How Do Lasers for Spider Veins Work?

Laser Treatment for Spider Veins Explained

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.

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.

How 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.

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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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.

When it comes down to it, we know that you have many choices when it comes to laser practices. And we also know that it’s the knowledge, skill and expertise of the laser practitioners and the breadth of technology that sets one practice apart from another. That’s why we’ve invested an enormous amount of time, energy and financial resources in finding the very best devices and placed them in the most capable hands to provide you with an array of treatment options that not only give you superior results, but that fit your lifestyle and budget too.

Patients like you want to know what we consider to be the top three lasers for resurfacing. Here’s our list and why we like these devices:

1. The CO2 laser: Even though this technology was the first to come out in this category, it is still considered to be the “gold standard” for resurfacing. There is no arguing the fact that in just a single treatment, CO2 laser resurfacing can produce dramatic and impressive results. However, there are a couple of drawbacks with this laser. First, you can’t have resurfacing with it if you have a medium or darker skin tone. In an area with a diverse patient population like Los Angeles, this makes it a less-than-ideal device. Second, the downtime after CO2 laser resurfacing is intense. Weeks of healing are involved, followed by weeks of redness. We’ve also seen many cases of prolonged facial swelling as well. Most people with busy lives simply can’t take this kind of time away, no matter how impressive the results may be!

2. Fractionated laser technology: “Fractional” lasers are not a specific brand of laser, but rather a specific way of delivering the laser’s energy. A fractional device only treats a portion of the skin’s surface, unlike the CO2 and erbium devices which remove the entire skin surface down to different depths. Both CO2 and erbium devices can be fractionated, which speeds the healing time.

The erbium MicroLaser Peel: Although this device isn’t as powerful as the CO2 laser, it still can generate some impressive results. We use this device because in our hands, a series of three of these treatments can yield similar results to a single fractionated treatment. The benefits also include more predictable and tolerable downtimes (i.e. fewer complications) which we’ve found our patients need given their busy lifestyles.

Erbium Laser Resurfacing Before and After Photos

Road rash is a slang or laymen’s term for a condition better known in the medical field as a traumatic tattoo. If you’ve ever had an accident—bike, car or motorcycle—or know someone who has, then you may be familiar with it. If a patient’s skin becomes scraped and filled with gravel, sand, pavement or asphalt during a traumatic accident, a “staining” effect can occur. The healed skin or “scar” that’s left behind usually has a blackish or bluish discoloration.

Many people aren’t aware that tattoo removal lasers are great tools for the treatment of road rash and should be used early in the recovery phase. These devices are safe to use on every skin type (color), so anyone who has suffered a road rash injury may have treatment. Laser treatments usually need to be done in a series, but the results and improvement we’ve seen with them is dramatic.

Older road rash injuries can be treated too, but may not respond as well to the laser. If you or someone you know has a road rash scar, there is help. We would love to opportunity to evaluate your injury and tell you more about the success we’ve had treating this difficult condition.

Scar Removal Before and After Pictures

Have you ever seen a keloid (bumpy, raised) scar and wondered why someone healed that way? Maybe you have one or more keloids and feel embarrassed or upset by the way they look. Keloid scars are easily recognizable, and the truth is, no one really knows exactly why they occur.

Keloid scars are very dense, raised and firm. The scar tissue of a keloid is very fibrous. Keloid scars differ from other types of raised, firm scars because they extend beyond the boundaries of the initial injury. They come in various shapes, colors and sizes. Commonly, they’re pink, red or brown. People with darker skin colors (especially Asians and African Americans) tend to develop keloids more frequently, but they can happen to anyone.  They can form after a traumatic injury, a surgery, a piercing, and sometimes spontaneously.

If you have a keloid and have been wondering how you can make it look better, we have had success with steroid injections.  If you’ve got a keloid scar and want to talk about having it removed, give us a call today.

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Are you an adult suffering with acne? In addition to having small pimples, is your skin red, flaky, and irritated? If so, then you may have a condition known as acne rosacea.

