chest skin rejuvenation treatments.

IPL Photofacial Skin Treatments for Sun Damage and Skin Aging of Chest, Face, and Hands

IPL Photofacial skin treatments of the face and chest produce remarkable skin rejuvenation by removing brown spots and broken blood vessels from the face and décolletage or chest. It is amazing how much younger you look when the skin is cleared to a uniform smooth appearance without blemishes following skin rejuvenation treatments. See before and after pictures of IPL Photofacial removal of brown spots and abnormal blood vessels from the face, chest, and hands below:

Palomar Medical Coveman(Palomar Medical Coveman)

Wrinkle Removal(palomar Medical McMeekin)

Hand IPL Skin Treatment

IPL Removal of Brown Spots, Sun Spots and Pigment

Larger discreet brown spots and pigment can easily be removed with IPL. See before and after pictures of brown spot or pigment removal below:

IPL Treatment Brown Spots before and after one treatment for removal of facial brown spots on Asian skin. Second treatment will likely completely remove any residual spots.

IPL Hair Removal

IPL hair removal is very effective and less painful than laser hair removal. See remarkable before and after pictures of IPL hair removal of back, face, under arms and bikini line below:

Before and After IPL Hair Removal Back (Palomar Medical Dr. Rockoff)

Hair Removal Under Arm Above: Before and after IPL hair removal under arm. (Palomar Medical)

Bikini Line Hair Removal (Palomar Medical-Dr Khatri)

IPL Removal of Spider Veins and Leg Veins

IPl can effectively remove spider veins from the legs. Larger veins can also be treated with the 1064 laser or sclerotherapy. See before and after pictures of IPL removal of spider veins on the leg below:

Spider Vein Removal Leg Before and after removal of spider veins and leg veins with IPL, 1064 and sclero.(Palomar Medical-Patterson)

IPL Removal of Broken Blood Vessels on Face

Small blood vessels and capillaries and Telangiectasias occur on the face, especially around the nose in many fair skinned people. These abnormal blood vessels occur most commonly as a result of sun damage and aging changes in the skin. The IPL is the treatment of choice for these small facial blood vessels. See before and after pictures of IPL removal of facial blood vessels below:

before and after photos of ipl removal of blood vessels on cheek face skinBefore and after IPL removal of enlarged broken blood vessels on cheek facial skin.

IPL Removal of Rosacea

Rosacea is a skin condition that causes facial flushing and a red face. In time, Rosacea can also cause acne type lesions. IPL treatments can produce remarkable improvement in Rosacea; see before and after pictures of IPL treatment of Rosacea below:

before and after ipl treatment to remove rosacea and red face blood vessels
Befrore and after IPL removal of rosacea and red face flush.

IPL and Photodynamic Therapy for Acne

The newest and most effective treatment for moderate to severe acne and cystic acne is called photodynamic therapy (PDT). Using IPL, blue light or red light combined with a skin photosensitizing agent, remarkable acne removal results are possible. The photosensitizing agent, called Levulan. Levulan, a product containing Aminolevulinic acid (ALA), is applied to the skin to make the skin more sensitive to light. After a waiting period of 30-60 minutes, IPL treatment is done to the skin.

This combination therapy helps remove acne by three methods. First, the acne causing bacteria, Proprionibacterium Acnes, is killed. Secondly, skin exfoliation occurs to remove skin debris. Finally, sebaceous gland oil production is reduced. This combination therapy is effective for severe and cystic acne. PDT can also be used to remove sun damage and rejuvenate the skin.

before and after ipl treatment to remove acneBefore and after IPL removal of acne. (Palomar medical-Gupta)

before and after ipl treatment to remove acne Before and after removal of acne with IPL treatment. (Palomar Medical-Gupta)


Find a Good Doctor’s Office for Your IPL Photofacial Treatment

While IPL treatments are safer than laser treatments, safe effective IPL treatments require expertise, skill and knowledge. Your results will only be as good as the experience and skill of the person who does your treatment. IPL therapies are best done under physician supervision. The IPL machines used in Spas are less powerful and thus less effective than those used in a physician’s office. In my office, IPL treatments are done after you have been examined by me and I have decided which IPL treatment is best suited for your unique skin.

My medical aesthetician, trained by me, with over 10 years of experience is the best and most experienced in the Boston area and one of the top IPL experts in the United States. We provide a team approach, expert medical evaluation and treatment planning combined with the best experienced technical IPL treatment.

