Fraxel Laser, Fraxel Repair and Fraxel Dual in NYC

Dr. Rokhsar was involved in the development of the Fraxel Laser and is a Black Diamond award winner for the past five years as having done the most Fraxel Treatments.

Dr. Cameron Rokhsar, along with Dr. Richard Fitzpatrick, were the first physicians to introduce the clinical applications of the Fraxel laser technology to the world in 2004, after having worked with a prototype device for one year. Dr. Rokhsar introduced the concept of fractional resurfacing at a the laser surgery meeting to the medical community, in Tremblant Canada in 2004. Since then, Fractional resurfacing has become the number one laser resurfacing procedure in the world. Dr. Rokhsar has been instrumental in the development of protocols for the treatment of a variety of conditions with fractional resurfacing and the Fraxel laser. Dr. Rokhsar published the first report of treatment of wrinkles and sun damage, acne and surgical scars, as well as melasma with the Fraxel laser. Dr. Rokhsar is regarded as an international authority on the use of the Fraxel laser for treatment of wrinkles, scars, sun damage, pigmentation, stretch marks and many other conditions.

FRAXEL™ SR Laser Treatment

Since then, Dr. Rokhsar has taught his techniques to numerous physicians in the United States and around the world.  Doctors from all over the country have visited, and continue to visit Dr. Rokhsar to learn about laser resurfacing.  Dr. Rokhsar introduced the Fraxel laser to Europe in London, and to Australia in Sidney, in 2005.  He then embarked on a four week teaching tour of Asia in 2005 to introduce the Fraxel laser and his techniques to various countries.  In particular Dr. Rokhsar introduced the Fraxel laser to Japan, Korea, Hong Kong, Taiwan, Malaysia, Indonesia, Thailand, The Philipines in 2005.  Finally, Dr. Rokhsar introduced fractional resurfacing to South America in Brazil, Argentina and Colombia.


Dr. Rokhsar featured in a Brazilian Magazine

Dr. Rokhsar, New York's Fraxel laser specialistLa Nacion – Buenos Aires, Argentina: September 2007
Translation
An Interview with Dr. Cameron Rokhsar about lasers in Argentina: Dr. Rokhsar introduces fractional laser resurfacing to Argentina in Buenos Aires.Dr. Rokhsar is known nationally and internationally for his expertise in laser resurfacing with the Fraxel laser. He introduced fractional resurfacing with the Fraxel laser to Australia, Canada, Thailand, Malaysia, Singapore, Indonesia, Taiwan, Japan, the Philippines, and Brazil.


Fraxel Restore Dual also known as Fraxel III is an updated version of Fraxel II.  The Advantage of this laser that it employs a second wavelength (1927nm) which enables the laser to treat superficial pigmentation , sun damage, brown spots as well as melasma more effectively. The Fraxel II laser (SR 1500) is considerably more effective than the previous version (Fraxel I) because of its capability to penetrate twice as deep.

Since then, Dr. Rokhsar has been a leading researcher and pioneer in the science of resurfacing with the Fraxel laser for treatment of wrinkles, acne and surgical scars and melasma and other skin conditions.  He published the first report of the treatment of pearly penile papules and syringomas with the Fraxel restore laser.  He also has developed advanced protocols for eyelid tightening which closely mimick surgical eyelifts without making any incisions.  He has traveled numerous times to the head quarters of Solta Medical (the makers of Fraxel) to teach his techniques.  Dr. Rokhsar published the first report of the treatment of fresh scars after skin cancer (mohs surgery) with the Fraxel laser.

Dr. Rokhsar has used fractional resurfacing longer than any other doctor in the world as he was an investigator of the Fraxel prototype device. In fact, he has trained more physicians in the United States and around the world on laser resurfacing with the Fraxel Laser than any other physician in the world.  Dr. Rokhsar has been awarded the black diamond award five years in a row as the physician which has performed the most number of Fraxel treatments.

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Fraxel Restore NYC, Fraxel Restore New York, Fraxel NYCStar - Discussing long island fraxel treatments

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Dr. Rokhsar discusses his New York Fraxel treatments

Dr. Rokhsar has been featured on MDlive.net (a medical online education site for physicians) on Fraxel laser and its uses in addition to other webinars for educational purposes. He has developed new uses for this laser. He has trained a number of physicians through workshops about the use of this laser and the technique. He was the first to introduce the wide clinical application of this laser technology. He has been a featured speaker on this subject at the American Society for Dermatologic Surgery, American Academy of Cosmetic Surgery, American Society of Laser Medicine and Surgery and the international Society for Cosmetic and Laser Surgeons.

