The document describes a fractional laser system for treating neck, jowl, periorbital, and perioral areas. It provides before and after photos showing treatment outcomes for different laser settings and time periods post treatment. Areas treated include wrinkles, skin laxity and photo damage. Settings include static and dynamic modes with energies from 30 to 240 mJ and spot densities from 50 to 200 spots/cm2. Combination treatments using laser with fat grafting or removal are also shown.

1. Fractional Laser System

2. Neck and Jowl
Before
22 Days Post 1st Tx
Static Mode: 140 mJ at 100 spots/cm2
Dynamic Mode: 120 mJ at 100 Hz
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

3. Neck
2.5 Months Post 2nd Tx
Before
2nd Tx
1stPass: 140 mJ at 150 spots/cm2
2nd Pass: 100 mJ at 200 spots/cm2
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

4. Periorbital Region
Before 36 Days Post 1st Tx
Static Mode: 140 mJ at 100 spots/cm2
Dynamic Mode: 120 mJ at 100 Hz
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

5. Periorbital Region
First Pass:
100 mJ
200 spots/cm2
Before
Second Pass:
80 mJ
200 spots/cm2
11 Days Post 1st Tx
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

6. Periorbital Region
First Pass:
100 mJ
200 spots/cm2
Before
Second Pass:
80 mJ
200 spots/cm2
11 Days Post 1st Tx
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

7. Periorbital Region
Static:
160 mJ at 100 spots/cm2 Before
7 Days Post 1st Tx
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

8. Periorbital Region
Before 8 Weeks Post 1st Tx
Cheeks/Forehead: 80 mJ at 75 spots/cm2, 2 Passes
Periorbital: 50 mJ at 75 spots/cm2, 2 Passes
Neck: 30 mJ at 50 spots/cm2, 2 Passes
Photos courtesy of Yasmina Carvajal, M.D. Carvajal Skin Center, Panama City, Panama

9. Periorbital Region
Before 8 Weeks Post 1st Tx
Static: 80 mJ at 75 spots/cm2, 2 Passes
Periorbital: 50 mJ at 75 spots/cm2, 2 Passes
Neck: 30 mJ at 50 spots/cm2, 2 Passes
Photos courtesy of Yasmina Carvajal, M.D. Carvajal Skin Center, Panama City, Panama

10. Periorbital Region
Before
After Day 26
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

11. Periorbital Region
Before After Day 4
160 mJ at 100 spots/cm2, 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

12. Periorbital Region
Before 4 Days Post 1st Tx
Static: 160 mJ at 100 spots/cm2, 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

13. Fractional Resurfacing
Before 90+ Days Post 1st Tx
80 mJ at 200 spots/cm2, 2 Passes
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

14. Fractional Resurfacing
Photos courtesy of Daniel Man, MD

15. Forehead
Static Mode:
140 mJ Before
100 spots/cm2
2 Passes
3 Months Post 1st Tx
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

16. Perioral Region
Before 29 Days Post 1st Tx
Static Mode: 140 mJ at 100 spots/cm , 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

17. Perioral Region
Before 8 Weeks Post 1st Tx
Static: 80 mJ at 75 spots/cm2, 2 Passes
Periorbital: 50 mJ at 75 spots/cm2, 2 Passes
Neck: 30 mJ at 50 spots/cm2, 2 Passes
Photos courtesy of Yasmina Carvajal, M.D. Carvajal Skin Center, Panama City, Panama

18. Perioral Region
Before After 3 months
140 mJ at 100 spots/cm2, 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

19. Perioral Region
Before After 1 month
240 mJ at 127 spots/cm2, 1 Pass, 1000 tip
Photos courtesy of J. David Holcomb, M.D. Holcomb Facial Plastic Surgery, PLLC, Sarasota, FL

20. Fractional Resurfacing
Before 10 Days Post 1st Tx
Static Mode: 140 mJ at 100 spots/cm2, 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

21. Fractional Resurfacing
Before After 10 Days
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

22. Fractional Resurfacing
Before 14 Days Post 1st Tx
Photos courtesy of Mark Taylor, M.D. Gateway Aesthetic Institute & Laser Center, Salt Lake City, UT

23. Fractional Resurfacing
Before 50 Days Post 1st Tx
Static Mode: 160 mJ at 100 spots/cm2 , 2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

24. Fractional Resurfacing
Before 50 Days Post 1st Tx
Static Mode: 160 mJ at 100 Spots/cm2
2 Passes
Photos courtesy of Dr. J. Rapaport Cosmetic Skin & Surgery Center, Englewood Cliffs, NJ

25. Photo-Damage
Before
Before
90 Days
Post 1st Tx
Static Mode: 6 – 8 mJ at 400 spots/cm2, 2 Passes
Photos courtesy of Mark Rubin, M.D. Lasky Skin Clinic, Beverly Hills, CA

26. Fractional Resurfacing
Before 20 Days Post 1st Tx
1000 Tip – 60 – 90 mJ at 100 % – 2 Passes
120 Tip – Large pores/nose - 24mJ/200 spots/cm2 (9.3%)
Photos courtesy of Mark Taylor, M.D. Gateway Aesthetic Institute & Laser Center, Salt Lake City, UT

27. Fractional Resurfacing
Photos courtesy of Daniel Man, MD

28. Combo Treatments

29. Before After- Day 19
400 Joules to the Right Face, 400 Joules to the Left Face, 10 CC of fat injected to the cheeks,
250 CC of fat removed from the neck, 1000 Jules to the neck
Photos courtesy of Daniel Man, MD

30. Photos courtesy of Daniel Man, MD

31. Photos courtesy of Daniel Man, MD

32. Photos courtesy of Daniel Man, MD

33. Photos courtesy of Daniel Man, MD

34. Photos courtesy of Daniel Man, MD

35. Photos courtesy of Daniel Man, MD

36. Photos courtesy of Daniel Man, MD

37. Photos courtesy of Daniel Man, MD

38. Photos courtesy of Daniel Man, MD

39. Photos courtesy of Daniel Man, MD

40. Photos courtesy of Daniel Man, MD