We are very excited to have a new toy here at work!  The Halo™ laser has joined the office as another tool to help our patients look rejuvenated.  The Halo™ is a hybrid fractional laser which can achieve excellent results in 1-3 treatments.  Some of the fractionated lasers before would take 5-6 treatments to achieve the same results.

The Halo™ consists of two wavelengths, a fractionated ablative 2940 and a non ablative 1470.  Each wavelength is customizable depending and the goals of the particular patient and how much downtime they can afford.  Traditionally, ablative lasers required too much down time and the non ablative lasers would have underwhelming results.  With the hybridized combination of the two we are able to target pigmentation and texture issues in this fractionated laser treatment while providing minimal downtime.  (or ablative like results with non-ablative downtime)

Skin issues we are able to target with this treatment include:

  • wrinkles
  • discoloration/pigmentation
  • scars
  • skin laxity
  • uneven tone and texture
  • the appearance of enlarged pores

The 2940 wavelength really targets the pigment and discoloration in the upper layers of the dermis while the 1470 is able to create an injury deeper in the dermis and initiate the bodies own cascade of wound healing, creating new collagen and elastin.

The Halo ™ glow is what patients are thrilled with after treatments.  The texture and pigmentation which absorbs light normally is gone, allowing the light to reflect off the tissue.  Here is a series of photos of a patient who had a Halo™.

halo day by day

This is what we have seen here with the patients we have treated.  There are approximately 5 days of cosmetic down time.

In addition to the hybridized Halo ™ treatment we are able to combine BBL, or broad band light, with the treatment on individuals with lighter skin types.  The BBL works in synergy with the Halo at targeting discoloration and redness.  Either treatment can also be a stand alone treatment.

Once your skin is where you want it “Forever Young” treatments can be performed with the BBL to maintain the results.  The treatments can be performed 3-4 times a year to maintain the clearing of hyperpigmentation and redness.  Additonally, the BBL can actually affect the DNA/RNA sequencing of the skin cells.  Photo aged and intrinsically aged skin cells can express like younger skin after BBL treatments.

As with all light based and laser based treatments, strict sun avoidance is recommended before and after your treatment.  The use of a sunscreen with zinc is highly recommended.  There are other skin care products that can help to optimize your pre and post treatment course which your provider can help you choose.

Stay tuned for more positive reports on the treatment!


vi peel

Entering the fall months is a good time to undo some of the damage done over the summer months.  No matter how much sun screen we wear (although it is immensely helpful) if we have active lifestyles that take us outdoors a lot we end up with some sun damage.

We tend to have less and less sun exposure in the fall and winter months so it is a good time to target pigmentation with combination treatments.   Myself and several of my coworkers all agree upon a series of 2-3 IPL’s (or photofacials) combined with skin peels.  I personally like to do an IPL followed by a peel within 1-2 weeks once a month for 3 months.  This is very effective at lifting the pigmentation that developed over the summer.  There is some “downtime” with these treatments, although it is minimal.

The IPL creates what we commonly refer to as “peppering” which literally looks like pepper flakes on the skin.  These tend to develop over the first 12-24 hours and then flake off in 7-14 days.   These “pepper flakes” are pigmentation that has been brought to the surface leaving behind either faded pigmentation or complete clearance of the pigmented lesion.

A peel is a controlled surface burn of the skin using a combination of acids.  The peel helps lift pigmentation, shrink the appearance of pores, minimize fine-medium lines, firm and improve overall texture.  When a peel is done about a week after an IPL it helps to lift any of the peppering that is hanging on to the skin.  There are lots of peels on the market, from very light peels to deep peels.  We tend to use medium depth peels and find the results to be predictable and well tolerated.  The “real” peeling with these types of peels tends to occur on days 3-5 and then flaking can last 7-10 days.  The “real” peeling does create cosmetic and social downtime as the skin peels noticeably and one  looks like they are molting for 2-3 days.

We use SkinMedica Peels and VI Peels at Toccare.  I am a huge fan of the VI Peels.  They are well tolerated on most skin types and seem to go just a little deeper than the other medium depth peels I have used.  Additionally, VI peels can help minimize acne outbreaks and treat melasma.

So if you ended up getting a little too much sun and are unhappy with how it has left your skin color and texture consider the above treatment plan.  Here’s to beautiful healthy skin!