Laser Skin Treatments

KTP Laser®

Long-pulsed KTP lasers have been used effectively for port-wine stains, rosacea, and poikiloderma, among others. Short-pulsed KTP lasers are effective for pigment and tattoo removal as well as rejuvenation.

KTP laser is a safe and effective modality for the treatment of superficial vascular lesions

During the treatment, you will be able to feel each pulse of the laser energy shine into your skin as it gently warms blood vessels. Most patients report their pain as being extremely mild, but certain areas may be more sensitive, like the upper lip and nose.

The KTP laser works on the principle of selective thermolysis. The selected wavelength of laser light is absorbed to a high degree by the target structure (called a chromophore) and is absorbed less by surrounding tissue. The skin chromophores targeted by the KTP laser are melanin and oxyhemoglobin.

Any questions? Call Advanced Skin Medspa today!

A KTP laser is a solid-state laser that uses a potassium titanyl phosphate (KTP) crystal as its frequency doubling device. The KTP crystal is engaged by a beam generated by a neodymium:yttrium aluminium garnet (Nd: YAG) laser. This is directed through the KTP crystal to produce a beam in the green visible spectrum with a wavelength of 532 nm.

  • The KTP laser works on the principle of selective photothermolysis.
  • The selected wavelength of laser light is absorbed to a high degree by the target structure (called a chromophore) and is absorbed less by surrounding tissue.
  • The skin chromophores targeted by the KTP laser are melanin, oxyhaemoglobin and red tattoo pigment.
  • The pulse duration of laser energy is shorter than the target structure’s thermal relaxation time (the time taken for the target to cool by 50% of its peak temperature after irradiation).
  • This ensures that the impact of thermal energy is limited to the target structure and does not affect the surrounding tissue. Modern KTP lasers also have integrated cooling systems to help protect the epidermis, particularly when doing vascular work.
  • When KTP laser light hits the skin, it is reflected, transmitted, or absorbed.
  • Absorbed light energy is converted to thermal energy (heat) by the intended targets (chromophores), thereby killing the target cells.
  • Complications result when energy intended for the target chromophore is nonselectively diffused and absorbed by surrounding tissues and structures. Because melanin is targeted by this wavelength, the KTP laser is rarely used in darker skin types.
  • The effects of the KTP laser on the skin can be modified by altering the pulse width and degree of cooling. In the case of tattoo pigment, the pulse width is narrowed to nanoseconds (Q-switched KTP) and the clinical effect is photomechanical/acoustic. Picosecond lasers may be more effective for pigment fragmentation but at very short pulse widths, the creation of a plasma veil is a limiting factor.

The following skin disorders may be treated with KTP lasers using a US Federal Drug Agency (FDA)-approved machine, such as The Excel V® (Cutera). The Revlite SI (ConBio) is a Q-switched KTP laser. Both of these lasers also have a 1064 nm module.

PICO Genesis® Laser for Skin Revitalization

 PICO Genesis laser technology is a non-surgical, non-invasive laser skin treatment that can be used to address the majority of common skin imperfections, including spots caused by sun damage and acne scarring. Pico technology is regarded as one of the most advanced laser treatments currently available on the market. If you're looking for laser sun damage removal or laser varicose vein removal in Orange County, NY, we've got you covered.

The Enlighten 3 laser by Curera is an FDA-cleared picosecond laser that treats acne scars, wrinkles, benign pigmented lesions (dark spots), and tattoo removal. The Enlighten laser first became known for its tattoo and pigment removal capabilities, but it continues to grow in use for acne scars, sun damage, birthmarks (ie: Nevus of Ota), and wrinkles.

How Quickly Can You See Results and How Effective Is It?

Skin cell activation is a term relating to the skin cells talking to each other. Basically, certain proteins are released by the Focus laser treatment and then nearby cells detect this and are stimulated to produce more elastin and collagen. These are skin-tightening chemicals. 

However, with wrinkles or removal of pigment from your skin – these conditions may return slowly as your skin continues to age with time. The results of this treatment will appear gradually as your skin’s natural regenerative abilities. For most patients, results are first visible about 2 or 3 weeks after the first appointment. Optimal results are seen after 4-6 sessions.

PICO Genesis is a proven treatment, and several scientific studies have shown that this laser is very good at treating different skin conditions. For example, in one study, about 90% of people who used this laser to treat their wrinkles were satisfied with their improvements after six months. The PICO Genesis treatment produces

"Skin cell activation" is a term relating to the skin cells talking to each other. Basically, certain proteins are released by the Focus laser treatment and then nearby cells detect this and are stimulated to produce more elastin and collagen. These are skin-tightening chemicals. 

