Skin Rejuvenation with the California Trio Plus Laser-Radio-Frequency
The California Trio Plus laser/Radio-Frequency skin rejuvenation treatment package steps are sometimes done at the same treatment session. It can be performed on the entire face, around the eyes, on the front and sides of the neck, and/or the Chest/Décolletage skin surfaces:
Step 1: Skin’s Epithelial Surface Rejuvenation via Peeling off the Epithelial skin surface’s dead cells sun damage skin spots like the superficial Solar Lentigo spots, and the shallow Hyper-pigmented patchy areas on the entire Face and/or the Front of Neck and/or the Chest-Décolletage: Erbium laser peel done on three layers, 20 to 30 microns each pass with BTL numbing cream applied after each peeled layer. This remove spots s some of the surface sun damaged skin spots called Lentigos. This peel improves the skin’s texture while removing some of the visible fine wrinkles as it thins out areas of thicker layered skin.
Step 2: Skin’s Dermal/Dermis Rejuvenation: This Dermis is the second skin layer that has the very important Collagen and Elastin Fibers that are the epithelial layer’s support system. The best treatment to stimulate the maximal amount of both Collagen and Elastin fiber REGROWTH is the Profound Radio-Frequency Micro-needling that SAFELY injects computer controlled 67 degree Celsius RF heat energy past the epithelia skin layers and into the dermal layer. This ProfoundRF treatment uses a 25 degree treatment head and can be used on the entire Mid Face, Jaw line, the neck, and in some patients, the entire forehead for Brow Lifting. But for around the eyes, directly below the eyes and the skin below the Brows and the upper eye lashes, the State-of-the art Profractional laser using the Erbium Laser or Fractional CO2 Laser is used since ProfoundRF Micro-Needling can’t be used around the eyes. This ProFractional or Fractional step involves lasering thousands of microscopic holes deep into the dermal skin layer, the second skin layer where the Collagen and Elastin skin’s support fibers are located. This lasered holes only penetrate approximately 10 to 15% of the skin’s Epithelial surfaces and trigger the body’s reparative immune system to regrow new Collagen and Elastin fibers, thus recreating some of the supportive structures of the skin and lifts up sunken in wrinkled areas over a period of 4 to 6 months. These Radio-Frequency & Laser induced irritations to the skin’s Dermal and the Epithelial tissues causes the skin to tighten and LIFT by shrinking the over-all square centimeters of the treated skin’s surface area. The larger the area treated with Laser or RadioFrequency, the more over all skin shrink-wrapping effects it will have on the face, the neck, and/or the chest.
Step 3 ‘The Plus Step’: Using the laser placed on the deep ‘ablative’ setting and with a tissue coagulating dialed a bit to heat up the tissue more, the surgeon travels around to spots or areas where deep wrinkles exist like around the mouth, crow’s feet, forehead, chin, and in between the brows. At these sites, the lasering is done at various depths to laser down yo the base of the deep wrinkle cracks or channels. These areas need a week extra of healing, compared to the skin surfaces that only experienced a peel depth of 50 to 80 microns, before make-up can be applied and are the last areas for post laser redness to dissipate. >>>Optional Steps of Treating the Subcutaneous layer or reducing-killing the fat directly below the Dermal layer can be done with the deeper penetrating ProfoundRF Micro-Needling system using the 75 degree treatment head. This can be done during the California Trio Laser procedure and s great for double Chins and dropped fat pads of the Jowls. Also targeted Micro-Liposuction can be done to remove the fat pad of the more larger dropped Jowls in some patients for even greater improvement.
Post Laser Step to Rejuvenate the Epithelial layer and upper/outer Dermal layer to improve Tone-Skin color, reduce redness and chronic inflammation, and to go after the age and sun damaged spots deep with un the multiple layers of the Epithelial cells. Board Band Light (Also called IPL, Intense Pulsed Light) treatment to reduce some of the age spots within the various layers of the epidermis, outer skin layers. Age spots are packaged up dead cell debris lodged between the layers of the epidermis. The larger spots are thousands of tiny packages that have stuck together much like a bunch of grapes. When the intense flash of light is shot into the skin, these pigmented age foot packages absorb this light energy and is instantaneous changed into heat energy. This heat energy then causes these packages to swell and explode, breaking down the debris into compounding that are then released into the spaces between loving cells and the microscopic vascular-blood vessels. The body immune system is triggered and white blood cells, called phagocytes, are recruited to the treated areas and eat up these release dead cell debris compounds and carries them through the blood stream and dumps them out through the kidneys and liver. A BBL/IPL treatment immediately after a peeling of the skin is a super powered treatment since there are less skin layers for the intense pulsed light to travel through so more energy reaches the deeper age spot locations and will improve the skin tone more effectively and like receiving series of two to three treatments at an interval time.
PRE & POST TREATMENT CARE ISSUES: It is important to pretreat the skin prior to the California Trio Plus with 4% Hydroquinone for a couple weeks to quiet the pigment producing skin cells called melanocytes to prevent post laser hyper-pigmentation, dark spots, which are sometimes hard to reverse/treat. It is equally important to pretreat some of the face areas of deep wrinkles with BOTOX so that excessive muscle movement during the 3 to 6 month healing phase does not cause the skin’s deep wrinkles to reform. Usually it’s important to receive a second BOTOX of 70 units three months after the pre-laser BOTOX treatment do that the muscles are keep relaxed got s fill Dix months after the last laser treatment session. (A few patient’s skin layers are so aged, wrinkled, or thickened that two or more laser treatment sessions are needed to achieve the desired outcome, especially in individual who smoke or whose health and immune system regenerative powers are weakened. Finally, the final cosmetic results post laser depend on the daily use of anti aging creams for a minimum of 6 months to feed, support, and to further stimulate the skin natural physiologic repair mechanisms to achieve the maximal level collagen regrowth and improved re-vascularization structures. These products and cream include human growth factor serums to help feed and help collagen givers to grow plentiful and strong, a gentle foaming cleanser to keep the skin cleaned deeply while avoiding unnecessary irritation of the fleshing treated skin, a skin friendly toner to balance the skin’s pH to allow for better absorption of the products, and evidentially daily Retinol to help stimulate collagen regrowth and to keep a daily mild surface exfoliation process ongoing to stimulate new epithelial cell regeneration to help keep that skin glowing for months to years post California Trio. 3/15/17 by Nolan Hetz, M.D.
See Before and After Photos of Pelleve Skin Tightening