Philadelphia | Main Line | Delaware Valley - Dermatology | Cosmetic Dermatology | Surgery | Laser Surgery
Uncompromised quality through
Unmatched experience | Focus on patient satisfaction | Advanced technology
Skin Rejuvenation
  1. CO2 Laser
  2. ActiveFX (Fractionated CO2 Laser)
  3. Glycolic Acid Peel
  4. TCA (Trichloroacetic Acid) Peel
  5. Microdermabrasion
  6. IPL
  7. Fraxel
  8. Plasma
  9. Fractionated Erbium
Skin Resurfacing
Skin Tightening
Wrinkle Reduction
Volume Restoration
Vein Treatment
Laser Hair Reduction
Acne Scar Treatment
Redness Reduction
Rosacea Treatment
Acne Treatment
Angiomas
Melasma/Hyperpigmentation
Moles
Port Wine Stains
Pseudofolliculitis Barbae
Scars
Sebaceous Hyperplasias
Skin Tags
Stretch Marks
Sun Damage
Sun/Age Spots
Torn Earlobes
Medical Facials
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March 2010
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Fractionated Erbium

Expected Results: Removal of brown/age spots and uneven pigmentation, smooth texture of the skin.

Preparation: Sun protection for several weeks prior to the treatment. Vigorous regimen of daily sunscreens and if the face is treated, night time retinoids for several months, no alcohol and aspirin for 2 weeks prior to the procedure, vitamin C 1000 mg daily starting 2 weeks prior to the treatment. There is no need for any anesthesia.

Post treatment instructions: Rigorous sun avoidance/protection for 3 months. Avoid aspirin for 10 days, continue vitamin C 1000 mg daily for 3 months. Skin care in the immediate postoperative period includes the use of a very gentle non-soap cleanser, petrolatum the night after the procedure, oral medication to prevent herpes reactivation if the face is treated. Topical retinoids can be resumed when scabbing subsides (7-10 days after treatment).

Time to desired results: 3-4 treatments, 3-4 weeks apart.

Contraindications: Recent tan, skin types that never burn (Mediterranean and some Asian skin types can be treated), isotretinoin (Accutane) in the past 6-12 months).

Duration of desired effects: Permanent with proper and vigorous sun protection of the treated areas. Future sun damage can be prevented by sun avoidance and use of a broad spectrum UVA and UVB sunscreen for life.

Downtime: Sunburn-like redness for 24-48 hours, scaling and flaking for up to 10 days. Note: Brown spots and freckles are accentuated after the treatment until skin has flaked off.



Patient comments (source: Patient Satisfaction Report)
2008-11-24 09:41:23The Dr. was very kind, compassionate and respectful as well as knowlegeable of alternative ways. She is a real doll. Happy to have her as my doc and would recommed her to clients at Arrowroot Health Food Store.
2009-07-16 14:45:58The Medical Assistant, Doctor and Receptionist were very helpful and fast. Best doctors appointment I've ever had!
2008-10-29 11:03:32The doctor and assistant were wonderful!!! So friendly and warm. I am so used to doctors being rushed AND condescending. This was a great change!!


Fractionated Laser Blog

Please feel free to use the blog below to share information about Fractionated Laser, or to ask Dr. Ringpfeil a question that might be of interest to others.

4 Responses to “Fractionated Laser”

  1. Jennifer Nelson says:

    Since I apply a 20% vitamin c oil to my skin daily, do I still need to take the oral vitamin c prior to CO2 laser resurfacing?

    • Dr. Ringpfeil says:

      Topical vitamin C is a free radical scavenger that protects our skin from harmful environmental elements. It cannot be used in place of oral vitamin C for enhanced wound healing. Also, topical vitamin C can be applied only until the procedure and then not until skin has completely healed after CO2 laser resurfacing.

  2. BK says:

    I would like more information about the factors involved in the costs of
    assessment and treatment for laser resurfacing. I am looking for treatment
    of acne scars
    . I greatly appreciate the detailed information on your
    website. I have had ALA blue light laser tx and Pixel laser but would like
    something stronger. I am looking for information about what I am likely to
    pay for FX and what factors go into that decision. I am troubled by the
    fact that I don;t know beforehand even what will determine the price of the
    consultation. It doesn;t seem right to pay an undetermined price for the
    privilege of learning the price of the actual product and not to be given an
    idea of the factors involved in these price decisions. Please help me
    comparison shop for FX and CO2 lasers. I was told that I have to pay more
    for a consultation if I ask for more detailed information. Am I to budget
    even the questions I ask without knowing their price? Please help.

    • Dr. Ringpfeil says:

      A consultation for acne scars is typically $115.00. If a full body skin
      check is also desired on the same day and other conditions are being
      addressed, the consultation price is higher (this is considered a more
      comprehensive examination and management), e.g. $145, and in extremely rare
      scenarios $165.00.

      The pricing is not arbitrary or undetermined and is based on strict current
      coding guidelines by the correct coding initiative.

      If you have insurance, the consultation is typically covered by the
      insurance minus any applicable deductibles, copays and co-insurance.

      When visiting our website, you may have come across the pricing for CO2
      laser resurfacing
      . Active FX and Deep FX CO2 laser treatments are priced
      based on body site treated. We charge $3000 for the face. It also includes 3
      follow up visits to check wound healing.
      Whether Active FX or Deep FX or a combination (Total FX) can be used depends
      on the acne scars and skin type. This should be determined during a
      consultation. There is no restriction on the number of questions asked for
      acne scar treatment.

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