Acne rosacea is a combination of two conditions: Rosacea, which causes facial irritation and redness due to excessive blood flow, and acne which causes the formation of red and yellow pimples. It’s common for the combination to occur in the nose, central forehead and cheeks.

Acne rosacea typically affects lighter-skinned men and women who usually complain of having a long history of “sensitive” skin. We’d bet that many of the treatments that you’ve been prescribed have aggravated and irritated your skin. This story is common in those like you who are fighting acne rosacea.

To answer the title question of this page, there is no single theory that explains your condition. Several different ones exist and many researchers suspect that it is a combination of genetic, environmental and even emotional factors that contribute to acne rosacea.

Remember that acne and Rosacea are two, distinct and separate conditions. In the case of acne rosacea, they coexist! When you have acne rosacea, the two tend to “feed off” of one another as the increased vascularity that causes your red skin also drives the formation of more of the pimple-like acne blemishes. As you might guess, both conditions need to be addressed separately.  You may see little to no improvement unless both are treated simultaneously.

At Celibre Medical, we’ve used a combination of both the Aramis and pulsed dye lasers to help our acne rosacea patients. We’ve also seen patients improve after treatment with photodynamic therapy. Of course, we can help you pick out the proper skin care products to help control your acne rosacea and keep your skin looking smooth and clear. These products are geared to be extra gentle and calming for your skin.

We understand that no one likes acne, especially a busy adult. Call today to find out how we can help you get the clear skin you want with proven treatments!

When you choose Celibre Medical for your laser dermatology needs, you are choosing one of the most experienced laser practices in the Los Angeles and Torrance areas. Our laser experience dates back to the mid 1990’s when CO2 resurfacing was one of the few lasers on the market.  While we are proud of our history, we’re even more proud of our results.  Take a look by viewing our extensive gallery of before and after photos.

Our patients often wonder why we are so diligent about our photography.  It’s because we believe that there is no better way to document, evaluate and share (with your permission) the results of our laser treatment programs than with good before and after photographs. Our protocols include multiple photos throughout the treatment process including before your first treatment, during and after we’ve completed the program.

Photography provides objective evidence of what the laser treatments or injections are doing for your skin. Sometimes, your results may be incremental, and you may need photographs to show that you are making progress with each treatment. Photos can also help your practitioner assess your progress. If you aren’t making the expected progress, photographs can help us adjust your program to get you back on track and where you want to be. Lastly, should you and your laser practitioner ever have a concern about the results your treatments; photographs provide an objective method to evaluate the concerns.

If you’ve visited a laser dermatology practice that doesn’t have any before and after photos of their own patients, then you should question this fact. Often, practices simply use photos supplied by the laser manufacturer.  These often look good, but aren’t always representative of the kind of results most patients achieve. We want you to see OUR OWN patients and the fantastic results we have achieved with them. We believe that setting realistic expectations for your treatment at the beginning is key to your success and satisfaction with your treatment program.

We believe our before and after photos speak for themselves and offer you a very accurate, real-world representation of our work. We are just as proud of our results as our patients are, and believe that there’s no better way to share these results with you than with before and after photos. Feel free to come by and see them for yourself.

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Fractional laser resurfacing is sort of the “it” procedure right now. Everything from scars to dark spots to lines and wrinkles can just be resurfaced away with a laser. Well—this isn’t exactly true. In fact, it’s not really true at all! While laser resurfacing is certainly a popular procedure right now, not all laser resurfacing treatments are the same. And not all practices providing laser resurfacing treatments can get the same results—even if they are using the same laser!

We regularly get phone calls from unhappy patients who feel that they didn’t get the results they were looking for from a Fraxel or other fractional laser resurfacing procedure.  While it is understandable that they are upset, we want to help you avoid the same situation.  Few consumers realize that it’s not the laser used that determines the outcome.  Many of the fractional lasers available are very similar, and it’s how the laser is used and how the patient is prepared that determines the outcome.

