Laser Treatment for Wart Removal

Laser Treatment for Wart Removal

Kevin DiCerbo, RN, BSN, LSO No Comments

Do you have a wart that keeps coming back no matter what you do? If you’re losing the battle using wart treatments like liquid nitrogen freezing, burning and acid treatments, we want to tell you about a secret weapon—laser treatments!

Warts are caused by a virus. Normally, your immune system is able to control viruses.  But for some reason, many people like you struggle to get rid of warts. They just seem to fly under the radar, getting bigger, spreading to other areas and causing pain and embarrassment.

Lasers assist your body’s immune system in keeping warts at bay.  It’s believed that laser work by using light and heat to kill the wart virus, but no one is exactly sure how. We do know that laser treatments are a safe and effective alternative to traditional treatments.  But for reasons related to cost, we encourage patients that have not tried traditional treatments to attempt to get rid of warts using those first before trying lasers.  Take a look at the photos below to see how effectively laser treatment worked to get rid of a very large and painful plantar wart. These results were obtained after several laser treatments.


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What Causes a Keloid Scar?

Kevin DiCerbo, RN, BSN, LSO No Comments

The answer is that no one is sure. If you have keloids, then we do know that there’s a good probability that someone else in your family does too because there seems to be a genetic link involved. Maybe you had surgery, suffered an injury or some other sort of trauma that left you with a keloid scar? Interestingly, keloids can also form from little things like vaccinations, acne, piercings and even bug bites. Rarely, spontaneous keloids can appear on your skin for no reason at all!

keloid scar treatment before photokeloid scar treatment after photo
Scar removal before and after photos

Remember, keloid scars are larger than the original wound, injury or other skin trauma that was there in the first place. If you simply have a firm, raised scar that’s still within the original borders of the injury, that’s not a keloid. And if you have a keloid, it’s important to think about your increased risk and discuss this with your doctor when planning surgeries or other procedures that could potentially make more. We do know that keloids are much more common in those with darker skin as opposed to lighter-skinned individuals.

There is no one, perfect treatment for keloid scars. Since each scar is a bit different, you will need a thorough evaluation to determine which one might work best for you. What worked for a friend or family member may not be your best bet! But know that there are effective treatments out there. The key is finding a practice and practitioner who specializes in the treatment of keloids.


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How Do Lasers for Spider Veins Work?

Kevin DiCerbo, RN, BSN, LSO No Comments

Tired of seeing those little red and purple lines on your cheeks, nose or legs? There’s never been a better time to consider vascular laser treatment to get rid of your unwanted spider veins. Treatment with class IV medical lasers is effective for this problem and has no downtime. Your treatment sessions are quick, easy and your results are instantly noticeable.

Vascular lasers work by targeting hemoglobin, the oxygen-carrying component of red blood cells. They use light energy that is specifically absorbed by hemoglobin and converted into heat energy. This heats up the blood and the vessel walls containing it. The laser energy collapses the blood vessel eliminating it’s appearance at the surface of the skin. Over time, your body breaks down the treated vessels and clears them away naturally. Because spider veins are small, dilated blood vessels on the surface of the skin, removing them is harmless to your circulatory system.

At Celibre Medical, we recommend vascular laser treatments for spider veins be spaced six weeks apart. Though you often see drastic improvement after just a single treatment, more than one treatment may be necessary to obtain best results. We have an array of vascular lasers that are safe to use on any skin type (color) and our laser practitioners are experts at providing safe and effective vein removal treatments.


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How Many Laser Treatments Cherry Hemangiomas

Kevin DiCerbo, RN, BSN, LSO No Comments

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Orange County California spider hemangioma removal

Cherry or spider hemangiomas are also referred to as “blood freckles.” They are benign vascular lesions (blood vessels) that usually begin to appear on the trunk (torso) of the body and then spread to the extremities. Although not usually a cause for health concern, they usually represent a cosmetic concern to patients.