For more information on IPL and Photofacial therapy call 978-369-4499 or email me. Read our free newsletter to learn the latest new non-surgical, light and laser face and body rejuvenation techniques. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Modern Acne Treatment—Advanced Boston Skin Care to Control Acne Outbreaks and Scars

March 1st, 2009

All of us who have ever had an acne sore or Comedone have found it very distressing. It is even more distressing for people who have many acne lesions which keep coming back. People who go on to develop acne scars are troubled by them for many years as scars left by acne are very difficult to conceal.

The good news is that modern medical methods of acne control are very good and can reduce outbreaks and lessen the chance of acne scarring. See improvement in acne control using modern skin care methods below:

Before and after pictures of microdermabrasion treatment of acne Above: Before and after acne control treatment with microdermabrasion, topical Clindamycin and Retin A.

However, you will need to follow the skin care program fastidiously. You will also need to consult an expert dermatologist or plastic surgeon that is up to date and knows how to treat acne. You will need prescription medications. You will also need to have monthly exfoliation treatments by a medical aesthetician who is experienced in acne control treatments.

You also need to start early, at the first sign of an acne outbreak. Delaying treatment only gives the comedones the chance to worsen and possibly cause an acne scar.

What Causes Acne

Acne is caused by obstruction and infection of the oil glands in our skin. Our skin contains oil glands called Sebaceous Glands which secrete normal oil called Sebum which helps moisturize and protect our skin.

If Sebum production is too high, for example during adolescence, or skin debris like dead skin blocks the pore that drains the Sebaceous Gland, the Sebaceous Gland can become distended and obstructed so that oil builds up and distends the gland.

An obstructed, distended Sebaceous Gland provides an ideal place for bacteria to grow and create an infection. Once the Sebaceous Gland becomes infected, the skin overlying the gland becomes red, swollen, and painful, an acne lesion. A whitehead can form on the skin, which is essentially a small skin abscess, called an acne pustule.

Acne tends to occur most commonly in areas where oil glands or Sebaceous Glands are most plentiful, the area around the nose, forehead and chin, called the T zone, and the back.


What Causes Acne Scars

Visible scars are caused by destruction of the Dermis, the deep layer of the skin. When the Dermis is damaged and tissue is lost, a visible depression or scar appears.

Because the Sebaceous Glands extend deep into the Dermis, the infection in the Sebaceous Gland or Comedone causes infection and destruction of the surrounding Dermis. After healing a deep depression or scar forms because the supporting Dermis tissue has been lost.


How to Control Acne Outbreaks

The basic requirements for control of acne involve:

• Reduce oil production of the Sebaceous Glands
• Remove skin debris to prevent obstruction of the Sebaceous Glands
• Treat and prevent infection of the Sebaceous Glands

Topical Benzoyl Peroxide is an anti-bacterial agent and a skin drying agent. It is marketed as Brevoxyl Cream or Brevoxyl wash. It is the most commonly used product to control acne and is very effective. Benzoyl Peroxide reduces oil and helps prevent infection.

Vitamin A (retinoic Acid) derivatives reduce skin oil production by inhibiting the Sebaceous Gland cells. Products that are commonly used are Differin (adapalene), Retin A, Tazorac, and Accutane (isotretinoin). These prescription drugs are very effective but do have side effects like skin irritation dryness and other potential problems, thus they must be used under the direction of a physician.

Topical Clindamycin is the most effective antibacterial agent for controlling skin infection in my experience. It comes as a gel or cream or small wipes called Clindets, which I use most frequently.

Microdermabrasion is the most effective minimally invasive, no down time deep exfoliation method. Microdermabrasion treatments are essential to remove debris, open pores and prevent obstruction of the Sebaceous Glands and the development of a Comedone.

Oral Antibiotics like Minocyclene and other Tetracycline derivatives are widely prescribed for acne control. They can be effective, but my own prejudice is that it is very hard, if not impossible, for an oral antibiotic to reach a skin abscess like a Comedone. The skin abscess forms a thick wall of inflammation that is almost impossible for the oral antibiotic in the bloodstream to penetrate.

That is why I place so much emphasis on topical care to reduce oil production, deep exfoliation to remove debris and allow the oil out of the gland, and topical Clindamycin applied directly to the infected oil gland or Comedone.


IPL, Diode Laser and Blue Light Treatments
can kill the bacteria Propionibacterium acnes (P. acnes) which cause the infection or Comedone and some can reduce oil or Sebum production. These therapies are effective when used properly.