However, with wrinkles or removal of pigment from your skin – these conditions may return slowly as your skin continues to age with time.

Is there downtime with PICO Genesis?

Typical side effects include temporary redness at the treatment site. Unwanted pigmentation associated with the acne scarring can slightly frost (whiten) during treatment, then darken over the following 24 hours, and then shed over the next few weeks.

Clear + Brilliant®

Clear + Brilliant is a gentle laser that is clinically proven to effectively treat early signs of aging. This is done through the use of fractionated laser technology to address and reverse the visible signs of aging. 

C+B utilizes two kinds of wavelengths to customize treatments based on patient concern. 

One handpiece (1440nm) helps with fine lines, wrinkles and pore size where the alternate hand piece (1927nm or permea) is used for pigment, sun damage and brightening including Melasma! 

Unlike skin resurfacing lasers which vaporize skin cells, this particular laser doesn’t destroy cells outright. Instead, it causes micro-damage to specific areas of the skin by heating up some of the structures within skin cells.

Your aesthetician will apply a Vitamin C Serum along with a moisturizer and SPF 30+. 12-24 hours. It is very common to feel heat in the areas treated but will subside quickly.

You will see and feel results immediately over the next week with best results after two weeks. Results can last from 30-90 days depending on age, skin condition and how you protect your skin. Protocol for Clear + Brilliant is 4-6 sessions for optimal results. To maximize your results, you should schedule a session every 2-4 weeks makeup can be applied within 4-6 hours after treatment if needed. 

The benefits of Clear + Brilliant are clear and brilliant!

  • Reduces the appearance of fine lines;
  • Reduces the appearance of pores;
  • Reduces the appearance of sun damage and melasma conditions 
  • Improves skin tone and texture, leaving your skin feeling soft and supple;
  • And overall improvement in your skin’s appearance, giving you a radiant, youthful glow.

Most patients describe some mild discomfort during the treatment. To ensure our patient’s comfort, we will apply a topical anesthetic before the procedure, which helps to minimize this discomfort. We also use a cooling device during the treatment.


Ultherapy® lifts the neck, chin, and brow, plus improves lines and wrinkles on the upper chest. It is a non-invasive treatment for natural-looking results and is FDA-cleared.

Ultherapy® is the only FDA-cleared, non-invasive procedure that lifts the neck, chin, and brow, and improves lines and wrinkles on the upper chest. Through ultrasound imaging with Ultherapy®, energy is delivered precisely to the place where it will benefit you most—for natural-looking results that improve over time.

Ultherapy® relies on ultrasound therapy to go deeper than other non-invasive treatments for collagen stimulation. And it leverages traditional ultrasound imaging so our providers can see the layers of tissue they are treating. This ensures the treatment energy is delivered to where it benefits you most.

Only Ultherapy® is FDA-cleared to non-invasively lift skin on the neck, under the chin, and on the brow—and also improve lines and wrinkles on the décolletage! No wonder we’ve delivered more than a million treatments worldwide.

For those who are not ready for a surgical facelift, Ultherapy® provides proven results in a single treatment for most patients. Learn how to treat your loose skin without surgery, without impacting the surface of your skin, and without downtime.

The results from Ultherapy® generally last two years. The treatment produces new collagen, but even with natural collagen regeneration, the skin continues to age. Using good skincare products that encourage skin tightening and collagen production will help maintain your results

A good candidate for Ultherapy® is someone with some degree of laxity, to the point of looking, and often feeling, less firm. Loose skin under the neck and under the chin, or lines and wrinkles on the chest, are signals a patient might be a candidate.

Do not use the following products 3 days before or 3 days after your treatment or until pinkness has subsided): Retin-A, retinoids, or similar vitamin A compounds, harsh scrubs or exfoliating products, and bleaching creams. Avoid tanning or prolonged sun exposure 2 weeks before and 2 weeks after treatment.

Ultherapy® results are intended to be permanent, but the aging process will eventually affect your results. As you age, even after experiencing this treatment, you will continue to notice skin laxity as your body produces less collagen and elastin.

Ultherapy® is an excellent alternative for patients who want to look younger without the extensive healing time associated with a more invasive procedure, such as a brow lift or facelift. It’s also ideal for patients who want a more natural, gradual improvement in their appearance.

Immediate results are not noticeable; it will take three to six months for the final results to be revealed. The new collagen created will strengthen the structure of the skin for a refreshed and revitalized appearance that takes years off the patient's appearance.

If you are interested in Ultherapy®, call Advanced Skin Medspa at (845) 391-0712 to schedule your appointment.

Almost all of our clients find that they only need one Ultherapy treatment to achieve their ideal aesthetic. However, people with significant collagen loss find that they need two treatments spaced four to six weeks apart to achieve their desired aesthetic initially.