Spider hemangiomas are effectively treated with several types of medical lasers, and cherry hemangiomas are usually resolved with 1 to 2 laser treatments. Some of the larger blood vessels may only shrink in size after 1 or 2 laser treatments and will require additional treatments to completely resolve them. In any event, most patients are pleased to see dramatic improvement with each and every treatment. There is no downtime involved for treatment of cherry hemangiomas and treatments are spaced four to six weeks apart.

*Photo by emedicine.com


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What is Rosacea?

Kevin DiCerbo, RN, BSN, LSO No Comments

Do you have Rosacea?  Redness, irritation, flaking and pimples well past your mid-twenties?  While you may know about the facial redness that goes along with Rosacea, maybe you weren’t aware that these other symptoms can be caused by it too? While treatments can certainly keep Rosacea under control, unfortunately it can be chronic and has no known cure.  Read on to learn more and find out how pulsed dye lasers can help you.

los angeles laser rosacea treatment before and after photoslos angeles laser rosacea treatment before and after photosRosacea involves chronic skin inflammation. This inflammation over time stimulates the small blood vessels in your cheeks, nose and chin to become enlarged. These blood vessels, called telangectasias (small capillaries), are what causes the redness of your rosacea. These small blood vessels can often be accompanied by burning, flaking and pimple like eruptions. If this process goes unchecked for a long time, the chronic irritation can cause permanent changes in skin texture. This can also change the appearance of our nose, making it look larger, bulbous, and swollen. This is called rhinophyma.

Why people get Rosacea is still a mystery. We believe that there are several factors at play: genetics, environmental exposure, stress and an imbalance of otherwise normal bacteria living on your skin. While you can’t change your genes, you can control some of the Rosacea triggers. Proper skincare products, sun protection and avoidance of foods (spicy, etc.) and beverages (alcohol, hot drinks, etc.) that trigger flare ups can help keep it under better control.

At Celibre Medical, we help you understand your Rosacea better.  In addition to helping you understand those triggers that cause Rosacea flares, we use FDA-approved pulsed dye lasers to diminish the appearance of redness and small blood vessels.  This not only helps with your appearance but can slow down the development of the condition.

No, we can’t cure Rosacea. But with proper care, we can help you can gain control over it. Contact us today to learn more about controlling your Rosacea.


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Eye Rejuvenation with Restylane and Laser Resurfacing

Kevin DiCerbo, RN, BSN, LSO No Comments

While your eyes may be the window to your soul, they can also give away your age. The eyelid skin is extremely delicate, and unfortunately, after years of gravity, sun exposure, facial expressions, contact lenses and just about everything else we do, it can easily wrinkle, sag and lose firmness. When you couple this with the other age related changes that occur around the eyes such as increased hollowness of the upper lid and fullness or “bags” below, your eyes can become more of an “eye sore” than the focal point of your face!

Rest assured, there are things that we can do to help reverse the signs of aging eyes! Since the aging process frequently involves more than one eye structure, rejuvenation can also require more than one type of treatment to help you look your best. Here’s an example of a patient with typical aging around the eyes. She needed more than one treatment to achieve her goals, so we combined three treatments for a better outcome.

First, we used Dysport (Botox) in her crow’s feet. Smiling, talking and squinting are all culprits involved in the formation of crow’s feet—those fine lines at the outside corner of your eyes. Dysport relaxes the muscle beneath the skin, smoothing it while still allowing natural facial expression.

Next, we addressed the changes in her eyelid skin. We used fractional laser resurfacing (Sciton Profractional) to erase the finer surface lines and wrinkles, tighten and firm by stimulating collagen and improve the overall skin tone.

Finally, we used Restylane dermal filler injections to correct some of the volume loss under her eyes. Specifically, we treated the lower eyelid “tear trough” area between the lower eyelid and the cheekbone. This helped smooth the area and fill it in, giving her back a more youthful, rested look.

Eye rejuvenation can be tricky. Aging in this part of the face is usually multifaceted and so treatment should be the same. Discussing your eye rejuvenation goals with an experienced practitioner who has an in-depth knowledge of how to treat age-related changes around the eye and the proper tools to get the job done.


