About Our Non-Invasive Procedures

Select Your Procedure

Botox® Cosmetic

BOTOX® Cosmetic gives near-immediate results that can be produced with almost no recovery time. Several injectables are offered to address the different aesthetic issues of our patients.

Once Dr. Rane consults with the patient and select the most appropriate injectable, the treatment areas are cleansed, the appropriate numbing agent is chosen and applied, and the filler or BOTOX® Cosmetic is injected into the tissues. If there is any discomfort, it is minor and temporary. After the procedure is complete, it is important to apply pressure and ice to the treatment area. Makeup can be used immediately after the injections are made, however, and there is virtually no downtime associated with any of our injectable procedures.

For Restylane® and BOTOX® Treatments

To learn more about how the injectables offered by Dr. Rane differ and decide which is appropriate for you, please contact our office for a consultation. More information about all of our injectables, including BOTOX® Cosmetic and Restylane®, is available.

How Long Do The Results Last?

Results do vary from person to person, but most individuals can expect results to last anywhere from 3 to 4 months. You don’t need to receive treatment that often, but it is recommended to have treatments 2-3 times per year to keep results.

If you’re considering Dermal Fillers

As we age, many areas of the face start to become wrinkled, saggy, and you lose that youthful shine.  Men & Women want to look as young as they feel, which is where dermal fillers come in.

Dermal fillers have come a long way in technology, with fillers lasting longer – and results looking better.  We can provide non-intrusive fillers to the cheeks, lips, under-eye, temple, perioral area, and more.  Look as young as you feel, and reach out to us today about Dermal Fillers!

Laugh Lines (Nasolabial Folds)

It is not atypical to see most women in their 40’s and above get these lines. The dreaded parenthesis around the mouth.

We use two fillers: Juvederm that lasts a year or a brand new filler introduced in 2017 called Fillers that lasts 18 months to fill this area and make the laugh lines less visible.

Cheeks

Sagging cheeks and loss of volume is a very common problem that women seek help with. There are three fillers that we typically use to fill this area just enough that your will see youthful cheeks on your face and third dimension to your face. Let’s face it, a youthful face has nice triangular shape with a fuller cheeks and narrow jawline.

We typically use a standard filler.

Under Eye Area

A very common problem – a deep line just at the junction of the lower eyelid and the cheek. It is also called the tear trough.

Typically we use a smooth thin filler that allows us to fade away this line.

Lips

Women love nice curved and shapely lips. Not overdone but perfect. And don’t we hate those vertical lines.

Well, there is a perfect solution with Filler. This is specifically designed to help create shapely lips and efface the vertical lines. It lasts a year. We at Genesis are extremely careful not to create overblown lips that look unnatural.

Temples

You may have noticed that when you look in the mirror or look at your selfies, your temples may have become hollow. We tend to lose fat in this area and the eyebrow tail tends to sag down. We can fill your temple and raise your eyebrow to create a nice contour in this area by using a standard filler

Perioral Area

Have you noticed those hollow areas under your lips and seen your nice happy smile turn into a sad smile with the corner of the lips curling downwards? We can help you fix this with Juvederm or Filler, both fillers that fill our these hollow areas and elevate the angle of your mouth.

Jawline and the Chin

Multiple clinical studies have shown that as we age, we lose bony and soft tissue volume over the angle of the jaw and the chin tends to recede. We can increase the lost volume and increase the projection of your lip by injecting a standard filler.

Nose

Not all of us are blessed with a perfect nose. (me neither). Typically we could have a bump over the bridge of the nose or we could have a recessed bridge lacking height. Lo and behold, 10 minutes of injection time and it will be fixed. A filler like Juvederm is typically used to enhance this area.

If you’re considering Kybella

You are a good candidate for Kybella if

• You’re bothered (unhappy, self-conscious, embarrassed) by fat under the chin, also known as submental fullness
• You feel the condition makes you look older or heavier than you actually are
• You don’t want to have surgery
• You eat well and exercise, but submental fullness does not go away

How Does Kybella Work?

The active ingredient in Kybella is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, Kybella destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.

How Is Kybella Treatment Performed?

Treatment can only be administered by a Kybella-trained healthcare specialist. At each treatment, you will receive multiple small injections under your chin, and the injection process takes about 15 to 20 minutes. The exact number of injections will depend on the amount of fat you have under your chin and your desired profile.

