Transforming Skin Through Advanced Laser Technology

The Spiegel Center combines cutting-edge laser technology with decades of expertise in facial aesthetics. Dr. Jeffrey Spiegel, Dr. Onir, and Dr. Jacob Tower have carefully curated our laser offerings to include only the most effective treatments for comprehensive skin rejuvenation. 

What Is Erbium Laser Treatment?

Erbium laser resurfacing is a fractional ablative laser treatment that precisely targets the epidermis, the outermost layer of the skin.

Unlike more aggressive CO2 lasers, the Erbium:YAG laser operates at a wavelength highly absorbed by water in skin tissue, enabling controlled, shallow tissue removal with minimal heat damage to surrounding tissue.

The science behind the Erbium laser lies in selective photothermolysis, the laser energy vaporizes microscopic columns of damaged skin cells while leaving surrounding tissue intact. 

Benefits of Erbium Laser Resurfacing

Erbium laser treatment offers comprehensive skin rejuvenation, with results that continue to improve over time. Key benefits include:

  • Improved skin quality and texture: The treatment smooths rough, uneven skin and refines the appearance of pores for a more polished complexion.
  • Reduction of fine lines and wrinkles: Precisely targets perioral lines, crow's feet, and forehead  creases that develop with age and sun exposure.
  • Brighter, more radiant complexion: Removes dull, damaged surface layers to reveal fresher, healthier skin underneath.
  • Evening of skin tone: Addresses hyperpigmentation, age spots, and irregular coloration for a more uniform appearance.
  • Treatment of sun damage: Corrects photodamage, including rough texture, discoloration, and precancerous changes.
  • Mild scar improvement: Softens acne scars, surgical scars, and other textural irregularities.
  • Stimulated collagen production: Triggers natural regeneration that continues improving skin for months after treatment.
  • Progressive results: Initial improvements are evident within 2-3 weeks, with continued enhancement extending over several months as collagen remodeling progresses.

Because the Erbium laser is more aggressive than gentler options like IPL or non-ablative lasers, it delivers more dramatic results, albeit with a slightly longer recovery time that most patients find worthwhile for the transformative outcomes.

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Are You a Good Candidate for Erbium Laser?

This treatment works particularly well for those who:

  • Have fine to moderate lines and wrinkles that haven't responded to less intensive treatments
  • Experience sun damage, age spots, or uneven pigmentation across the face
  • Notice rough, dull, or uneven skin texture that affects the smoothness of their complexion
  • Want to address mild acne scarring or other textural irregularities
  • Can commit to several days of visible downtime for healing (typically 3-5 days before makeup application)
  • Have realistic expectations about the gradual nature of collagen-building results
  • Are in overall good health with no active skin infections or conditions

The erbium laser is suitable for a range of skin types; however, individuals with darker complexions require careful assessment to minimize the risk of pigmentation.

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Why Choose The Spiegel Center for Erbium Laser Treatment?

The Spiegel Center stands out for its comprehensive approach to facial aesthetics and its commitment to delivering exceptional results. Dr. Onir, our Director of Aesthetic Services with over 15 years of experience, has been recognized as one of the Top 100 Aesthetic Injectors in the country and has earned RealSelf's Most Loved Injector designation. Her expertise extends beyond injectables to advanced laser treatments, where her aesthetic eye ensures natural, harmonious results. Several key advantages distinguish our practice. Dr. Jeffrey Spiegel, our double-board-certified founder, has pioneered innovative techniques that are now used worldwide, bringing the same spirit of innovation to every aspect of patient care.

Our 9,000-square-foot Newton facility just outside of Boston features state-of-the-art equipment in a comfortable, private setting. We maintain the highest standards of safety with our AAASF-accredited surgical suite and medical-grade treatment rooms. Each patient receives personalized attention from consultation through recovery, with dedicated coordinators ensuring a seamless care experience. Our reputation for achieving natural-looking results has established us as one of the premier practices in New England, trusted by patients from across the country and around the world.

