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Derm Plumeria

Laser Treatments

Intense Pulsed Light (IPL)

A light-based treatment offered by our practice using the Palomar StarLux System. The light penetrates deep into the dermis to treat veins, excessive pigmentation, redness, brown spots and acne by using different wavelengths.

An IPL treatment can clear pigmented and vascular lesions.  Several days after the treatment, the pigmented areas will rise to the surface and flake off (freckles look tan for 3-5 days). The redness will gradually resolve within a couple of weeks.

After several treatments, brown spots, redness, large pores, dull skin, melasma and acne are minimized greatly. IPL may take more than one treatment; packages are available. This procedure provides great results with no down time.

Ipl Before After

See how an IPL treatment compares with our other laser treatment options.

Things to Know

  • Removes age spots and hyper-pigmentation
  • Diminishes broken capillaries
  • Reduces the appearance of Rosacea
  • Stimulates the production of collagen
  • Redness may appear after treatment for up to 2 hrs
  • Pigmentation rises and flakes off the skin
  • Sun protection is recommended during treatment
  • No downtime. You may resume normal activities
  • Targets bacteria and minimizes acne breakouts

threeforme

Say goodbye to tired, dull skin—and hello to a brighter, younger-looking you!

We are happy to announce that we will soon be offering threeforme Laser Treatments, with our newest laser, starting on September 15th! The threeforme treatment can address three common skin concerns – wrinkles, brown spots and redness – all within one procedure! The procedure is only 45 minutes giving you the best results possible while still fitting within your busy schedule.

How it works:

The light penetrates deep into the dermis to treat veins, excessive pigmentation, redness, brown spots and acne by using different wavelengths.

The procedure is performed in two steps:

  1. The first step will use an Intense Pulsed Light (IPL) technology to treat discoloration for a more even-looking appearance. This includes sun-damage such as freckles, brown spots, or age spots. This pass also addresses unwanted facial veins including broken blood vessels, spider veins and rosacea.
  2. The second step will use a “microbeam” laser technology that will gently renew the skin for a smoother-looking appearance. This unique technology works by stimulating new collagen and elastin production – the keys to the support structure of our skin. Improved skin structure results in the reduction of fine lines, wrinkles, scars and crepey skin.

What to Expect:

This procedure provides great results with no down time.

During threeforme laser treatments most people feel only minimal discomfort. Your physician may use comforting techniques such as a topical numbing cream or cool gel packs to further enhance your experience. After the treatment, you may experience some minor redness and swelling similar to a slight sunburn. This should resolve in just a couple days but you can wear makeup to conceal any redness.

You will see continued improvement in the skin’s appearance during and after a course of 1-3 treatments with visible results after each individual treatment. You may see results in facial veins immediately after the treatment along with a darkening of the brown spots. These spots will flake off over the next one to three weeks leaving you with a glowing appearance. Lastly, you will see progressive results on any fine lines, wrinkles or scarring over the next six months as your skin naturally responds to the treatment.

After several treatments, brown spots, redness, large pores, dull skin, melasma and acne are minimized greatly.

Patient Results

Dr. Scheel before & after 1 treatment

Heather 3 For Me
Dr. Scheel’s patient before and after 1 treatment

Three For Me B A

3 For Me Face 1 Tx

threeforme laser treatments can be safely used on most skin types and for common aging and sun-related skin conditions including wrinkles, sun spots and facial vessels. During your consultation, your provider will determine if you are a good candidate for the procedure based on a variety of personal factors.

A typical course of treatment involves 1-3 procedures at one-month intervals. However, everyone’s skin conditions are different so your physician will customize the treatment for optimal results on your skin. They will discuss your specific treatment plan during your consultation.

During threeforme treatments most people feel only minimal discomfort. During the treatment you may feel some mild cooling as the laser is guided over the treatment area along with a slight sensation similar to the snapping of a rubber band. After the treatment, you may experience some minor redness and swelling similar to a mild sunburn for a couple days.

Typically, you can resume regular daily activities the same day as your treatment although due to some redness and swelling you may experience a day or two of “social downtime”.

threeforme laser treatments are clinically proven to be safe and effective.

