Many methods have been proposed for the treatment of acne scars, with variable cosmetic results. Nonablative skin resurfacing is one method that involves dermis and subcutaneous heating with lasers for the purpose of inducing new connective tissue growth. Because of a need for more noticeable clinical improvements, the ablative fractional laser was recently introduced to resurface acne scars.

Ablative skin resurfacing typical causes visible trauma to the patient’s skin. Aesthetic physicians who have both modalities can try to reduce complications and improve the results of ablative laser resurfacing (carbon dioxide, erbium or fractional lasers) by combining this treatment of acne scars with nonablative lasers.

For patients of  skin phototypes III-V with atrophic facial acne scars, the combination of ablative laser resurfacing and nonablative laser resurfacing yields the best results with fewer complications.

Pulsed dye laser (PDL, 595 nm) is the current treatment of choice for port-wine stains (PWS), but 25–50% of treated lesions do not demonstrate a significant improvement.

Combination of laser may improve treatment efficacy, especially those using the synergies between PDL and Nd:YAG 1064nm laser. There is a growing body of research and anecdotal evidence that the dual wavelength approach shows efficacy with less discomfort for the patient.

The aesthetic physician or the head of the group if several doctors work together.

The financial shock we are trying to cope with has made us sharper. The star of the practice is what can make a difference for a cash paying consumer comparing several aesthetic practices during the online research.

What can help you look more impressive in the eyes of today’s web surfing cosmetic patient?

• It’s not about offering the same plastic surgery procedures every doctors offers these days – it’s about daring to work differently and offering innovative presentations of new treatment options with good results and minimum downtime
• It’s not about general marketing with billboards and newspaper ads – it’s about authenticity with style and mostly online
• It’s not about dreaming dreams about “buying an expensive laser system… and they will come” – it’s about educating, engaging and pursuing prospects to come for a free consult
• It’s not about materialism – it’s about wealth of self, inside and out

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