Advantages of Fraxel

The advantages of  fractional resurfacing with the Fraxel laser over traditional resurfacing is several fold. The gold standard in reversing the signs of aging skin has been resurfacing with the CO2 laser. Resurfacing is achieved by peeling away a layer of skin while causing tissue contraction. Although this modality achieves dramatic results, candidates often undergo general anesthesia and prolonged healing and recovery times (as long as two weeks).  Fractional resurfacing with the Fraxel laser, achieves its results by resurfacing the skin 15-50% at each session. This is done by placement of microscopic-deep columns of treatments named microthermal zones surrounded by zones of healthy skin tissue. This fractional treatment allows the skin to heal much faster than if it were treated all at once, using the body’s natural healing process to create new healthy tissue to replace skin imperfections, remodel collagen and tighten skin texture. 2-5 sessions are ecessary depending on the condition being treated.

Where Can Fraxel be Used?

Any body surface area and all skin types and colors can be treated. The following is a list of conditions that can be treated with fractional resurfacing:

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Use Fraxel For Wrinkles

As a person ages, the epidermal cells become thinner and less elastic. The thinner cells make the skin look noticeable more translucent. The decreased elasticity of the cells makes it more difficult for the skin to retain moisture, which causes dryness. The number of epidermal cells decreases by 10% per decade and they divide more slowly as we age, making the skin less able to repair itself quickly.

The effects of aging on the dermal layer are significant. Not only does the dermal layer thin, but also less collagen is produced. Collagen is the elastin fibers that provide a bounce back to the skin. These changes in the structure of the skin cause the skin to wrinkles and sag.

Fraxel lasers are the gold-standard lasers that use fractional laser technology.  They are used to resurface and rejuvenate the skin. Fraxel lasers are proven to produce dramatic results in the treatment of wrinkles.

Treat Severe Wrinkles with Fraxel in New York

For patients who do have severe wrinkles, and are not smokers or are able to stop smoking, this procedure remains the treatment of choice. A one pass laser resurfacing procedure has one week down time and multiple pass CO2 laser procedure has two weeks down time. Treatment of wrinkles with the CO2 laser is limited to the face. Dr. Cameron Rokhsar has been trained by the inventor of the CO2 laser resurfacing procedure and has extensive experience in laser resurfacing. For those individuals who do not have the one to two weeks down time or who wish to resurface other skin areas, the laser of choice remains the Fraxel laser. By creating tiny columns of mico-damage deep within the skin, the Fraxel laser beams stimulate the skin cells to renew themselves and to generate fresh, healthy skin cells.

Dr. Rokhsar is considered an international authority with laser resurfacing and has spoken on this subject all around the globe. Dr. Rokhsar spent a considerable portion of the past four years refining and developing applications for a new laser technology named Fraxel, after working with a prototype device during FDA approval ten years prior.

Other Uses For Fraxel

Use Fraxel for Acne Scar Treatment

Acne scars are left behind from even mild cases of acne. The deep inflammation and infection can leave behind deep pockets and uneven skin surface and tone.

There are four categories of acne scars:

  1. Boxcar Scars- oval or annular depressions that are wider than most scars, but do not penetrate deep into the skin, reaching the dermis.
  2. Hypertrophic or Keloid Scars- thick and raised scars that appear more commonly on the back or face. They spread beyond the original point of damage.
  3. Ice Pick Scars- deep and narrow scars that extend through both the epidermis (the upper layer of skin) and the dermis (the deeper layer of skin).
  4. Rolling Scars- appear as slopped scars that rise and fall from the skin’s natural surface.

Fraxel Re:pair is an ablative laser that can be used to improve acne scars.  The laser energy penetrates into skin and creates tiny, microscopic areas of damage, which causes the skin cells to go into repair mode.  In this manner, the skin generates new collagen and new healthy skin cells. After Fraxel treatment, there will be redness, swelling, and peeling for a few days.  Many patients compare the feeling of the skin after Fraxel to the feeling of sunburn.  Recovery time is limited to a few days.  Patients usually see maximum results after 4-5 sessions of Fraxel.  Because the skin will continually and naturally repair itself using collagen production, the elasticity protein that structures the skin, results will be gradual and the skin will continue to improve over time!

