DOT Therapy (Dermal Optical Thermolysis) is a way to transform skin and enhance its overall appearance using a Fractionated CO2 laser. DOT Therapy is setting a new standard in laser skin resurfacing. During the procedure you provider will apply a pattern of tiny scanned pulses of laser energy to you skin with the laser. The procedure is customized to your skin. Adjustments can be made through out the procedure to more accurately treat specific areas such as the cheeks or around the mouth.
The DOT Therapy laser precisely creates thousands of microscopic holes (DOT’S) in you skin. Unlike other laser resurfacing technologies, DOT Therapy leaves islands of healthy tissue surrounding the microscopic DOT’s. This enables your skin to heal more rapidly and minimizes overall damage. The heat from the laser stimulates the collagen, which causes it to repair its structure, and therefore tightens and enhances the skin’s appearance.
DOT Therapy can be performed safely on nearly anyone with signs of aging skin such as wrinkles, pigment changes and textural changes. Accutane must be stopped 6 months prior to treatment. Patients with either a pacemaker or an internal defibrillator are not candidates.
In most cases, the DOT Therapy can be performed to an entire face within 30 minutes. Smaller areas take less time.
In most cases, excellent results can be achieved in a single session. However, persons with more severe skin conditions may benefit from a series of treatments space about one month apart. Your provider will advise you on what results you can reasonably expect.
- Accutane must be discontinued 6 months prior to DOT Therapy.
- Do not tan, do not use self-tanning products or expose the area to be treated to extreme light or sun for 2 weeks prior to each treatment.
- Shave the area of any hair prior to treatment
- Avoid the use of any medications known to increase photosensitivity for 2 weeks before treatment.
- Avoid taking medication such as Aspirin, Ibuprofen, and Aleve to minimize bruising 1 week before treatment.
- Remove all topical products such as lotions and make-up before treatment.
- An anti-viral medication will be prescribed to minimize the occurrence of a fever blister, to be started the evening before your procedure.
Prior to the procedure your provider will apply a topical anesthetic to your skin to make the procedure more comfortable during the treatment. Protective eye goggles will be used during the actual treatment. Your provider will move the laser around the treatment area utilizing customized settings. After the laser procedure is completed, a cold compress will be applied. After the procedure, your skin will be red, similar to sunburn. The redness continues for a few days initially. By day 3 or 4, you will experience some peeling as your fresher, new skin appears. In most cases, your skin will return to its normal appearance in about 7 to 10 days. Redness may continue for another 1-2 weeks. During the recovery period you will be applying specific skincare products to keep your skin moist and promote healing. In most cases, you may resume applying makeup after about 5-7 days.
- Avoid exposure to intense light/sun and avoid sun-tanning products for 2 weeks.
- Avoid Aspirin, Ibuprofen, Motrin, Aleve and all non-steroidal anti-inflammatory (NSAID’S) medications for at least 1 week.
- Use 30 SPF sunblock if sun exposure is unavoidable.
- You will complete the anti-viral medication on the day of treatment.
Existing laser research and clinical evidence indicate that laser therapy is safe; however, there is no guarantee that your condition can be treated completely by laser. Although side effects from this procedure are minimal, a small risk of the following can occur:
- Skin lightening (hypopigmentation)
- Burns, blisters, scabbing, crusting
- Skin darkening (hyperpigmentation)
- Skin texture change
- Activation of cold sores (herpes simplex)
- Allergic reaction to ointment or other topical
- Scarring (rare, possibly permanent)
- Purpura (red-purple discoloration, bruising)