Here is the reason why not all fractional laser resurfacing procedures are the same.  It comes down to the depth of treatment, whether or not coagulation is used (deep heating of the skin), and % of the skin resurfaced. Each of these parameters is 100% customizable by the practitioner. This means that if your practitioner doesn’t understand how to manipulate them in a way that is most beneficial for your condition (scars, wrinkles, etc.), then you won’t see the results that you’d hoped for.

Out the unhappy patients who contact us, about 90% of them simply didn’t get a treatment that was deep enough. Here’s how we know:

1. We ask if they were informed of (or asked about) how deep their resurfacing was? Most of the time, the answer is “No.” This is vital information that you will need to know before your procedure so that you can set the right expectation for your results after. In general, regardless of the skin condition that’s being treated, the deeper the resurfacing, the more improvement you’ll see in your scars, wrinkles, photodamage, etc.

2. We ask what type of anesthesia or numbing was used. The typical response is “numbing cream.” This also tells us a lot about the depth of the resurfacing. Deeper resurfacing procedures are more painful, which requires more (and different) anesthesia than just numbing cream alone. A resurfacing procedure that you can tolerate with just topical numbing cream is a very superficial resurfacing that likely only effects the top few layers of your skin. In other words, you may not see much change in your condition over the long run.

3. Lastly, we ask about how much bleeding was present after the procedure. If you look at the diagram below, you will understand how this question helps us determine the depth of the laser resurfacing procedure. Superficial treatments don’t penetrate down into the deeper dermal skin which is full of blood vessels.

At Celibre Medical, we will perform ablative fractional resurfacing down to 1000 microns (or 1 millimeter). Most other practices limit this number to 200-300 microns. While we are more aggressive and our patients have more bleeding, we find that when they’re educated and prepared for it, they handle it very well. And we also ensure that they understand our rationale for choosing a deeper treatment approach. We want them to see their skin problems improve greatly after just a single treatment!

We have also included some photos of what a typical 7-day recovery process looks like at our practice. You can see that immediately after the procedure there is some bleeding. While it may not look good, we know that this sign means that we’ve provided a deep resurfacing treatment that will look good once it’s healed!

We don’t believe in providing just a standard laser resurfacing. We know this means we must spend more time talking with you, carefully examining your skin, educating you and preparing you for all aspects of your treatment and recovery! Yes, this takes time and is more complicated, but it ensures that we will provide the best outcome for you that we possibly can. And happy patients are the reason we do what we do.

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No, you’re not allergic to laser tattoo removal. While that is often the first thought of someone who gets hives after tattoo removal, we promise that’s not the case.  We know that some patients develop red, itchy, raised and swollen looking skin immediately after laser treatment of their tattoo. Why? No one is quite sure, but it is a frequently reported adverse reaction to treatment.

Here’s what we think may be going on. If you’ve read about laser tattoo removal, you understand the laser works to break up the tattoo ink particles into much smaller pieces that can be removed and cleared by your body’s immune system. It’s been proposed that your immune system has a bit of a panic attack over the sudden, large amount of these ink particles that are created all at once during the treatment.

This immediate influx of foreign material in the skin triggers the redness, swelling and firmness that you see and feel. It also creates a sensation of mild pain and itching in the treated area. And while all of this is temporary and lasts only minutes to hours after treatment, we know that it can be uncomfortable.

There are ways to help limit this reaction and at best, avoid it all together. First, take some Benadryl about an hour before your laser treatment. This helps stabilize some of the immune cells in the skin that release the chemical signals responsible for the “hive-like” reaction. If you don’t have Benadryl, any antihistamine medication will help. If this works, remember to use this medication before every treatment.

Second, apply a hydrocortisone cream to the affected area. This steroid medicine also helps to calm down the immune cells in the skin. Again, this method only works when you apply it directly after treatment.

Lastly, ask your laser practitioner if you can use cold air or an ice pack immediately following treatment. The cold constricts your skin’s blood vessels which slows down your body’s blood flow and hence, the number of immune cells that can migrate to the treated area. And a cooling sensation can be a welcome thing after laser tattoo removal—with or without a hive-like reaction! It just feels good!

