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Non-Ablative Laser Rejuvenation city, state

For patients that want the benefits of laser resurfacing, but are not good candidates for superficial ablative lasers like the fractional CO2, Dr. Ransom offers non-ablative laser treatments for facial rejuvenation and scar treatment. This includes the Erbium:YAG laser from Ellman (now Cynosure), with a wavelength of 2940nm, and the Cynosure Icon Palomar, with a 1540nm Erbium beam. These treatments are revolutionary noninvasive laser therapies designed to dramatically improve skin tone, texture, and pigmentation, including the treatment of fine lines and wrinkles, acne scarring and surgical scars, brown spots, melasma, and stretch marks without significant downtime. The Cynosure Icon Palomar 1540 is similar technology to the Fraxel laser except that there are no consumable costs passed on to the patient – which means that we are able to offer our fractional laser treatments at a much better price.

Cynosure logo Until recently, two varieties of laser treatment were available for cosmetic enhancement – ablative (those that remove tissue) and non-ablative (those that do not remove tissue). Traditional ablative lasers, such as the CO2 laser, use bursts of energy to vaporize the skin surface at a very high temperature. While these treatments can be very effective for some patients, unwanted side effects may occur in some cases and with certain skin characteristics. In addition, an aggressive ablative laser treatment will generally require a significant healing period. Non-fractional, non-ablative lasers, alternatively, are very safe and require almost no downtime. This technology, however, may involve numerous treatments over many months to achieve only modest results.

The first, and probably best-known, fractional non-ablative laser on the market was the Fraxel. The Palomar lasers, with wavelengths of 1540nm and 2940nm, are both newer and more refined technologies. Perhaps more than any other area of cosmetic surgery and medicine, laser treatments are advancing rapidly with technological breakthroughs. Now, there are laser treatments that offer significant improvements with little downtime and reduced side effects.

The Cynosure Icon Palomar 1540 laser combines the power of ablative lasers with the safety of non-ablative lasers in order to treat a variety of cosmetic conditions in the face and neck.

Uses for Cynosure Icon Palomar 1540 and Er:YAG 2940 Treatments
  • Improve skin texture and pore size
  • Rejuvenate your face, neck, and upper chest skin
  • Smooth fine lines and wrinkles
  • Improve acne scars and surface texture irregularities
  • Diminish the appearance of surgical scars
  • Erase unwanted brown spots and decrease melasma
  • Minimal downtime and lower cost (no disposables!)
How Does it Work?
The Cynosure Icon Palomar 1540 utilizes fractional resurfacing technology, where only a small percentage of the skin actually receives the energy from the laser. Thousands of tiny but deep columns of laser energy are produced from the handpiece and enter the skin separately. Around these microscopic treatment zones, the surrounding tissue is unaffected and intact. This allows the skin to heal much faster (days) than if the entire area were treated as a block (weeks) – utilizing the natural healing process of the body to create new, healthier, tighter, and more even skin. The deeper penetration of energy also stimulates collagen production in the skin, resulting in a “plumping” effect. This rejuvenates – literally makes young again – the skin surface from the inside out, giving a smoother texture and softer appearance of wrinkles and scars. With non-ablative lasers, the laser beam heats the skin to cause inflammation and new collagen production. The benefits of the Palomar 1540 non-ablative laser skin treatments are dramatically reduced recovery time, but the results in terms of wrinkle removal and skin tightening are less dramatic than with aggressive ablative laser treatments.

Non-ablative Resurfacing Diagram

This diagram shows the following values: Ablative Resurfacing (CO2 & 2.94 Erb:YAG) 100-200 microns; Superficial Fractional Ablative Resurfacing (CO2 & 2.94 Erb:YAG) 10-70; Non-Ablative Fractional Resurfacing 600-1000 microns; Ablative Fractional Resurfacing 600-1000 microns

What Can I Expect?
Clinical studies suggest that on average, the most effective treatment regimen is 3 to 5 sessions, spaced 2 to 4 weeks apart. You may start to see results after the very first treatment. After your final treatment, improvement will progress for at least 3 months as your collagen continues to remodel.
Cynosure Icon Palomar 1540 laser treatment is performed using only topical anesthesia in most cases. If your skin is more sensitive, we will ensure that you are made comfortable. The topical anesthetic is applied one hour prior to treatment. The procedure takes approximately 30 minutes for the entire face. We then recommend application of cold compresses and daily use of moisturizer with at least SPF 30 sunscreen. You may apply make-up or shave soon after treatment.
After the treatment, you will experience a mild sunburn sensation for about an hour and then minimal discomfort. The skin will have a pinkish tone for 5 to 7 days. This is a normal sign that the skin is deeply healing. Swelling is common and may last for 2 to 5 days. Flaking and bronzing, which are part of the normal process of skin repair, may also occur. Some patients are able to return to routine activities the same day. Others require a little more time, depending on their skin condition and treatment. It is important to apply an SPF 30 sunscreen daily during the healing phase and for several months after to protect the new skin.
Over the following weeks and months, the body repairs the deeper dermal tissues that have been affected by the Cynosure Icon Palomar 1540 treatment, producing even longer beneficial changes.
Advantages of Non-Ablative Laser Treatment with Palomar and Erbium Lasers
  1. Significantly less downtime that CO2 lasers. Most patients have some pinkness or irritation, with the possibility of mild bronzing, for 48 hours or less.
  2. Deeper penetration of the laser energy results in increased collagen production, and therefore greater improvements in skin “plumping” – wrinkle reduction, surface contour regularity, and texture regularity improvements.
  3. Fewer complications, especially in pigmentation changes (both hypo- and hyperpigmentation).

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.