Laser Treatments

Which Laser Treatment is Best for Me?

The field of aesthetic dermatology has advanced by leaps and bounds in the last decade. And many new laser treatment technologies have emerged, offering increasingly sophisticated solutions for almost every skin concerns. At Goldenberg Dermatology in Manhattan, board-certified dermatologists Dr. Gary Goldenberg and Dr. Kristina Goldenberg utilize multiple state-of-the-art laser treatments.

We understand that each patient is unique, and their skin care requires a personally tailored approach to achieve optimal results. That is why we have invested in the latest and most advanced laser treatments for our Manhattan patients. With eight of the most sophisticated lasers, our skilled and experienced Manhattan dermatologists can address virtually any aesthetic skin concern – from pigmentation and redness, to wrinkles, lines, scars, and stretch marks.

Recent advances in laser technology have revolutionized dermatological care, offering unprecedented precision in treating specific skin conditions. The American Academy of Dermatology emphasizes that successful laser treatment depends heavily on matching the right laser technology to each patient’s specific skin type, concerns, and treatment goals.

Our dermatologists’ expertise with multiple laser platforms enables them to develop customized treatment plans that address individual needs rapidly, effectively, affordably, and with the least possible amount of downtime. Our comprehensive approach begins with thorough skin analysis and consultation to determine which laser treatment, or combination of treatments, will provide optimal results while considering factors such as skin type, condition severity, and desired recovery time.

In this article, our skilled dermatologists share some of the most common skin concerns we see at our Manhattan practice – and explore which laser(s) may be right for each.

Fine Lines: Laser Genesis & Fraxel Dual Laser Treatment

Perhaps nothing is more frustrating when it comes to aging than the appearance of those fine lines and wrinkles. Whether around the lips, or “crows feet” on the side of the eyes, fine lines can add years to one’s appearance. And unfortunately, fine lines often start to appear as early as one’s late 30s or early 40s.

While there is a strong hereditary component to when and where these fine lines will start appearing, the primary culprit in the formation of fine lines is UV skin damage from sun exposure.

Laser Genesis employs advanced microsecond technology, delivering gentle heat to the dermis at a depth of approximately 0.5-1mm. This controlled warming triggers the skin’s natural healing response, stimulating fibroblasts to produce new collagen and elastin fibers. Research published in the Journal of Clinical and Aesthetic Dermatology demonstrates that this process, known as neocollagenesis, continues for several months after treatment.

The primary advantage of Laser Genesis at Goldenberg Dermatology in Manhattan lies in its no-downtime approach. Patients can immediately return to normal activities, making it ideal for those with busy schedules. The treatment feels like a warm rain on the skin, requiring no anesthesia or preparation time – and no visible recovery period afterwards.

Fraxel Dual operates differently to treat fine lines, utilizing two distinct wavelengths: 1550nm for addressing deeper tissue and 1927nm for surface-level concerns. The 1550nm wavelength creates microscopic treatment zones in the skin, stimulating robust collagen remodeling, while the 1927nm wavelength specifically targets superficial pigmentation and textural issues.

Good candidates for Fraxel Dual laser treatments are those with mild to moderate skin concerns, such as fine lines, wrinkles, sun damage, and acne scars. It is generally safe for all skin types and tones. Downtime after Fraxel Dual laser treatment is minimal. You may experience some redness and swelling for a few days, but you should be able to return to your normal activities immediately. You will need to protect your skin from the sun and avoid using harsh skincare products for a few days after treatment.

Results from Fraxel Dual are typically visible after a few weeks. And while you may need multiple treatments to achieve your desired results, the results of Fraxel Dual can last for several months or even years, depending on your individual skin and how well you care for it.

Deep Wrinkles: MixTo CO2 Laser Treatment

For deeper wrinkles, a more aggressive laser treatment may be needed. To “go deeper” an ablative procedure that removes the top, dead or damaged layers of skin may be required. While this type of treatment does come with some downtime, our Manhattan patients say it is absolutely worth it.

The MixTo CO2 laser’s sophisticated scanning pattern delivers precise columns of energy into the skin, removing aged tissue while preserving islands of healthy skin that accelerate healing. The system’s unique algorithm ensures even energy distribution, preventing overlap that could cause excessive thermal damage.

Clinical studies published in the Journal of Dermatologic Surgery show that this advanced approach stimulates new collagen formation for up to six months post-treatment. While recovery typically requires 5-7 days, results can last several years with proper skin care and diligent sun protection.

Redness & Rosacea: Cutera ExcelV Laser Treatment

The Cutera ExcelV laser represents a significant advancement in treating vascular conditions – including redness, rosacea, spider veins, cherry angiomas, and more. This laser treatment combines two powerful wavelengths (532nm and 1064nm) to target hemoglobin in blood vessels at different depths. The laser energy converts to heat, causing controlled damage to vessel walls, which the body then naturally eliminates through its lymphatic system.

This dual-wavelength technology proves particularly effective for conditions like rosacea, where both superficial redness and deeper vessels contribute to the condition. Clinical studies show up to 80% improvement in visible blood vessels after just one to two treatments. The system’s proprietary cooling mechanism maintains precise skin temperature throughout treatment, maximizing both comfort and safety.

