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For wrinkles, 
Botox® is a prescription medicine that can improve the look of frown and squint lines in people between the ages of 18-65. Botox® works by blocking the muscle contraction that forms these lines. The injections are administered in the office and are both safe and non surgical. There is little to no down time after the procedure and the effects can last up to three months.

Young healthy looking skin contains and abundance of hyaluronic acid (HA) that makes it smooth and elastic. As we age, HA decreases in the skin resulting in loss of skin volume and unwanted wrinkles. Juvederm® injections are a safe and effective way to replace the HA your skin has lost. The effects of Juvederm® injections can last 6-9 months and are often used with Botox® for facial rejuvenation.

For more information on Botox, Juvederm® and Latisse®:


With the current trend to look younger as we grow older, it comes as no surprise that the skin rejuvenation market has exploded like nothing else in cosmetic treatments available today.  Dr Kalmbacher at Bayside Regenerative Medicine is proud to offer the latest in skin rejuvenation technology through the Alma Laser’s Pixel Fractionated CO2, which is a laser cosmetic skin rejuvenation that uses the fractional CO2 technology principle.  Not only are there visible and high quality results, there are also none of the traumatizing side effects that are often associated with other CO2 related skin resurfacing practices.  Fractional CO2 laser resurfacing promises you a complete reversal when it comes to the visible signs of aging on your skin and it additionally increase your skin quality by giving it an inner glow and radiance.

Traditional CO2 laser devices, though highly effective in skin resurfacing, are associated with prolonged recovery time and significant adverse effects. Nonablative modalities offer reduced downtime and fewer adverse effects but limited efficacy.  The new fractional Pixel CO2 laser produces arrays of micro thermal wounds at customizable depths leaving the surrounding tissue unaffected.  With the fresh infusion of collagen in all the right areas, your skin naturally starts to tighten allowing previously hollow regions to look fuller while improving the appearance of scars. As your new skin emerges, the fractional Pixel CO2 laser skin resurfacing system promotes your body’s natural ability to heal itself, offering you a refreshed skin tone without the need for invasive surgery.

Fractional CO2 laser resurfacing is a new and less invasive version of the CO2 laser resurfacing. CO2 laser technology is regarded as the gold standard for the treatment of wrinkles, fine lines and skin pigmentation.  The key difference is that the fractional technique makes the dermal lasers less destructive.  Instead of producing a solid beam of energy that destroys a larger area of skin tissue, fractional CO2 lasers generate microscopic beams, which leave the tissue surrounding the injury area intact. A high percentage of untreated skin allows faster healing as well as an easy recovery period. Each pulse causes controlled damage to a tiny column of tissue and while ablation occurs, the deep heating stimulates instant collagen contraction as well as long-term collagen remodeling. The deep scars and wrinkles that have a dermal component are also effectively treated by deeper penetration into the problem areas.  Pixel® CO2 stimulates the growth of collagen and therefore improvements continue for approximately six months after the procedure. Treatment can be repeated after a few months, but most individuals are quite pleased with the results after just a single treatment.

Alma Lasers’ fractional ablative CO2 solution, the Pixel® CO2, represents the best of both worlds for skin resurfacing.  After just one single treatment session, the fractional Pixel® CO2 laser helps improve fine lines around your lips and under your eyes and no other treatment is able to deliver such quick and effective results.  This procedure combines the proven effectiveness of an ablative methodology with the patient comfort level and convenience that approaches a non-ablative solution.  Fractional CO2 laser resurfacing is an effective skin rejuvenation procedure for the reduction of wrinkles, fine lines, removal of dark pigmentation caused by sun damage, smoothing of acne scars, and pore shrinkage.  There are various procedures such as Dermabrasion, chemical peels, and microdermabrasion that help improve these skin conditions and some work well however, the fractional laser resurfacing procedure effectively treats skin flaws with minimum downtime. The two most commonly used lasers in fractional laser resurfacing are the Erbium and CO2.

