Text Us Text to Contact Us
Book With Dr. Sieber
Sieber Plastic Surgery San Francisco
You are here: / Non-surgical

Laser Resurfacing

/by

Non-surgical

Laser Resurfacing

San Francisco Laser Skin Resurfacing

Years of sun exposure can leave your skin looking dull with fine lines, wrinkles and sun spots that just don’t seem to get better no matter what you try. Laser skin resurfacing treats the entire spectrum of sun damaged skin from a light touch up that will improve your skin’s natural texture to a deep total resurfacing that will leave you with a more youthful and brilliant glow.*

Dr. David Sieber has advanced training in the latest laser technologies and understands the unique improvements that each can deliver. During your initial consultation, Dr. Sieber will analyze your skin, and recommend a customized laser skin resurfacing treatment plan to best suit your individual needs.

Contents


Laser Skin Resurfacing Technique

Most laser skin resurfacing procedures can be performed in an office setting. However, if your skin requires deep resurfacing, Dr. Sieber may recommend that you do so under general anesthesia for improved comfort.

Quick Facts


  • Length: 15-90 minutes
  • Anesthesia: Topical, local, or general
  • Inpt/Outpt: In office or outpatient
  • Side effects: redness, burning sensation, peeling
  • Recovery: 1-14 days depending on type and depth of treatment

Contour TRL can improve:


  • Fine lines
  • Deep wrinkles, including those around the lips and eyes
  • Deep sun damage
  • Poor skin texture

To find out more about laser skin resurfacing with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Laser skin resurfacing can improve:*


  • Customizable treatments to precisely target skin damage
  • Improvement in the appearance of tone, texture, fine and coarse lines, and wrinkles
  • Reduces pore size and increase reflectivity and glow
  • Flexibility in treatment levels and downtime
  • Fine lines
  • Pigmentation
  • Tone & texture

Preparing for Laser Skin Resurfacing

If BBL laser is to be done then you will want to refrain from any excessive sun exposure or sunless tanning products for at least 7-10 days prior to your procedure. If you are on a topical vitamin A product such as Retin-A, Tretinoin, or Tazorac, these need be stopped 7 days prior to your laser procedure.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

Recovery from Laser Skin Resurfacing

skin resurfacing san franciscoFor lighter procedures such as a Nanopeel, your skin will be red for about 24 hours. For a deep treatment such as a Microlaser peel, the degree of redness and peeling will depend on the depth of the treatment, but can range from 1-7 days. A deep resurfacing procedure will yield the greatest possible improvement in skin quality, but may require 7-14 days of downtime.*

Laser Skin Resurfacing Frequently Asked Questions

The treatment area is cleaned and your eyes are protected with safety shields. Dr. Sieber then positions the laser over the skin while a computer-guided scanner moves the laser beam over the designated treatment areas. The procedure usually lasts 15 to 60 minutes depending on the size of the area being treated.

The level of comfort varies from patient to patient depending largely on the depth of the treatment. For shallow treatments, the procedure is well tolerated with the use of a topical anesthetic. For deeper treatments, Dr. Sieber may administer a local anesthetic or perform the procedure under general anesthesia.

Complete healing depends largely on the depth of the treatment. Healing times for shallow treatments are typically 2-4 days.* For deeper treatments, you should discuss realistic expectations for recovery with Dr. Sieber, but it will typically take 1-2 weeks for a complete recovery.* You may experience some degree of pinkness to your skin for up to 3-6 months after treatment.*

You may be given skin care products and instructions on how to use them. Your skin will be sensitive to ultra-violet light after the procedure so you will need to do the following:

  • Avoid direct sun exposure until fully healed
  • Always use some level of sun protection to avoid sun damage and premature aging of your skin
  • For at least 2 months post-laser treatment or series, use skin protection containing a high percentage of zinc oxide or titanium dioxide. This acts as a physical barrier to the sun’s damaging rays. After this early healing period, wear a daily sunscreen with both UVA and UVB spectrum protection.
  • Give your skin protection from the sun using sunglasses, wide-brimmed sun hats, and cover-up clothing to protect shoulders and chest.
  • Adopt an effective daily anti-aging home skin care routine. Dr. Sieber or his staff can recommend which skin care products would best fit your needs.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Laser Acne Treatment

/by

Non-surgical

Laser Acne Treatment

San Francisco Acne Treatment

One of the most frustrating parts of adolescence and even adulthood is acne. It’s painful, unsightly and often emotionally traumatizing. As the most common skin condition in the United States, acne can occur at any stage of life. Though several factors can affect your propensity for acne such as hormones, genetics, stress, and medications, acne forms when dead skin cells, overactive oil glands and sebum block your pores thus trapping bacteria. This results in follicle damage and inflammation. In severe cases, acne can even lead to permanent scarring.