Fractionated Light (FL)

One of the most powerful and effective treatments available today. It delivers high precision micro beams of light into the skin that stimulates the body’s natural healing response, causing new healthy tissue to grow.  The result is a smoother, more even toned complexion, stimulation of collagen, thickening and tightening of the skin over a series of treatments, minimizing lines, wrinkles and “crepy skin.”

Fractionated light treatments deliver great results with minimal redness and discomfort, allowing patients to return to daily activities almost immediately. Results often begin to appear within several days and improvements continue for six months and beyond.

Fractionated light takes more than one treatment, packages are available. See how a Fractionated Light treatment compares with our other laser treatment options.

Things to Know

  • Resurfaces lines, wrinkles and scars
  • Evens skin tone and texture
  • Stimulates collagen production
  • Minimal downtime
  • Redness and minimal swelling may occur for 24 to 48 hours
  • Sun protection is highly recommended during treatment
  • A series of treatments may be required for women over 40 years for improvement of damage, younger women will be recommended once yearly treatment for prevention and early reversal of damage.

Before & After

Fractionated Light 1 Tx

Fractionated Light 1540 Combo1 Tx

CO2 Laser

This treatment is recommended for moderate to severe wrinkles, sun damage and severe acne scars. It is also quite effective in minimizing scars due to surgery or accidents. The CO2 laser goes deeper, to address the dermis (the dense inner layer of skin beneath the epidermis or skin’s surface). CO2 laser uses fractional technology, which enhances rapid healing. The dermis is stimulated to pour out collagen in a healing response to the laser beams. As a result of this healing response, skin tightens and thickens, collagen production increases, and a general overall rejuvenation is achieved.

Treatments with the CO2 laser will enhance your skin’s strength and elasticity. The skin will have a smoother, tighter texture and pigmentation problems will begin to diminish.

You will need to follow specific skin care instructions after this treatment, there will be some downtime. The skin heals within a month, although redness can persist for two to three months. Once you have fully healed you will notice a significant improvement in; fine lines, wrinkles, skin laxity and discoloration. Call for an appointment, let us analyze your skin and choose a customized treatment program that is just right for you.

See how a CO2 laser treatment compares with our other laser treatment options.

Things to Know

  • Resurfaces moderate to severe wrinkles and scars
  • Evens skin tone and texture
  • Stimulates collagen production
  • Be prepared for some downtime
  • Redness may persist for a period of time after the procedure
  • Sun protection is highly recommended during treatment
  • A series of treatments may be required, depending on your goals

CO2 Micro Laser

This treatment utilizes our top of the line Fractionated CO2 laser but offers a lower intensity treatment for those that don’t have the time to commit to a full week of skin healing. Utilizing micro settings, the CO2 laser resurfaces the outer layer of the skin while helping tighten and stimulate collagen.

The results are a refreshed glow, improved skin quality, and reduction in fine lines and wrinkles. The micro-laser treatment takes on average 2-3 days to heal. We recommend a series of 3 treatments at 1-month interval.

C02 Micro Laser Before After

Laser Hair Removal

Virtually everyone has struggled with unwanted hair. Here in Hawaii, where active lifestyles prevail, unwanted hair can be hard to keep up with. Shaving every other day is a hassle and depilatory creams are messy and time consuming.  Waxing is expensive, painful, and an ongoing process.

Stop the endless cycle; we have treatment options for you.   Most women are surprised that the laser is not painful and that there ingrown hairs disappear after a treatment or two. Often we hear “why didn’t I do this sooner”!

Laser hair removal uses a focused beam of light to damage the hair follicle and permanently minimize hair growth. The hair follicle absorbs the light, converting it to heat. This heat damages the follicle and inhibits hair growth.

Hair grows in 3 cycles: active, dormant and shedding. Laser hair removal is effective during the active stage, thus making multiple, evenly spaced treatments necessary to achieve desired results. With each treatment, significantly less hair grows back until permanent hair reduction is achieved.

