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Combining Laser Resurfacing with Other Procedures

Laser resurfacing1 may be combined with a facelift, eyelift, rhinoplasty, or brow lift, or it may be performed as a separate procedure. When done at the same time as a facelift, only the fractionated CO2 can be used to resurface the entire face. Although the erbium and traditional CO2 lasers may be combined with a facelift, only the areas around the mouth and eyes may be done at the same time, and not the whole face.

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Real Patient Results

Before and After Laser Resurfacing
Before
After

50 year old female wanted facial rejuvenation. Patient underwent a facelift/necklift as well as upper and lower eyelift, endoscopic partial browlift and fraxel-co2 laser full face. Patient is shown post surgery at 6 weeks. There is still some residual swelling but note definition achieved in jawline and cheek region.

*Results may vary.

Female Before and After Laser Resurfacing
Before
After

50 year old female wanted facial rejuvenation. Patient underwent a facelift/necklift as well as upper and lower eyelift, endoscopic partial browlift and fraxel-co2 laser full face. Patient is shown post surgery at 6 weeks. There is still some residual swelling but note definition achieved in jawline and cheek region.

*Results may vary.

*Results may vary.

See more patient photos

Results and Recovery Expectations

While discomfort is generally minimal after laser resurfacing2, there may be a burning sensation that lasts for 2 days. Most patients can return to normal activities after a week. Some patients apply makeup to cover any pinkness.

A hydrating ointment can be applied to the face for the first few days after the procedure, as peeling typically starts to occur after 5-6 days, persisting for up to about 10 days. After the peeling occurs, smoother skin appears and skin tightening will continue to improve for up to 6 months. Sun avoidance for at least 3 months is recommended following any type of laser procedure and sunblock should be used daily.

The Benefits of the Cortex Laser

As you age, your collagen production begins to decrease3, which leads to the breakdown of the skin’s underlying supportive tissues. Exposure to UV rays4, smoking, and other daily environmental assaults can cause your skin to become pigmented and prematurely wrinkled.

To combat sun damage, shallow acne scars, creases, and wrinkles, Dr. Rizk uses the innovative Cortex laser system that has been shown to enhance the skin’s strength and elasticity. After a single treatment, you will achieve smoother skin, better texture, and reduced pigmentation and irregularities.

How Does the Cortex Laser Work?

The Cortex laser is the first skin resurfacing laser system to include both a CO2 and Er:YAG (Erbium YAG) laser in the same console. Offering fractional CO2 plus full-coverage Er:YAG technologies, the dual wavelengths allow Dr. Rizk to perform skin resurfacing procedures on a variety of skin types and for a variety of skin conditions.

Here is how it works:

  • The CO2 laser penetrates deep into your skin and provides heat to stimulate collagen production, while the Er:YAG laser is effective for more superficial rejuvenation.
  • The Cortex laser then softens the texture and removes pigmentation from the top layers of skin. The Cortex laser’s unique design is able to treat the skin with precise control, and can be tailored to a specific problem.
  • If you have deeper wrinkles or acne scars, Dr. Rizk may suggest a more extensive treatment. For fine lines and superficial sun damage, a single procedure can produce significant results with a quick recovery.

Using a grid pattern of tiny pulses of light targeted to reach the damaged skin, Dr. Rizk uses the Cortex laser to deliver a column of energy that can reach the dermal or deeper layer of the skin. This process stimulates the natural collagen renewal process.

Since the laser beams are fractionated, small areas of untreated skin will be left between the treated spots, which speeds up the healing process. The treatment takes 30 minutes or less, and the results can be seen in five to ten days, depending on the extent of your treatment. Dr. Rizk can also use the Cortex laser at the same time as a facelift and neck lift to add the benefits of skin resurfacing to your surgical results.

After treatment with the Cortex laser, Dr. Rizk will recommend sun avoidance for four weeks and daily use of a broad spectrum SPF30.

Rhinoplasty Combined with Laser Resurfacing

Rhinoplasty surgery is one of the many procedures that Dr. Rizk can perform with laser resurfacing. Through this combination, you can rejuvenate your skin and address nasal imperfections such as shape, bumps, nostril deformities, and other issues.

Laser skin resurfacing may be performed at the same time as your rhinoplasty procedure or at some point after the surgery. During your initial consultation, Dr. Rizk will determine the best time for you to undergo this treatment.

Benefits of Combining Laser Resurfacing with Rhinoplasty

Laser skin resurfacing can correct many of the common signs of aging. Laser therapy is able to tighten the skin by:

  • Stimulating the production of collagen
  • Diminishing the appearance of fine lines and wrinkles
  • Improving skin tone by minimizing the appearance of hyperpigmentation
  • Reducing the size of skin pores

Laser resurfacing in NYC can benefit older and younger patients alike. Patients with thick skin and large pores may benefit from laser therapy to reduce the appearance of pores on their nose after rhinoplasty. Older patients who wish to correct an aging nose through a rhinoplasty procedure can achieve younger-looking skin by undergoing laser resurfacing. These two procedures can help improve the patient’s overall appearance, making this combination quite popular among New York rhinoplasty patients.

Potential Risks and Temporary Side-Effects of Laser Resurfacing

When undergoing laser skin resurfacing with a fractional CO2 laser, the recovery time is about four days. While the skin typically appears younger and healthier after the recovery time, there are some risks and temporary side-effects associated with laser resurfacing. These include:

  • Temporary development of acne
  • Minimal chance of infection
  • Scarring and psoriasis
  • Contact dermatitis

Before undergoing laser resurfacing in NYC, Dr. Rizk performs a full evaluation of his patients’ skin to ensure that they are a good candidate for the procedure.

