Our experts in plastic surgery and dermatologic surgery at Hackensack University Medical Center are at the forefront of emerging technologies in minimally invasive cosmetic procedures. New technologies and products are now available, which can achieve excellent results with minimal downtime for patients.

There have been tremendous advances in the use of lasers, fillers and botulinum toxins so that treatments can be tailored to the individual needs of each patient.

Laser Treatment

Significant advances have been made in laser technology over the past five years, and we are proud to offer a wide range of state-of-the-art lasers for patients to choose from.

For vascular lesions, such as port wine stains in infants, children and adults, we have the Candela® Perfecta laser, which is probably the safest, most effective laser for treating these patients. There is minimal discomfort and very low risk of scarring or changes in skin color. This laser is also perfect for treating the disabling redness of rosacea, acne, angiomas, dilated blood vessels, as well as being approved for the treatment of raised or red scars.

This laser heats abnormally dilated blood vessels from the inside without injuring the overlying skin, when used correctly. We have trained physicians who can determine if a patient is appropriate for laser treatment and the correct dosage and parameters to use.

Fractional resurfacing is a wonderful new laser technique that can achieve dramatic results in as little as a week, which only improve over the next six months. Older carbon dioxide lasers were terrific in skin tightening, improvement of skin tone and removal of wrinkle, age spots and irregular pigment. However, it was complicated in the past with permanent loss of pigment in certain areas, bacterial and viral infections and even permanent scarring. In addition, the wound healing process was very involved and patients often wouldn't leave their homes for almost two weeks following the treatment, with months of persisting redness.

The Department of Plastic and Reconstructive Surgery at Hackensack University Medical Center is pleased to offer a breakthrough procedure for correcting aged and damaged skin - Fraxel re:pair® treatment. You can dramatically improve your skin today and avoid a facelift tomorrow - all within a single treatment - without the prolonged downtime or adverse reactions of other resurfacing treatments.

"This non-surgical treatment is a safe, effective, and comfortable solution to attaining smoother, tighter, more even skin tone and texture," said Steven Colen, M.D., D.D.S. , chairman of the Department of Plastic and Reconstructive Surgery at HackensackUMC. "It's an opportunity to remove years from your appearance without undergoing surgery - leaving patients looking good, and, equally important, feeling good."

Fraxel re:pair treatment tightens the skin, actually defending against the loose, saggy skin that typically comes with age. Fraxel re:pair uses points of light to precisely treat thousands of microscopic areas of your skin. The treatment penetrates deep into the skin to remove old, damaged skin cells. It stimulates the body's own natural healing process, and replaces the cells with fresh, glowing, healthy skin.

Results of the treatment are both immediate and progressive. Soon after the treatment, the surface of your skin will feel softer, look brighter, and show more even tone. The next three to six months will bring more improvement as the deeper layers of the skin continue to heal. Depending on age and skin condition, results can last for years.

Our specially trained physicians can assess your skin and advise you if you are an appropriate candidate.


In addition to lasers, the injection of a variety of fillers has allowed physicians today to truly re-sculpt the face. Depending on the individual's needs, there is now a dizzying array of fillers to choose from. A physician trained in the use of these materials can properly advise a patient as to which filler or combination of fillers would be most appropriate to achieve the results that they are looking for.

Human collagen, which does not require skin testing, is safe and effective for the treatment of very superficial lines in the face. This can be done with minimal pain and immediate correction; a patient can have it done at lunch and return to the office without a problem.

For deeper lines and wrinkles as well as more longevity, we use a variety of hyaluronic acid fillers, which are the most commonly used filler materials in the world. They also do not require skin testing, producing immediate improvement and mild bruising or swelling. They can even be used to enhance the lips and add volume to the face.

Thankfully, if there is a problem with hyaluronic acids, which is rare, it can be dissolved with an available enzyme. There are many different types of hyaluronic acid fillers available, and you should discuss which would be best for you with your physician. These fillers can last 4 to 6 months or longer.

Biostimulators act to immediately fill the skin, and then the material stimulates the patient's body to respond by laying down new collagen, resulting in a much more long lasting correction. Radiesse® is a bone-derived material which can last as long as a year or more and Sculptra® can last even longer, but cannot be injected superficially and may require more than one session to achieve the desired results.

Noninvasive cosmetic lasers and filler treatments have revolutionized our ability to achieve natural and long lasting safe improvement in wrinkles, tone and pigment. We have aesthetically-minded, excellent, trained physicians who can consult with you and help you choose the best treatment for you.

» Contact us for more information on Minimally Invasive Cosmetic Surgery

BOTOX® Cosmetic

When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. BOTOX® Cosmetic treatments can not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and more refreshed.

What can BOTOX® treatments do for me?

BOTOX® Cosmetic is the most popular cosmetic procedure in the country and one of our most requested services. Quick, safe and effective, BOTOX® reduces or eliminates facial lines and wrinkles for up to six months with no downtime and little to no discomfort. Through a series of tiny injections, BOTOX® gives you a rejuvenated look by smoothing crow's feet beneath the eyes, frown lines between the eyebrows, horizontal lines across the forehead, worry lines around the mouth, and lines on the neck.

In addition to smoothing out fine lines and wrinkles, BOTOX® may be useful for treating migraine headaches, excessive sweating, chronic back and jaw pain, and muscle spasms.

How BOTOX® Cosmetic Works

BOTOX® is the brand name for botulinum toxic A, a therapeutic muscle-relaxing agent derived from the bacteria Clostridium Botulinum. Originally approved by the FDA for the treatment of eye muscle spasms, BOTOX® was quickly recognized for its cosmetic value.

