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Dr. Andrew Nelson is a board certified Dermatologist who has trained at some of the most prestigious medical institutions in the country. He completed medical school at the Johns Hopkins University School of Medicine, where he graduated at the top of his class and was elected to the prestigious Alpha Omega Alpha society. He then completed his Dermatology residency at Harvard Medical School. Andrew went on to study Mohs surgery, cosmetic surgery, and facial reconstruction in a fellowship program at UCLA. Dr. Andrew Nelson is accredited by the American College of Mohs Surgery, the American Academy of Dermatology, and the American Society for Dermatologic Surgery. Andrew has been an invited speaker at numerous national meetings, written extensively in the medical literature, and recently edited a textbook on cosmetic rejuvenation. He has treated thousands of patients with Mohs surgery. Dr. Nelson prides himself on treating his patients, not just their skin cancer. Dr. Andrew Nelson was born and raised in St. Petersburg. He enjoys sailing and jogging. He is active in several local community groups, and is excited to be able to give back to the community that helped shape his life.
1. How does Fractora/fractional radiofrequency work?
Fractora works by using radiofrequency energy to heat the skin. The RF device causes molecular vibration and collisions that generate heat in the tissue. Fractora is unique because it not only fractionally resurfaces the skin by ablating (removing) the epidermis and superficial to mid dermis, but also heats the deeper dermal layers of the skin at the same time. This unique combination of fractional resurfacing and deep dermal heating allows for more efficacious treatments than traditional laser resurfacing devices.
2. Who’s the best candidate to receive Fractora treatments?
An ideal candidate is a patient with mild to moderate rhytids, loose lax skin, and superficial textural abnormalities. Typically, our patients are those who want to avoid a facelift, but are looking for tighter, younger, more rejuvenated skin.
3. What skin problems does Fractora treat?
Fractora safely and effectively treats rhytids (wrinkles), scarring, loose skin, and poor skin tone/texture. Additionally, patients note improvement in superficial pigmentation and vascularity.
4. What about Fractora makes it so effective for treating multiple skin issues?
The Fractora device is extremely versatile, incorporating several different treatment applicators. There are currently three hand pieces for Fractora fractional resurfacing: a 3000-micron-length tip for deep dermal resurfacing, a 600-micron mid-dermal tip for superficial and medium rhytids, and a 600-micron tip for a superficial, dense treatment. By using different combinations of these applicators, a physician is able to tailor the treatment to the patient’s exact cosmetic concerns in a process the company calls “the Designer Dermis.” This allows physicians to use one device to effectively treat multiple cosmetic concerns in a safer, more effective manner than with other current devices.
5. What areas of the body can be treated?
The Fractora device can be safely and effectively used on any body area. In clinical applications, the device has been safely and effectively utilized on the face, neck, hands, chest, back, and extremities. Best of all, because Fractora utilizes radiofrequency energy rather than a monochromatic laser, it is safer in dark skin types, including Fitzpatrick types IV and V.
6. When do you see results?
Immediately after the treatment, patients may not mild redness and swelling which can last a few days. Patients note improvement immediately following the treatment, but also continue to see improved results over the next 30-60 days as new collagen is produced (neocollagenosis).
7. Compared to other rejuvenation/tightening procedures, how much does Fractora cost?
Fractora treatments are typically less costly than other laser rejuvenation procedures, ranging in cost from $1000-$2500 for a treatment depending on the extent of the procedure performed.
8. How long are the sessions? How many sessions are required?
A Fractora treatment requires approximately 30 minutes to be performed. Patients typically apply a topical anesthetic agent one hour prior to the procedure to make it completely painless. Most patients observe significant improvement after just one session, but many patients choose to have a series of multiple treatments performed to achieve even greater results. Multiple treatments are also ideal for patients who want more treatments at lower energies.
9. How long do the results from Fractora last?
Fractora stimulates the production of new collagen to remodel and rejuvenate the skin. As a result of this new collagen production, the results are typically permanent. Unfortunately, patients will continue to age, so future treatments are necessary to maintain these wonderful cosmetic improvements.
10. What cosmetic procedure do you perform the most?
Our most common cosmetic procedures are Fractora skin resurfacing, Forma skin tightening, and cosmetic injectables (Botulinum toxin and dermal fillers). Combining all of the treatments together allows for minimal downtime, non-surgical total facial rejuvenation.
11. What cosmetic procedure do you think most women could benefit from?
It is important for each patient to be evaluated as an individual. Every patient is unique with individual cosmetic goals, and could benefit from a different treatment or combination of treatments.
12. What products would you recommend a FutureDerm reader buy if she has $10? $50? $100?
In our office, our first recommendation is for patients to use a good, broad spectrum sunscreen every day. In addition to reducing their future risk of skin cancer, sunscreens also reduce wrinkles and slow the aging process. Topical retinoids used daily are also a wonderful to exfoliate the skin, lighten fine lines and rejuvenate your look — best of all, many topical retinoid formulations are available as generics and are relatively inexpensive.