Laser Skin Treatments



Intense Pulsed Light (IPL)


What is IPL? What conditions does IPL treat?

Intense Pulsed Light (IPL) is a breakthrough age-spot treatment that can address numerous skin conditions, without injuring the skin’s surface.  Intense Pulsed Light (IPL) is a broad-band light source used to treat a variety of skin conditions including rosacea, sun spots and photodamage.  IPL targets brown and red discoloration in the skin, and is considered a “no downtime” source of photorejuvenation. IPL is sometimes referred to as a “photofacial.”




What IPL machine does Dr. Karcher use?

Dr. Karcher uses the latest and most technologically advanced Intense Pulsed Light device, the M22 by Lumenis.  The M22 IPL has 3 filters and multiple settings to address brown spots and red discoloration.  It is efficient and safe in treating a variety of skin types.  The use of its cooled sapphire tip makes treatment easy, comfortable, safe, and effective at removing sun spots, sun damage, even pink acne scars.

How many IPL treatments are necessary?

The goal with this procedure is to provide maximum benefit with minimal trauma and risk to the skin.  Repeated IPLs have been shown to induce new collagen formation and may improve skin texture. Treatments are typically spaced approximately 3-6 weeks apart. Brown spots will turn darker immediately following treatment and flake off within 5-14 days. Broken blood vessels slowly recede over a period of weeks.

What are the advantages of IPL for age spot treatment? 

IPL is gentle and safe, and it effectively treats multiple symptoms and locations in each session.  It is an in-office procedure, and virtually no down time is required.  IPL is a remarkably quick way to rejuvenate your complexion by removing the spots, discolorations and unwanted pigment that affect appearance.  Additionally, IPL can be customized to individual skin types and conditions.

Who is an IPL candidate? 

Any man or woman showing signs of skin damage caused by aging, sun exposure or other environmental factors.  Darker skin types are not always recommended to do the IPL treatment due unwanted side effects.  Talk to your skin care therapist or Dr. Karcher about other modalities used for darker skin types.

What locations of the body and face are treated with IPL?

IPLs are most commonly performed on the face. However, the neck, chest, arms, and hands are additional areas that have excellent results following treatment.

What is IPL treatment like?

A cold gel is applied to the treatment area, and patients are given protective eyewear.  During treatment, the smooth glass surface of the IPL hand piece is gently applied to the skin, and precise pulses of light penetrate the area being treated. The pain level is very minimal and can be further reduced by application of a topical anesthetic and/or cold air.  Most patients experience a small stinging sensation.  Procedures last about 10-20 minutes, and a complete program usually includes 2-6 sessions at approximately 3-4-week intervals.

What preparations must I make prior to treatment?

Avoid any exfoliating products, sun exposure and tanning beds for at least 2 weeks prior your treatment.  Sunburned skin cannot be treated.  Sun exposure should be minimized and an SPF 30+ sun block with Zinc Oxide should be used for as long as possible prior to beginning treatment and should be continued daily after treatment to prolong results.

What will I look like immediately after IPL? 

There may be a slight redness or blotchiness to the skin.  This usually disappears after an hour. Age spots may darken soon after IPL treatments as a result of the light interacting with the pigment in your age spots, and may fade or flake off following your treatment.   An ice or cold pack may be applied immediately following your treatment and you may continue to apply to the area for the next 24 hours to minimize swelling and/or discomfort.  You may  take Tylenol as needed for discomfort.  You may also apply Aloe Vera immediately after your treatment and as needed to soothe the skin.

M22 freckles BEFORE / AFTER  3xMariela Nazar, MD; Argentina M22 dyschromia BEFORE / AFTER  2x M22 skin tone BEFORE / AFTER  4x

Mariela Nazar, MD; Argentina M22 dyschromia BEFORE / AFTER  2x M22 skin tone BEFORE / AFTER  4xMariela Nazar, MD; Argentina M22 dyschromia BEFORE / AFTER  2x

M22 skin tone BEFORE / AFTER  4x

Anti-Aging Laser Facial

  • Reverses the signs of sun damaged skin
  • Treats the blush of Rosacea
  • Improves overall skin texture and appearance
  • Stimulates collagen to diminish fine lines and wrinkles

How does it work?
This preventative and corrective treatment kick-starts collagen production to diminish fine lines and wrinkles. The treatment works by directing a beam of light to an irregularity in the skin, such as enlarged blood vessels, to plump and rejuvenate the skin for firmer, more youthful finish. It safely treats active acne, acne scars, uneven skin tone, rosacea and enlarged pores.

How does this treatment differ from chemical peels and dermabrasion?
Unlike other treatments that remove an outer layer of skin and require significant healing time, laser treatment works by gently penetrating the skin to destroy the underlying vessels and pigment that are the cause of the problem.

Is the treatment painful?
Treatments can be performed in a relaxed, comfortable manner without the use of topical anesthetics or gel. Patients often describe the treatment as relaxing and therapeutic. You will experience a gentle warming of your skin’s surface during the procedure as the laser hand piece is moved back and forth above your skin.

How many treatments are required?
Typically several sessions are required for full-face treatment. The average treatment takes about 15 – 20 minutes. Results may be seen after the first few treatments.

How long does recovery take?
You’ll be able to return to normal activities immediately, though sunscreen should be applied as a post-treatment precaution.