Acne Control Program

The control program depends on the severity of the acne.


Mild Occasional Outbreaks

• Monthly professional medical grade microdermabrasion treatments
• Topical Benzoyl Peroxide-(Obagi Clenziderm MD penetrates the best)
• Clindamycin- Clindets for acute lesions

Moderate to Severe Acne

• Monthly to bi-weekly microdermabrasion
• Obagi ClenzidermMD Benzoyl Peroxide
• Topical Clindamycin-Clindets
• Retin A Derivative-in increasing order of strength-Differin, Retin A, Tazorac, Accutane
• Consider IPL, Blue Light or Diode Laser Therapy

Severe Cystic Acne

• Microdermabrasion
• Obagi Clenzidrm
• Topical Clindamycin Clindets
• Accutane
• IPL, Diode Laser or Blue Light treatments

How to Remove Acne Scars

Traditionally dermabrasion or surgical excision was used to remove scars. However, with the advent of laser resurfacing in the mid 90”s, laser resurfacing with the CO2 laser became the most common method. However, CO2 laser resurfacing required prolonged recovery, often caused the skin to lose color, and CO2 laser resurfacing only smoothed the surface of the skin and did little to improve deep acne scars caused by destruction of the Dermis by the acne infection process.

Deep ice pick scars still require a special surgical procedure called floating grafts followed by CO2 laser resurfacing for effective removal. During this procedure, under local anesthesia, a small circular punch or trephine is used to cut around, but not remove the ice pick scar. The punched area floats up above the surface of the surrounding skin. After 2 weeks, the protruding graft has taken, which means it has new blood supply and will survive. At this point, the CO2 laser is used to plane down the protruding grafts flush with the surrounding skin. The new graft closes the ice pick scar. This is the only method I have seen that effectively corrects ice pick acne scars.

New fractional non-ablative laser skin resurfacing lasers are able to significantly improve deep acne scars by building new collagen to replace the collagen lost in the Dermis by the Comedone infection.

These new fractional non-ablative skin resurfacing lasers do not break the skin thus no healing time is required. You will need at least 4 treatments scheduled 4-6 weeks apart. The laser energy is fractionated, that is broken up into many small beams that pass through the skin without injuring it, and heats the deep dermis to build new collagen to actually plump up the acne scar.

The fractional non-ablative resurfacing laser is a revolutionary advance in scar removal treatment.

Before and After Forhead Acne Scars
Above: Before and after acne scar removal with Starlux 1540 fractional laser skin resurfacing scar removal (Palomar.)

Where Do You Find a Good Acne Care Program?

First, re-read this article and be armed with the facts about acne skin care. Many physicians just prescribe Minocyclene and do not understand the importance of a comprehensive approach to acne skin care.

I recommend that you consult two board certified dermatologists or plastic surgeons that have an interest in acne skin care. Check their websites, do they offer all acne related services.

It is important to find a doctor who offers microdermabrasion treatments and laser therapy in their office. That means they are up to date on current technology.

I also believe that it is essential that the physician have an excellent experienced medical aesthetician in their office. Most of your contact and the most important person in your program will be the medical aesthetician, and she needs to know what she is doing.

You are very unlikely to find the expertise you need in a walk in Medical Spa without a board certified doctor present to examine you and recommend a course of therapy. Physician supervised in the Medical Spa world usually means the doctor is actually at an office some distance from the Medical Spa and provides his/her supervision in the form of a phone call when something goes wrong.

Do your homework.

For more information on acne control or acne scar removal call 978-369-44999 or email us. Read our free newsletter to keep up on the latest information on laser and non-surgical skin care. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Large Pores – Reduced with Laser Treatment – Boston

February 27th, 2009

Are you bothered by large pores or enlarged pores around your nose, forehead and cheeks? Large pores or enlarged pores on the face are a very frustrating problem for many people. Large pores are prone to forming blackheads and acne. Large pores also often stand out and are more noticeable when makeup is applied. Treatment of large pores in the past has been primarily directed towards drying agents to reduce oil production in the skin. These treatments do help, but they are temporary measures and do not change the skin structure in a way to reduce enlarged pores and pore size permanently. New combined fractional laser skin treatments using the Starlux 1540 and 2940 lasers is a revolutionary new method to shrink large pores caused by oily skin and by collagen loss associated with skin aging.

What Causes Large Pores or Enlarged Pores?