CO2 Laser Treatments

Cosmetic surgeons have been using the CO2 lasers for more than a decade to rejuvenate the skin of the face. CO2 lasers work by vaporizing the outer layer of the skin in a controlled manner, a process known as ablation.  As the skin heals from being ablated, new collagen production within the skin is stimulated.  It is this new collagen that is responsible for the reduction of wrinkles, acne scars, brown spots, and the overall improvement in the texture and tone of your skin. Although the older CO2 lasers were remarkably effective at skin rejuvenation, recovery time was often long and difficult.  Additionally, undesirable complications with the older lasers were frequent including pain and a long healing process.

A newer type of CO2 laser, the fractional CO2 laser has improved the process of skin rejuvenation tremendously. Instead of ablating the entire surface of the treated skin, the fractional CO2 laser makes many tiny holes in the treated skin, leaving the skin surrounding these holes intact.  The result is the desired stimulation of collagen production with a much a shorter recovery time and far less complications.  While traditional CO2 lasers were far too harsh on the delicate skin of the neck, upper chest, and back of the hands, the new fractional CO2 laser can treat these areas easily with great results.

Pixel Fractional CO2 Procedure

The Pixel Fractional CO2 Procedure works by creating thousands of microscopic perforations, but the skin around each of these perforations is based on the principal of micro-thermal treatment zones.  As the Pixel optic laser light passes through to penetrate your skin with tiny thermal channels, each channel creates a micro-injury without disturbing the surrounding tissue.  The laser pulses create tiny ablative zones, removing your upper dermis. This allows your skin’s top layer to heal from the edge of these tiny holes very rapidly, which significantly improves your complexion.

The Pixel Fractional CO2 evenly treats millions of small zones over your skin, affecting 15-20% of your skin during each session while leaving the surrounding tissue intact.  The unaffected areas act as a reservoir for more effective and rapid tissue healing and collagen production.  This means that healthier tissue replaces skin imperfections and old skin.  The treatment then triggers your body’s natural healing process, which stimulates the growth of new skin tissue and collagen formation.  As collagen remodels, you will see dramatic improvement in the tone and texture of your skin.

For most patients, laser skin resurfacing with the Pixel Fractional CO2 procedure system takes less than 30 minutes.  Treating the face, neck and chest takes about 35 minutes.  Dr. Kalmbacher will use a topical and local anesthesia to reduce pain and there can be mild discomfort after the proceedure.  Following your fractional CO2 laser treatment, the outer layer of your skin will turn darker and peel within three to four days.  Peeling is usually complete by seven days leaving a soft, smooth, new pink-red skin underneath.  This new skin may be pink for about two weeks after the procedure and this can be easily disguised with make-up.  For the first few days the treated skin may feel tight and may itch occasionally. For added collagen formation Dr. Kalmbacher can apply topical PRP (platelet rich plasma) like that used in the Vampire face lift after your CO2 laser treatment.  Applied when the skin is porous, topical PRP further boosts collagen production and skin rejuvenation.

Postoperative care is quite simple: you should keep your skin well lubricated with Aquaphor until it starts to peel and clean it frequently with water while it peels. After your skin has peeled, an over-the-counter moisturizer and sunscreen should be applied to protect your new skin.  For the first few days after your surgery, it will look like you have a sunburn, however you are not restricted to home and can certainly resume your normal routine.  Because there is no surgery or injections involved in the process, you can expect fast healing, with little downtime.  A single fractional CO2 laser treatment will substantially improve your skin.  However, if you have very deep wrinkles, marked unevenness of skin tones, and many dark spots, a second treatment four to six months later may be desirable.

Pixel Fractional CO2 Benefits

Pixel Fractional Laser CO2 Skin Resurfacing is your treatment solution for beautiful younger-looking skin.

The Pixel Fractional CO2 laser skin resurfacing procedure can improve skin flaws including:

  • Reduces wrinkles and fine lines

  • Shrink pores

  • Eliminate Scars

  • Improve skin roughness

  • Skin laxity

  • Skin discoloration and brown spots

  • Sun damaged skin

  • Immediate skin tightening

  • Softens deep frown lines

  • Noticeably improves skin tone and texture

  • Stimulates new collagen formation and plumps your skin

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