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Minimally Invasive Treatments
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There are many instances where either the patient is not ready for a more invasive surgery or they are simply not a good candidate to undergo surgery. In these instances, a quick CO2 laser resurfacing can help tighten the skin around the eyes, eliminating some of the fine wrinkles and helping to give a lift to the eyelids. Having performed thousands of these procedures I’ve perfected a pattern to the eyelid resurfacing that I’ve termed The Butterfly Lift . This pattern maximizes the power of the laser in a safe setting to allow for optimal results and recovery. Here are some common questions about CO2 laser resurfacing.

  1. What is fractionated CO2 laser?
  2. How does fractional CO2 laser work?
  3. What can you expect from this procedure?
  4. How many treatments will I need?
  5. Who is an ideal candidate?
  6. The day of procedure?
  7. How long does the procedure take?
  8. Can I drive home?
  9. How long is recovery?
  10. What are the post procedure instructions?
  11. When can I get back to work?
  12. Can I wear makeup?
  13. How much does it cost?
  14. OK I want to know if I’m a candidate how should I proceed?

1. What is fractionated CO2 laser?

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Fractional or “pixilated” carbon dioxide (CO2) lasers are one of the latest advances in non-surgical skin rejuvenation treatments. The CO2 laser has the longest wavelength of all the lasers on the market and can be used safely on darker skin types with appropriate adjustments in the settings.

2. How does fractional CO2 laser work?

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The fractional CO2 laser is a technology that allows laser resurfacing of the skin in a grid like pattern. These fractionated laser beams are able to penetrate the deeper layers of skin. The skin then repairs those tiny shafts by pushing out the old damaged skin and replacing it with new skin. The heat from the laser allows tightening of the skin as well.

3. What can you expect from this procedure?

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Tightening of the skin, reduction in fine lines and wrinkles, and a small lift to the eyelids.

4. How many treatments will I need?

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Depending on your skin type most people just need one to two treatments separated by 6 to 12 months. Again this procedure is customized to you and the specificity of the treatment needs to be individualized.

5. Who is an ideal candidate?

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Most people, except very dark skinned individuals.

6. The day of procedure?

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It is probably best to get a ride or Uber to the office. When you get to our office we will take some pictures and apply numbing cream around the areas to be treated. The numbing cream is removed after 15 to 20 minutes. At this point you are taken to the laser room where a protective eye shield is placed to protect your eyes. The laser is then safely performed.

7. How long does the procedure take?

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Expect to be at our office for about 45 minutes to an hour.

8. Can I drive home?

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Although you may drive home we highly recommend you getting a ride or an Uber/Lyft.

9. How long is recovery?

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5 to 7 days, depending on the patient.

10. What are the post procedure instructions?

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DAY OF TREATMENT:

  • Keep treated areas covered with topical ointment/cream as instructed by physician.
  • Apply cooling compresses (e.g. a bag of frozen peas or wet paper towels frozen in Ziploc bag) Note: do not apply ice directly to skin and do not use towels, as detergents may irritate skin.
  • If desired, you may spray water mist on skin using distilled or spring water.
  • May take an analgesic Tylenol for discomfort.

FIRST NIGHT:

  • Sleep with head slightly elevated.
  • Place paper towel over pillow to protect from ointment/cream.
  • If experiencing irritation to the eye, may use an eye lubricant (e.g. Systane™).

DAY 1 (FIRST DAY AFTER TREATMENT):

  • Avoid direct sunlight and excessive heat.
  • Begin washing face 2-3 times a day with room temperature water and Cetaphil.
  • May take shower and wash hair. Avoid hot water.
  • Re-apply Aquaphor to treated area. Ensure skin remains constantly moist.

DAY 2:

  • Swelling should subside and skin may bronze and feel gritty.
  • Itching may begin on this day.
  • Continue applying ointment/cream (and cool compresses, if needed).
  • Continue washing face with Cetaphil and room temperature water.
  • For extreme itching, hydrocortisone cream (OTC 1%) may be applied. AVOID picking and/or scratching.

DAY 4-7:

  • Itching has usually subsided.
  • You may start more aggressive washing with fingertips to promote further exfoliation (do not pick).
  • Use non-irritating sun block SPF 30+ with zinc oxide (7-9%) and/or titanium dioxide when going outside.
  • You may apply mineral makeup i.e. Oxygenetix can be used. You can ask one of our office staff to color match this foundation to your skin tone.

DAY 7-28:

  • Continue appropriate moisturizer until skin has hydrated back to its normal level (3-4 weeks).
  • You may start regular skin care program as long as treated area is healed (no exfoliation).
  • Continue applying non-irritating sunblock (SPF 30+) and use mineral makeup
  • Avoid exposure to excessive sun for up to 4 weeks (hat or clothing must be used to protect treated areas).

11. When can I get back to work?

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Most people go back to work after 2 to 3 days depending on the type of work.

12. Can I wear makeup?

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Only minimal

13. How much does it cost?

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Butterfly lift is between $900 to 1800 depending on the area.

14. OK I want to know if I’m a candidate how should I proceed?

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Please contact our office at 310 777 8880 or email us for your appointment. We look forward to seeing you soon.

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What Dr. Parsa's Patients Say

4.8 / 5.0

Based on 29 reviews

Erica D.

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!

Sophia P.

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.

Todd H.

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!

Yuliya O.

I found Dr. Kami Parsa on RealSelf a couple of years ago. He was one of the top doctors I found. I read many of the reviews patients left and they were all great. So, I decided to go ahead and set up a consultation with Dr. Parsa. He is very smart and truly knows what he is talking about. After consulting with a couple of other doctors, I knew Dr. Parsa was the one. I chose Dr. Parsa to perform the surgery. I had a great expericence with the surgery it’s self, everything went very well. I am so happy with the final results. I would 100% recommend Dr. Parsa to anyone who is looking for a upper/ lower Blepharoplasty doctor. Dr. Parsa really knows what he is doing.

Allan B.

I have been bothered for years by my left eye feeling “tired”, manifesting in a a “droop”. My ophthalmologist diagnosed it as “ptosis” (drooping eyelid), and referred me to Dr Parsa for a consult. From the beginning, my experience has been exemplary. First, his assistant, Marie, is amazing-warm, compassionate, knowledgeable. After a comprehensive examination and paying close attention to my explanation of what I have been experiencing, Dr Parsa concluded I am NOT a candidate for the ptosis surgery. Rather, a corrective procedure is actually an eyebrow lift-much simpler, less invasive, far less costly. What a breath of fresh air to find a doctor who is is patient- centered and willing to not “sell” a more expensive job. His professionalism and apparent expertise were evident throughout. This is what healthcare in America should be all about.

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