The pores on your face are small holes in the skin which are the openings of the oil glands on the face. These glands, called the sebaceous glands, form a small sack beneath the skin which produces normal skin oils called sebum. There are two basic causes of large pores, which is enlargement of the opening of the oil gland onto the skin:

• Excess Skin Oil Production- People with oily skin have more oil producing cells in their sebaceous glands, the oil producing glands beneath the skin. As more sebum or skin oil is produced, the oil gland enlarges and becomes distended. As the gland and oil sack become enlarged the opening of the oil gland onto the skin, the pore, becomes stretched and appears on the skin as a large or enlarged pore. Large pores in young facial skin are most common in the areas of the face where the greatest number of oil glands occurs-the nose, forehead and chin. This is often called the T zone, and if you check you will find these areas have more skin oils that the cheeks and eyelids.

• Aging of the Skin- As our face skin ages many very significant changes occur. The most striking aging change is loss of collagen. Collagen is a very important supporting structure in the skin. The oil glands and pores are surrounded and supported by collagen. When collagen is lost with aging, the oil glands and pores loose support and become lax and the pores become enlarged. Interestingly, enlarged pores in aged facial skin also occur on the cheeks, an area which has fewer enlarged oil glands in younger people with oily skin. The pores are there in younger people but oil production is less and the pores are not large. However when the supporting collagen is lost with aging, the large pores can show up in all face areas.

New Laser Treatment for Enlarged Pores

The new laser treatment for large pores works because new collagen is produced which supports the oil glands and actually squeezes or constricts the large pore itself by compressing the opening of the pore onto the skin.

This laser treatment is called combined therapy and is a two step process:

• Non-ablative 1540 or 1440 Laser Treatments-We use a 1540 or 1440 Fractional Erbium Laser to treat the facial skin. There is no down time-your face will have some added color immediately after the treatment for about a day or two. These lasers go deep into the skin and stimulate your skin to make new collagen to compress the pores. You will need 3 treatments scheduled about 3-4 weeks apart. Treatments take about 30 minutes and are done by our medical aesthetician. See before and after pictures of shrinkage of large pores and acne scar removal with lux 1540 fractional laser treatments alone below:

Before and after pictures of shrinkage of large pores and removal of acne scars with Starlux 1540 fractional laser treatment

Before and after pictures of shrinkage of large pores and removal of acne scars with Starlux 1540 fractional laser treatment

2940 Ablative Fractional Laser Resurfacing-At your last non-ablative treatment we do an additional treatment called a Fractional Ablative Laser Resurfacing with the Strarlux 2940 laser. This treatment is an actual laser skin peel. However the new fractional laser is much gentler than the old fashioned CO2 laser resurfacing. Your skin will peel and your skin will be red for 5-7 days. We do use a topical anesthetic for your comfort.

Our results with this new combined laser approach have been very impressive. Older CO2 laser resurfacing actually made pores larger.

The new approach using fractional laser technology is much better at building new collagen to compress the pores. We have seen surprisingly good results in even older aged skin.

Before and after pictures of shrinkage of large pores and skin plumping of aged skin with Starlux 1540 and 2940 combined fractional laser treatemnt. Notice improvement in cheek above old scar

Before and after pictures of shrinkage of large pores and skin plumping of aged skin with Starlux 1540 and 2940 combined fractional laser treatemnt. Notice improvement of pebbling in cheek above old scar

Other Supportive Measures

Traditional methods for shrinking large pores include skin oil reduction with Brevoxyl skin washes, microdermabrasion, and oil reducing medications such as Retin A, Differin, and Acccutane. These treatments must be discontinued during the combined laser therapy. However after your skin has recovered, you will be re-evaluated for the need for these traditional supportive therapies.

This new combined fractional laser treatment is a remarkable and truly revolutionary new therapy. The results, especially in aging skin are truly excellent. If you are troubled by enlarged pores on your face learn more about this exciting new treatment which may be what you have been looking for.

For more information on how to shrink large pores and improve your skin texture call 978-369-4499 or email me. Read our free newsletter to learn about new non-surgical skin care methods for facial and body rejuvenation. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

How To Get Rid of Stretch Marks With New Boston Laser Treatment

February 23rd, 2009

Stretch marks, also called striae, are one of the most frustrating problems I have encountered in my 25 years of plastic surgery practice. They are such a common problem, affecting a majority of women who have had children, no matter how careful they have watched their weight during pregnancy and no matter how hard they have worked to regain their shape and fitness after childbirth. In recent years, the use of steroids has caused stretch marks in many young men who have worked very hard at body building and fitness. What has frustrated me most is that I have had very little to offer my patients that effectively removes stretch marks.