How Many Treatments Will I Need?

The number of treatments varies upon the severity of the fatty deposits under your chin. Dr. Rane will determine the number of treatments necessary to achieve the results. The treatments will be spaced 1-2 months apart and typically will include two treatments. Additional treatments may be necessary to get the optimal outcome.

How Much Time Will I Need to Recover

After Kybella treatment, you will likely have some swelling, bruising, or numbness under your chin. Be sure to inform your healthcare professional if you develop an uneven smile, facial muscle weakness, or difficulty swallowing.

What Is ThermiTight for Skin?

ThermiTight is an FDA-approved controlled sub dermal (beneath the skin) tissue heating procedure that allows tightening of the skin and destruction of fat in areas that are treated. It is based on radio frequency.

How Does ThermiTight Work?

A fine probe is inserted in the target area and radio frequency is applied to the probe under the skin or in the fat. The probe delivers the heat generated from the radio frequency. The temperature of the probe is monitored with a special screen and, as the temperature rises, the collagen fibers in the skin shrink resulting in tightening of the skin.

Where Can ThermiTight Be Used on the Body?

ThermiTight can be used on neck, abdomen, thighs, knees, arms and the breast.

Can ThermiTight Reduce Fat?

If you have a small amount of excess fat in the areas mentioned above, ThermiTight can destroy the fat too.

How Long Does the Procedure Take?

The procedure takes 30 min to 60 minutes for each area.

How Long Is the Downtime?

The procedure is performed under local anesthesia and has minimal downtime of a few days.

Are There Any Incisions or Scars from the Treatment?

The incision to insert the probe is 2mm or 1/8 of an inch. There are no scars.

When Will I See Results?

You will see an immediate tightening of the skin that will continue to improve over the next few weeks and months.

How Many Treatments Will I Need?

Typically you will need one treatment only. Additional touch up may be necessary sometimes.

If you’re considering laser hair removal

Excess facial or body hair can be a nagging cosmetic concern for women. While depilatories, shaving, waxing and electrolysis are common solutions for temporary hair removal, they can be uncomfortable, time-consuming and temporary.

At Mona Rane MD, we offer laser hair removal as a revolutionary solution to control and eliminate unwanted hair.

How Does Laser Hair Removal Work?

Our laser hair removal procedure uses a low-energy laser to gently remove unwanted hair. The laser energy passes through the skin and is absorbed by the pigment in the hair follicle. In a fraction of a second, the energy is transformed into heat and the follicle destroyed.

The procedure is quick and convenient – full-face, bikini and underarm treatments could take as little as 15-30 minutes. Hair follicles are in different growth cycles and some may be active and some may be dormant. Therefore, several treatments (typically six) are required to destroy hair follicles in different growth cycles. Since the laser targets the pigment of the hair follicle, laser hair is most effective on light-skinned patients with dark hair.

No procedure can guarantee permanent hair removal, but most patients can expect a major reduction in hair growth, leaving remaining hair thinner and lighter in color.

Advantages of Laser Hair Removal

Laser hair removal is a safe, effective alternative to daily or weekly shaving, and is useful for large or tough-to-reach areas.

Are You a Good Candidate for Laser Hair Removal?

• If you are light-skinned and dark-haired, you are an ideal candidate for laser hair removal. As a rule, the pigment in dark hair absorbs more laser energy, making black or brown hair easier to treat.
• Light hair, such as blonde, red or gray, contains a pigment that absorbs laser energy less readily and therefore does not respond as well.
• While laser treatments for darker-skinned patients have improved the amount and texture of unwanted hair in these patients, patients with tanned skin are not ideal candidates. It is recommended they wait at least four weeks until their tan fades before proceeding with laser hair removal.

How Many Laser Treatments Will You Need?

The number of hair removal treatments that you will need for optimal long-term benefits usually depends on a few factors, including the area being treated, and the density of the hair in that specified area.

A Patient’s Hair Distribution Is Also Affected by a Few Factors

These factors include age, ethnicity, weight, hormones, diet, medication, metabolism, and more.  Total hair removal usually requires around 6 to 8 sessions to achieve optimal results.