Physicians have been using BOTOX® Cosmetic for years as a treatment to correct visible signs of stress and aging. The medication relaxes the muscles in the face that cause wrinkles. When injected in small doses in specific areas, BOTOX® injections block nerve muscles responsible for the repetitive actions that cause fine lines and wrinkles. In this way, BOTOX® smoothes the lines in the skin that make you look tired or angry.

Candidates for BOTOX®

A good candidate for BOTOX® treatment may be anyone looking to enhance their appearance by getting rid of unwanted lines or wrinkles. It is also important that patients seeking treatment with BOTOX® Cosmetic are in good physical health, are not pregnant or nursing, and do not have a neuromuscular disorder.

Men and women considering BOTOX® treatment should have realistic expectations of what the procedure can do. You should discuss the desired results with your doctor to ensure that your goals can be achieved.

The BOTOX® Procedure

Using a very fine needle, a qualified physician will inject BOTOX® Cosmetic into designated muscles in your face that are causing lines and wrinkles. You may experience brief, mild discomfort during the injection, but you can be assured that the treatment is very safe and effective. Taking only a few minutes, BOTOX® treatment requires no anesthetic and recovery is immediate, allowing you to return to work and resume your normal daily activities that same day.

The Importance of Choosing a Qualified Physician

Even though BOTOX® is not a surgical procedure, it is very important to choose a highly experienced and qualified physician when deciding to undergo BOTOX® treatments. Doctors who are less familiar with the technique could leave you looking "frozen" or perpetually surprised. Our doctors are intimately familiar with BOTOX® Cosmetic, having successfully treated hundreds of patients at our office. Not only that, we also take the time to talk with each candidate before beginning the injections to find out what he or she wants to achieve and to determine how best to correct their problem area(s), so patients can be happy again with their smoother, younger-looking faces.

BOTOX® Cosmetic Results

Immediately following the BOTOX® treatment, some patients may experience mild bruising, which will go away shortly. You will see your wrinkles begin to fade within 24 hours, with continued improvement over the next 5 days. The effects of BOTOX® Cosmetic typically last up to four months, although many have reported results lasting up to a full year. After several BOTOX® treatments, the results may be prolonged.

BOTOX® Cosmetic treatment will relax the muscles in your face and soften the skin, giving you a more relaxed and youthful appearance. For optimum results, many patients choose to use BOTOX® in conjunction with a facelift, skin rejuvenation therapy, and/or laser skin resurfacing.

» Contact us for more information on BOTOX® Cosmetic

Fraxel Re:pair

Fraxel is a group of revolutionary laser treatments that improve the appearance of the skin for a younger, rejuvenated look. Fraxel treatments target damaged, aging skin and help slough it away to make way for healthy, new skin cells to grow. While there are several different types of Fraxel treatments, Fraxel Re:pair is the most aggressive form, providing dramatic results for even the most severely damaged skin. These results can be achieved in just one short treatment session.

The advanced Fraxel technology offers deeper dermal laser penetration (depths up to 1.6mm) than traditional treatments, and is delivered by laser pulses in fractional patterns. The laser vaporizes tiny columns of tissue on the skin's surface, stimulating the body's natural skin cell and collagen regenerative responses. Because of its miniscule size, the Fraxel laser does not damage surrounding healthy tissue, allowing for rapid healing to only the targeted area.

The Fraxel Re:pair laser is FDA-approved to treat:

  • Wrinkles
  • Loss of skin elasticity
  • Sun-induced redness (vascular dyschromia)
  • Sun and age spots (pigmented lesions)
  • Irregular texture

Fraxel Re:pair is a true nonsurgical alternative to more invasive surgical and resurfacing procedures, as it significantly reduces the risks and recovery time associated with facelifts and other resurfacing procedures. Fraxel can also be considered a potentially preventative treatment, as it often eliminates the need for a facelift.

Fraxel Re:pair Procedure

The Fraxel Re:pair procedure is performed in your doctor's office with just a topic anesthetic. Your doctor may also apply an FDA-certified water soluble blue tint to highlight the contours of the skin and guide the Fraxel device over the treatment areas for improved results.

The laser device is moved over the targeted area in order to deliver precise, effective energy that destroys damaged skin cells and promotes the growth of new, healthy skin. The entire procedure usually takes less than an hour to perform for treating the whole face.

Recovery from Fraxel Re:pair

After Fraxel treatment, patients may feel as though their skin is sunburned for about an hour after the procedure. While there is usually no discomfort, mild swelling and pinkness may be present for a few days, before going away on their own.

The new epidermal skin usually develops within 24 hours, and may have a bronze tone for a few days or weeks. This new skin will flake and exfoliate as new skin cells grow. Most patients can return to work and other regular activities about a week after treatment. Your doctor will give you specific instructions for recovery after your Fraxel Re:pair treatment.

Results of Fraxel Re:pair

Unlike many other skin repair procedures, Fraxel Re:pair can be performed in a single treatment session. The results of this procedure are visible immediately after treatment, and will continue to improve as side effects subside and the treatment progresses. Most patients experience full results three to six months after treatment as the deeper layers of the skin heal. With full results, patients can often enjoy:

  • Improved skin tone and texture
  • Smaller pore size
  • Reduced appearance of acne scars, age spots and brown spots
  • Smoothed wrinkles and lines around the eyes
  • Rejuvenating skin on the chest, neck and hands

It is important for patients to certain precautions after treatment to protect the skin and help it heal properly. Patients should avoid direct sun exposure for at least three months after Fraxel treatment, and should apply sunscreen of at least 30 SPF, as the new skin is highly sensitive.

» Contact us for more information on Fraxel Re:pair®


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