For the many patients who have tried oral and topical medications without relief, Dr. David Sieber recommends the BroadBand Light (BBL™) photo facial which has been clinically proven to help in the treatment of acne.* BBL works by heating up the skin which kills the bacteria that are causing your acne in the first place.*

For further improvement in deep acne scarring, ask Dr. Sieber about options such as the Halo laser for the treatment of acne scars.

BBL photo facial treatments can help reduce the formation of acne, and may also work to suppress and prevent future acne breakouts.* Significant improvements will typically require 6 treatments, with 1-2 treatments performed each week until improvement is seen.* BBL photo facial acne treatments can not only be performed on the face, but also on the back, shoulders and chest.

Contents


Acne Treatment Technique

Numbing medication is usually not needed for this treatment. A thin film of ultrasound gel is first applied to your skin. Then, Dr. Sieber passes the BBL handheld device over the area to be treated. The device emits small pulses of light that heat the upper layers of the skin. Most patients have little to no discomfort. Each treatment session lasts about 20-30 minutes and can be easily scheduled during your lunch hour.

Quick Facts


  • Length: 15-30 minutes
  • Anesthesia: None
  • Inpt/Outpt: In office
  • Side effects: swelling, redness
  • Recovery: 24 hours

Acne Improvements:*


  • Improvement in chronic acne
  • Reduction of acne flares
  • Reduction of redness due to acne inflammation

To find out more about acne treatment with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

Preparing for Acne Treatment

  • Discontinue Accutane or its equivalent for at least one month prior to your appointment.
  • Avoid sun exposure and tanning beds for at least 3 weeks prior to your first session as well as throughout the entire course of your BBL treatment.
  • Sunless tanning lotions must also be avoided for 2-3 weeks prior to treatment.

Recovery from Acne Treatment

You may experience some redness and swelling for the first 24 hours after your BBL photo facial treatment for acne, but makeup can be applied immediately after treatment. You may also experience some slight discomfort, similar to that from a mild to moderate sunburn, for the first 12-24 hours following treatment, but most clients are able to return to their regular activities immediately.

Laser Acne Treatment Frequently Asked Questions

It may take anywhere from a few days to a week before you’ll see an improvement in your acne. All of your acne won’t disappear after a single session. Most patients will require 4-6 treatments before seeing a dramatic improvement in their acne.*

Your results are dependent in part on your body. Some patients will get complete eradication of their acne after a series of treatments while others will need a “booster” treatment every 3-4 months to maintain their results.*

Although BBL photo facial can treat active acne, it may only make a marginal improvement in your acne scars. Dr. Sieber typically recommends the Halo laser treatment to deliver the most improvement in acne scars.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

LATISSE Eyelash Treatment

/by

Non-surgical

Latisse® Eyelash Treatment in San Francisco

Latisse® is an extremely effective treatment for lashes that are shorter and/or thinner than you’d like. Within just 3 to 4 months of using Latisse®, your lashes will grow longer, fuller and darker.* It’s important to note that though there are other products on the market that claim to improve lash growth, Latisse® is the only FDA approved product to treat inadequate or sparse lashes.

Contents


What is Latisse®?

Latisse® is a prescription-only medication that has been approved by the FDA for the purpose of lengthening eyelashes. The medication contains 0.03% bimatoprost as its active ingredient. With its safe and effective formula, Latisse® has been proven to enhance the length, thickness, and darkness of eyelashes.


Latisse® Before and After

LATISSE Eyelash Treatment San Francisco


How does Latisse® work?

Bimatoprost is the active ingredient found in Latisse®, a medication that was initially used by ophthalmologists for the treatment of elevated eye pressure in patients with glaucoma. It was later discovered that the same patients who were treated with this medication experienced an increase in the length and thickness of their eyelashes. Although the exact mechanism of action is not yet fully understood, Latisse® is believed to work by extending the duration of the eyelash growth cycle.


What are common uses of  Latisse® ?

The use of Latisse® is approved exclusively for the treatment of eyelashes, and it should be applied solely to the upper eyelash using the applicator provided. Blinking during the application process can cause transfer of the medication to the lower eyelash.