Time and again I have read articles or seen presentations at meetings which claim that the laser can remove stretch marks and striae, but close observation of the results of good clinical studies have been too disappointing for me to try these therapies on my patients. Until now, I could only offer a tummy tuck or abdominoplasty surgery, which only partially removes the problem from the lower abdomen, and I have had no solution for other body areas.

Recently, however I have been very impressed with the significant removal of and improvement in stretch marks that I am seeing with a new laser stretch mark removal technique. I am using a combined technique with the Starlux 1540 non-ablative fractional erbium laser resurfacing technique combined with the Starlux LuxIR Deep infrared skin tightening technique. This technique was developed by an Italian doctor named Dr. DeAngelis and a man from Palomar Medical laser company named Richard Benkowski.

The results of this new laser technique are the first I have see that show nearly complete removal of even mature striae. See before and after pictures of the new laser stretch marks removal technique below:

Before and after laser stretch mark removalIn the picture note above, before and below after combination Starlux 1540 fractional erbium laser and starlux luxir deep treatments have nearly completely removed the stretch marks (Photo courtesy of Dr. DeAngelis and R. Benkowski.)

I have been so impressed with these new comined laser and infrared therapy stretch mark and striae removal results I am now offering this new laser treatment for removal of stretch marks and striae in my own patients. Our initial results are very impressive.

What Causes Stretch Marks and Striae?

The skin covering our body consists of the outer surface that we see called the epidermis and a deep pink layer called the dermis. The dermis is the pink tissue we see after the epidermis has been scraped off for example when we scrape our knee. The dermis supports our skin, plumps the skin, gives the skin substance and elasticity. Elasticity is the skin component which allows our skin to stretch, move and return to a normal shape after being stretched.

During pregnancy, the skin of the abdomen stretches to many times its normal size as the baby grows. After the baby is delivered, the skin’s elasticity in the dermis, contracts to bring the abdominal skin back to its normal shape.

During skin stretching, if the dermis expands too much or too fast, the dermis can break, split or rupture. These breaks in the dermis of the skin cause a wide depressed scar which is called a stretch mark or striae.

If you look at a striae under the microscope you see a defect or space in the dermis where the dermis has been ruptured or split. The use of steroid medications also causes striae even without tension or pulling on the skin. The mechanism of the striae caused by steroids is a direct damage or dissolving of collagen in the dermis by the steroid medication.

Very rapid growth spurts during adolescence or even in adults who are weight lifting and have rapid muscle expansion, can also cause rupture of the dermis and striae.

The basic building block of the dermis is collagen. Collagen is the main ingredient in the dermis and collagen fibers are ruptured and damaged in the dermis beneath the striae.

How Do We Remove Stretch Marks and Striae?

Removal of stretch marks and striae requires building new collagen in the dermis of the skin to replace the lost collagen and tightening of the skin to bring the stretched skin back together. To date, the only mechanism available to produce new collagen in the dermis and to tighten skin has been with heat produced by lasers, infrared energy and other forms of heat energy.

When the collagen in the dermis is heated to 66 degrees centigrade, the collagen shrinks and tightens, and the collagen is stimulated to remodel and grow new collagen. This principle is used in all forms of laser and light energy skin rejuvenation, skin tightening, and wrinkle removal treatments. Examples are the Starlux 1540 and 2940, Fraxel, Fraxel repair, ActiveFX, DeepFX, Refirme, Affirm, Thermage, Titan, and LuxIR Deep technologies.

How Does the Starlux 1540 Laser Treatment and the LuxIR Deep Stretch Mark Removal Therapy Work?

The Starlux 1540 fractional erbium non-ablative laser beam goes deep into the dermis to heat the collagen to 66 degrees centigrade and promote the growth and production of new collagen to replace the collagen lost in the dermis in the stretch mark. The Starlux 1540 also causes collagen shortening which tightens skin. The Starlux 1540 works down to about 1000 microns deep in the dermis. That is about half of the depth or thickness of the skin.

The LuxIR Deep is a fractional Infrared device which delivers heat to the very deepest layers of the dermis, deeper than the 1000 microns affected by the Starlux 1540. These deeper layers are where the elasticity of the dermis resides. Thus the LuxIR Deep adds not only new dermal collagen production but also adds significant skin tightening.

Both of these devices are called fractional because the heat is delivered into small partial areas of the skin instead of the entire skin surface. Because untreated areas of skin are left, the skin does not slough or peel, thus no skin is removed or ablated. Thus the term non-ablative laser and light treatment.