If you’ve tried these things and continue to have problems, sometimes it’s necessary to divide your laser tattoo treatment into separate sessions (usually two) to help lessen your skin’s reaction to the laser. While this takes more time and is inconvenient, it is an option that works for some as a last resort.

Hive-like reactions can happen after laser tattoo removal. Make sure your laser practitioner is aware if you’re having problems so he or she can take steps to help you correct it!

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If you’re “over” your tattoo and want it gone yesterday, lasers can help.  With that said,  laser tattoo removal takes some time. There are several factors that can influence the time it takes for your tattoo removal and we review them below.

1. Is it an amateur or professional tattoo? While you might not think this makes a big difference, it really does affect the number of treatments! Typically, amateur tattoos take less time to successfully remove. Some amateur tattoos can be completely removed in just 1 to 3 laser treatments!

However, this is not always be the case. Amateur tattoos can have ink particles placed in varying layers of skin (professional ones tend to be close together). Deeper ink can be harder for the laser to get to. This may mean more overall treatments. Also, some amateur tattoo artists use ink that’s more difficult to remove with a laser than the ink used by professionals.

Professional tattoos usually take more treatment sessions because of the quality and density of ink as well as the depth of the skin where it’s placed.   Generally speaking, good professional tattoos can often take twice as many treatments as a poorly placed amateur tattoo.

2. Is the tattoo a single color or multiple colors? Certain ink colors require certain wavelengths of light to remove. There is no one laser that works for all ink colors. In general, the lighter the tattoo ink color, the longer it will take to fade. These colors can be extremely difficult to clear because they may take one or more lasers and more treatment sessions to break the ink particles down. Green, light blue, orange and white are included in this group.

3. Light or dark skin? Your skin type (color) will also affect how many treatment sessions you will need to successfully get rid of your tattoo. We have lasers that are safe to use on every color of skin, but there are some wavelengths of light that are not safe for darker skin types (colors). Because of this, we may need to use a different laser that requires more treatment sessions to make sure that we safely and effectively remove your tattoo if you have darker skin.

We understand that no one likes to wait! Unfortunately, patience is a requirement for laser tattoo removal! Here at Celibre, we can assure you that we can get the job done and get it done right for you. Our patients frequently comment on and ask why their personal experience is different from that of a friend or family member when it comes to laser tattoo removal. We review the information above with them, and explain that just like their tattoo, no two treatment plans are exactly the same. There are unique factors with each person that will dictate an individualized approach. And while we can estimate how many treatments you will need overall to see optimal results, we make sure that you understand this is just an estimate—nothing is written in stone.

Like picking out your tattoo and finding a tattoo artist that you trust to do good work, you need to go through the same process when finding a laser practitioner to remove your tattoo. Ask questions, make sure the practice has the right technology for your tattoo’s ink color(s) and your skin type (color). Also make sure that you have a clear and honest discussion up front about a realistic timeline for your treatment and what you can reasonably expect in terms of results. It may take a bit more work on the front end, but it’s what’s necessary to see the very best results in the end!

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If you’re thinking about having laser resurfacing and have been doing some homework, you’ve probably come across CO2 laser resurfacing. If you’re still confused about it, it’s okay! We’re here to help you understand and make sense out of all the information out there today.  Let’s start with some basic information.

What is Laser Resurfacing?

Laser resurfacing is a cosmetic treatment that can help improve the texture, elasticity and/or color of your skin. There are two forms of resurfacing: ablative and non-ablative. CO2 laser resurfacing is an ablative procedure that causes tissue injury to the surface of the skin.  Essentially, we make a tiny wound that your body must heal, and this is how we stimulate your skin to make new collagen.  The injury and subsequent collagen development makes new skin looks tighter, firmer and younger!

What is CO2 for?

CO2 is for Carbon Dioxide.  This is the material used in the development of the laser beam used in the resurfacing procedure.  CO2 lasers use light at a wavelength of 10,600 nanometers.  This wavelength penetrates the skin and targets water in all of our cells.  Once the light energy is absorbed into skin, it’s quickly converted into thermal energy. This heat is so intense, that the skin literally vaporizes where the laser hits it. This is why CO2 laser resurfacing is so good at producing a “controlled” wound in your skin.