Latisse® Frequently Asked Questions

No, Latisse® is not available over the counter. It is a prescription medication, which means that it can only be obtained with a valid prescription from a licensed healthcare provider. This is because Latisse® contains an active ingredient that can have potential side effects, and a healthcare provider needs to assess whether it is safe and appropriate for an individual to use.

You can obtain Latisse® from a pharmacy, but you will need a valid prescription from a licensed healthcare provider in order to do so. Once you have a prescription, you can take it to a pharmacy to have it filled. It is important to follow the instructions provided by your healthcare provider and the manufacturer when using Latisse® to ensure safe and effective use.

The most frequently reported side effects associated with Latisse® use are itching of the eyes and/or redness of the eyes. Many individuals who experienced these side effects found that they resolved with continued use and proper application of the medication. Less commonly reported side effects include eyelid skin darkening or redness, eye irritation or dryness, and darkening of the iris.

Book A Consultation

To find out more about Latisse® at Sieber Plastic Surgery with either SALLY SHERRARD, PA-C or ARMEEN KARIA MSN, RN, FNP-BC, call us today at: 415-915-9000.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Injectables (Botox/Fillers)

/by

Non-surgical

Injectables (Botox/Fillers)

Contents


San Francisco BOTOX®/Dysport®

No matter what age you are, it’s never fun to look in the mirror and notice a new wrinkle on your face. Whether you have a few fine wrinkles just while smiling, or deeper ones which are present all of the time, being treated with neurotoxin alone or in combination with fillers will help to soften or remove completely any of those annoying wrinkles.*   

BOTOX® Cosmetic was the first FDA-approved prescription treatment that diminishes the appearance of moderate to severe glabellar frown lines (wrinkles between the eyes) and crow’s feet (wrinkles that fan out laterally from the corners of the eyes) that tend to appear with age.  However, now there are more medications on the market (Dysport® and Xeomin®) with  similar properties. 

There’s no single factor that determines the time and severity of the appearance of these lines, but factors include cellular changes, collagen and elastin depletion, and damage caused by the sun. Certain facial gestures and expressions like squinting and frowning prompt your facial muscles, particularly those between your brows or around your eyes, to contract, creating wrinkles. These medications work by targeting the muscles that create these lines, temporarily minimizing their activity which results in smooth skin over the muscle.* 

Whether you have had neurotoxins before or if this is your first time, Dr. Sieber will work with you to understand which areas you want to see some improvement.  

Improvements with Neurotoxins:*


  • Lines between the eyes (glabella)
  • Lines in the glabella (area between the brows)
  • Horizontal forehead lines
  • Crow’s feet (lines on the outside of the eye)
  • Masseter hypertrophy
  • Improvement in downturned corners of the mouth
  • Cobblestone appearance or dimpling of the chin
  • Movement of the nasal tip with smiling
  • Nasolabial folds
  • Gummy smile
  • Hyperhidrosis (excessive sweating)

Fillers

It used to be thought that facial aging was all about gravity and its downward pull on the skin and muscles of the face. As it turns out, that’s not exactly true. Facial aging is also about volume loss which is why fillers have completely changed how plastic surgeons approach facial rejuvenation. As we age, our face naturally begins to lose fat in areas such as the temples, the cheeks, around the eyes, the lips, and around the mouth. Facial fillers, typically composed of hyaluronic acid which is a natural forming substance in our bodies, can “pump up the volume”, plumping up fine lines and wrinkles, and providing a temporary “lift” to areas such as the cheeks and mid-face.* Patients with subtle asymmetries on their noses can even be treated with fillers for a non-surgical rhinoplasty.*

One of the most confusing things about fillers is knowing which filler is right not just for you, but also for which specific area of your face. Dr. David Sieber teaches courses on filler injection technique and safety to other practitioners so he has extensive, advanced training in all of the latest fillers, and he brings this knowledge to every patient that he sees. Each year, the FDA approves new fillers for use in the United States. With so many fillers already on the market, the best way to think about them is to divide them into three distinct categories:

  1. “Soft” fillers such as Vobella, Restylane Silk, and Belotero are best used for superficial lines such as those around the mouth, lips, forehead and in tear troughs.
  2. “Medium” fillers such as Juvaderm Ultra/Ultra plus, Vollure, and Restylane are thicker and best used to correct intermediate depth lines in the forehead, the “11” area between the brows, under the eyes, the nasolabial folds, and for non-surgical rhinoplasty.
  3. “Firm” fillers such as Voluma, Restylane Lyft, and Radiesse are used deeply against bone to provide support and volume in areas such as the temples, cheeks, jawline, and chin.