What to Expect Before, During, and After Erbium Laser Treatment

Consultation and Cost

You will start with a comprehensive consultation at The Spiegel Center, where we'll evaluate:

  • Your skin condition
  • Discuss your aesthetic goals, 
  • Create a personalized treatment plan.

During this visit, we'll examine your skin texture, tone, and specific concerns to determine the optimal laser settings and treatment approach. We'll review your medical history, current skincare routine, and any medications that might affect healing. The cost for Erbium laser treatment varies based on the treatment area and whether you choose a single session or a package. A full-face treatment package of three sessions is typically priced around $11,000, offering significant savings compared to individual treatments. Single-session pricing depends on the area being treated. During your consultation, we'll provide detailed pricing information and discuss financing options to make your treatment accessible and convenient.

Procedure Steps

On treatment day, you'll arrive at our office, where we'll begin with thorough skin cleansing to remove any makeup, oils, or impurities. A topical numbing cream is applied to ensure your comfort throughout the procedure, typically requiring 30-45 minutes to take full effect.

Once your skin is properly anesthetized, the Erbium laser is systematically passed over the treatment area in a precise pattern. You may feel mild warmth or tingling sensations, but most patients report minimal discomfort thanks to the numbing preparation.

The procedure itself usually takes 30-60 minutes, depending on the size of the area being treated. Immediately afterward, we apply a soothing ointment and provide detailed post-treatment care instructions. You'll leave with everything you need for optimal healing at home.

Recovery and Results Timeline

Erbium laser recovery follows a predictable progression, though individual experiences vary slightly:

  • Immediately: Your skin will appear red and feel similar to a moderate sunburn. This initial redness is most intense during the first 24-48 hours and gradually subsides over the following days.
  • Within 2-3 days: You'll notice the treated skin beginning to flake and peel as the damaged layers shed. This is a normal and desirable part of the healing process; resist the urge to pick or scrub, and allow the skin to exfoliate naturally. 
  • 2-3 Weeks: Initial improvements become visible and new skin emerges.

However, the most dramatic results develop gradually over the following 2-6 months as collagen remodeling continues beneath the surface. Your skin will progressively become smoother, firmer, and more radiant during this period.

For optimal results, we typically recommend a series of three treatments spaced 4-6 weeks apart. This approach allows for cumulative collagen stimulation while maintaining comfortable healing between sessions. 

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Frequently Asked Questions About Erbium Laser

How does Erbium laser compare to CO2 laser resurfacing?

Can I combine the Erbium laser with other treatments?

What should I avoid before my Erbium laser treatment?

When can I wear makeup after treatment?

Can an Erbium laser treat my neck and chest, or just my face?

How does Erbium laser compare to CO2 laser resurfacing?

Erbium laser removes thinner layers of skin with each pass compared to the CO2 laser, making it less aggressive and resulting in a shorter recovery time.

Can I combine the Erbium laser with other treatments?

Yes, Erbium laser combines beautifully with complementary treatments for comprehensive facial rejuvenation. Many patients incorporate BOTOX or dermal fillers either before or after their laser series to address both textural concerns and volume loss.

What should I avoid before my Erbium laser treatment?

Avoid using retinoids, prescription acne medications, and exfoliating products for at least one week before treatment, as these can increase skin sensitivity. Avoid sun exposure and tanning for at least four weeks before your appointment. If medically safe, discontinue use of blood-thinning medications, such as aspirin or ibuprofen.

When can I wear makeup after treatment?

You can typically resume makeup application 3-5 days post-treatment, once the majority of peeling has subsided and your skin has formed a new protective layer. Using mineral-based makeup is preferable during the early healing phase, as these formulations are less likely to irritate newly resurfaced skin.

Can an Erbium laser treat my neck and chest, or just my face?

The erbium laser can effectively treat the neck, chest, and décolletage areas, which often show significant sun damage and crepey texture. However, these areas typically heal more slowly than facial skin and may require adjusted laser settings for safety and optimal results.

Time to Achieve Your Most Radiant Skin

Erbium laser resurfacing at The Spiegel Center offers a proven path to smoother, brighter, more youthful-looking skin. Contact our Boston office today at 617-351-9505 to schedule your consultation.

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