What is Fractional CO2 Laser Resurfacing?

This is where it can get a bit confusing for some.  Fractional CO2 laser resurfacing works in the exact same way as described above except that the beam of light energy passes through a filter (like a strainer) that splits it up into lots of smaller laser beams. Hence, fractional resurfacing removes only a portion of the treated area, usually 20% – 70%.

Older, “full field” ablative CO2 resurfacing couldn’t be done on darker skin types. Many patients suffered with infections, scarring and permanent, unwanted textural changes in their skin afterwards. Not to mention the fact that most people took at least 2 to 4 weeks to heal enough to return to work and social events. In short, the older, non-fractionated or full field resurfacing treatments were a bit of a tough sell and could only be provided to Caucasian skin types.

Fractional CO2 changed all that. The results are still impressive, but there’s much less risk of problems afterwards, and you can be fully healed usually within about a week. Newer technologies that use different energy sources such as erbium can be used on even the darkest, African American skin type (color).

Benefits of CO2 Laser Resurfacing

The benefits of CO2 laser resurfacing come about during the healing process.  For example, patients with acne scars are able to improve the texture of the skin because the resurfacing procedure removes scar tissue and during the healing process, the body generates new, soft collagen that heals the skin smoother than it was prior to treatment.

What’s the Downtime for CO2 Laser Resurfacing?

This is depends on whether you have a full field or fractional treatment. Full field will require you to have a general anesthetic and typically requires several weeks of recovery. Fractional CO2 laser resurfacing can be done with a combination of local and topical anesthetic and recovery times are usually within about 5 to 7 days.

Whichever you decide is best for you, make sure that your laser practitioner has plenty of experience and walks you through step-by-step of either procedure. Being prepared and fully informed on your treatment is the best way to ensure that you are happy with your experience and results after!

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At one time or another, we’ve all had “razor bumps”: those red, pimple-like, tender bumps that appear after shaving. For most of us, they’re an annoying, once-in-awhile problem.  But if you suffer with constant or severe “razor bumps” then you could have a more serious condition known as pseudofolliculitis. Folliculitis in an infection and inflammation of the hair follicle. The term “pseudo” means false or artificial. That’s exactly what pseudofolliculitis is as it mimics serious medical conditions such as acne or follicle infection when it’s really just severe irritation and/or inflammation from ingrown hair due to shaving.

Pseudofolliculitis can affect both men and women. It’s common in people who have thick, coarse and/or curly hair, especially African Americans. Because it happens in areas where there’s hair like the face, neck, shoulders, back and bikini area, it’s commonly misdiagnosed as acne. If it’s severe, it can resemble large, acne-like cysts that can lead to deep scars, just like acne. It can also lead to embarrassing discoloration changes and textural change in the skin too.

If you have pseudofolliculitis, you know how hard it can be to keep up with shaving because it often triggers a flare up. No doubt you’ve tried multiple solutions to remove hair with little to no effect on your condition. Before you give up though, we’d like to tell you about a 100%, totally effective solution for you: laser hair removal. Laser hair removal treats this frustrating condition by getting rid of the hair that causes it in the first place. As you progress through your laser hair removal program, you will notice the razor bumps and pseudofolliculitis slowly fade and disappear.

Here at Celibre Medical, we use Class IV medical lasers to safely and effectively remove hair. We have several lasers that make it possible for us to treat unwanted hair for anyone regardless of their ethnicity and skin type (color). So, if you’ve tried (and failed) other treatments for severe, unmanageable pseudofolliculitis and want to do something that can get rid of it once and for all, then consider laser hair removal. It treats the source of the problem.

Don’t spend another day dealing with the frustrating problem of pseudofolliculitis. Get help and call us today to learn more about how Celibre Medical’s laser hair removal program can change your life!

Laser hair removal before and after pictures

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