These non-ablative treatments leave the skin intact so that no surface healing is required-no down time, unlike the old time laser resurfacing which required 2-3 weeks for skin healing.

What Is the Starlux 1540 Laser Treatment and the Starlux LuxIR Deep Treatment for Stretch Marks Like?

Topical anesthetic or numbing cream is applied to your skin before the Starlux 1540 treatment to make you more comfortable. Cold packs also are very helpful. The LuxIR Deep has its own skin cooling device and is not painful.

These combined treatments take time. A lower abdomen can take an hour and a half for the combined treatment. Larger areas can take longer.

Once your treatment is over, your skin will be pink but otherwise is usually normal. There is typically no blistering, peeling or skin injury which requires dressings and wound care. A soothing ointment is applied after your treatment and you go home. typically 5-6 treatments scheduled 3-4 weeks apart are required.

How long Until I See Results?

You will see some improvement after a month. However new collagen production does not reach a peak for 3 months. It will be 6 months after your final treatment to see a final result.

Remember, we are stimulating the dermis of your skin to repair and heal the dermis with new skin plumping collagen and skin tightening. It took 9 months to form the striae, so expect that it will take at least 6 months after your last treatment to see a good result and at least a year to see a full result.

Depending on the severity of your striae, you may need more treatments to get continuing improvements and when done you may need yearly touch up treatments for the first year or two.

Who Should Do My Starlux 1540 laser and LuxIR Deep Infrared Treatments?

Board certified plastic surgeons and dermatologists are the experts in laser treatments on the skin. Not all plastic surgeons and dermatologists use lasers, so you will have to do your homework to find an expert.

Ask your primary care physician for a recommendation. Also visit the websites of the American Society of Plastic Surgeons and the American Society of Aesthetic plastic Surgeons for information on lasers and board certified doctors in your area.

For more information on laser removal of stretch marks and striae call 978-369-4499 or email us. read our free newsletter to learn more about new face and body rejuvenation techniques. read Save Your Face to learn how to prevent skin aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Microdermabrasion-Safe Treatment For Acne Control and Skin Rejuvenation

February 17th, 2009

If you are starting to see fine wrinkles, brown spots or other signs of aging skin, or if you are troubled with acne outbreaks, then you should learn more about microdermabrasion.

Microdermabrasion is a safe, medically proven skin care treatment which provides deep exfoliation and skin rejuvenation with no discomfort and no down time.

Microdermabrasion and Micropeel™ are two of the most common anti-aging skin care, acne control and wrinkle removal methods in use today. However there are a vast number of microdermabrasion machines available but only very high quality microdermabrasion machines will produce an effective peel and a visible wrinkle removal and anti-aging skin care and acne control result.

More importantly the microdermabrasion machines used in a doctor’s office are permitted to be stronger and more effective for anti-aging wrinkle removal skin care than machines sold to a spa or salon. Aestheticians who do microdermabrasion and Micropeel™ vary greatly in their skill and understanding of these techniques. Medical Aestheticians working in a physician’s office are specially trained and experienced in microdermabrasion. The fact that they work under the supervision of a doctor allows more effective microdermabrasion and wrinkle removal skin care treatments to be done.

Your result is very dependent on how your peel is done and how good the medical aesthetician and her microdermabrasion machine are. Below I will discuss how Microdermabrasion and Micropeel™ work, what they can achieve for you, the best machines, and secrets on how you can tell if you receive a good treatment. If you have sun damage, brown spots or pigment, or acne outbreaks, deep exfoliation with microdermabrasion is an excellent, safe, effective skin care for these problems. See before and after pictures of microdermabrasion results below and note removal of pigment and fine wrinkles:

Before and after pictures of microdermabrasion skin treatment for skin rejuvenation and pigment and wrinkle removal

Before and after pictures of microdermabrasion for pigment and wrinkle removal.

How Microdermabrasion Works

Microdermabrasion is a deep exfoliation technique that removes dead and damaged skin cells from your face, neck and décolletage skin. After the treatment new fresh skin cells are revealed and the skin looks and feels smoother. Superficial skin pigment or brown spots will be lightened. Fine wrinkles will be plumped. Acne outbreaks and inflammation can be reduced and the skin cleared of acne lesions significantly.

