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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

CO2 Laser

Overview: A carbon dioxide laser delivers accurate removal of skin layers and is the gold standard for resurfacing and skin tightening. This is the only device on the market that can deliver results of a face lift when you do not want to undergo surgery. This laser is also the ultimate device to treat acne scars.

Expected results: Removal of fine, intermediate and deep lines, maximum skin tightening, evening out of pigmentation, removal of brown spots (sun spots), correction of acne and other scars

Preparation: Vigorous regimen of daily sunscreens and 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. Topical anesthetics will be applied in the office one hour prior to the procedure, facial nerve blocks are performed as needed for added pain control.

Post treatment instructions: Rigorous sun avoidance/protection for 3 months, refrain from alcohol consumption for 2 weeks after the treatment, 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 or bio-occlusive dressing until skin renewal sets in (3-6 days), oral medications to prevent herpes reactivation and bacterial super infection. The hours following the treatment, ice should be applied for fifteen minutes every hour. That night, avoid sleeping face down to avoid swelling. Topical retinoids can be resumed when scabbing subsides (1-2 weeks after treatment).

Time to desired results: Up to 2 weeks for skin renewal, up to 6 months for skin tightening (maximum collagen production).

Duration of desired effects: Lines may recur within 10 years. This treatment can be paired with Botox injections in order to extend results. Acne scar removal is permanent. Note: Deep, pitted scars may require surgical intervention (punch grafts) prior to the procedure or fillers afterwards. One treatment is usually sufficient to achieve these results.

Contraindications: History of phenol peel, isotretinoin (Accutane) in the past 12 months, coumadin or other blood thinners, recent tan. This treatment is highly efficient in fair skin types and is usually restricted to the face.

Downtime: 7-14 days for skin renewal, gradually diminishing pinkishness for about 3-4 months

How can we help you?

SKIN

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# of surveys: 3959
Last updated: 7/27/2022 4:52 PM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

There is an open, respectful friendliness about the practise.

#12021-12-01

I liked how she listened to my issues and is addressing them aggressively. I've seen too many Dermatologists who don't seem to know how to go about treating me.

#22022-08-04

Dr Ringfell was very attentive to my problem. She reviewed my medical history throughly unlike any other physician that I have met before. I felt that she aswered to all my questions with extreme knowledge and confidence. I am leaving my appointment today reasured that she will find the right diagnosis to my problem.

#32022-02-12

I felt the doctor really took the time to listen to me, as well as explain all of the important medical information.

#42021-10-23

Promptness

#52011-06-06 08:59:45

The music and the abience in the office was superb!

#62021-09-24

Every one is very nice and attentive!!! The doctor and the assistent took their time to explain my options and answer my questions and concerns...Thanks a lot....

#72010-12-01 14:40:20

the doctors accent

#82022-06-21

Doctor Ringpfeil was very friendly, interested and seemed to take a personal interest in me and my husband.

#92022-05-19

everyone was very pleasant and made me feel comfortable about my situation as well as gave me the hope for relief I was hoping for.

#102021-12-24

What can we do better?

(answers:373)

No changes recommended at this time.

#12022-02-13

I do not believe there is a need to improve.

#22010-11-01 14:00:26

Ask patient if they have any pain before asking them to waiting three weeks for appointment

#32022-02-20

I think the service provided fulfilled my expectations so at this time I do not have any suggestions for improvement.

#42021-10-06

smile more

#52010-09-09 10:34:11

Well basically there is no need because your doing a very good job.

#62010-10-04 16:54:13

I think you have done a great job.

#72011-02-21 16:01:23

Its hard to find anything that you guys didn't do correct. Keep up the good work

#82011-08-03 11:52:57

Can not be better!

#92011-04-05 09:29:32

can't think of anything

#102011-12-12 10:13:47

Customer Rating : 4.6

Based on 351 ratings
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