Laser Skin Resurfacing & Injectables
BOTOX®, Restylane®, Radiesse™, Juvéderm™ and Sculptra™ are injectable products that can be used on almost anyone. They are used both to minimize the appearance of fine lines and wrinkles, and as fillers. Any one of them, or a combination of them, will reduce the signs of aging and can also be used to sculpt the face or treat scars.
If you’re interested in facial rejuvenation and aren’t ready for a surgical procedure, injectables combined with good skin care and dermabrasion or laser treatments can extend the youthful look of your face! Dr. Krau is trained to select the best fillers for your specific facial needs.
BOTOX® is used to relax certain muscles of your face, so that the wrinkles that result from smiling and frowning are reduced by removing your muscle’s ability to make those wrinkles. BOTOX® is best used for finer lines, like those around the eyes and forehead, or around the mouth. BOTOX® itself is a very thin substance, and the needle used is very small, so you will experience very little discomfort. We use a numbing cream for those patients who request it.
Another use of BOTOX® is to lift the brows, which can achieve a chemical brow lift.
There’s an additional use for BOTOX® that you may not be aware of: it can be used to diminish sweating! If you have problems with wetness even with antiperspirants, you may wish to use BOTOX® under your arms. It can also be used above the lip for the same purpose. BOTOX® lasts about 3-4 months.
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Restylane® is a filler, used in the creases caused by wrinkles. It is used in conjunction with BOTOX® to relax the wrinkle and then fill it with Restylane® to eliminate the crease. Restylane® is also often used as lip filler. The same size needle is used, but unlike BOTOX®, Restylane® may cause a bit of discomfort. Fortunately, this disappears almost immediately. Restylane® lasts about 6 months.
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Radiesse™ is a thicker filler than Restylane®, and is used most often in deeper tissues in combination with other products to decrease wrinkles or fill in scars. We often use Radiesse™ for facial augmentation of the midface or to soften the nasolabial folds (the laugh lines from the nose down to the lip). Radiesse™ lasts about 2 years.
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Juvéderm™ is a smooth gel made of hyaluronic acid-a naturally occurring substance in your skin that helps to add volume and hydration. We use Juvéderm™ gel under the skin to provide a smooth, natural look and feel. In addition, Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color. Because it’s a bit less acidic than Restylane® it is more comfortable when injected. Juvéderm™ lasts about 6 mos.
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Sculptra™ is another soft tissue filler, used to plump up the cheeks or other areas of the face where fat has been lost. It works by increasing skin thickness. Unlike other fillers, you cannot see improvement immediately, but rather over the course of a few weeks. Sculptra™ lasts up to about 2 years.
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Board certified Miami plastic surgeon Ary Krau MD, FACS, offer Fraxel® laser skin resurfacing in his Miami, Florida plastic surgery center.
What is special about the Fraxel Laser?
The Fraxel Laser Treatment is different from other laser skin peels because it affects only a fraction of your skin at a time with thousands of tiny microscopic laser spots. The Fraxel laser penetrates deep into the skin, but leaves areas of skin untouched to speed healing. Miami area patients enjoy the reduced down time of the Fraxel laser treatment, as compared to traditional laser resurfacing.
What can the Fraxel be used for?
The Fraxel Laser can be used to rejuvenate your neck, chest and hands. The Fraxel laser improves your skin’s tone and texture, and reduces pore size. The Fraxel can be used to erase unwanted brown spots, smooth wrinkles around the eyes, and reduce acne scars.
How Does the Fraxel Laser Treatment Work?
Fraxel Laser Treatment produces thousands of tiny areas of treatment, known as “microthermal zones”. This treatment removes old and dead skin cells. For every “microthermal zone” the laser treats, it leaves the surrounding skin unaffected and intact. This “fractional” treatment allows the skin to heal much faster than if the entire area were treated at once. Your body’s natural healing process creates new, healthy tissue to replace skin imperfections. At your consultation, Miami plastic surgeon Dr. Krau will recommend a treatment plan for you. By design, each Fraxel Laser Treatment targets between 20 and 25 percent of the skin’s surface. On average, an effective treatment regimen is 3 to 5 sessions, spaced about 2 to 4 weeks apart. Fraxel laser resurfacing results are immediate and progressively improve with each Fraxel treatment. Optimal improvement is usually apparent in about 2 to 3 months. Because Fraxel Laser Treatment spares healthy tissue, it is effective even on delicate skin areas, such as the neck, chest and hands.
What is Fraxel Laser Treatment Like?