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How Many Acne Laser Treatments Will I Need

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orange county california acne laser treatment before and after picturesorange county california acne laser treatment before and after picturesHow many acne laser treatments are required is a difficult question to answer because there are many factors involved. Much of the answer depends on the type of acne, severity of the acne, degree of the acne scarring, skin type, and whether or not the patient is able and willing to have downtime. For example, if a patient has moderate inflammatory acne papules without scarring – the treatment plan may consist of 6 acne laser treatments. On the other hand, if the patient comes in with papules lots of whiteheads and cystic acne combined with red, brown or textured acne scarring, the recommended treatment plan may consist of 6 to 9 treatments spaced between 2 and 4 weeks apart.

We believe that a good acne practitioner will tailor the treatment plan to the patient’s acne condition, goals, skin type, lifestyle, and budget. From there, setting realistic expectations for our acne patients and involving them in the treatment plan is a good starting point. Acne treatment plans should be individualized and open to modification as needed.


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Laser Tattoo Removal in Long Beach

Kevin DiCerbo, RN, BSN, LSO No Comments

Since 2004, we’ve met many patients from Long Beach, CA, and from surrounding areas, who come to us to discuss laser tattoo removal because they’ve been swindled with other tattoo removal gimmicks. There are two in particular that we hear all the time, so we thought we’d set the record straight on these for you here.

First, let us say that as tattoos have become more popular, more and more removal gimmicks have come out targeting those who just don’t want their tattoo anymore. And trust us, we get it. When you’re over a tattoo, you want it gone and you don’t want to spend a lot to get rid of it. If this sounds familiar, then this page is for you. Understanding what’s effective and what isn’t in terms of tattoo removal will ultimately save you two of your most precious resources: your time and money.

The first of these two gimmicks is called “Wrecking Balm”. It is a two-step, mail order system that claims to be a safe and effective alternative to laser tattoo removal. It is based on hydroquinone, a “bleaching” agent for the skin combined with a microdermabrasion-like mechanism. You need to understand that hydroquinone is a medication that slows down the production of melanin, the skin’s natural pigment, which gives it color. Hydroquinone cannot “remove” tattoo ink. It has no ability to “break-up” ink particles and cannot even penetrate the skin to the level where the tattoo ink is. The same is true for the “microdermabrasion”. While this may exfoliate the top few cell layers, there is no capability of this product reaching the deeper epidermis and dermis where tattoo ink is deposited. In short, “Wrecking Balm” is at best misrepresenting it’s capability to remove tattoos, and at worst, flat-out fraudulent claiming it can permanently remove tattoos.

Another treatment that you may have heard of is TCA peeling for tattoo removal. TCA stands for trichloroacetic acid, a powerful chemical skin-peeling agent. While TCA peeling can be very useful for numerous skin conditions, unwanted tattoos are not one of them. Because TCA exfoliates only the outermost layers of skin, it is simply incapable of reaching the levels of the epidermis and dermis where the tattoo ink is.

Also, aggressive TCA peels can produce unwanted side effects such as darkening or lightening of the skin (hyperpigmentation or hypopigmentation) and scarring if not used properly or by inexperienced hands.

Again, we understand that you want your tattoo gone and you don’t want to spend a fortune. But by taking your time, educating yourself and doing your homework, we think you’ll find that laser tattoo removal is the safest, most cost effective option to get rid of your tattoo once and for all. We urge you to learn more about this option and don’t get caught up in the hype of hydroquinone and/or TCA-based tattoo “removal” gimmicks—because they really are just that!


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What Is The Best Treatment For Depressed Acne Scars

Kevin DiCerbo, RN, BSN, LSO No Comments

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Depressed acne scars affect the smoothness or texture of the skin. These scars can also be referred to as “atrophic acne scars” or “boxcar acne scars” due to their shape. They may have sharp cliff-like edges or have a scooped out appearance. These acne scars can be difficult scars to treat due to their size and fibrous nature.