If You’re Considering Sclerotherapy

Sclerotherapy is a treatment used for spider veins or varicose veins of the legs. Sclerotherapy has been used for the treatment of varicose veins for over 150 years. It was first attempted in 1682, but was abandoned due to high rates of side effects with the drugs used at that time. Surgical stripping then became the treatment of choice.

Advances were made and eventually safer and more effective sclerosants were developed. Of particular importance was the development of sodium tetradecyl sulfate (Sotradecol or STS) in 1946, which is one of the most widely used sclerosant used to this day.

How Does Sclerotherapy Work?

Sclerotherapy is the “gold standard” and is preferred over laser treatments for eliminating spider veins (telangiectasia) or small varicose veins. Injecting the unwanted veins with a sclerosing solution causes the targeted vein to shrink and then dissolve over a period of weeks as the body naturally absorbs the treated vein.

Unlike a laser, the sclerosing solution additionally closes the “feeder veins” under the skin that are causing the spider veins to form, thereby making a recurrence of the spider veins less likely.

Who Is a Good Candidate for Sclerotherapy?

Anyone who has spider veins, and possibly even small varicose veins, is a possible candidate for sclerotherapy, whether they have one vessel or numerous. For varicose veins, tests can be run to help determine if good results could be achieved with sclerotherapy or if they would be a better surgical candidate.

What Is the Difference between Spider Veins and Varicose Veins?

Spider veins are small, thin veins that lie close to the surface of the skin. They may appear in a simple linear pattern or sometimes look like a starburst. Although spider veins are connected to the larger venous system, they are not an essential part of it. Many factors can contribute to the development of spider veins including heredity, pregnancy, weight gain, or occupations or activities that require prolonged sitting or standing.

Varicose veins are larger, usually more than a quarter inch in diameter, darker in color and tend to bulge from the surface of the skin. Varicose veins are more likely to cause pain and can be related to more serious vein disorders. Sclerotherapy can be used to treat varicose veins, but often require surgical intervention.

What Is the Treatment Like?

The treatment involves a series of tiny injections and covers the entire surface of the legs from hip to toe. This can take anywhere from an hour and a half to two hours depending on how many vessels need to be treated. Compression hosiery is then placed on the area immediately post-treatment. Most patients tolerate the treatment very well. Shorts and the compression hosiery are available at our office.

What Kind of Solutions Are Used?

Sodium tetradecyl sulfate (Sotradecol or STS) and/or hypertonic saline.

What Kind of Side Effects Occur?

Tiny, purple spots of bruising are usually seen at the injection sites. This usually resolves in about one week and is the most common side-effect. Hyperpigmentation, or a brown streak, along the course of the vein can sometimes be seen. This is not a common finding and usually only occurs in one or two places. They look like a small bruise and resolve within a few months. Telangiectatic matting is the formation of tiny, red vessels and is treated with follow-up sclerotherapy treatments. It also is not a common finding.

Extremely rare side effects can include allergic reactions, skin ulcerations, thrombophlebitis, and thromboembolism. We have not experienced any of these reactions in o ur eight years of experience.

What Can I Expect after Treatment?

Compression hosiery is applied in the office post-treatment and must be worn for 3 days to 2 weeks. They must be slept in the first night. Discomfort after treatment is rare, but there may be a slight tingling sensation for the first several hours. The spider veins will usually look worse before they look better due to the inflammation caused from the sclerosant. The vessels will fade very gradually and will be lighter after each treatment.

How Many Treatments Are Needed?

Most patients will require between 3 and 6 treatments. Treatments are spaced between 5 and 6 weeks apart. All the vessels are treated at each session and will lighten gradually each time.

Are There Any Activity Restrictions after Treatment?

Exercise must be avoided for 48 hours post-treatment. Excessive heat such as hot baths, hot tubs and saunas should be avoided for a week post-treatment. Walking is actually encouraged, especially immediately after the treatment is completed.

What Kind of Results Can I Expect?

Usually around 80-90% reduction can be expected. There will still be some faint veins that can be detected after treatment, but there should be a dramatic improvement. Sclerotherapy does not prevent the future formation of new vessels and follow-up treatments are nearly always required.

If You’re Considering Clear+Brilliant Laser Skin Treatment

Aging skin is a fact of life. The good news is the earlier you start taking care of your skin, the more you can prevent the signs of aging and maintain a younger look. What you do in your 20s and 30s will affect how you look in your 40s, 50s and beyond.

