The skin is more than just an aesthetic feature. It serves as a perpetual guardian against the harshness of the world to ensure our body remains as healthy as possible. Unfortunately, the constant onslaught of chemicals, UV light, and microorganisms can wreak a heavy toll on this vital organ. Skin of all ages gradually loses its childhood radiance and smoothness, replacing it with battlescars of sunspots, wrinkles, and textural irregularities. Fortunately, advances in cosmetic medicine have led to the advent of laser energy treatments capable of restoring your skin’s armor to provide you with a glowing, even-toned complexion.
An area of constant study and research, modern laser resurfacing treatments harness the power of electromagnetic waves or plasma energy to provide optimal results to patients. Over the course of his decade-long career, Dr. Hooman Khorasani has helped improve the skin’s appearance for thousands of patients of all ages and skin types. Always pursuing the best possible treatment options for his patients, Dr. Khorasani consistently invests in the latest technology and mentors other professionals who have sought him out for his expertise in this area. As such, Dr. Khorasani will be able to provide you with a tailored therapy plan that addresses your individual needs and employs the latest therapeutic advances.
Cutting-edge skin resurfacing utilizes the energy of electromagnetic waves or plasma energy to selectively remove damaged cells and stimulate the body to replace these losses with healthy tissue. This cycle of elimination and restoration renovates the skin to smooth and color-correct your complexion; however, the degree of impact for each of these beneficial effects is highly dependent on the device used. The most powerful lasers in Dr. Khorasani’s arsenal induce significant destruction and regeneration, resulting in dramatic skin remodeling in which fine wrinkles are erased, scars are obliterated, and discoloration is expunged. These substantial cosmetic gains, however, are associated with a more prolonged recovery compared to gentler lasers. Lower energy devices allow for decreased downtime, but the correction of texture and color abnormalities is less pronounced. As a general rule, the more energy used, the longer the downtime and therefore, more impressive results.
Dr. Khorasani has dedicated his medical career to cultivating an expertise in both high and low energy laser therapies to provide optimal skin restoration. Each laser treatment is individually selected to account for one’s pre-existing skin condition, overall aesthetic goals, and lifestyle constraints. As such, we will be able to find a treatment option that works best for you!
Clear & Brilliant is our most gentle laser that uses electromagnetic waves to create millions of microscopic treatment zones in the outermost layer of skin. As a fractional, non-ablative laser therapy, the energy emitted from this device selectively heats columns of skin and leaves behind a sheath of untouched tissue surrounding each treated area. This precise balance of stimulation and conservation triggers a controlled healing process in your skin, resulting in the removal of damaged cells and an increased production of healthy collagen. As with all low energy lasers, however, these cellular changes are limited in scope.
The macroscopic benefits of cellular damage control and manufacturing new collagen include mildly reduced pore size, decreased visibility of the early signs of aging, reduction in brown spots and enhanced skin tone. Overall, the skin appears smoother, fresher, and more radiant.
The glow induced by Clear & Brilliant renders this laser a favorite amongst individuals of all ages and skin types wanting to replicate the dewy skin often seen at red carpet events and in magazines. Other ideal candidates for this treatment are those seeking to prevent or mildly improve the appearance of fine lines, patches of discoloration, and texture abnormalities. The low level energy of this particular device ensures that this therapy is safe for use on darker complexions, allowing patients of all skin types to enjoy the benefits of Clear & Brilliant.
The results of Clear & Brilliant are progressive and additive, meaning that they improve over time and with multiple treatments. You will observe improvements in skin texture and radiance within seven days after treatment, but several weeks and repeat sessions are required to induce significant changes. Your complexion will continue to improve over the course of six months, as the body ramps up collagen production and remodels the skin. Following completion of your initial therapy plan of three to six treatments spaced six weeks apart, maintenance treatments every six months are recommended to optimize your aesthetic outcomes.
At first glance, this treatment schedule seems to require significant time and effort; however, each laser session requires just one hour to complete and is associated with little to no downtime. Consequently, the benefits of rejuvenated skin are achieved with minimal disruption to your busy professional and personal life.