Microdermabrasion also removes skin debris and unclogs pores which is very helpful for acne control. After microdermabrasion topical acne medications can penetrate better and be more effective at acne control. See before and after pictures of microdermabrasion and improvement in acne control below:

Before and after pictures of microdermabrasion treatment for acne control

Before and after pictures of microdermabrasion treatment of acne.

Studies have shown that after repeated treatments fine wrinkles are improved, new collagen forms in the deeper skin layer called the dermis, and sun spots are gone or significantly lightened. There are significant facial rejuvenation and anti-aging skin care benefits:

Benefits
• Deep Exfoliation
• Removal of Sun Damage
• New Collagen Growth in Dermis
• Acne Control
• Fine Wrinkle Removal
• Better Penetration of Retin A and Other Topical Agents

The technique uses a small glass tube with a hole on the side. A constant suction is passed through the tube by the machine and small sand like silica particles are passed through the glass tube by the machine.

Picture of microdermabrasion treatment for skin care

Picture of microdermabrasion treatment.

As the tube is passed over your skin, the suction pulls your skin up into the stream of rushing silica particles and the passing particles abrade or remove dead skin cells that are dry, damaged and pigmented. This is exfoliation.

Photo of microdermabrasion treatment showing small glass wand used to exfoliate skin for skin rejuvenation and deep exfoliation

Photo of microdermabrasion treatment showing small glass wand used to exfoliate skin.


The Best Microdermabrasion Machines Are In a Doctor’s Office

Companies that make these machines are only allowed to sell de-powered units to salons and spas. These weaker machines just are not effective. If you want to see effective results you need to have your treatment by an experienced medical aesthetician in a doctor’s office.

We use the Megapeel™ machine. Dermagenesis™ is another good brand. Many machines just do not have enough power to provide adequate suction to abrade the skin.

There have been many new chemical machines which do not use the silica particles, but my patients prefer the standard original method using suction and silica particles.

How To Tell A If You’ve Had A Good Treatment

• Your skin will be pink or red
• Your skin will feel smooth
• Your skin will be slightly irritated
• You may have some skin peeling after a day or so

Micropeel™

Micropeel™ is a combination of dermaplaning (scraping dead and damaged skin cells off of the surface of your face with a scalpel) followed by the application of a dilute AHA (glycolic acid) solution to the skin. This is often called the “lunchtime peel” because the Micropeel™ can be done and you can usually return to work right after the peel.

Picture of micropeel dermaplaning treatment for skin rejuvenation and anti-aging skin care

Picture of micropeel dermaplaning treatment for anti-aging skin care.

The Micropeel™ provides both mechanical (dermaplaning) and chemical skin peeling. While this sounds more complex, the Micropeel™ is a gentler lighter peel. We use the Micropeel™ for:

• Dry Skin
• Sensitive Skin
• Patients with Rosacea

Salicylic Acid, which is stronger than dilute glycolic acid, can be used for an even deeper peel. When Salicylic Acid is used the technique is called Micropeel Plus™.

How Long Does A Treatment Take?

These treatments take about 30 minutes.

What Do These Treatments Cost?

Effective treatments with better machines and proper technique are done in a doctor’s office by an experienced medical aesthetician. They will be more expensive than those done in a salon or spa.

In Boston where I practice the following are typical costs:

Micropeel™-$70.00
Microdermabrasion-$125.00


Where Should I Have My Treatments Done?

The benefits of having these treatments by a medical aesthetician in a doctor’s office are:

• Medical Supervision
• Stronger, More Effective Wrinkle Removal Treatments
• Access to Prescription Topical Skin Care Medications
• Proper Safe Management if You Have A Problem

These are my favorite no down time non-surgical facial rejuvenation procedures.

These deep exfoliation techniques plus topical Retin A and Vitamin C Serum are the foundation of anti-aging skin care for all of my patients. For patients who have acne, Clindamycin topical antibacterial, Pro-Heal Serum, Diferin, and other prescription drugs are used to control acne outbreaks.

These techniques work, they are safe, effective and pleasant to experience. What could be a better way to start the anti-aging skin care process? It is never too early to start. Teenagers benefit greatly from microdermabrasions for acne control and smooth skin.

For more information on microdermabrasion and micropeel™ call us at 978-369-4499 or email us. read our free newsletter for the latest information on new techniques in aesthetics and non-surgical facial rejuvenation and anti-aging skin care. Learn how to prevent facial aging, read Save Your Face.