Clear + Brilliant Takes Skin Care to a Whole New Level

This unique treatment expands skin care to not only address unwanted signs of aging, but gives you the power to help prevent them:

• Visibly illuminated skin tone
• Renewed, ultra-soft and smoother texture
• Naturally radiant and glowing skin
• Improved tone, texture and radiance
• Reduction in the appearance of pores

Uncover your brilliance with this laser treatment! It is comfortable, fast, effective, affordable AND has minimal downtime. Best of all – it is safe for all skin types.

How Does Clear + Brilliant Work?

Clear + Brilliant is a gentle laser that refreshes your skin from the inside out. The laser energy creates millions of microscopic treatment zones in your skin, replacing damaged skin with healthy, younger looking tissue.

How Do I Know If Clear + Brilliant Is Right for Me at My Age?

No matter how old you are, sun exposure, environmental conditions and lifestyle can contribute to lackluster skin. Whether you want to extend the younger look of your skin or even need to reverse these early signs of aging, Clear + Brilliant can help.

I Have Had Corrective Laser Treatments. Is Clear + Brilliant Right for Me, Too?

Yes, absolutely. Clear + Brilliant is a great way to maintain the investment you have made in your skin, extending and improving upon the results you’ve already seen.

How Many Treatments Will I Need?

The number of treatments needed is tailored to your concerns and skin care desires. In recent studies, consumers reported visible improvements after 4-6 treatments. We will discuss a personalized treatment regimen with you.

Is Clear + Brilliant Safe for My Skin?

Clear + Brilliant is very safe* when used by a trained expert who will evaluate your skin and recommend the best course of treatments for your unique concerns. For more information please visit the manufacturer’s website: www.clearandbrilliant.com.

Potential side effects include prolonged redness, swelling, blistering, scarring, infection, pigmentary changes (hyperpigmentation), herpes reactivation and acne flare-up.

Indications for use include dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures.

If You’re Considering Chemical Peels

Melanage peel is a superficial peel designed to improve texture and appearance of skin, especially pigmented skin. The peel involves application of a masque combining Vitamin A and Beta-Arbutin which you will leave the office with on your face and remove at a specified time.

Results will vary but generally patients will see a significant improvement in dark spots and pigmented areas. This peel provides additional benefits such as stimulation of collagen and diminishment fine lines.

What Is the Melanage Skin Brightening System?

Do you have uneven skin tone, deep pigment issues or melasma? The Melanage Skin Brightening System is a superficial peel designed to improve the texture and appearance of hyperpigmented skin which involves a medicated masque and an at-home regimen.

How Does Melanage Peel Work?

Melanage 1 Masque is applied during an office visit where it is compounded freshly by the nurse to ensure its potency and reliability. The masque is removed by the patient after a required length of time depending on his or her skin type. Patients leave the office with this masque on their face. Patients are responsible for adhering to an easy-to follow, but strict, at-home regimen involving the application of several Melanage products following masque removal.

What Results Can I Expect?

Results will vary but generally patients will see a significant improvement in the appearance of pigmented areas. Dark spots will lighten and skin texture and tone will improve. Although most patients experience peeling of their skin, not every patient will notice this.

If you do not notice actual peeling, please know that you are still receiving all the benefits of the Melanage Skin Brightening System, such as: stimulation of collagen production, improvement of skin tone and texture, and diminishment of fine lines and pigmentation. Proper skin evaluation by your doctor prior to your peel is important and will help predict the outcome of your peel.

Who Can Benefit from Melanage Peel?

Those who have uneven pigmentation, sun damage, and uneven texture.

Who Is Not a Candidate?

Patients who should not get the peel include: pregnant or nursing women, active Rosacea, active cold sores, aistory of warts and Acutane users (should be off 1 year to receive Melanage)

How Often Can a Peel Be Applied?

Maximum twice a year but can be repeated at 6 month intervals (in some cases as soon as 3-4 months)

If You’re Considering ThermiVa Non-Surgical Vaginal Tightening

• You can be Mommy and Sexy at the same time. You don’t have to trade motherhood for sexuality.
• You can be over 50 and sexy at the same time. You don’t have to trade the years in your life for the life in your years.
• Vaginal delivery and menopause should not cost you your sexual health and well-being.
• You’re not the only woman thinking about it. We’re just not talking about it. So start talking to someone who can do something about it.

