How Does A Plastic Surgeon Incorporate Lasers Into A Primarily Surgical Practice?

One of the most common questions that other physicians ask me is “how do I incorporate lasers into my surgical practice?”

I am often called by a plastic surgeon, specializing in cosmetic surgery, who wants to know how he or she can begin to use lasers in their practice. It can seem exciting yet daunting to bring in a new procedure because of the level of knowledge and training required to properly treat patients and produce excellent results. And many times, physicians have limited time for further training once a busy practice has been established. In addition, lasers are expensive and most surgeons are not used to having to purchase expensive equipment beyond the initial investment in supplies to start a surgical practice. That being said, the laser procedures can help surgeons offer a much wider range of treatments that will benefit both the patient who has had surgery and the one who is not yet ready for surgery. I tell physicians and patients that laser procedures can be “insurance for your surgical procedure” in many ways. Laser procedures can help add to the result of surgical tightening by treating dyschromia, discoloration, texture, pore size, vascular lesions, and providing overall better skin health and appearance. One can pull the skin tighter with surgery, but the skin often needs surface treatment with laser procedures. Don’t just focus on achieving tighter skin, focus on overall better looking skin also. This may sound like a sales pitch, but you will hear me often say, “don’t put cheap tires on a Rolls Royce!” Surgical results will greatly benefit from maintenance laser procedures and good medical skincare. Finally, a laser procedure can often help a plastic surgeon treat a patient who does not really need surgery yet, so that the patient does not have to be referred elsewhere.

My advice always starts with telling fellow surgeons that

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Dr. George Sanders, Encino CA Plastic Surgeon

Dr. George Sanders, Encino CA Plastic Surgeon

Despite of the emergence of noninvasive treatments, Dr. George Sanders keeps himself abreast with the current trends.

Name: George Sanders, M.D.
Location: Encino, CA
Website: drsanders.com

The Sciton Erbium laser was purchased several years ago and remains a stellar performer for full face laser ablative therapy when the patient has 9 days to recover to the point that they can wear makeup and go out and look very good. I do many facelifts and this recovery time frame makes sense in that the remainder of the face is recovering at about the same pace. When I purchased the Sciton, other erbium lasers were available, but the dual head configuration and other factors made it more appealing. It has paid for itself many times over and remains a very reliable piece of equipment that provides a consistently excellent result with minimal complications. 

The Fraxel laser is used by my nurse in those patients who do not need as much of a result as the Sciton produces and who do not have as much time for recovery. These patients have at most one or two days of downtime.

Eventually we will need to replace our Sciton, and it may be that a fractionated CO2 laser may be the answer. I am also looking with interest at the nonsurgical fat sculpting devices as well as the nonsurgical skin tightening devices. Reliability, cost effectiveness, efficacy, and a usefulness that will last years are all things that I look at when deciding upon what to purchase. I am also not interested in a device that requires multiple patient visits to accomplish the desired result because of inherent limitations in office space and personnel time.

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