The Fraxel Dual 1550/1927 is another fractional, non-ablative laser therapy that is the more powerful cousin of Clear & Brilliant. This resurfacing device delivers columns of electromagnetic energy into both the superficial and deep layers of the skin. The 1927 nm waves selectively destroy pigmented cells in the superficial skin to improve the discoloration wrought by chronic sun exposure. The deep range of the 1550 nm waves stimulate the body’s natural healing process to produce new collagen, resulting in improved skin elasticity and tone. Both the 1927 nm and 1550 nm electromagnetic waves preserve pillars of healthy skin between the treated locations. These untouched areas serve as a scaffold to facilitate rapid healing with optimal cosmetic results.
Harnessing the power of high and low frequency electromagnetic waves holistically remodels the skin to substantially soften fine wrinkles, diminish the appearance of scars, and lighten sun-induced discoloration. The result? A smooth, radiant complexion with a marked reduction in the physical markers associated with perpetual wear and tear.
The ability of Fraxel DUAL 1550/1927 to significantly improve the appearance of fine lines, hyperpigmentation, and texture abnormalities has led to this device’s popularity amongst patients with mild to moderate signs of aging. Patients suffering from acne, surgical, or injury scars also benefit from Fraxel DUAL 1550/1927, as the remodeling properties of this laser help improve the appearance and texture of these skin irregularities. Please visit our Scar Revision page to determine which of our innovative therapies can best eliminate your unwanted physical reminder of a prior trauma.
The Fraxel DUAL 1550/1927 is amongst the same family of lasers as Clear & Brilliant. Consequently, multiple treatments and several months are required to reap the full benefits of this particular laser therapy. However, as the stronger version of Clear & Brilliant, the Fraxel DUAL 1550/1927 resurfacing results are more pronounced, survive for longer periods of time, and are obtained with fewer treatments. Therefore, we typically recommend initiating therapy with two Fraxel DUAL 1550/1927 treatments spaced six weeks apart. Following completion of this regimen, maintenance sessions every two years are advised to prolong the rejuvenating effects of Fraxel DUAL 1550/1927.
Please note that the increased strength and associated cosmetic impact of Fraxel DUAL 1550/1927 requires more downtime than the gentler Clear & Brilliant. Overall, expect the recovery from Fraxel DUAL 1550/192 to encompass five to seven days.
TotalFX is a powerful ablative fractional CO2 laser that induces extensive skin remodelling to provide the most effective reduction in unwanted signs of aging. The ActiveFX component selectively targets the outermost skin layer and systematically eliminates fine lines and pigmentation. Using a precise degree of heating, the DeepFX energy stimulates the deeper layer of the skin to produce new, healthy tissue and targets deeper wrinkles. These combined effects comprehensively resurface the skin to erase fine wrinkles, improve deep furrows, eliminate scars, and correct discoloration.
As with Fraxel DUAL 1550/1927 and Clear & Brilliant, this fractional CO2 laser preserves cushions of healthy skin surrounding each treatment area, allowing for a speedier recovery and maximal cosmetic results.
The potency of CO2 laser energy substantially outpaces that of Clear & Brilliant and Fraxel DUAL 1550/1927. Consequently, the improvement in deep wrinkles, fine lines, texture abnormalities, dyspigmentation, and scarring is more significant with TotalFX. Dr. Khorasani typically uses the DeepFX laser for deep lines around the eyes, mouth and frown lines and ActiveFX for the remainder of the face. A single treatment with TotalFX can successfully wipe away decades of damage, resulting in smooth, unblemished skin that radiates youthfulness.
This high energy laser device is most appropriate for patients wishing to improve the appearance of more advanced signs of aging like heavy furrows, wide-spread fine lines, and numerous patches of discoloration. Other candidates for TotalFX include patients seeking to aggressively target early age-related changes and prevent the onset of irreversible damage. Furthermore, targeted administration of TotalFX may be beneficial for the correction of acne, surgical, and injury scars. Please visit our Scar Revision page to determine if this cutting-edge therapy can help alleviate the heavy emotional toll associated with your particular scar.
Unlike the Fraxel DUAL 1550/1927 and Clear & Brilliant lasers, most patients require just one TotalFX session for optimal skin resurfacing. Improvement in deep and fine wrinkles, discoloration, scarring, and texture are first visible ten to fourteen days after treatment; however, maximal reduction in skin irregularities and the promotion of more youthful properties requires six months to fully appreciate. Additionally, the intensive skin remodelling induced by this CO2 laser lends itself to durable results that last for several years following treatment. Please note that the impressive resurfacing offered by TotalFX incurs a prolonged recovery period of six to fourteen days.