Dr Rizk In The Media

Tatler Magazine

Connolly Best Doctor

US Weekly Magazine

Dr. Rizk featured in Town & Country Magazine as one of the masters of the subtle lift and tweak that will turn back time

Voted by peers to New York Magazine's 2013 Top Doctors

Voted by peers to New York Magazine’s 2013 Top Doctors

Latest Advances in Facelift/Necklift Surgery in Plastic Surgery Practice Magazine (Dec'08)

New Advances in Facelifting Techniques by Dr. Sam Rizk

Why Choose Dr. Rizk for Laser Resurfacing in NYC?

If you are considering laser therapy, be sure to work with a doctor who is trained in laser skin resurfacing. As a double board-certified facial plastic surgeon, Dr. Rizk is highly skilled in the use of the fractional CO2 laser, especially when combined with rhinoplasty surgeries. He consistently provides excellent results to his patients.

During your initial consultation, expert cosmetic surgeon Dr. Rizk will consider your entire face and the appearance of your skin to determine if laser resurfacing is appropriate for you. To learn more about Dr. Rizk’s work, get in touch with his practice and book a consultation today.

Frequently Asked Questions

What is the Cortex laser?

The Cortex laser is an advanced laser that provides both CO2 and Er:Yag lasers in one system. It is the first laser resurfacing system to offer both wavelengths to effectively treat a wide variety of skin complaints. Treatment with the CO2 wavelength is utilized to stimulate collagen production and improve the overall tone and texture of your skin, while the Er:Yag wavelength is able to address specific problems, including fine lines, sunspots, and acne scars.

What does the procedure entail?

During your laser resurfacing treatment, Dr. Rizk will use the revolutionary fractional CO2 laser to create a series of microscopic holes across your skin’s surface. These holes stimulate the body’s natural healing process and encourage an increase in collagen production within the skin.

Collagen, which is responsible for the skin’s elasticity and firmness, naturally decreases with age. As its production increases, the skin becomes firmer and tighter, and the appearance of fine lines and wrinkles diminishes. As such, an increase in collagen production can reverse some of the effects of aging. New, fresh skin will also grow in response to the treatment. This skin will be free of darker areas of pigmentation, such as sunspots and liver spots. Acne and large skin pores will also be reduced as a result of the treatment.

How is treatment with the Cortex different from other laser treatments?

The Cortex laser is a unique laser resurfacing system as it is able to improve the overall tone and texture of the skin and address specific complaints with minimal downtime and pain. Laser resurfacing treatments with CO2 lasers are known to be highly effective, offering some of the best results in laser resurfacing; however, treatments with older CO2 technologies are considered quite painful and involved lengthy recovery periods.

The Cortex laser offers extremely effective results but is gentler than older technologies. Most patients require only local anesthesia during laser resurfacing treatments. Thanks to these unique features, treatments with the Cortex laser are growing in popularity in NYC.

How long do treatments take and how many sessions are required?

Treatments typically take between 30 minutes and an hour to perform. Most patients see excellent results with just one session, but as many as three may be required based on your skin type and age. In New York, many patients request laser resurfacing at the same time as a facelift or brow lift. In most cases, the treatment can be performed at the same time.

How much does laser resurfacing cost?

There are many factors that will affect the cost of laser resurfacing treatments. Your location, the type of laser used, and the complexity of each individual case will all have an impact on the final price of the procedure. If you want to get an accurate estimate, your best option is to contact a double-board certified cosmetic medicine expert in your area and book a consultation.

Awards & Certifications

Written Patient Testimonials

Dr. Rizk and his staff were absolutely incredible! They made me feel so comfortable throughout this entire process and I am so grateful for everyone (especially Dr. Rizk) for helping me look the best version of myself. My nose looks natural and perfect and I am in love with the results!!! If you are on the fence, I definitely encourage you to come to this office because Dr. Rizk gave me the confidence and grace to present myself to the world!

-Leah Abramson

Words cannot express how tremendously grateful and impressed I am for his services. The process was painless and he produced beautiful results that I’m so happy with. Dr. Rizk is extremely precise, patient and detail orientated. He narrowed my nose 1mm at a time! I’m already looking forward to my next small tweek with him.

-Allison S

Fixed my nose that was extremely crooked from a car accident. Also did my brother’s nose which case out beautifully

-Katie M

References

1 American Society of Plastic Surgeons. Laser Skin Resurfacing. Available: https://www.plasticsurgery.org/cosmetic-procedures/laser-skin-resurfacing. Accessed January 26, 2021.

2 American Society of Plastic Surgeons. Laser Skin Resurfacing Recovery. Available: https://www.plasticsurgery.org/cosmetic-procedures/laser-skin-resurfacing/recovery. Accessed January 26, 2021.

3 James Varani, Michael K. Dame, Laure Rittie, Suzanne E.G. Fligiel, Sewon Kang, Gary J. Fisher, and John J. Voorhees. Decreased Collagen Production in Chronologically Aged Skin Roles of Age-Dependent Alteration in Fibroblast Function and Defective Mechanical Stimulation. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1606623/. Accessed January 26, 2021.

4 EPA, South Australia. Radiation. Available: https://www.epa.sa.gov.au/environmental_info/radiation/. Accessed January 26, 2021.

Sam Rizk, MD

By Dr. Sam S. Rizk, M.D., FACS.

Dr. Rizk is a double board-certified facial plastic surgeon who specializes in rhinoplasty surgery and a recognized expert on the latest advances in facial plastic surgery techniques. He performs a range of facial plastic surgeries at his New York practice.

Learn more about Dr. Rizk | Dr. Rizk's Google Scholar

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