ERIC KUSSELUK, MD
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Laser Procedures

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Lasers
Ruby Laser
Ruby Laser Sunspot Removal
Sunspots, like their name implies, is a condition developed by overexposure to the sun. The darkened patches of skin can appear in a variety of shades depending on a patient's skin type, age and amount of exposure. TheRuby Laser is highly selective in targeting the pigmented cells that cause a discolored appearance. Fading has been clinically proven and tested as a safe and effective procedure for removing sunspots.

Ruby Laser Tattoo Removal
The Q-switched ruby laser emits short pulses of intense red light which passes harmlessly through normal skin where it is selectively absorbed by the tattoo ink. The laser energy breaks the tattoo ink into minute particles that are easily removed by your body's immune system. Any large particles of ink that are not completely fragmented may require additional treatments, but the tattoo gradually fades. Normal skin is not harmed by the treatment. Only the ink is removed, and your skin is left intact.
BBL™ BroadBand Light
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The innovative BBL™ module extends the versatility of the JOULE platform with one-of-a-kind flash lamp technology, interchangeable Smart Filters, Finesse Adapters, and precision thermoelectric cooling.

BBL uses advanced dual-lamp technology with each lamp supplying half of the energy needed during treatment. This results in unsurpassed lamp lifetimes.

Its broad range of wavelengths allow targeted treatment for many skin conditions including rosacea, melasma, acne, pigment alterations and more. Its flexible Finesse Adapters enable treatment of hard to reach areas, producing evenly treated skin.

With its user-friendly features, superior results, and exceptional ROI, BBL is the most complete and versatile broadband light system in its class.

Forever Young BBL™ Treatment
Learn more at www.foreverbarebbl.com
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Before Treatment: 43 Years Old | After Treatment: 55 Years Old
After 11 Years of Forever Young BBL treatments, the skin looks younger...
Before Treatment: 43 Years Old | After Treatment: 55 Years Old
After 12 Years of Forever Young BBL treatments, the skin looks younger...

Science & Technology
Dual-lamp Design
BBLs' dual-lamp technology is designed with each lamp supplying half of the energy during a pulse. This results in an unprecedented lamp life for each BBL handpiece.

Adjustable Cooling
BBL employs an integrated thermoelectric monitoring assembly enabling its sapphire crystal and sensors to continually and precisely maintain temperatures from 0 °C – 30 °C with adjustability of every degree in between.

Treatment Speed
With a large 15 X 45 mm spot size and rapid repetition rate users enjoy an efficient patient throughput. Since each pulse is cooled to the selected temperature, patients enjoy a comfortable treatment.

Square-wave Energy Deliver
  • BBL delivers a pulse to tissue with precise on and off timing with controlled irradiance.
  • BBL's pulse envelop is adjusted ten times within each pulse to achieve consistent and efficient results.
  • Many systems deliver only single or double pulses with extended low power tails below therapeutic levels resulting in higher than necessary fluence requirement.
  • BBL's square wave pulsing does not create a low energy tail and waste of energy.
Information comes from:
http://www.sciton.com/products/bbl.html
ProFractional Therapy™
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ProFractional is Sciton’s solution for achieving excellent resurfacing results with minimal downtime. Unlike full field resurfacing which removes the entire surface area of a treatment site, ProFractional ablates narrow-diameter channels into the skin, covering a fraction of the total treatment area. This action initiates the body’s wound healing response which stimulates fibroblasts to produce new collagen and elastin, while leaving the surrounding tissue intact for rapid healing. The benefits of ProFractional include increased patient comfort, shorter healing times, and tunable results that can range from subtle to dramatic.

ProFractional utilizes a 250 µm spot size and offers a range of treatment densities from 1.5% to 30% coverage. ProFractional-XC utilizes a 430 µm spot size and predefined treatment densities for greater speed. ProFractional-XC also provides the ability to add depth-selectable tissue coagulation for enhanced collagen remodeling.

Clinical Applications
ProFractional creates clean, micro-ablated channels in the skin, which activate fibroblast production and rejuvenate the collagen matrix. The result is the formation of new collagen and elastin, which combine to bring increased turgor and thickness to the skin. Leaving surrounding tissue intact helps promote rapid healing due to presence of stem cells and melanocytes in the papillary dermis.

