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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?

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.

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What conditions can it treat?

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.

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How often do I need to repeat this procedure?

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.

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I have malar edema, will this help?

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.

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Who is a candidate?

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).

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I have dark skin, can I do this or is there an alternative?

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.

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Pre and post treatment instructions.

For pre and post instructions please click here.

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What kind anesthesia is used?

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.

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What is the down time?

Most patients will need one week of down time. The most important thing is avoiding sun exposure.

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How much does it cost?

For pricing please click here.

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Before and After

10 things
you must know

before having cosmetic eyelid surgery.

Watch now




4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.