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Fractional Erbium Laser (Laser Skin Resurfacing) in Toronto

Fractional Laser Before & After Pictures

Procedure Time
30 minutes
Recovery Time
10 days

How Much Does Fractional Laser and RF Laser Cost?

A single treatment costs $799, or you can opt for a package of 6 treatments for $3999.

How Long Does it Take to Recover From a Fractional Laser or RF?

Your skin will likely be red or pink 2-3 hours post treatment. The following day, you can experience slight puffiness (especially around the eye and mouth) and mild tenderness. Mild swelling can last anywhere from 24-72 hours depending on the energy used during treatment.

After RF (Fractora Laser), you will experience some micro-scabbing, this will slough off on its own in between 5-7 days. Do not pick, rub, or scratch scabs, and do not exfoliate for 10 days following treatment. Your skin may be slightly itchy for 48-72 as you heal.

How Long Does a Fractional Laser or RF Take?

Arrive 30 minutes prior to your appointment, as the area will be numbed before your treatment. The treatment itself takes around 30 minutes.

What is a Fractional Laser or Radiofrequency Resurfacing Treatment?

Fractional CO2 or Radiofrequency resurfacing is one of the most advanced laser procedures available for aging skin, acne scarring, and sun-damage. This is a safe and non-surgical option to obtaining softer, smoother, more youthful skin. Best of all, it can require minimal downtime! This particular laser and radiofrequency technology create tiny microthermal patches in the middle layer of skin, damaging collagen and aged skin cells, helping the generation of collagen and healthy cell renewal.

The sheer number of Fractional Skin Resurfacing devices can be confusing SpaMedica has a large number of different lasers and radiofrequency fractional resurfacing devices so they can customize the best device for you skin needs and recovery expectations. Some Fractional Radiofrequency devices, like the Morpheus, can send the fractional energy down into the fat itself and lift, tighten and smooth the skin from the bottom up.

One can divide the Fractional Resurfacing devices into 2 broad categories:

Fractional Laser Resurfacing

These devices use a laser to create small discrete micro-thermal channels or defects in the skin. The laser is attracted to water contained in the outer layer of the skin. A fractional ablative laser typically creates a large number of ablative defects in the skin but leaves patches of skin between the thermal defects untreated. 

It is the proportionate, or fractional nature of these lasers (leaving adjacent skin untreated) that gave rise to the term “fractional”.  The adjacent uninjured skin serves as a reservoir to heal the un-injured skin and account for the rapid healing of fractional resurfacing compared to older laser resurfacing techniques from the 1990’s and early part of the new millennium, where the entire surface of the skin was removed and healing occurred slowly from below.  

Fractional CO2, and Fractional Erbium Glass are the common fractional resurfacing lasers and, SpaMedica has several different Fractional CO2’s and Erbium lasers.

Fractional Radiofrequency Resurfacing (RF).

Fractional Radiofrequency (RF) Devices typically use silicone needles to deliver a fractionated RF electrical impulse into deep layers of the skin and/or fat. Fractional RF devices have the advantage of Fractional Lasers, in that the surface of the skin is not ablated as the needle carrying the thermal energy is coated and does not contact the superficial skin. 

These devices are skin fractional, in that, some tissue adjacent to the needle can be left uninjured to act as the reservoir for healing. The needles can be used selectively to penetrate different depths the under skin and fat, creating very strong thermal contraction and wrinkle reduction without superficial reactions. 

The disadvantage of the fractional RF over fractional laser resurfacing is that those patients with very superficial skin aging, benefit more from a laser, as the outside of the skin requires more significant improvement. The Fractora, Morpheus 8, Intracel (Intensive),

Infini and ematrix are the most common fractional RF devices and SpaMedica has all the categories of Fractional RF resurfacing systems.

The advantages of seeking consultation and treatment at SpaMedica, is we are Canada’s largest private laser facility and have all the best fractional resurfacing devices, both laser and RF and can customize the right laser or RF device, or combined devices for your needs.

Who is a Fractional Laser and RF Resurfacing Candidate?

In general, fractional skin resurfacing lasers and radiofrequency devices can treat a wide variety of different skin problems You are a good candidate for this non-invasive resurfacing treatment if you:

  • Want to correct fine, moderate or deep lines and wrinkles on the face, neck, back, chest, or hands.
  • Wish to minimize acne scarring or surgical scars.
  • Have precancerous lesions.
  • Want to tighten up lax skin
  • Lessen enlarged pores
  • Desire to look younger with more defined skin texture and tone.
  • If you understand that the results are not as dramatic as a surgical procedure.

 When speaking with Dr. Mulholland’s team, be up-front and honest about your expectations as they will be able to suggest alternative surgeries or laser treatments.

Benefits of a Fractional Laser and RF Resurfacing

Youthful Glow
Less than a week or two after the treatment, this fractional laser or RF resurfacing will leave your skin with a ‘shine’ or ‘glow,’ giving you a fresh, youthful look in a short amount of time.

Reduce Wrinkles and Pores
Fractional laser or RF resurfacing can reduce the appearance of wrinkles 50-90% depending upon the intensity of the settings and recovery time allotted. Enlarged macropores, white stretch marks and other texture skin irregularities can also show significant improvement.

Tighten Lax Skin
Depending upon the Fractional Radiofrequency technology or device used, you can achieve noticeably tighter, smoother and even lifted appearing skin. This can be helpful on the face, jawline, neck, chest, arms and above the knee. 

Minimizes Scarring
Unlike other acne scarring alternatives, this treatment fixes many skin issues in a relatively small number of sessions (as little as 1-3 treatments) with minimal side effects and healing time.

Sun Damaged Skin
Whether you suffer from brown spots or long-term loss of collagen in your skin due to photo-damage, we can precisely control the depth and the extent to which the treatment will work.

Ideal for Older Patients
Fractional laser and RF resurfacing technologies are the perfect alternatives to other more superficial skin treatments, like micro-needling, as it deeply penetrates the dermis while regenerating a new layer of fresh skin to improve texture, wrinkles, and tighter skin.  Older patients with wrinkles, laxity, enlarged pores and photodamage and Fractional radiofrequency resurfacing can significantly improve all of these issues at once.

Fractional Laser and RF Resurfacing Risks

  • May cause a flare-up of the herpes virus and a preventative dose of Valtrex oral antiviral is given routinely
  • If you have tanned or darker skin, non-ablative laser resurfacing can cause hyperpigmentation, so a fractional RF resurfacing device is used.
  • Mild swelling and redness usually last for hours or days.
  • Although rare, non-ablative laser resurfacing can cause blistering and scarring.
  • Dr. Mulholland might caution against laser resurfacing if you:
  • Have active acne.
  • Have recently taken certain acne medications in the past year.
  • Have an uncontrolled autoimmune disease or a weak immune system.
  • Tend to form scars easily.
  • Have unrealistic expectations.

Why Choose SpaMedica for Fractional Laser or RF Resurfacing Treatment?

SpaMedica is recognized as one of Canada’s very top private Laser Skin Care Facilities thanks to our state-of-the-art laser equipment, relaxed procedure rooms, experienced and expertly trained nurses and aestheticians.  With over 50 Aesthetic lasers, SpaMedica is Canada’s largest and best known cosmetic laser skin centre.

Our Fractional Laser and RF procedures can deliver fast recovery times, minimal discomfort, and long-lasting gradual improvement.

Fractional Erbium Laser vs. CO2 Fractional Laser

Fractional CO2 Laser Resurfacing Treatment: While non-surgical, this treatment is considered to be more invasive than other skin resurfacing treatments, which is why it achieves such noticeable results.

Fractional Erbium Laser Resurfacing Treatment: Generally compared to micro-needling, the procedure targets tissue that is deeper below the surface, resulting in improved collagen production. Consult with Dr. Mulholland’s team for any hesitations.

Fractional RF Resurfacing Treatment: Can be aggressive or mild. Can spare the superficial skin and achieve much better tightening, texture, scar and laxity improvement that a fractional laser, as well as, good wrinkle reduction. Very superficial textural improvement is generally better with a Fractional CO2 or Erbium laser.

Can I combine a Fractional Laser and RF Resurfacing ?

Yes, most definitely. Some patients benefit from combining the Fractional CO2 and Fractional RF resurfacing at the same time. Because SpaMedica offers multiple versions of both kinds of fractional devices, you can have a combined treatment to get the superficial benefits of the laser and the tightening and contraction advantages of the radiofrequency.

How is a Fractional Laser and RF Resurfacing Performed?

Once a SpaMedica consultant has reviewed your medical history and has given you a proper physical assessment, they will walk you through the procedure, aftercare, and recovery expectations. The treatment will be administered within one of our suites under the guidance or direct care of Dr. Mulholland or one of the SpaMedica’s trained Fractional Resurfacing professionals, either SpaMedica RN’s or Medical Aestheticians.

How to Prepare for a Fractional Laser or RF Resurfacing

  • ● Avoid excessive sun exposure for approximately 2-3 weeks before your treatment.
  • ● Stop applying any “irritating” skin products, such as retinoids, at least 24 hours before your appointment.
  • ● If you plan to take anxiety or pain medication before the procedure, please plan for someone to bring you home.
  • ● Arrive on time for your laser treatment with cleansed skin. Do not arrive with any makeup/mascara, lotions, powders, or perfumes on or around the areas that will be treated.
  • ● If you cut your facial hair, shave the morning of the treatment but do not apply lotions or aftershave.
  • ● Contact lenses should be removed before treatment.

What to Expect After Fractional Laser and RF Resurfacing

Your recovery will depend upon the severity of your skin concerns and the intensity of the settings and Fractional Device(s) used. While, with milder fractional laser and RF treatments you can often expect a shorter recovery period and fewer side effects than other, more aggressive Fractional laser and RF skin treatments, you should still expect your skin to appear pink or red post the procedure, with some swelling. Health Canada has found fractional laser and RF skin resurfacing to be safe and effective for treating fine lines and moderate wrinkles.

Fractional Laser and RF Resurfacing Recovery & Timeline

Typically, most side effects will subside after a couple weeks for milder treatments and 1-3 months for more aggressive procedures. The skin will regenerate in roughly 10 days post-surgery. Once your treated areas have healed, we suggest utilizing a green-based makeup to tone down the redness of your skin.

Best Procedures Paired with Fractional Laser and RF Resurfacing

Facelift, blepharoplasty and necklifts are very commonly combined with Fractional Laser and RF resurfacing as the tissue gets lifted and smoothed all at once.  Fractional RF and Laser Resurfacing can also be combined with minimally invasive, non-scalpel options, like FaceTite, AccuTite to improve the skin contraction, wrinkle and texture improvements.

Botox, Dermal Fillers and Suture suspension Threadlifts are other excellent non-surgical treatments that work well in combination with Fractional Laser or RF Resurfacing. By combining these modalities, you can often replicate many of the effects of an open facelift, as the deflation, descent and deterioration of facial aging is being corrected with these combinations, non-surgical modalities.

Fractional Laser and RF Resurfacing FAQ

How Painful is it to Get a Fractional Laser or RF Treatment?

This laser and RF treatment can be low or high on the pain scale. Mild settings can cause little-to-no discomfort and generally requires only topical numbing cream. For more aggressive treatments, Laughing gas (Nitrous Oxide or Pronox) is used, together with local anesthesia.

How Long After a Laser or RF Resurfacing Treatment Should I Wait Before Botox Injection or Dermal Filler (like Juvederm) Treatments?

Whether you have scheduled appointments for injectables before your fractional laser or RF treatment or vice versa, optimally, there should be a 2-4-week window between procedures to give the skin a chance to heal.

As laser and RF treatments do not melt fillers or botox injection, once they have been injected and are settled in (as long as the filler is deep), it is recommended that Botox be injected before your procedure so that your skin relaxes the animation and wrinkles, which will assist in the Fractional Resurfacing. The collagen that will form can support the smoothening of the skin.

How Long Does Laser and RF Skin Resurfacing Last?

Most patients see a major transformation in wrinkles, coloring irregularities, and scars within weeks of their appointment. When paired with a skincare routine, your improvements will last for years to come. Please note that depending on the changes you are anticipating, you may need to have 1-3 procedures done to see significant improvements. Addition of Botox Injectable and dermal fillers to the results of your Fractional RF or Laser Resurfacing will add to your improvement and help protect your investment.

What Can I Do to Make My Laser and RF Skin Resurfacing Last Longer?

Moderate energy maintenance treatments 2-3 times per year (back to work the next day), avoiding sun damage, Botox injections, dermal fillers and good medical skincare can ensure your laser and RF resurfacing results last a long time.

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