ProFractional therapy can be used on all skin types, both on face and body.
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Science + Technology
Better ablation through more efficient water absorption

ProFractional utilizes an erbium:YAG laser, which was chosen due to its high ablation efficiency. Erbium has a much higher absorption in the target chromophore water than CO2 (see graph below) which gives erbium the ability to vaporize tissue with very little thermal conduction. By contrast, due to their comparatively low absorption by water, CO2 lasers have lower ablation efficiency and therefore, unavoidably, conduct a significant amount of heat into the tissue.
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Tunable Resurfacing Laser (TRL) technology
Erbium’s high water absorption is only part of the story. What truly sets ProFractional apart is TRL technology, which gives the user the ability to adjust the depth of ablation and coagulation independently. By modulating the laser’s energy to deliver supra-ablative pulses, ProFractional is able to vaporize any depth of tissue from 25 to 1500 µm per pass with extreme precision. If coagulation is desired,
ProFractional-XC delivers a train of sub-ablative laser pulses that heat the tissue to a selectable depth without
vaporizing it.

ProFractional’s TRL technology can ablate from 25 µm to 1500 µm with exacting precision.
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Combination treatments
ProFractional works very well as a stand-alone procedure or in combination with other treatments. Some examples of combination therapies include:

MicroLaserPeel™ + ProFractional Therapy -
Start with Sciton’s MicroLaserPeel for full field treatment to remove superficial irregularities followed by ProFractional Therapy to stimulate collagen remodeling through deep fractional ablation.

BBL™ + ProFractional Therapy -
Start with Sciton’s BBL for full field treatment to remove pigmented lesions followed by ProFractional Therapy.

SkinTyte™ + ProFractional Therapy -
Start with SkinTyte to improve skin laxity followed by ProFractional Therapy.
Contour TRL™
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The Contour TRL (Tunable Resurfacing Laser) is a full-field skin resurfacing solution, capable of a wide variety of treatment options. From shallow a MicroLaserPeel® (up to 50µm of ablation) to deep resurfacing (up to 200µm of ablation per pass, with or without variable depth coagulation), the Contour TRL gives the physician exquisite control over surgical outcomes.

What makes the Sciton resurfacing laser truly unique among other resurfacing lasers is TRL technology, which provides independent control over the depth of ablation and coagulation with micron precision. TRL technology makes it easy to ablate as shallow or deep as you like, with or without coagulation. Competitive lasers, like CO2, have a fixed ratio of coagulation to ablation, and there is no way to separate the two. With CO2, coagulation always accompanies ablation, which often leads to suboptimal treatments and undesired side effects like hypopigmentation, sustained erythema, and prolonged recovery times.

Sciton’s TRL technology is different. Because the Contour TRL decouples ablation and coagulation and allows for precise application of each, practitioners can dial in the exact tissue effect needed for each patient’s pathology, desired outcome, and tolerance for downtime.

Science + Technology
Better ablation through more efficient water absorption


The Contour TRL employs a dual-mode erbium:YAG laser that incorporates the pinnacle of resurfacing laser technology. Erbium has a much higher absorption in the target chromophore water than CO2 (see graph below) which gives erbium the ability to vaporize tissue with very little thermal conduction. By contrast, due to its comparatively low absorption by water, CO2 lasers conduct a significant amount of heat into the tissue. The clinical significance of erbium’s superior ablation efficiency should be a critical factor in deciding which laser to add to one’s practice. Studies have shown that erbium lasers produce far fewer side effects such as the prolonged erythema and hypopigmentation that are common with CO2 lasers.
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TRL (Tunable Resurfacing Laser) technology

Erbium’s high water absorption is only part of the story. What truly sets the Contour apart is TRL technology, which gives the user the ability to adjust the depth of ablation and coagulation independently. By modulating the laser’s energy to deliver supra-ablative pulses, the Contour is able to vaporize any depth of tissue from 4 to 200 microns per pass with extreme precision. If coagulation is desired, sub-ablative laser energy is delivered in a train of pulses that heat the tissue to a selectable depth without vaporizing it.