The number of treatments varies between patients.  Six treatments usually provide excellent results for the majority of patients.  Women with hormonal issues, hirsuitism (excess hair growth), hereditary excessive hair growth and endocrine disorders may not achieve the 90% hair reduction in 6-8 treatments.  Many women with excessive hair syndromes require a maintenance treatment one time yearly to keep hair from re-growing.

Unwanted hair before and after

Things to Know

  • Hair is permanently reduced
  • Ingrown hair resolve in 1-2 treatments
  • No down time
  • Not painful
  • Less expensive than waxing over time
  • Temporary redness may occur
  • Sun protection recommended during treatment
  • Shaving is allowed during treatment
  • Dark follicles are removed and skin is smoother after treatment
  • Blonde and gray hair is not effectively treated

BLU-U

Blue light therapy kills acne causing bacteria in the skin. Dusa’s BLU-U is an effective acne treatment that takes about 5-15 minutes one to two times a week, usually for four to five weeks. This treatment is often used in combination with other acne treatments and as part of our acne visits.

PicoTone Skin Revitalization

Introducing our new PicoTone Skin Revitalization Treatment brought to you by PicoSure!  PicoSure’s unique energy delivery is a breakthrough for patients’ seeking a way to improve their skin and reduce signs of aging but who don’t want to deal with the risks, pain and downtime of traditional laser treatments. Using highly targeted energy, PicoSure gently disrupts the particles responsible for a range of pigment conditions like freckles, sunspots and other discoloration.

But there’s more. With the revolutionary Focus lens, PicoSure harnesses the latest breakthroughs in medical science to improve wrinkles, age lines and even acne scars. Unlike other lasers with similar results, PicoSure doesn’t rely on heat to burn away and destroy skin to force the body to heal.

Instead, PicoSure is designed to activate the body’s natural immune response while minimizing injury and discomfort. Because it uses gentle pressure instead of dangerous, damaging heat there’s no need for a long, painful recovery. In fact, most patients only experience a few hours of mild redness.

With PicoSure, there is no need to sacrifice safety, comfort or convenience for effectiveness. PicoSure does all this on your time.

Picotone Skin Revitalization
Before & After 1 Treatment | Courtesy of S. Shin, MD

Ba Picosure Wrinkle Luigipolla Post4tx

Ba Picosure Geronemus Post1tx

Tattoo Removal

Ready to lose your tattoo? Do it better and faster with PicoSure

PicoSure is the world’s first picosecond laser and the only advanced tattoo removal laser with PressureWave technology, which works with your body to remove unwanted ink. PicoSure delivers laser energy that specifically targets tattoo ink, resulting in the successful shattering of just the ink particles without harming the surrounding tissue.

PicoSure works effectively on:

  • Multicolored tattoos, including blues and greens
  • Hard-to-remove black ink
  • Stubborn, previously treated tattoos

Best of all, PicoSure tattoo removal often requires fewer treatments than traditional laser tattoo removal.

How does it work?

Lasers do not remove tattoos, your body does. Naturally. Let PicoSure help.

During treatments with PicoSure, PressureWave technology is used to deliver ultra-short pulses of specialized energy to targeted ink particles.

These pulses are so rapid they cause a change in pressure that breaks ink apart into tiny dust-like particles. These tiny particles are then absorbed by the lymphatic system, a critical part of your body’s immune system, and eliminated naturally.

What should I expect?

Treatments for an average sized tattoo typically take about 10 minutes, but larger or more complex tattoos can take longer.

Laser tattoo removal has been described as feeling similar to the actual tattooing process. PicoSure relies on pressure changes instead of just heat to break apart ink particles but some patients may feel some discomfort. Your treatment provider should be able to provide aids to make your experience more comfortable.

  • Number of treatments needed is dependent on variables such as ink characteristics, size of tattoo,
    location on body, and lifestyle habits
  • Treatments typically occur every 6-8 weeks and your treatment provider will develop a treatment plan to meet your individual needs.

Patients and treatment providers have reported better clearance (disappearance) of tattoos with improved recovery time. You can expect excellent results with PicoSure.