Dr Seckel
Concord, Massachusetts
Boston, Massachusetts

SlimLipo vs Smartlipo Laser Liposuction – Video

February 16th, 2009

Laser liposuction is rapidly becoming the preferred liposuction method. To see a comparison of the fat melting power of SlimLipo vs. SmartLipo and the other laser wavelengths used for laser liposuction see the video comparison of SlimLipo vs. SmartLipo below:

Laser Liposuction Video SlimLipo vs. Smartlipo

There are significant differences in the laser liposuction technology used in laser liposuction. SlimLipo laser liposuction is the only laser liposuction method which uses a laser wavelength that is specifically absorbed by fat, thus fat melting is more complete with SlimLipo than with SmartLipo, Cool Lipo, Prolipo, and Lipofirm.

Laser Liposuction Results with SlimLipo

The laser liposuction results I have seen with SlimLipo are truly remarkable.

The new 924nm laser liposuction method is a truly revolutionary advancement in liposuction technology. See before and after pictures of laser liposuction using SlimLipo below:

Before and after laser liposuction of abdomen and mini tummy tuck

Before and after laser liposuction of abdomen and mini tummy tuck

Before and after laser liposuction of neck and double chin with SlimLipo

Before and after laser liposuction of neck and double chin with SlimLipo

Before and after laser liposuction with SlimLipo to correct contour deformities from previous liposuction

Before and after laser liposuction with SlimLipo to correct contour deformities from previous liposuction

If you are considering laser liposuction, you need to understand the difference between SlimLipo and SmartLipo and the other laser liposuction technologies.

To learn more about laser liposuction and SlimLipo call 978-369-4499 or email me. Read our free newsletter to learn more about new laser and non-surgical face and body rejuvenation. Read Save Your Face to learn how to prevent facial aging.

Dr Seckel
Concord, Massachusetts
Boston, Massachusetts

Before and After Pictures of Laser Scar Removal and Laser Stretch Mark Removal

February 7th, 2009

before and after picture of Starlux 1540 laser removal of chin scarBefore and after Starlux 1540 laser removal of chin scar caused by cortisone steroid injection of cyst. Dr. Seckel

The new Starlux 1540 fractional non-ablative Erbium laser is the most effective laser scar removal and laser stretch mark removal treatment available. Unlike old time laser resurfacing, which only smoothed the surface of scars, fractional laser skin resurfacing with the Starlux 1540 goes deep into the skin to rebuild and re-model the scar damaged dermis and actually plump depressed, deep scars.

Better yet, the Starlux 1540 is a non-ablative fractional laser which means it does not break the skin surface, thus no open wound and no prolonged recovery. See a video of the Starlux 1540 laser scar removal treatment below:

Video of Starlux 1540 Laser Scar Removal Treatment

The combined Starlux 1540 and Starlux LuxIR Deep Skin tightening treatment is the first laser treatment, in my opinion, to remove stretch marks effectively.

These new laser scar removal and stretch mark removal skin treatments are a revolutionary new advance in scar removal and stretch mark removal therapy. A picture is worth a thousand words. See the before and after pictures of Starlux laser scar removal and laser stretch mark removal below.

Before and after picture of Starlux 1540 laser and LuxIR Deep removal of stretch mark

before and after picture of laser stretch mark removalAbove before and after picture of laser stretch mark removal with Starlu 1540 and starlux LuxIR Deep treatment. Dr. DeAngelis and R. Benkowski

Before and after picture of Starlux 1540 laser removal of acne scar

Before and after picture of laser acne scar removal with Starlux 1540 fractional laser resurfacingAbove: Before and after picture of acne scar removal with Starlux 1540 fractional laser skin resurfacing. Palomar Medical.

Before and after picture of Starlux 1540 laser scar removal of foot scar after surgery

Before and after picture of laser scar removal with Starlux fractional laser skin resurfacing of surgical scar of foot Above: Before and after picture of laser scar removal with Starlux 1540 fractional laser skin resurfacing of surgical scar of foot. Palomar medical

Before and after picture of Starlux 1540 laser scar removal of old pigmented scar.

Before and after pictures of laser scar removal with Starlux 1540 fractional laser skin resurfacing of old pigmented scarAbove: Before and after pictures of laser scaar removal with Starlux 1540 fractional laser skin resurfacing of old pigmented scar.Palomar Medical

For more information on laser scar removal or laser stretch mark removal with the Starlux 1540 fractional laser skin resurfacing and Starlux LuxIR Deep skin tightening treatments call 978-369-4499 or email us. Read our free newsletter to learn about the latest laser and non-surgical techniques for face and body rejuvenation. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts