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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

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# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

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)

nope. i've been to a lot of dermas and i never felt so positive, hopeful. thank you!!!

#12024-05-05

I was impressed that the doctor really listened to me and that she thoroughly answered my questions. Instead of telling me not to worry about things, she explained the nature of the condition and why it wasn't a concern. She also thoroughly explained my treatment options so I could make an informed decision.

#22024-10-19

The doctor explained things thoroughly to me. She was able to treat a couple of skin growths on site today. I was given a couple of sample products as well as a coupon toward the purchase of one of the prescribed products that I am to use.

#32011-05-18 16:40:00

Seeing Dr. Ringpfeil again!

#42024-09-20

Bravo!! I am very impressed with the doctor, staff, facility, everything right down to the current magazines available in the reception room(that I didn't even get to read!). I can highly recommend you with trust and confidence.

#52011-06-02 14:18:32

I liked all rthe art work that was hanging up in the hallways. I also liked how friendly everyone was. It seemed as though they all wanted to be here. Some times at otjher places the people at the counter can be disrespectful. Not here. The or was very caring and explained the treatment in terms that we could understand.

#62024-11-08

Ease of getting an appointment. Other places called I needed to wait more than 4 months for an appointment.

#72024-09-28

All of my questions were answered.

#82025-03-11

LIKE THE WAY WAY THE EXPLAIN THE PROCEDURE ,AND ALSO LIKE THE STAFF PATIENT INTERACTION.

#92012-10-09 10:22:11

Lovely environment, sunny, spotless and relaxing classical music

#102024-06-21

What can we do better?

(answers:373)

Keep up the good work

#12024-11-13

Keep it up!

#22024-09-14

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

#32010-10-04 16:54:13

receptionist should not be so quick to refuse insurance before fully understanding the the type of insurance and how it functions

#42011-09-14 09:34:31

Offer a male of female medical assistant and ask if opposite sex assistant is okay

#52011-06-02 13:39:55

cannot be improved

#62024-11-05

Tea? Just kidding! Everything was great.

#72010-10-26 10:16:13

Stay the same.

#82024-05-18

I would have liked to pay in cash but the receptionist had no change.

#92025-04-01

Almost too methodical - thought of one more 15 second type question after Dr. left re one spot not noted - would have waited some time to have her look at it. Told no time until lunch.

#102011-11-03 10:28:10

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