Skin Resurfacing with Fractionated Laser

Our fractional laser is a highly specialized laser which targets collagen cells using micro beams of light. This state-of-the-art technology is effective in skin resurfacing and can treat: melasma, acne scars, wrinkles, stretch marks, sun damage, and skin discoloration. In just two sessions, you can expect to see results with minimal downtime.

Sun Damage

The vast majority of undesirable skin changes that occur as part of the aging process are directly linked to the amount of sun exposure received over time. Skin is quite resilient in protecting itself from environmental damage, but over time repeated exposure to UVB light causes changes in DNA genetic sequences, which results in sunburn and increased melanin production. Sun damage is responsible for breaking down elastin and collagen fibers causing sagging, wrinkles, and dry parched skin. Avoiding sun exposure and using sun block on a daily basis is the best way to protect the skin from premature aging.

Laser, peels, and skin resurfacing are all terrific, non-invasive options to reverse any signs of aging and repair the damage UVB rays may have cause to your skin. Although our medical spa has the technology to reverse several signs of aging, it is always recommended to our patients to not underestimate the importance of using home care products designed to gently correct and nourish the skin. With all of our sun damage reversing therapies, Dr DeJuliis will recommend a combination of sun blocks and skin care products that will help to protect your newly youthful skin for any reoccurring sun damage.


Wrinkles are formed when collagen and elastin fibers underneath the skin begin to deteriorate and fade away.  Repeated sun exposure, smoking, poor eating habits, and high blood sugar are all environmental factors that will encourage oxidative stress and skin inflammation that lead to accelerated skin aging.  Over time, this skin aging and collagen damage creates folds, wrinkles, and sagging skin.

Beautiful skin begins with the fuel we choose to put into our body. Dr DeJuliis knows that her clients who stick to a diet packed with antioxidants and healthy fats typically present with more youthful-looking skin. Hormonal balance is also important for protecting new collagen fibers and skin hydration. Wrinkles can be softened and fine lines eliminated in the hands of a physician who is very skilled at using skin resurfacing techniques, lasers, botulism toxins, and appropriate fillers. Laser skin resurfacing is very good at reaching the deep layers of the skin for indepth collagen stimulation.

Acne Scars

Scars from acne or any other injury to the skin are created as an inflammatory response to trauma. But the severity of a scar, and its appearance once fully healed, is often genetically determined. Unfortunately, some people have a tendency to produce unsightly, dark scar tissue, while others do not. For those people with a propensity for scarring, prevention is the most important step. For people with a tendency to develop scars preventing breakouts is the best way to keep the skin scar free. A healthy diet with the right balance of antioxidants, fibers, fatty acids, as well as avoidance of trans fats and processed foods is very helpful in avoiding pimples. Dr DeJuliis recommends also taking vitamins and probiotics for a healthy glow.

Scars left in the wake of acne can be either deep or superficial. Superficial scars are easier to correct. Skin resurfacing treatments such as Yag laser, medical microdermabrasion and chemical peels can improve their appearance and help to stimulate new collagen fibers. The appropriate medical treatment of acne combined with the right skin care regiment can go a long way .

Picking on the skin after a pimple is one of the worst things you can do because you are creating trauma to the skin, which in turn will respond to the inflammation by producing scar tissue. Often, when clients have several facial scars due to acne, Dr DeJuliis typically recommends using one of her signature laser resurfacing techniques. Dermal fillers can also be used to make scars appear less visible.

Stretch Marks

Stretch marks are created when the skin has been stretched too far or too fast, such as during puberty, pregnancy, or weight loss. The hormone glucocorticoid is responsible for the development of stretch marks. It blocks the fibroblasts from producing collagen and elastin, necessary for keeping the skin taut.  As the skin is stretched, the lack of supportive material leads to tearing of the dermis and epidermis.

Fractional laser light breaks down stretch marks and improves the appearance of the skin. The treatment is very comfortable and takes a few minutes. Multiple sessions might be necessary depending on the severity of the skin damage.

Smoker’s Lines

Smoker’s lines are vertical lip lines that are caused by the natural lip movements over time. Smokers have deeper and more numerous lines around the lips due to the harmful effect tobacco has on the skin as well as the mechanical movement of pressing on the lips while smoking. Waxing and threading can also contribute to the formation of lines, although to a lesser degree than smoking. Smoking cessation will help in preventing further damage.

Lip lines need various modalities for correction because they tend to be deep and are constantly stimulated by the movements of the lips.  Some women experience strong and tight muscles in this area. Making those muscles softer with Botox can result in a great improvement and can prevent formation of more lines. Laser resurfacing is very helpful in this area as well as superficial fillers. An experienced physician can add a small amount of filler to the lips making lines less visible and eliminate unsightly lipstick bleeding.


Melasma is characterized by brown or tan discoloration of the skin. It is common in women, especially during pregnancy. Contraceptives and hormone replacement can stimulate the melanocytes in the skin to produce the dark discoloration. Sun exposure can also encourage the production of dark pigmentation. The forehead, nose, cheeks, and upper lip are common areas for melasma.

Treatment for melasma includes bleaching agents, sun protection and low energy fractional laser. When considering laser, it is very important to consult with a physician who has special expertise in delivering the right energy level to the skin since a strong laser can often overstimulate the skin and make the melasma worse.