Rejuvenate Your Femininity with Thermiva

Am I a good candidate for ThermiVa?

• Do you feel “loose” vaginally since childbirth and/or menopause?
• Do you feel dry during intercourse?
• Do you have trouble reaching orgasm?
• Do you occasionally dribble or leak when you sneeze, cough or exercise?
• Have you ever “not quite made it” to the bathroom on time?
• Have your intimate relationships suffered due to these changes?
• Are you experiencing loss of self-confidence? Loss of interest in sex? Loss of desire?

What Is ThermiVa?

Excessive stretching of the vaginal muscles is a common occurrence after vaginal birth or due to aging. Damage can diminish sensation during sexual activity, reduce satisfaction and change the relationship between partners.

ThermiVa treatments use radiofrequency energy to gently heat tissue to reclaim, restore and revive feminine wellness, without any discomfort or downtime.

ThermiVa uses a special wand applicator which may be applied externally to labia and vulvar tissues to restore normal tissue tone and function. The specially designed hand piece may also deliver radiofrequency energy inside the vagina to revive atrophic tissue and other structures.

What You Can Expect:

• No surgery
• No downtime
• No anesthesia
• Comfortable, in-office treatments
• Three 30 minute sessions, one month apart
• May resume sexual relations same day/night
• Noticeable improvement after 1st or 2nd session
• Long lasting results

What ThermiVa Improves:

• General appearance of the labia majora or outer lip
• Vaginal dryness and lubrication
• Incontinence (stress, urinary)
• Sexual dysfunction and issues with orgasms

How Frequently Will I Need ThermiVa?

3 treatments spaced out every 4 weeks. Each treatment lasts 30 minutes.

You will NOT need any sedation or pain medication prior to treatment. You can come here on your own and go back to work immediately. It is truly a lunch time procedure.

When Will I See the Results?

You will see an immediate improvement in the appearance of the labia majora. You may resume activities that day, intercourse that evening and notice a change there too. You will see and feel the best results after your second and third treatments.

What will Dr. Rane need to do before your evaluation?

• Pap smear from Ob/Gyn within the last 1 year that is negative
• Shave 2 days prior to treatment
• Remove all jewelry, no lotions on day of procedure

Contradications

You cannot have the procedure if you are pregnant, have a pacemaker, have active UTIs, STDs, or recent vaginal prolapse

How Long Will Results Last?

Your results will last approximately over a year. You may need maintenance treatment once every year or two.

How Much Does ThermiVa Cost?

A package of three treatments will cost approximately $3,500. Additional discounts may apply.

If You’re Considering Fraxel Dual II

If you are concerned about melasma or uneven pigmentation of your face, neck, hands or chest, there’s a new solution for you: Fraxel Dual treatments.

What Kind of Results Can You Expect from Fraxel re:store Dual Treatments?

The magnitude of visible improvement varies from subtle to dramatic. Patients can experience:

• Decrease of unwanted brown spots and uneven pigmentation
• Smoother, fresher, younger-looking skin
• Improved tone and texture
• Reduced fine lines and wrinkles around the eyes
• Improved appearance of acne scars and surgical scars

Fraxel introduces a completely new wavelength that allows for predictable and consistent improvement in the dark patches and uneven pigmentation of the skin, including melasma. The wavelength allows for consistent corrections in uneven pigmentation. It works by eliminating the uneven pigments over 4-7 days.

Fraxel Dual: Two Wavelengths

Fraxel DUAL 1550/1927 laser treatment targets aging and sun-damaged skin with microscopic laser columns that penetrate deep into your skin to expedite your body’s remodeling of collagen. And since the laser treats only a fraction of tissue at a time, it leaves the surrounding tissue intact, which promotes very rapid healing. Fraxel DUAL 1550/1927 treatment resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out.

For more information please visit: http://www.fraxel.com/the-fraxel-difference.

What Is the Fraxel Re:store Dual system?

The Fraxel Re:store Dual system provides a non-invasive treatment, delivered in a doctor’s office, that allows patients to regain a more youthful look to their skin. Fraxel Re:store treatments resurface your skin by stimulating the growth of new, healthy skin cells from the inside out. The Fraxel Re:store Dual system allows for deep and superficial resurfacing of larger and multiple body areas in a single session.

