3 Months Post 1 CO₂RE Treatment
Photos: Dinesh Maini, MD, UK
Before and 1 month after 1 CO2RE Treatment
3 Months Post 1 CO₂RE Treatment
Photos: Dinesh Maini, MD, UK
Post Treatment Progression
Upper Orbital – Light/50%/45mJ
Baseline
Upper Mouth – MID/35%/90mJ
4-7 days Post Tx.1
E. Victor Ross MD
Lower Orbital MID/35%/60mJ
4-6 wk FU
12 wk FU
Post Treatment Progression
ALL FACE – Light/50%/60mJ
Cheeks – Mid/40%/90mJ
Peri-Orbital & Peri-Oral Fusion/40%/90mJ
Baseline
4-6 wk FU
Baseline
E. Victor Ross MD
4-6 wk FU
Post-Treatment Progression
Lower Cheeks/Forehead Mid/30%/75mJ
Baseline
E. Victor Ross MD
Nose & Upper Cheeks Mid/40%/90mJ
4-7 days Post Tx.1
Peri-Oral Fusion/40%/90mJ
4-6 wk FU
Post-Treatment Progression
Lower Cheeks/Forehead Mid/30%/75mJ
Nose & Upper Cheeks Mid/40%/90mJ
Baseline
4-6 wk FU
Peri-Oral Fusion/40%/90mJ
Baseline
E. Victor Ross MD
4-6 wk FU
Post-Treatment Progression #6
Lower Cheeks/Forehead Mid/30%/75mJ
Nose & Upper Cheeks Mid/40%/90mJ
Baseline
4-6 wk FU
Peri-Oral Fusion/40%/90mJ
4-7 days Post Tx.1
E. Victor Ross MD
12 wk FU
Post-Treatment Progression
Peri-Oral & Chin Fusion/40%/90mJ
Baseline
E. Victor Ross MD
Peri-Orbital Fusion/30%/70mJ
Jawline Light/50%/60mJ
4-7 days Post Tx.1
Forehead/Nose/Cheeks Mid/40%/90mJ
4-6 wk FU
Post-Treatment Progression
Peri-Orbital/Peri-Oral/Cheeks Fusion/25%/70mJ
Baseline
4-6 wk FU
Forehead Light/40%/45mJ
4-7 days Post Tx.1
E. Victor Ross MD
12 wk FU
Peri-orbital areas with the mid setting: 40% FRACTIONAL
COVERAGE, RING SIZE 1, 70-75 mJ, 0.75 SEC REPEAT.
Steven Eubanks MD
Denver, CO
Texture
Steven Eubanks MD
Cheeks CORE MID: 30% FRACTIONAL COVERAGE, RING
SIZE 3, 70-75 mJ, 0.75 SEC REPEAT 3 weeks post procedure
Pigment, Texture, and Laxity
Steven Eubanks MD
Denver, CO
Fusion settings: 25-30% FRACTIONAL
COVERAGE, RING 70mJ, CORE 65 mJ,
0.75 SEC REPEAT.
Texture and Laxity
Cheeks CORE MID: 30% FRACTIONAL
COVERAGE, RING SIZE 3, 70-75 mJ,
0.75 SEC REPEAT
Steven Eubanks MD
Denver, CO
Texture and Laxity
Cheeks CORE MID: 30% FRACTIONAL
COVERAGE, RING SIZE 3, 70-75 mJ,
0.75 SEC REPEAT
Steven Eubanks MD
Denver, CO
Jawline and deep folds CORE
Deep: 2% Fractional
45mJ, .75 SEC Repeat
Pigment and Texture
Steven Eubanks MD
Denver, CO
Forehead CORE mid setting: 30% FRACTIONAL COVERAGE,
RING SIZE 2 70-75 mJ, 0.75 SEC REPEAT
Jill Waibel MD Miami, FL
CO2RE light 30% Ring size: 1 Ring: 25.5 MJ
Pattern size: 8.0x9.1 D: 9.0mm Shape: Hex
Treatment: 1
2/28/2012
3/27/2012
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Clinical Results
Before
Post Treatment
Fusion: 40% fractional coverage, Ring 1, 50mJ, CO2RE
70mJ
Texture/Pigment
CO2RE Mid, Ring 3: 111mJ: 30%
5 days post
Dr. Susan Tanne, Livingston NJ
Texture/Pigment
CO2RE Mid, Ring 3: 111mJ: 30%
5 days post
Dr. Susan Tanne, Livingston NJ
• Peri Oral: CO2RE Fusion: 50mJ Ring: 55mJ Core: 36%
Cheeks: CO2RE Mid, Ring 3: 128mJ: 34%
Forehead: CO2RE Mid, Ring 3: 110mJ: 34%
5 Days Post
Dr. Susan Tanne, Livingston NJ
Cheeks: CO2RE Mid, Ring 3: 128mJ: 34%
7 Days Post
Dr. Susan Tanne, Livingston NJ
Why does skin wrinkle with age?