Renuvion (J-Plasma) is a novel resurfacing device that harnesses the power of helium-derived plasma and radiofrequency energy to remodel the skin. In contrast to the fractionated ablation of other resurfacing lasers, Renuvion (J-Plasma) ablation is continuous. This continuous ablation selectively removes the superficial layer of the skin called the epidermis and heats up the deeper layer of skin, called the dermis. Consequently, the standard benefits of improved discoloration, fine lines, and texture are complemented by an enhanced skin tightness not seen with other laser devices. Since the entire epidermis is ablated, there is a significant amount of downtime associated with this treatment. Once again, the more energy used, the longer the downtime, and therefore, more impressive results.
The improvement in skin elasticity offered by Renuvion (J-Plasma) is unmatched by any other laser system. Consequently, this device provides two treatments in a single session: skin tightening and resurfacing. The combined benefits of this dual therapy comprehensively addresses the signs of aging to produce skin that is firm, lifted, and alleviated of fine wrinkles, scars, and discoloration.
Renuvion (J-Plasma) is most beneficial for fair skin (Type I skin) patients seeking to improve drooping of the eyelids, jowls, chin, and neck while simultaneously addressing moderate signs of aging like fine lines, hyperpigmentation, and texture abnormalities. Patients need to set aside significant time for recovery after this procedure. Please note that Renuvion is contraindicated in darker skin complexions (Skin Types II-VI).
The skin tightening powers of Renuvion (J-Plasma) are not limited to the face. Those for whom loss of elasticity in other areas of the body is the primary complaint may be candidates for deep (subdermal) applications of Renuvion (J-Plasma), which provides maximal improvement in skin tightness; however, administration of Renuvion (J-Plasma) to the deep skin does not correct superficial irregularities like wrinkles, scarring, or discoloration. Find out more about the benefits of subdermal Renuvion (J-Plasma) to ascertain if this treatment can lift and tone your body’s skin to restore your youthful contours. Please visit our Skin Tightening page to determine if our repertoire of cutting-edge therapies can improve the elasticity of your skin to provide you with a toned, firm silhouette from head-to-toe.
Please note that the resurfacing benefits of Renuvion (J-Plasma) are more pronounced than those seen with TotalFX. As such, this is the best treatment for patients seeking to aggressively eliminate wrinkles, dyspigmentation, and texture abnormalities while also enhancing skin tightness.
As with the TotalFX device, most patients will require just one Renuvion (J-Plasma) treatment to comprehensively resurface and tighten the skin. Improved skin elasticity and decreased visibility of fine wrinkles, discoloration, and scarring are first discernible within fourteen days after treatment; however, maximally tight and smooth skin requires six months to fully appreciate. Additionally, the intensive skin remodelling induced by this plasma-energy laser lends itself to durable results that last for several years following treatment. Please note that the combined skin tightening and resurfacing offered by Renuvion (J-Plasma) incurs a prolonged recovery period in which the skin may be persistently red for three to four months. Dr. Khorasani often combines this procedure with three sessions of a vascular laser called Vbeam in order to address the redness associated with Renuvion, and reduce your recovery time. Learn more about Vbeam on our Red Spots, Capillaries & Vascular Treatments page.
Dr. Hooman Khorasani is quadruple board-certified in Dermatology, Cosmetic Surgery, Facial Cosmetic Surgery and Mohs micrographic surgery. Additionally he led the Division of Dermatologic and Cosmetic Surgery at Mount Sinai for 10+ years. His passion for providing patients with cutting-edge treatments to facilitate their cosmetic goals has led to his involvement in multiple research projects investigating novel applications and advanced clinical techniques for laser-based skin resurfacing. Dr. Khorasani’s internationally recognized proficiency in cosmetic medicine has led many health professionals to seek his mentorship and learn from his best practices so that they too can provide their patients with optimal aesthetic outcomes.
Armed with this advanced clinical and academic competency, Dr. Khorasani carefully crafts a therapy plan for each individual patient that adheres to the highest standards of medical care and is optimized to produce the greatest results possible. Personalization is infused into every aspect of our practice, from the treatment itself to our highly-skilled office personnel that are available 24/7 to answer any questions or concerns. Together as a team, we can help your skin shed years of damage so it appears as radiant and beautiful as you feel!
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500. For more information about how to get in touch:CONTACT US