Laser Tattoo Removal

Picosure Erohaly Post4tx 1

Picosure Cynosure Post3tx Sun

Erbium Laser Skin Resurfacing

Erbium Skin Resurfacing and the Treatment of Pre-Cancers

The Erbium Laser is a state-of-the-art advancement for the treatment of aging and sun-damaged skin. It resurfaces the skin by vaporizing the top layers where pre-cancers, or Actinic Keratoses, are forming. The pre-cancers slough off and new, invigorated, healthy skin forms after laser therapy. This treatment not only destroys pre-cancers that you can see, it also destroys those that are forming in the skin that are not yet detectable, thereby preventing skin cancer. This is an excellent medical treatment and also very effective for skin rejuvenation. It is a wonderful collagen stimulator, reduces brown spots and mild to moderate wrinkles and requires less downtime than the CO2 laser.

There has been a huge demand by many of our male patients to use the erbium laser as an alternative to the “Blu-U” treatment or topical chemotherapy for their pre-cancers. The guys (and gals!) love it because it has the least amount of downtime, doesn’t confine them to a dark room and gives excellent results in eradicating pre-cancers. The best candidates for the erbium laser are those people who have had several troublesome pre-cancers that keep popping up. Most of these patients spend their leisure time in the sun, such as boaters, golfers, athletes and surfers. Treatment areas include face, scalp, neck, chest, arms or legs, depending on where the pre-cancers are forming.

A series of treatments is needed for most effective eradication of pre-cancers. Bills can be submitted to insurance for reimbursement on a portion of the cost.

Below are before and after photos of one of our male patients. Prior to the erbium laser treatment, he had a number of pre-cancers, especially around his mouth and ears. Afterwards, those areas are now cleared up and his skin wellness has been considerably improved!

Erbium laser skin resurfacing

From Our Patients

When I walk into Dr. Scheel’s office, I know I will be well taken care of. It’s the best of both worlds: a spa-like feeling met with the highest medical standards and care. I’ve been coming here for years to get HydraFacials, IPLs, and chemical peels. This is also the only place I go to for sunscreen and skin care products. I love Monica’s personal line she created in the last several years and would highly recommend it. What I especially love about this office is their attention to detail and the personalized experience I always receive. When I became pregnant with my son, they tailored my treatments to make sure that both me and my baby-on-the-way were safe the entire time.

I came to Dr. Scheel’s office with a lot of sun damage accumulated over the years having lived in sunny climates most of my life. After just one IPL session, almost all the brown spots on my face disappeared. I was so happy with the results that I dared to try something I didn’t think I’d ever do … botox & fillers. Bye bye wrinkles on the forehead and around the eyes, hello plumper lips! I’m totally sold on these treatments and highly recommend Dr. Scheel and her staff if you have any skin-related concerns, cosmetic or medical. In fact, next time I’m going in for a skin exam because one of the PAs who gave me a peel recently noticed some spots on my arm that might be of concern. I love that they are not only focused on the cosmetic side of things but also on the lookout for medical issues that I may not have noticed. That’s genuine care of their patients!

I am very pleased with the first IPL and how Pam worked with me on it. The other IPL I had elsewhere was really NOTHING like this one – which was just a few spots were hit, and it produced no visible results – waste of money after two visits – it was a GROUPON – nothing I’d do again. This IPL really made a big difference. I know those brown spots on my cheeks and one near my mouth were very predominant – and they looked so horrible. Now, I can barely see them. And, overall, less spots. And, it’s just the first IPL!

Before I began working with Dr. Monica Scheel in 2005, I was a former Southern California beach lifeguard, a lifelong swimmer and a bonafide sun worshiper. After consulting with Monica, I realized my skin was not “too far gone,” as I believed, and that she could help. Between better sun awareness, the use of hat and sunscreen and more protective clothing (sleeves), avoiding peak sun hours and finding shade as well as IPL’s, PDT and laser treatment from Monica, I have lost the “fried” look. My skin appears and feels ten years younger. I don’t need to look 35, I just want to be a dam good 50! Thanks, Monica, for saving me!

Read her full story, "Reformed Sun Bunny" here.