The Fraxel Re:store Dual is a fractional laser which is highly effective for treatment of acne scars. It requires three to five treatments for optimal results. Dr. Rokhsar was involved in the development of the Fraxel laser and the FDA clinical testing trials ten years ago. He has since introduced Fraxel to virtually every continent, including Australia, England, South America, and Asia, insuring that he can effectively assess which laser is right for you.

Use Fraxel For Eyelid Treatment

Fraxel is considered the gold standard in reversing the signs of aging skin for wrinkles to skin resurfacing. Resurfacing is achieved by peeling away a layer of skin and stimulating collagen production. Collagen is the key naturally occurring protein responsible for the skin’s structure and tightness. Collagen production decreases overtime, causing wrinkles and loose skin. Fraxel laser treatments stimulate new collagen production by causing micro-damage to the skin.

Fraxel has increasingly been used for the treatment of the eyelids, a place prone to sagging skin and wrinkles. Results and patient’s feedback has revealed that eyelid skin was very responsive to Fraxel by decreasing wrinkles and dark circles. Skin was also thickened, which gave a fuller appearance and decreased under the eye hollowness.

Fraxel For Scar Mitigation

A burn, injury or cut can leave behind a scar on any area of the skin’s surface. Depending on the size and type of skin the scar has affected, a unique scar will appear as result of the body’s natural healing process. There are several different types of scars and can all be treated with a Fraxel laser.

  • Acne scars. Acne appears as a result of inflamed or infected glands in the skin, most notably characterized by red pimples across the face.  There are many types of acne scars, ranging from deep pits to scars that are angular or wavelike in appearance. Treatment options depend on the types of acne scars you have.
  • Contracture scars. A contracture scar tightens the skin and is usually the result of a mild to severe burn. Because of the tightening, they can impair your ability to move and may also go deeper, affecting muscles and nerves.
  • Hypertrophic scars. These are raised, red scars that are similar to keloids but do not go beyond the boundary of the injury. Treatments include injections of steroids to reduce inflammation or silicone sheets, which flatten the scar.
  • Keloid scars. These scars are the result of an overly aggressive healing process and develop beyond the wound’s original formation. You can prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured. Keloid scars are most common among people with darker pigmentations.

Dr. Rokhsar is regarded as an international authority on the use of the Fraxel laser for treatment of wrinkles, scars, sun damage and pigmentation. He has trained more physicians in the United States and around the world on laser resurfacing with the Fraxel Laser than any other physician in the world.

Fraxel Laser FAQ

Why do scars form?

Scar formation is a normal part of the skin’s healing process.  Any cut in the skin heals by scarring.  Most of these scars do not have any cosmetic consequences and are unnoticeable. However, some patients develop noticeable and disfiguring scars.  These scars can be caused by acne, burns, trauma, or surgery.

The size and severity of a scar depends on the size and location of the injury, age, genetic susceptibility, and lifestyle factors (i.e. smoking, drinking). Scars are firm areas of tissue and can be elevated or sunken-in.  The color of a scar can vary anywhere from dark purple to red to light pink to white.  Older, mature scars are a white color.

How painful is laser treatment for scars?

Laser treatments for scarring are minimally painful.  Dr.Rokhsar and his staff do everything to make you comfortable during the procedure, including numbing cream before treatment and other medications if necessary.

What types of lasers are used to treat scars?

Fraxel:Repair is an ablative laser that can be used to improve the appearance of scars.  The laser energy penetrates into skin and creates tiny, microscopic areas of damage, which causes the skin cells to go into repair mode.  In this manner, the skin generates new collagen and new healthy skin cells.  The healthy cells underneath the scarred tissue will regenerate into smoother skin with normal texture.

Fractional C02 lasers are another type of laser used to resurface scarred skin.  The laser beams stimulate the skin to produce more collagen, a protein found in young skin. These lasers target and remove damaged areas of skin on a microscopic level by creating controlled ‘holes’ of damage. This damage stimulates the skin to heal itself more rapidly; replacing the damaged, aged, scarred areas with fresh skin.

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