  • Do not use blood-thinning medications and supplements.
  • Avoid direct sun exposure three to five days before treatment.
  • Shave desired treatment area if necessary.
  • Discontinue use of Retinol, glycolic acid, and salicylic acid.

Secret™ RF

Secret RF is a microneedling treatment that combines the use of fine, insulated needles and radiofrequency (RF) energy to heat and effectively target fine lines and wrinkles on the face and neck, frustrating stretchmarks, scars, and even crepey skin on the body.

Secret RF is a novel fractional radiofrequency (RF) microneedling system for tissue coagulation and hemostasis designed to stimulate and remodel collagen and address the common signs of aging. It is ideally suited for use on patients who wish to revitalize and refresh the appearance of their skin on all skin types.

Secret RF is an easy, safe, and effective procedure that can be performed in a quick session. To achieve optimal effect, 3 to 4 treatments are recommended. You’ll begin to notice results after your second treatment, but optimal results appear three months after the last treatment.

Secret RF is one of the most effective treatments to tighten skin and improve fine lines and wrinkles, especially around the eyes, mouth, and cheeks. Secret RF is also effective at reducing pore size, acne scars, and stretch marks.

After your Secret RF treatment, you should avoid applying any products to your skin until the next day; this includes washing your face. However, you can carefully apply makeup about 24 hours after the treatment to cover any redness that may remain.

You will need to avoid washing the treated area until any redness or irritation is gone. Once this side effect has disappeared, you are free to clean your skin with cool water and dry it carefully by patting the skin lightly.

As soon as the deepest layers of your skin are penetrated by the needles, “micro-wounds” are created. This triggers your body’s wound-healing processes to heal your micro-wounds immediately. However, the most dramatic results will not be visible until four to six weeks after treatment.

You will need 5 to 6 treatments for the best results. Do not think that only one treatment will be enough. After several sessions, you will have more radiant and firmer skin. It will treat fine lines and sagging skin of your face as well as your body.

Immediately after your first appointment, you may look like you have a mild sunburn since your skin will still be noticeably flushed from the treatment process. This fades over the first 24-48 hours, and as your skin begins to heal, you will notice a new glow develop over several weeks.

Retinol A and vitamin C serum should be avoided for the first 48 hours, minimum, after microneedling. Once 2 full days have passed, you might want to gradually add products back into your daily beauty routine instead of doing your usual regimen, especially if you use products that have strong anti-aging formulas.

The treated skin should be kept clean and not washed until the following day. The treatment area may feel slightly rough like sandpaper for 2-3 days. There is little to no discomfort after the procedure, and you can typically return to regular activities within a day.

Side effects following RF microneedling are mild, resulting in minimal downtime after treatment. For some patients, there may be mild pinpoint bleeding and slight bruising. More typically, the skin is mildly red for approximately 24 hours. Most patients can resume their normal routine within a day.

Secret™ PRO

Progressive Dermal Remodeling with Defined Results

Secret PRO takes on a non-conventional approach to skin revitalization by uniquely combining two clinically proven technologies in a single device. Utilizing fractional CO2 for skin resurfacing and radiofrequency microneedling for deep dermal remodeling effectively treats the full thickness of the skin from the epidermis to the deeper dermal layers independently or together.

Skin Revitalization and Resurfacing

Secret PRO features four unique treatment options for skin resurfacing and deep dermal remodeling, designed specifically to address your patient’s needs:

  • Ultra Light: This series of gentle, full-face, fractional CO2, micro peel treatments address the superficial layers of photodamaged skin and stimulate neocollagenesis for skin revitalization with minimal downtime. (24-48 hours)
  • Ultra: For patients who desire a more aggressive treatment, this procedure uses CO2 laser energy to target, photodamage, uneven texture, scars, crepey skin, and deliver more dramatic results in a single treatment. (May require 2-5 days of redness/swelling)
  • Refine: A series of customizable RF microneedling treatments to provide deep dermal remodeling. Energy is precisely delivered at varying depths to treat common skin concerns such as fine lines, wrinkles, scars, acne scars, striae, pore reduction, and more (downtime varies)
  • Revive: Get the ultimate treatment that layers RF and CO2 laser energy in a single session. This procedure allows you to perform the ideal treatment for progressively damaged skin by increasing collagen and hyaluronic acid production to reverse the signs of aging. (5-10 days of redness and swelling are expected)

Applications include fine lines and wrinkles*, sun damage**, skin tone and texture, acne scars, burn scars, atrophic scars, stretch marks, skin resurfacing, skin firming, lentigos, warts, and blemishes.

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