During your initial consultation, Dr. Sieber will go over all of your options in detail, using his expertise and artistic eye to recommend the ideal combination of fillers to best achieve your desired outcome. His goal is to create a more youthful, brighter, but still totally natural looking you.* Fillers typically last anywhere from 12-24 months depending on the type of filler used as well as how your body reacts.* In general, Dr. Sieber prefers hyaluronic acid based fillers due to the fact that the results can be reversed with a substance called hyaluronidase if, for any reason, you’re not happy.

Fillers Can Improve:*


  • Forehead wrinkles
  • Lines in the glabella (area between the brows)
  • Sunken appearing eyes
  • Hollowing of the temples
  • Lost volume in the cheeks
  • Irregularities in the nose
  • Fine lines along the mouth
  • Lost volume in the lips
  • Droopy corners of the mouth
  • Early jowling
  • Nasolabial folds
  • Jaw definition
  • Small chin

To find out more about fillers with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Quick Facts


  • Length: 10-30 minutes
  • Anesthesia: topical
  • Side effects: swelling, bruising
  • Recovery: 1 day

Injectables Technique

Dr. Sieber may apply a topical numbing agent to the treatment area and use ice to help make the experience more comfortable. He will then inject the filler in the appropriate spots through a very fine needle.

Preparing for Injectables

To minimize any bruising from injections, avoid aspirin, ibuprofen or similar products like Advil, Motrin, and Aleve as well as fish oil, Vitamin E, and gingko biloba for two weeks prior to your treatment.

Learn More on YouTube



Sieber Plastic Surgery on YouTube

Injectables (Botox/Fillers) Before & Afters

These Injectables before and after pictures can help you understand your various options and enable you to set realistic goals for your own surgical outcome.


Recovery from Injectables

You may experience some pin prick redness for a few hours immediately following your treatment. There will be some minor swelling and/or bruising in the injected areas for 2-3 days after treatment. Injections in and around the mouth may result in more severe swelling which can last for up to 5 days. Taking over the counter Benadryl or Zyrtec and icing the treatment areas can both help with the swelling if it’s an issue.

Injectables Frequently Asked Questions

View our before-and-after photo galleries to see the results of our Injectables (Botox/Fillers) patients.

Most fillers typically last about 1 year except for Voluma which can last about 2 years.* The length of your result is going to depend on the filler used as well as how your body reacts. Some patients get really long results with filler.* Others, less so.

One of the best things to help with swelling after the procedure is ice. You may apply the ice for 15-20 minutes at a time. Be careful if you’re numb so that you don’t freeze your skin!

The number of syringes needed is really going to depend on how many areas you want treated, and the result you are trying to achieve. Dr. Sieber likes to deliver natural appearing results when using fillers*. During your initial consultation, he’ll go over a detailed treatment plan including an accurate estimate in terms of how many syringes of filler he recommends as well as the cost.

Book Your Appointment

Contact Sieber Plastic Surgery to schedule a consultation with Sally Sherrard, PA-C, Armeen Karia MSN, RN, FNP-BC and Lexi Sherer, PA-C! and start discussing your needs and concerns.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Halo Hybrid Fractional Laser

/by

Non-Surgical

Halo Laser San Francisco

Contents


What Is Halo™ Laser Treatment?

Halo™ laser treatment is a innovative skin resurfacing treatment that combines both ablative and non-ablative laser technology. Unlike traditional laser treatments, the Halo hybrid fractional laser targets both the surface and deeper layers of the skin. This dual approach improves skin texture, reduces fine lines, and helps with multiple skin concerns like acne scars, sun damage, and enlarged pores. 

Many people seek out the Halo glow laser because it delivers noticeable skin rejuvenation with minimal downtime. The treatment helps to improve skin texture, brighten skin tone, and promote collagen production for long-term improvements. Since it uses hybrid fractional laser energy, it provides better results than many older skin treatment modalities.

How Does Halo Hybrid Fractional Laser Work?

The Halo hybrid fractional laser combines two types of laser energy in one treatment. The ablative laser removes damaged skin cells from the surface, while the non-ablative laser penetrates the deeper layers to stimulate collagen production. This dual process helps with skin clarity, fine lines, photodamage and signs of aging. 

After a topical anesthetic is used, the laser device creates tiny micro-channels in the skin to trigger the body’s natural skin healing process. Over time, the skin beneath becomes firmer, healthier, and more radiant. Since Halo laser resurfacing targets multiple depths, it can address multiple skin concerns in one session. 