We have found that non-ablative laser treatments (those that have no downtime and are non-invasive) are not the best choice for these types of acne scars. Instead, we believe that laser resurfacing is a good option for depressed acne scars.

There are many newer technologies for laser resurfacing and the best treatment option is determined based on the the degree of your scarring and your skin type. In some situations where scarring is profound, punch excision may be a better option.

This is a technique wherein the physician excises (cuts out) the damaged scar area and sutures it closed to form a clean, discrete scar.

Evaluating these are options for improvement is a good first step in treating depressed acne scars.


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Laser Hair Removal Explained

Kevin DiCerbo, RN, BSN, LSO No Comments

You can find laser hair removal in almost every city in America. Dermatologists, plastic surgeons, OB/Gyns and family practice offices offer it? But who’s qualified to do laser hair removal and how can you ensure you’re getting an effective treatment?

You may not be surprised to learn that price isn’t the most important factor! Understanding the available devices and which one is right for you is really the first thing you need to consider when choosing your laser hair removal provider.

which laser hair removal laser for my skin type which laser hair removal laser for my skin type
Laser Hair Removal before and after pictures

Let us explain a bit more. First, you need to know what your skin type (color) is. There are six different skin types: type I to type VI. We’ve listed them along with a description below for you:

  • Type I skin is of Caucasian descent; Very fair and typically Northern European or Scandinavian, such as Swedish or Irish. This skin type always burns in the sun and rarely tans.
  • Type II skin is also very fair and usually of Caucasian descent; European heritages such as English, German, Russian are generally this skin type. These people burn easily but may tan.
  • Type III skin includes Caucasians of Mediterranean descent as well as some lighter-skinned Hispanics. Many Italians, Greeks and South American Hispanics are this skin type. They will tan easily usually after an initial burn.
  • Type IV skin is usually a light brown skin tone. Hispanic, Asians, Persians and Middle Easterners are this skin type. They will tan very easily and burn minimally.
  • Type V skin is brown skin. Usually those with lighter skin of North African or African-American descent. These people tan darkly easily and rarely, if ever, burn in the sun.
  • Type VI skin is dark brown or black skin. These people are of African descent, tan very darkly and never burn.

Now that you understand your skin type, let’s talk about the different laser hair removal devices. Each of these is specific for a certain range of skin types. This should help you decide which class IV medical laser is the right choice for laser hair removal. There are three, different devices currently available:

  • The diode laser
  • The Alexandrite laser
  • The Nd-Yag laser

The diode laser is the most common laser hair removal device used today. The Lumenis LightSheer is a brand of diode laser considered the “gold standard” for laser hair removal among medical laser professionals. It is ideal for skin types I through IV. And although the manufacturer advises that it may be used on higher skin types (with certain models), our experience has not shown this to be true. We would strongly caution those with a skin type V or VI against having laser hair removal with this device.

The Alexandrite laser is a less commonly used device, but still very effective for laser hair removal in skin types I through III. We generally would not recommend its use in anyone over a skin type III due to the risk of hyperpigmentation or darkening of the skin and blistering. There are several brands of Alexandrite lasers, but the Cynosure Apogee is the most widely used device in this category.

Lastly, the Nd:Yag laser is the type of device that is most commonly used laser hair removal device for darker skin types (type V and VI). What makes this device safe for dark skin? Remember that laser hair removal works by damaging the follicle with heat (or light) energy. All the lasers listed above target melanin which is the pigment that lines the hair follicle and gives the hair color. Since people with black skin have a lot of melanin in their skin and hair, special laser technology must be used to properly target the melanin in the follicle while avoiding it in the skin. At Celibre, we use a device called the Sciton Profile.

The Sciton Profile is a long-pulsed Nd:Yag laser that uses a greater penetrating wavelength of light that can get to the deeper melanin in the follicle and bypass the melanin closer to the skin’s surface that gives it color. This device is extremely safe for all dark skin types and works very well for laser hair removal in black skin.

Before you consider laser hair removal, take a moment to familiarize yourself with the most common types of lasers. This will help ensure a better outcome with more permanent hair removal for you.


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