Your skin area will be thoroughly washed prior to the procedure. An FDA approved blue water-soluble tint is applied to the treatment area to highlight the contours of the skin. The blue tint is washed off after treatment. After the Fraxel laser treatment, you will feel “sunburned” for about an hour and then have minimal discomfort. Your skin will have a pinkish tone for about a week. This is a normal sign that the skin is deeply healing. Swelling after Fraxel laser treatment is minimal and is usually gone in 2-3 days. You may apply make-up or shave soon after your Fraxel laser treatment. Some patients return to their routine the same day of treatment. Other people need a little more time, depending upon their treatment and skin. During your consultation in our Miami office, Dr. Krau will help you understand how Fraxel Laser Treatment may fit into your schedule.
Is Fraxel Laser Treatment Painful?
Fraxel Laser Treatment can be performed right in Dr. Krau’s Miami office using only topical anesthesia. If you have a significant area of your skin treated, Dr. Krau will develop a plan to manage any pain and maximize your comfort during the procedure.
After Your Fraxel Treatment
Over the following weeks and months, your body will repair the deeper dermal tissues that have been treated by the Fraxel laser. Be sure to use a high quality sunscreen with an SPF of at least 30-plus at least twice daily to protect your skin from sun during the healing phase and for several months after your Fraxel laser treatment. A wide brimmed hat can provide additional protection in bright sunlight.
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Board certified Miami plastic surgeon Ary Krau MD, offers the revolutionary Soprano XL® laser hair removal in Miami, Florida at his plastic surgery center.
What’s so special about the Soprano XL Hair Removal Laser?
The Soprano XL Hair Removal Laser is a revolutionary hair removal laser that’s quite superior to other hair removal lasers used by plastic surgeons in Miami. Hair removal with the Soprano XL is virtually painless and in about 5 treatments the hair is gone! Did you know that when you have a hair removal treatment of any kind, about 80% of the hairs in any particular area are still beneath the surface of your skin? The laser will destroy the follicles of the hair that is above the skin line, but the 80% that has yet to emerge still needs to be treated once those hairs appear above your skin’s surface. That’s why any hair removal laser will remove only about 20% of the hair at each treatment. For example, if we use the Soprano XL Hair Removal Laser on your legs, you will immediately see that the hair is gone and your legs are smooth. However, in about a week or so, more hair will appear. Don’t worry-this isn’t the same hair that was removed at your treatment! It’s some of the hair that was beneath the surface that has now “sprouted” through the skin layer. In subsequent visits, more hair is removed, and over time you’ll notice little to no regrowth at all. You’ll love not having to shave again! Imagine avoiding the mess of shaving gels and hair removal creams and the irritation of razors and shavers!
Where can the Soprano XL Hair Removal Laser be used?
The Soprano XL Laser can be used to remove hair from anywhere: your chin, upper lip, legs, bikini area, underarms, back, chest, virtually anywhere you have unwanted hair. The Soprano XL hair removal laser will not leave your skin irritated, either.
What is a Soprano XL Hair Removal Laser Treatment Like?
Our technician will use a sweeping motion with the laser to remove hair. Again, only the surface hair in any given area will be removed because 80% of your hair is still under the skin, and will be removed in subsequent office visits. However, the hair above the surface will be gone. As new hair grows in, you’ll return for another treatment. After about 5 treatments our patients usually find no regrowth of hair. You may apply make-up or lotion soon after your hair removal laser treatment. You can return to your routine immediately. During your consultation in our Miami office, Dr. Krau will help you understand how the Soprano XL Hair Removal Laser Treatments can fit into your schedule.
Is Laser Hair Removal Treatment Painful?
Amazingly, hair removal with the Soprano XL is virtually painless! Dr. Krau and his office staff tried it on themselves! The hair removal treatment can be performed right in Dr. Krau’s Miami office and within about 5 treatments, you’ll be delighted with the results! The Soprano XL laser penetrates deep into the skin, but has a special way of simultaneously applying both heat to the follicle and cold to the dermis, so the hair is destroyed without heating the skin during hair removal. Miami residents never had it this easy! Also, this hair removal laser works on any kind of skin, including tanned skin, which is great for those of us who live here in Florida! Hair removal has finally become mainstream!
Is this Laser Hair Removal Treatment Permanent?
When used the appropriate number of times to eradicate all the hair-both that on the surface and that beneath the surface, hair removal with the Soprano XL is generally permanent once you have treated 100% of the hair in the given area (which usually takes about 5 visits). We haven’t seen any other hair removal laser on the market that promises both permanent and painless removal of unwanted hair.
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