Laser wrinkle reduction (also called laser skin resurfacing) is an effective and long-lasting method to reduce or eliminate the wrinkles that cause a prematurely-aged appearance, including "crow’s feet" and "lipstick lines." Dr. Alan Brackup, a double board-certified cosmetic surgeon and ophthalmologist, offers laser skin resurfacing treatments with the Cynosure Palomar Icon System at Cosmetic Surgery Specialists in Langhorne, Bucks County, PA. The Palomar Icon has received the first clearance from the Food and Drug Administration (FDA) for skin resurfacing procedures using a combination of ablative and non-ablative fractional lasers. Palomar’s combination treatments offer a same-day approach with a customized depth, coagulation, and ablation to each patient's needs, which helps to maximize treatment outcomes while minimizing downtime. The controlled injury created by the laser prompts the growth of new, younger-looking skin. The resurfacing also causes a realignment of the collagen structure of the skin, which increases skin elasticity to create a more supple look and feel.
"My search was over after being referred to Dr. Brackup!!!. My son's wedding was coming up in August, 2016. My eyes were horrible .When I smiled you saw know eye's. I met one surgeon that was scared to remove the lower bags. How would that look? Didn't make sense. With Time running out by chance I when to a new hairdresser, that had her eyes done and look beautiful. Even though Dr. had a busy schedule,he made it a point to fit me in for June 28th. I was assured my eye's would look beautiful by August 20th. Dr. Brackup was right. I had Upper and lower procedures done. Dr. sculpted my eyes to compliment my high cheek bones. They are beautiful. At 60 years old I look twenty years younger!! Dr. Brackup and his entire staff were kind and honestly the best experience I ever had. He is gifted with hands of gold. He only works from the neck up and is a oculoplastic surgeon. My confident's is through the roof. I walk with my head high for the first time in a very long time. Thank you, Dr. Brackup for setting this butterfly free!! Before pictures click on Rosemarie P. Thanks"- R.P. / Yelp / Apr 06, 2017
"Great experience - Mid May I had upper and lower lid blepharoplasty and I have not had anyone ask me if I were tired since! Dr. Brackup and his team were warm and professional from the first visit. The staff at the surgery center were equally wonderful. I knew I was in good hands. The recovery was not bad at all and the results are fantastic!"- D. / RealSelf / Oct 01, 2018
"Best Doctor and Staff - 100 percent amazing. Dr. Brackup is extremely calm,cool, and confident. He knows what he is doing, explains clearly what needs to be done, and I am thrilled with the results. I had a facelift and a strong chemical peel above my lip 4 months ago, and I look completely natural, not pulled too tight, and my-upper lip has no lines!!! I couldn’t be happier with the results....I can’t say eno..."- H. / RealSelf / Sep 26, 2018
"Two Good Reasons to Choose Dr Brackup - The two main reasons I chose Dr Brackup to 'freshen up' my eyes were:1) 3 friends had cosmetic surgery by Dr Brackup over 10 years ago, all still look great. 2) Dr Brackup is the first doc to have duel board certifications in both ophthalmology and facial plastic surgery.I've found Dr Brackup and his team to be compassionate and highly competent."- W. / RealSelf / Sep 17, 2018
"Great Choice - Dr. Brackup - Excellent. Just completed my second followup appointment following lower eyelid surgery with excellent results. The entire experience was positive. The staff is pleasant, organized and very competent. Instructions both pre and post op are clearly explained. Dr. Brackup's curriculum vitae is most impressive. Additionally, he's a very nice guy, who is an excellent surgeon. I am very glad..."- M. / RealSelf / Aug 30, 2018
Laser skin resurfacing uses controlled light beams with high intensity to vaporize and remove the upper layer of the skin. When the damaged, superficial skin is removed, it gives way for new skin to grow, which masks the face with a new layer of epidermis. Any pain during the procedure is managed with local anesthesia and/or sedatives to help the patient relax. The eyes will also be protected since lasers can be harmful to the patient’s vision. Laser skin resurfacing’s advanced technology allows accurate targeting of smaller areas so the surrounding skin is not affected. A session may take up to 2 hours depending on the patient’s skin conditions.
Ablation vs. Non-Ablation
Laser skin resurfacing may be aggressive, depending on the patient’s aesthetic goals. The more aggressive the treatment (which is referred to as an ablative procedure) the more it wears away the epidermis to let new skin regeneration begin. Recovery with this technique may take up to 3 weeks. The lighter treatment, or non-ablative laser, does not remove any skin. It stimulates deeper layers of the skin to initiate an increased growth of collagen. With this treatment, there will be no downtime for the patient. Both techniques help the skin regenerate. As new layers of skin are developed, skin problems such as wrinkles, mild scars and discoloration are minimized.
Fraxel re:pair Technology
We use the Fraxel re:pair® CO2 laser, which is rapidly changing the world of laser skin resurfacing. This is an ablative laser, which means it delivers an amount of energy needed to achieve effective results. But what’s different from conventional lasers is that it uses cutting edge fractional delivery technology. This creates microscopic patterns of controlled skin injury, but it spares tiny bridges of uninjured tissue in between these zones of treatment. The result is significantly faster wound healing and skin tightening while minimizing the down time. The Fraxel re:pair® laser is approved by the FDA, and it combines the benefits of effective skin treatment, decreased risk, and a quicker return to your normal activities.
What to Expect
Laser skin resurfacing is an out-patient procedure. There may be pain during treatment, so local anesthesia can be used to minimize the patient’s discomfort. The doctor may also prescribe the patient a pain reliever after the procedure. The face may be bandaged after treatment. Since the epidermis is peeled away, the skin may appear red for several weeks. As it heals, crusting may be present. It is very important to follow the doctor’s advice on skin care to prevent any scarring. It may take a few days before the patient can resume normal activities. It may also be beneficial to use an extra pillow when sleeping to ease any discomfort.
Plan Your Procedure
- Procedure Recovery Location
Laser Skin Resurfacing FAQs
Negative Effects on Skin?
Although the procedure will wear the skin surface away, there is a minimal risk of scarring, especially when post-treatment care is implemented. It is critical to find a reputable doctor or technician with comprehensive experience with laser skin treatments. It’s important for the surgeon to understand different technologies affect different skin types. When done correctly, the result is a long-lasting healthy skin effective in combating signs of aging and skin damage.
Aside from the natural effects of aging, personal habits and environmental factors, results can be long lasting. Maintenance treatments may be considered as signs of aging get more and more significant over time.
Ablative or Non-Ablative?
It depends mainly on the patient’s skin condition and cosmetic goals. Another factor to consider is how quick the recovery period should be or if there should be no downtime for the patient. The doctor will discuss each treatment in detail and recommend the best approach that matches the patient’s circumstances.