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A skin care program includes either chemical peels or laser resurfacing.  The objective is to reduce the appearance of prior scars as well as for wrinkle removal to reduce the fine wrinkles of the face, lighten areas of hyperpigmentation and produce a softer texture to the skin. It is followed at home by the patient after a consultation and a treatment plan is established for the patient's cosmetic needs. Our skin care department is dedicated to providing you with the latest and most effective skin treatments available.

Laser Skin Resurfacing

As one of the most exciting and innovative scientific achievements to date, laser technology is being utilized throughout the health care community. Dr. Matouk uses one of the newest lasers, the ultrapulse carbon dioxide laser, to treat sun-damaged skin, facial wrinkles and scars in a procedure called laser skin resurfacing.

What is a laser?

The word "laser" is an acronym, which stands for Light Amplification by the Stimulated Emission of Radiation. A surgical laser, such as the CO2 laser, is a beam of light capable of removing unwanted tissue, such as scarred, lined, wrinkled and otherwise imperfect skin. The laser vaporizes skin cells by emitting bursts of radiation that are absorbed by water in these cells. Laser light penetrates to a very precise, controlled depth, making the procedure safe and predictable, while reducing the risk of scarring or pigmentation problems. Laser skin resurfacing is bloodless, and is performed right here in our office under light sedation. As a result of this treatment, you are left with more youthful looking skin.

What areas can be treated through laser resurfacing?

     
 

After Laser Resurfacing

A dressing may be applied after your procedure. This dressing should remain in place until you return to our office. Keep your head elevated at night to prevent swelling. If your skin is swollen or tight drink through a straw. Ice packs should be applied to the treated area for two days after the procedure. This helps with the swelling and pain relief.

Cleanse the treated areas with 50% hydrogen peroxide and 50% water four (4) times a day. Gently soak off any weepy or crusty material, or all previously applied ointment with moist Q-tips or a moist soft clean cloth. Cold compresses using a soft clean cloth should be applied after cleansing, Dr. Matouk recommends using cool tap water unless otherwise instructed. Apply the prescribed ointment liberally after the moist compresses. Keep the treated area moist with ointment at all times for seven (7) days after the procedure or until the area is completely healed. Occasionally a crust will form over the area. Do not pick or rub it. You should continue to keep the area moist with ointment and the crusting will resolve. If prescribed apply the facial dressing per Dr. Matouk’s instructions.

You may shower or bathe as usual. Reapply the ointment after showering or washing your face. Discontinue the use of cosmetics and topical medications until instructed otherwise. Avoid exposure to the sun at all times. The treated area will be very susceptible to sun exposure and damage can occur after treated areas are completely healed. You may go out but you must use sun block of 30 SPF or greater even on overcast days.

You will have several post-operative appointments following your surgery, please keep all appointments. It is important that Dr. Matouk has the opportunity to evaluate your healing progress. As needed different ointment or dressings may be recommended depending on how you are responding to treatment.

The postoperative home care is essential for a good result. Please follow these instructions carefully on a daily basis.

 
     

The laser is used to reduce tiny wrinkles, acne scars and other minor skin imperfections, especially around the mouth and eyes. It can improve sun-damaged and acne scarred skin problems that often cause concern to both men and women.

Benefits of Treatment

Laser resurfacing can be used as an alternative to chemical peel and dermabrasion. The benefits of using this technique are less pain and a faster recovery time.

Before Surgery

Prior to surgery, Dr. Matouk and you will discuss the goals for facial improvement. After determining the most appropriate procedure to use, we will fully describe the procedure, what results to expect and the costs. The skin is usually pretreated prior to surgery to improve the healing time.

The Procedure

A local anesthetic is given to ensure that you are comfortable throughout the procedure. The area is cleansed and draped. Dr. Matouk directs the laser beam toward your skin imperfections. The laser quickly and accurately vaporizes the outermost layers of skin just four or five cells in thickness.

What can be expected?

In most cases, only one treatment is needed. The initial redness fades in a few weeks to a light pink, which can be camouflaged with cosmetics. The discoloration usually disappears in one to three months. The goal of laser resurfacing is to enhance facial appearance.

Expectations by the patient must be realistic and results should be anticipated as improvements rather than total corrections. Results of the surgery depend on many factors such as the size, shape and location of the imperfection and the patient's heredity, age and general skin condition.

Chemical Peels

Chemical peel is helpful for wrinkles, light acne scarring and irregular pigmentation such as freckles and age spots. Pre-cancerous conditions such as keratoses (thick, rough, reddish growths) also respond well to this procedure.

There are several types of chemical peels:  Light peels remove superficial wrinkles, medium peels and deep peels are for more severe conditions. 

After thoroughly cleansing the skin, a small applicator is used to apply the chemical solution to an area of the face. Excess solution is removed and the procedure is repeated on other areas.

The amount of improvement varies and depends upon the initial condition of the patient's skin. Significant improvement of damaged skin has been achieved, which can produce dramatic results.

     
 

After Chemical Peels

  • Follow your physician’s instructions and keep all follow-up appointments
  • First 7-10 days after the Obagi Blue Peel (or until skin is completely healed)
  • Follow this program using the Obagi Nu-Derm system.
  • Wash face with foaming get or gentle cleanser and tepid water twice a day (am/pm)
  • Apply a mixture of Action (moisturizer) and Tolereen (0.5% hydrocortisone) in equal parts 3 to 4 times a day.
  • For itching, use Tolereen as needed.
  • Should oozing occur, soak gauze pads in a 3% hydrogen peroxide solution and dab the area as needed.
 
     

To help achieve optimal results and healing:

Do not pick, rub or force off skin. Avoid the use of extreme facial expressions. Do not over moisturize, keep skin dry. Avoid sun exposure and the use of sunscreens until healing has occurred-wearing protective clothing, a hat and sunglasses. Avoid strenuous exercise and sweating. Do not allow water or shampoo to run onto the treated areas while bathing or showering. Sleep on your back. Do not wear makeup while the skin is healing. To enhance the results of the Obagi Blue Peel after healing is complete, resume treatment with the Obagi Nu-Derm system.

Removal of Moles and Nevi

Moles, blemishes and nevi on the face may represent either innocuous or pathological conditions. They must be periodically examined by an experienced professional.

Dr Matouk will examine your skin and record any suspicious lesions. They will also teach you self-inspection, prevention and the signs of pathological conditions such as:

     
 
  • Irregular borders
  • Multiple colors
  • Changing size or shape
  • Development of new lesions
 
     

Skin cancer is a common condition in our area and it should be treated promptly. If the condition calls for biopsy or removal, Dr Matouk will utilize the latest techniques to allow efficient removal and speedy recovery.

Post-operative care

Cleanse the treated areas with 50% hydrogen peroxide and 50% water four (4) times a day. Gently soak off any weepy or crusty material, or all previously applied ointment with moist Q-tips or a moist soft clean cloth. Apply the prescribed ointment liberally. Keep the treated area moist with ointment at all times for the next seven (7) days after the procedure or until the area is completely healed. Also keep sunscreen on the treated area for up to three months after surgery.