Orlando Plastic Surgery - Orlando/Lake Mary

DOT Therapy™ Laser Skin Rejuvenation in Orlando Florida. “The use of DOT Therapy (Dermal Optical Thermolysis) is a fresh new way to transform skin and enhance its overall appearance.” says Dr. Gross. DOT Therapy can reverse the appearance of aged or sun-damaged skin, smooth wrinkles and fine lines and minimize acne scars. Because DOT Therapy delivers the desired outcome with minimal downtime, it is rapidly replacing traditional CO2 laser skin resurfacing as the treatment of choice for mild to moderate signs of photo damage.
- Reverse the appearance of aged and sun damaged skin
- Improve texture and firmness
- Smooth wrinkles and lines
- Reduce the appearance of acne and other scars
- Renew your skin
1. How does DOT Therapy work?
DOT Therapy is setting a new standard for skin rejuvenation in fractional laser resurfacing. During the procedure, Dr. Gross will apply a pattern of tiny scanned pulses of laser energy to your skin with a controlled laser. The DOT procedure is customized to your skin by Dr. Gross. He can adjust the laser’s settings to tailor treatment and obtain the best results for you. Adjustments can be made throughout the procedure to more accurately treat specific areas such as acne scars on the cheeks or fine lines around the mouth.
The DOT Therapy laser precisely creates thousands of microscopic holes (DOT’s) in your skin, which induce immediate skin tightening and stimulate new collagen growth. Patients are often amazed at how tight their skin feels immediately after the procedure. DOT Therapy is designed to improve the skin’s texture and tone and to fight fine lines, deep wrinkles, and acne scars.
Unlike other laser resurfacing technologies, DOT Therapy leaves islands of healthy tissue surrounding the microscopic DOTs. This enables your skin to heal more rapidly and minimizes overall damage.
2. How long is my down time?
Generally, only 2-3 days
3. Do I need anesthesia or sedation?
No, the DOT laser is performed with topical numbing cream only, in about 30 minutes

How long does the DOT CO2 Laser process take?
1/2 hour

What type of anesthesia do you use?
Oral sedation with topical anesthesia 1 hour prior to therapy. (adult driver needed)

What are the risks and side effects?
Side effects are lower with this laser. Rare -Infection, lightening of skin tone, pigmentation changes (somtimes permanent) and scarring (rare), Facial swelling, pinkness, and an expected  “ugly phase” for 2-3 days. Not as pronounced as with the full CO2 Laser.

How long is the recovery time?
5-7 days. Back to work usually in 1 week. Keep in mind, this is a less powerful laser system and the pink phase will be shorter (and results less dramatic than CO2 laser). Avoid the sun for 3  months.

How long do the results last?
~ 5 years, although aging process will continue.  This laser can be repeated in 12 month intervals, since it is gentler on the skin.

How does DOT CO2 Laser work?
The laser produces micro columns of heat, which vaporizes skin cells 1 layer at a time, while leaving normal , intact skin islands alone. This allows more rapid healing and a lower chance of side effects.  The results are smoother skin around the eyes, less lines around the mouth,  improved complexion, and removalof sun damaged skin.

 What type of laser is used?
Dr. Gross uses the SmartXide®  DOT Laser System. Dr. Gross has a large volume of experience with this procedure and with this state of the art machine. He also uses the Fraxel Laser, which is indicated for patients with lesser degrees of wrinkling. (The latter is becoming more prevalent due to less down time and even fewer side effects.)

Does it hurt?
During the procedure, patients are under minimal oral sedation with topical naesthesia cream. This is helpful since the laser treatment is warm. Following therapy, however, the lasered skin has a feel of a sunburn for approximately 8 hours. Oral pain medications are typically needed for the first day only.

Are there other Lasers for red spots, brown spots and tattoos?
Yes. The Pulsed Dye Laser is used for removing Port Wine Stains or red spots. The YAG tattoo  laser is used for tattoo removal- multiple sessions needed, and the YAG – ATV laser is used for removal of freckles, brown spots, and resistant sun spots.

What are the main benefits I receive with the DOT CO2 Laser?
The main benefit to the DOT CO2 laser is the gentle skin tightening that occurs, with quicker recovery time, and lower chance of side effects.  It also increases your facial collagen so that new healthy skin cells can grow and rejuvenate once the old, damaged skin is removed.

Who are the best candidates for treatment?

Since this laser can cause some lightening of the skin, it is best used for Caucasian skin types (with mild to moderate sun damage and/or wrinkles).  Ask Dr. Gross if you are a candidate for DOT CO2 Laser in Orlando.

To say that I am pleased seems so inadequate for the way I feel about the surgery, the pre-op treatment, the post op-treatment and the entire experience was extremely superb. You are without a doubt, and with no exception, the very best at what you do.
Warmest Regards,
Nancy

You are by far the best physician I have ever had..I was very apprehensive to undergo plastic surgery on my face, but your professionalism put me at ease. I receive compliments daily on my “youthful” new look, it’s all because of your expertise and kindness, Thanks!
Sincerely,
Anita