The graph shows a supra-ablative pulse (well above the ablation threshold) which vaporizes tissue to a controlled depth, followed by a train of sub-ablative pulses, which raise the tissue temperature.
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With Contour TRL, the physician has the ability to precisely dial in the exact tissue effect desired – from pure ablation to pure thermal, and every combination in between. This unique ability is what gives the power to tailor treatments to each patient’s individual pathology, desired outcome, and tolerance for downtime. Simply stated, if you want the very best resurfacing results, Contour TRL is your solution.
Candela Vbeam Perfecta
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Vbeam Perfecta is the gold standard and the world's best selling pulsed-dye laser

Time and again it proves itself as the safe, easy-to-use tool for the treatment of vascular, pigmented and certain non-pigmented lesions

Science + Technology
Vbeam Mechanism of Action


The Vbeam Laser System is a flashlamp-excited pulsed dye laser indicated for dermatological applications. It delivers pulsed laser energy at a wavelength of 595nm that passes through the dermis and epidermis skin layers and is absorbed by the oxyhemoglobin in the blood vessels rather than by the surrounding tissue.
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Vbeam Perfecta RESULTS
Vbeam Treatment -
Photos: Ross Kaplan, MD
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Website for more information:
https://syneron-candela.com/na/product/vbeam-perfecta
sciton® ThermaScan™
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ThermaScan is a non-ablative, non-invasive treatment for wrinkles, acne and acne scars using the power of infrared 1319 nm energy.

ThermaScan Overview

Pulsed energy at a 1319 nm wavelength allows controlled heating of sub-epidermal layers of the skin. This is ideal for non-invasive wrinkle and acne scar treatment through collagen remodeling or for treating acne by heating sebaceous glands thereby minimizing oil production. The pulse duration and high scattering coefficient limit the heated region to a uniform thin layer below the epidermal-dermal boundary.

The LAPG (Large Area Pattern Generator) computer-guided high speed scanner provides precise placement of each spot in a non-sequential pattern to prevent excessive heat build-up promoting thermal relaxation time between pulses. In addition, the advanced robotic scanning offers smooth operation, faster treatments, and 100% coverage.

To achieve optimal safety and patient comfort, the LAPG provides integrated contact cooling through sapphire plates and a powerful external chilling unit. The intelligent user interface provides user-friendly and quick guidance to initial settings for the treating conditions. ThermaScan is designed for all skin types including tanned skin.

Science + Technology
Large Area Pattern Generator (LAPG™) & Non-Sequential Scanning
  • ThermaScan™ utilizes the LAPG high speed scanner in a non-sequential delivery for comfortable hair reduction with continuous contact cooling for precise, uniform coverage
  • The computer guided scanner covers large areas rapidly and evenly
  • Maximizes the time interval between adjacent spots for precision thermal relaxation time
  • Minimizes subsurface heat build-up providing additional comfort during treatment
  • High speed, uniform coverage
  • Improved efficacy
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Website for more information:
https://sciton.com/physicians/thermascan/
SCITON® SkinTyte®​
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SkinTyte® Treatments
Improve the Appearance of Skin Laxity

​Improve the Appearance of Skin Laxity with SkinTyte
As we age, so does our skin. But that doesn’t mean it’s game over. Toss out the ineffective creams and useless claims and improve the appearance of skin laxity with SkinTyte—the powerful nonsurgical treatment for the face, neck, and body.

The treatment utilizes advanced infrared light technology to improve the appearance of lax skin. 

Website for more information:
https://sciton.com/treatment/skintyte-treatments/
​Vivace® Microneedle RF
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​THE VIVACE EXPERIENCE®
The Vivace® Microneedle RF device is the newest generation of radiofrequency microneedling and is FDA-cleared for your safety. This minimally-invasive treatment stimulates the natural production of collagen and is shown to be effective in alleviating facial wrinkles, fine lines, and tightening and toning the face and neck.

We start with the best-in-class Vivace® Microneedle RF device, designed for an incomparable, comfortable patient experience. We recommend a personally compounded numbing cream, the best available today, and our carefully developed recovery system ensures no one knows you just had a treatment. The results are immediate and also improve over time, giving you the best of both worlds.

If you are looking for the optimal results, look no more. Welcome to The Vivace Experience®.

Website for more information:
https://www.vivaceexperience.com/​

Call and make an appointment today: 
​
212-753-1909

Erik Kusseluk, MD

General Dermatology

Cosmetic Treatments

Laser Procedures

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  • HOME
  • GENERAL DERMATOLOGY
  • COSMETIC TREATMENTS
  • LASER PROCEDURES
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