The Duplex Procedure
As we age our skin and subdermal tissue loosens and gets stretched which makes us look older. There are many reasons for this, some of which include our genetics, wear and tear, sun damage, diet, and environment. It is a fact that no matter what we lose about 1% of our total collagen and elastin every year after the age of 30. The Duplex Procedure is a combination treatment designed and developed by Dr. Kami Parsa that uses the power of fractionated co2 laser + radiofrequency to deliver the heat to skin and subdermal tissue to maximize skin tightening and improve collagen and elastin production. This combination treatment allows a much more powerful and effective result. Since we have performed 100’s of these procedures in our clinic we have perfected the settings based on the type of skin and specific problems being addressed.
The Duplex Procedure FAQs
- Why the duplex procedure vs co2 or RF alone?
- What conditions can it treat?
- How often do I need to repeat this procedure?
- I have malar edema, will this help?
- Who is a candidate?
- I have dark skin, can I do this or is there an alternative?
- Pre and post treatment instructions.
- What kind anesthesia is used?
- What is the down time?
- How much does it cost?
The Duplex procedure allows delivery of heat superficially with the fractionated co2 laser and to the deeper subdermal tissue using micro-needling assisted radiofrequency. When combined these procedures give a much more powerful result than when performed alone. It must be noted that we still use co2 alone and radiofrequency alone for many reasons. Each patient must be individually evaluated to create a customized treatment plan.Go To Top
This procedure is great for general skin tightening. It also helps improve skin texture and quality. We have also seen improvement in malar edema with use of this treatment.Go To Top
The answer depends on the condition being treated and the severity of the problem. For skin tightening and anti-aging we recommend this treatment once per year. However, there are many instances that more or less frequent treatments may be necessary.Go To Top
Malar edema is a very difficult condition to treat and it has multiple causes. We have seen great results on patients who have malar edema specially from previous Hyaluronic acid filler injections. Some patients may require 2 or 3 treatments to get optimal results, and at times surgery may be the only solution. Each case is different, and a customized treatment plan will have to be developed.Go To Top
We recommend this procedure to anyone who is concerned about the aging skin and malar edema. This procedure is best for patients with type 1 to 4 skin (lighter skin color).Go To Top
Patients with dark skin are not candidates for co2 laser resurfacing because of the risk for hyper or hypo pigmentation. However, the radiofrequency can be used with other combinations to give great results as well.Go To Top
We premedicate with oral pain medications and apply a numbing cream for 45 to 60 minutes prior to the procedure. We also have pronox (laughing gas) available for patients who may need it. The burning sensation will mostly subside after 3 to 4 hours.Go To Top
Most patients will need one week of down time. The most important thing is avoiding sun exposure.Go To Top