Good candidates for Cutera Excel V laser treatment are individuals experiencing facial redness, visible capillaries, or a diagnosis of rosacea. While Excel V laser treatment is suitable for a wide range of skin types and tones, a consultation with our board certified Manhattan dermatologists will determine if it’s the right treatment for your specific skin care needs.

Downtime after a Cutera Excel V treatment is also minimal. You might experience some temporary redness or swelling in the treated area, but this usually subsides within a few hours. Most people can resume their normal activities immediately following the procedure. However, it’s crucial to follow post-treatment instructions, including avoiding sun exposure and using the proper skin care products.

Pigmentation: MixTo CO2 & Fraxel Dual Laser Treatments

UV damage from sun exposure can cause all types of frustrating pigmentation issues, including dark spots, age spots, melasma, freckling and more. At Goldenberg Dermatology in Manhattan we have multiple laser treatments for unwanted discoloration and hyperpigmentation.

The MixTo CO2 laser operates at a wavelength of 10,600nm, which has an exceptionally high affinity for water in the skin. This allows for precise vaporization of pigmented cells while simultaneously triggering deep dermal remodeling. The system’s unique fractional pattern creates tiny treatment zones surrounded by healthy tissue, promoting rapid healing and dramatic results.

Research demonstrates that the CO2 laser’s thermal effect extends beyond immediate tissue interaction, creating a zone of heat that stimulates long-term collagen production. This dual action effectively addresses both surface pigmentation and deeper skin texture concerns.

Using a slightly different technology for treating pigmentation, the Fraxel Duals 1927nm thulium fiber wavelength specifically targets water in the superficial epidermis where most pigmentation resides. This precise targeting allows for effective treatment of conditions like melasma with minimal risk of post-inflammatory hyperpigmentation, a common concern with more aggressive lasers.

Good candidates for Fraxel Dual are those with mild to moderate skin concerns, such as fine lines, wrinkles, sun damage, and acne scars. It is generally safe for all skin types and tones. Downtime after Fraxel Dual is minimal. You may experience some redness and swelling for a few days, but you should be able to return to your normal activities immediately. You will need to protect your skin from the sun and avoid using harsh skincare products for a few days after treatment.

Results from Fraxel Dual are typically visible after a few weeks – and you may need multiple treatments to achieve optimal results. Fraxel Dual laser treatment results can last for several months or even years, depending upon your individual skin condition and how well you care for it.

Scar & Stretch Marks: MixTo CO2 & Laser Genesis Treatment

Scars come in all shapes and sizes. From acne scars, to surgical scars, and scars from surgery or injuries, scarring can detract from your appearance and even cause embarrassment. At Goldenberg Dermatology in Manhattan, board-certified dermatologists Dr. Gary Goldenberg and Dr. Kristina Goldenberg offer multiple state-of-the-art laser treatments that can significantly minimize scars.

The MixTo CO2 laser excels in scar treatment through its ability to precisely remove damaged tissue and trigger new collagen formation. Its unique scanning pattern ensures even treatment distribution, particularly beneficial for uneven scar tissue. The system can be adjusted to treat scars at various depths, and of various colors, making it effective for both shallow and deep scarring.

For less prominent scars, Laser Genesis provides a gentler laser treatment approach. For newer scars and stretch marks, using thermal stimulation to improve collagen organization during the early stages of scar formation can stop them from becoming pronounced. This early intervention can significantly improve final scar appearance without requiring downtime.

Many of our Manhattan patients schedule Laser Genesis treatment after surgical procedures, to ensure that their skin heals without significant scarring.

Acne: Advanced AviClear Laser Treatment

At Goldenberg Dermatology in Manhattan, board-certified dermatologists Dr. Gary Goldenberg and Dr. Kristina Goldenberg offer multiple state-of-the-art laser treatments for treating acne. However, the newest and most advanced is the AviClear laser treatment for acne.

AviClear represents the latest advancement in laser acne treatment, utilizing a 1726nm wavelength specifically designed to target sebaceous glands. This unprecedented specificity allows for selective destruction of overactive oil glands while preserving surrounding tissue. Clinical trials demonstrate up to 80% reduction in inflammatory acne lesions after three treatments.

Unlike traditional acne treatments, AviClear provides long-term relief by actually altering sebaceous gland behavior. This means that it not only eradicates active acne, but also significantly reduces future acne breakouts.  The AviClear acne laser treatment requires no downtime and works effectively on all skin types. Additionally, many acne patients at Goldenberg Dermatology in Manhattan no longer need for oral medications or topical treatments for their acne, after AviClear.

Best Laser Treatments | Manhattan

Whether you are experiencing unwanted pigmentation, redness, wrinkles and lines, scars, stretch marks, or acne, experience personalized laser treatment at Goldenberg Dermatology in Manhattan. schedule a consultation and our experienced dermatologists will help determine the best laser treatment plan for your specific skin concerns and goals. Our comprehensive array of advanced laser treatments enables us to achieve the best laser treatment results – so you will love the skin you’re in!

Manhattan’s Best Laser Treatments: 212-405-8202