Treatment Areas

Halo laser treatment is commonly used on the face, but it is also effective on other areas prone to sun damage. The neck, chest, and hands are popular options for those looking to improve skin brightness and texture. Some patients also opt for treatments on the arms and legs to improve skin texture and reduce pigmentation from sun damage.  

Because the Halo laser procedure is customizable, it can be adjusted for different skin types. Those with sensitive skin or deeper treatment levels can benefit from the integrated cooling technology built into the laser device. This keeps the skin protected while minimizing discomfort. 

Halo Laser Treatment Benefits

Halo laser resurfacing is a powerful option for improving a wide range of skin concerns. It helps reduce fine lines, acne scars, and pore size while also addressing uneven skin tone. This makes it an excellent choice for people looking for comprehensive skin rejuvenation. 

The treatment can also help with skin laxity and signs of aging by stimulating collagen production. Over time, this leads to smoother, stronger skin and a youthful glow. The combination of ablative and non-ablative laser energy means that a single Halo treatment can produce results comparable to multiple laser treatments. 

Halo Laser Recovery

Most patients experience some redness and swelling during the Halo laser healing process. Swelling, redness and MENDs (microscopic epidermal necrotic debris) are a normal part of the healing process as the body works to repair the skin beneath. Some people notice a light bronzing appearance on the skin due to MENDs which appear as tiny dark dots on the skin surface and typically go away within a few days. 

The swelling typically subsides within a week, and skin appearance improves as the healing continues. During this time, it’s essential to avoid sun exposure and follow aftercare instructions to both keep the skin protected and optimize results.

Halo Laser Before and After Photos

Before and after photos of Halo laser treatment show dramatic improvements in skin quality.


Halo Before & After
halo laser bay area results
halo laser bay area results

Halo Laser Cost

Halo treatments are customized, and the cost will therefore be different for each patient. It typically depends on your unique concerns and treatment areas in addition to the extent of treatment needed. Factors like deeper treatment levels and the number of sessions required can influence pricing. Book a consultation to learn more about the cost.

FREQUENTLY ASKED QUESTIONS

What does a Halo laser do? 

The Halo laser is a hybrid fractional laser that improves skin texture, fine lines, and multiple skin concerns. It uses both ablative and non-ablative laser energy to target the surface and deeper layers of the skin. Most patients find that their Halo laser results enhance skin clarity and promote collagen production for long-lasting benefits. 

Is Halo laser worth the money? 

For many people, Halo laser resurfacing is worth the money because it delivers significant improvement in skin appearance and health with minimal downtime compared to other ablative lasers on the market. The treatment effectively reduces sun damage, enlarged pores, and acne scars while promoting smoother skin and long-term collagen production. 

Which is better, Halo or Fraxel? 

Halo laser treatment and Fraxel both improve skin conditions, but they use different technologies. Halo is a hybrid fractional laser, meaning it combines ablative and non-ablative laser energy, while Fraxel is strictly non ablative. Many patients prefer Halo because it provides deeper treatment levels and a more comprehensive approach to skin rejuvenation. 

What is the usual Halo laser downtime? 

Most patients experience minimal downtime after a single Halo treatment. The initial redness and swelling subside within a few days, and the skin begins to peel as it heals.

Halo vs CO2 laser: Which is better? 

Both Halo and CO2 laser resurfacing can improve skin conditions, but they work differently. CO2 lasers are fully ablative, meaning they remove the top layer of skin entirely, while Halo is a hybrid fractional laser that treats both the surface and deeper layers.

Book Your Consultation Today

Halo laser treatment is a great option for anyone looking to improve their skin texture, reduce fine lines, and achieve a more attractive and youthful appearance overall. Whether you’re concerned about acne scars, sun damage, or signs of aging, the Halo hybrid fractional laser can help.

To learn more about achieving glowing healthy skin with Halo laser in San Francisco, schedule a consultation with double board certified plastic surgeon Dr. David Sieber and his team.

References

https://sciton.com/treatment/halo-laser-treatments/

https://www.mayoclinic.org/tests-procedures/laser-resurfacing/about/pac-20385114

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Sieber Plastic Surgery San Francisco Bay Area
5.0
star star star star star From 150+ reviews

415-915-9000

Schedule a Consultation

San Francisco Location
450 Sutter St #600, San Francisco, CA 94108

Marin Location
599 Sir Francis Drake Blvd, #300 Greenbrae, CA 94904

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

christinemv

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

jamiee

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

Facing 50 Feeling Fabulous

Call Gallery Contact Book
Skip to content