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<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>
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<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>
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<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>
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<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>
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<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>
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<h4><u>Elevated scars</u></h4>
<p><strong>Hypertrophic scars</strong></p>
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	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>
	<li>Expected results 50-95% reduction</li>
	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>
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<p><strong>Keloids</strong></p>
<ul>
	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>
	<li>Expected results 50-95% reduction</li>
	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>
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<h4><u>Depressed scars</u></h4>
<p><strong>Rolling scars</strong></p>
<ul>
	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>
	<li>Expected results 50% reduction</li>
	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>
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<p><strong>Box Scar</strong></p>
<ul>
	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>
	<li>Expected results 50% reduction</li>
	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>
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<p><strong>Ice Pick scars</strong></p>
<ul>
	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>
	<li>Expected results: 35-50%</li>
	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>
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<p><strong>Pores</strong></p>
<ul>
	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>
	<li>Expected results 30% reduction</li>
	<li>Expected price per treatment $500/$500/$50 per year</li>
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<h4><u>Flat scars</u></h4>
<p><strong>Flat wrinkled (atrophic) scars</strong></p>
<ul>
	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>
	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>
	<li>Expected results; fair</li>
	<li>Expected price per treatment $150+ (depending on size and number)</li>
</ul>

<p><strong>Flat red scars</strong></p>
<ul>
	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>
	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>
	<li>Expected results 75-100% reduction</li>
	<li>Expected price per treatment $150+(depending on size and number)</li>
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<h4><u>Scars under the skin</u></h4>
<p><strong>Stretch marks striae distensae</strong></p>
<ul>
	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>
	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>
	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>
	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>
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