What’s New about the Fraxel Re:store Dual Procedure?

The new non-ablative Fraxel Re:store Dual system takes the industry-leading Fraxel® technology to the highest level of effectiveness by adding a new laser wavelength that is optimized to treat pigment and other surface skin imperfections. The new wavelength is more comfortable, and now, for the first time, Fraxel can be used on larger treatment areas and multiple body areas in a single treatment.

How Does Fraxel Work?

The Fraxel Re:store Dual laser is a non-ablative treatment which targets aging and sun-damaged skin with microscopic laser columns that penetrate deep into your skin to expedite your body’s remodeling of collagen.

And, since the laser treats only a fraction of tissue at a time, it leaves the surrounding tissue intact, which promotes rapid healing. Fraxel Re:store Dual treatment resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out.

What Does the Procedure Feel Like?

Most patients describe an increased heat sensation during the treatment. To minimize discomfort, topical anesthesia is applied before the procedure and a cooling system is built directly into the new handpiece for improved patient comfort, as well.

After the treatment, most patients feel like they have a sunburn, a feeling which usually subsides in one to three hours.

How Long Does Treatment Take?

The treatment takes just 20 to 25 minutes for a full face, with additional time for anesthetic application.

What Will My Skin Feel Like after Fraxel?

After the procedure, you will have some degree of redness, swelling, or a sunburn-like sensation, which are signs that your body’s natural healing process is building new skin from the inside out.

How Long Will the Results Last?

It depends on your particular condition and how you care for your skin. Once your skin is treated, continue to protect the surface as directed.

For conditions such as uneven pigmentation , it is very important to avoid direct sun exposure. We will give you specific advice based on your individual needs.

Is the Fraxel Re:store Dual Procedure Safe?

Fraxel has an excellent safety record. Of course, as with any procedure, there are always some risks. We will discuss this with you during your consultation.

How Many Treatments Will I Need?

Most patients with uneven pigmentation and minimal wrinkles will need, on average, four treatments. Those with both uneven pigmentation and wrinkles may require additional treatments.

A determination will be made at the time of your consultation.

Is Fraxel Re:store Dual Cleared by the FDA?

The Fraxel Re:store laser is FDA-cleared for the treatment of pigmented lesions, acne scars, melasma, mild-to-moderate wrinkles around the eyes, surgical scars, and actinic keratosis (sun damage).

What Is the Downtime from the Fraxel Dual?

With the 1927 wavelength for uneven pigmentation, you will have your skin peel over three to five days. You will get an appearance of sunburn (minus the pain) for five to seven days.

It is unlikely for you to have any significant blistering or oozing.

Fraxel-II® Laser Treatment: 1550/1927 Wavelengths

With today’s emphasis on active, healthy lifestyles, most men and women feel a lot younger than they look. Fortunately, there is a new aesthetic laser solution that provides a fresh chance to turn back the clock on aging.

Fraxel can be used to improve conditions present in superficial and deep layers of the skin. FDA-cleared indications include:

• Skin resurfacing to reduce wrinkles on face and neck
• Treatment of wrinkles around the eyes
• Treatment of pigmented lesions, such as age spots, sun spots and melasma
• Treatment of scars resulting from acne, surgery or trauma

After Fraxel laser treatment, skin generally feels softer, looks smoother and tighter, and pores are usually smaller.

To appreciate the benefits of Fraxel, think of a family portrait or digital photograph in need of high-quality restoration or touch-up. Just as a damaged painting is delicately restored one area at a time, or a photographic image is altered pixel by pixel, the Fraxel laser improves your appearance by affecting only a fraction of your skin at a time with thousands of microscopic laser spots. It’s like digital photo editing software for your skin!

Fraxel can be performed in our office using topical anesthesia and oral medications. Treatment takes about 30 minutes, depending on the size of the area(s) being treated. Because the procedure does not “ablate,” or remove the outer skin layer, patients can resume routine activities more quickly. There is no skin breakdown or any weeping or peeling of the skin. Swelling is minimal and generally resolves in about three days. The skin will have a pinkish tone for five to seven days

For optimal improvement, a series of four to six treatments, spaced four to eight weeks apart, has been shown to be most effective. Results are both immediate and progressive, with noticeable and beneficial effects accumulating over one to three months.