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Suzan Obagi, assistant professor in dermatology at the University
of Pittsburgh and director of the Cosmetic Surgery and Skin
Health Center, explains.
Normal healthy skin has a nice epidermis with a smooth cornified,
or outer, layer that acts as a good barrier to water and
environmental injury. Skin color and tone is even and unblemished.
Components such as collagen (which provides skin firmness),
elastin (which supplies skin elasticity and rebound) and
glycosaminoglycans or GAGs (which keep the skin hydrated) are all
abundant. It is interesting to note that under a microscope a biopsy
of a wrinkle exhibits no telltale signs that reveal it to be a wrinkle.
So what causes the skin to look wrinkled? It is probably a multifactorial process of intrinsic aging and extrinsic aging.
Intrinsic aging is the natural aging process that takes place over the
years regardless of outside influences. After the age of 20, a person
produces about 1 percent less collagen in the skin each year. As a
result, the skin becomes thinner and more fragile with age. There is
also diminished functioning of the sweat and oil glands, less elastin
production, and less GAG formation. Wrinkle formation as a result
of intrinsic aging is inevitable, but it will always be slight.
Extrinsic aging occurs in addition to intrinsic aging as a result of sun
and environmental damage (tobacco use and exposure to pollution,
for example). Extrinsic aging shows up as thickening of the cornified
layer, precancerous changes such as lesions called actinic keratosis,
skin cancer (including basal cell carcinoma, squamous cell
carcinoma, lentigo maligna melanoma), freckle and sun spot
formation, and exaggerated loss of collagen, elastin, and GAGs.
Alone or in concert, these processes give the skin the appearance
of roughness, uneven tone, brown patches, thin skin and deep
wrinkles.
Chronological Aging and Wrinkles
As a person ages the epidermal cells become thinner and
less sticky. The thinner cells make the skin look noticeably
thinner. The decreased stickiness of the cells decreases the
effectiveness of the barrier function allowing moisture to be
released instead of being kept in the skin. This 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, and the elastin fibers that provide elasticity wear
out. These changes in the scaffolding of the skin cause the
skin to wrinkle and sag. Also, sebaceous glands get bigger
but produce less sebum, and the number of sweat glands
decreases. Both of these changes lead to skin dryness.
The rete-ridges of the dermal-epidermal junction flatten out,
making the skin more fragile and making it easier for the
skin to shear. This process also decreases the amount of
nutrients available to the epidermis by decreasing the
surface area in contact with the dermis, also interfering with
the skin's normal repair process.
In the subcutaneous layer the fat cells get smaller with age.
This leads to more noticeable wrinkles and sagging, as the
fat cells cannot "fill in" the damage from the other layers.
Effects of Sunlight, Free Radicals,
Hormones, Muscle Use, and Gravity
From Heather Brannon, MD,
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Aging Effects of the Sun and Wrinkles
Exposure to ultraviolet light, UVA or UVB, from sunlight
accounts for 90% of the symptoms of premature skin aging.
Most of the photo aging effects occur by age 20. The
amount of damage to the skin caused by the sun is
determined by the total lifetime amount of radiation
exposure and the person's pigment protection.
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Changes in the connective tissue reduce the skin's strength
and elasticity. This is known as elastosis and is especially
pronounced in sun-exposed areas.
Effects of Sunlight, Free Radicals, Hormones, Muscle Use, and Gravity
From Heather Brannon, MD