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Dr. Rubinstein and his staff offer patients the latest advances in dermatology for skin rejuvenation, skin care, and the maintenance of healthy skin.  Our office and state-of-the-art laser center are equipped with numerous lasers including the Lumenis IPL | V-Beam
Perfecta | Fraxel II | LightSheer Hair Removal Laser | Aluma Skin Tightening | as well as other lasers for applications which include psoriasis | laser tattoo removal | hyperpigmentation | melasma | skin tightening | Dr. Rubinstein is Certified by the American
Board of Dermatology.  Our office is located in close proximity to Encino| Sherman Oaks | Studio City | Burbank | Los Angeles | West Hollywood | Toluca Lake | Tarzana | Woodland Hills | Van Nuys | and anywhere else in San Fernando Valley or Los Angeles
Counties and just a short drive from Calabasas and Camarillo. We offer the latest treatments for Acne | Hyperhidrosis Treatments | Skin Care Tips | Botox | Restylane | Sculptra | Radiesse | Laser treatment/IPL/Photodynamic therapy | Los Angeles Acne Experts|
Laser Acne Treatments | Laser Hair Removal

In Los Angeles Botox and Restylane have become the most popular procedures.  Dr. Rubinstein combines Botox and other fillers like Radiesse, Restylane, Juvederm, Sculptra and Artefill to create a natural look.  We also offer the best laser treatments for acne
and acne scars in Los Angeles with the Fraxel II 2 1500 Laser as well as Laser Tattoo Removal Los Angeles with the Revlite laser.  Dr. Rubinstein personally performs all Photofacial Los Angeles treatments wit IPL and lasers.  Our skincare Los Angeles
consultant
and Paramedical aesthetician offers clear skin solitions through miscrodermabrasion, chemical peels, oxygen facials and pigmentation treatments.
DERMATOLOGIST AND LASER SPECIALIST
Gene Rubinstein, M.D., F.A.A.D.
(818) 505-9300
EXCIMER LASER FOR THE TREATMENT OF
PSORIASIS AND VITILIGO
LOS ANGELES


ACHIEVE RESULTS WITH THIS SAFE, EFFECTIVE, NO-DOWNTIME PROCEDURE  
How does PHAROS Excimer Laser work?
The EX-308 excimer laser creates a concentrated, but painless, beam of ultraviolet light that is delivered to psoriatic lesions through a
handpiece that rests directly on the skin. By precisely targeting only active lesions without exposing healthy skin, the laser safely delivers
high-dose treatment for fast clearing and long remission.

Who is a candidate for treatment?
The laser is ideal for treating mild to moderate psoriasis. Traditionally hard-to-treat areas such as knees, elbows, and scalp are easily
treated, thanks to the laser's aiming beam and adjustable spot size handpiece. The targeted high-dose therapy can effectively treat
stubborn plaques, even those that have not responded to other treatments. Ask your doctor if laser treatment is right for you.

How does treatment compare with other psoriasis treatments?
Unlike topical creams and gels, treatment with the laser does not require any daily maintenance. Each patient is unique, but some
patients enjoy several months of treatment-free remission after completing about 8 laser sessions.  Excimer laser treatments are
painless and take only a few minutes. Equally important, some patients only need about 8 laser treatments, as opposed to 30 or more
conventional booth sessions.
PSORIASIS

OVERVIEW
Excimer lasers can treat psoriasis more effectively, safely, and
conveniently than topical creams or conventional phototherapy
booths.  

Effective: Some patients enjoy clearing in about 8 treatments.  
Remission can last several months.

Safe: Targeted treatment of psoriatic lesions protects healthy skin
from exposure.

Convenient: Treatments are painless and take only a few minutes,
twice a week, for a few weeks.

Affordable: Most medical insurance plans including Medicare may
cover the treatment for qualified patients.  
Safe: Targeted treatment of vitiligo patches limits exposure to healthy tissue.

Convenient: Treatments are painless and take only a few minutes, twice or thrice a week, for several weeks.

How do PHAROS Excimer Lasers work?
The EX-308 creates a concentrated, but painless, beam of ultraviolet light that is delivered to vitiligo patches through a handpiece that
rests directly on the skin. By targeting depigmented patches, the laser stimulates repigmentation and limits exposure to healthy skin.

Who is a candidate for treatment?
Excimer laser therapy is for patients of all ages and ethnic backgrounds. The laser is ideal for localized areas including the face, neck,
and torso. Traditionally hard-to-treat areas such as the underarms, hands, and feet are also easily treated, thanks to the laser's aiming
beam and adjustable spot size handpiece. The targeted therapy can effectively treat stubborn patches, even those that have not
responded to other treatments.

How does treatment compare with other vitiligo treatments?
Unlike most treatments that have low efficacy or significant side effects, the laser effectively repigments with a small number of
treatments in a relatively short period of time with minimal side effects.

Compared to UVB booths and PUVA that may take 6 months to 1 year of sessions, some excimer laser patients achieve repigmentation
in 30 or fewer sessions. Total UV radiation is lower than with UVB booths or PUVA. Treatments are fast and no pharmaceuticals are
needed.
Is treatment safe?
The laser may have fewer shortcomings than many common vitiligo treatments. Due to the targeted nature of laser therapy, healthy skin
exposure to the ultraviolet light is limited. This reduces the total UV radiation and may lower the risk of premature skin aging and
carcinogenesis that is often associated with UVB booths and PUVA. There is no thinning of the skin, easy bruising, or stretch marks often
caused by steroids, nor any of the nausea or vomiting caused by psoralen.

What can I expect during treatment?
Treatment will take place in your doctor's office. First, your doctor will determine the best dosage level for you. Then, the doctor will place
the handpiece directly on the vitiligo patch and apply the laser therapy. You will hear a gentle hum and see a blue colored light from the
handpiece tip. Most treatments take only a few minutes.

Does treatment hurt?
No. Most patients experience no pain or discomfort. A few patients may feel slight warmth shortly after treatment. This warmth is mild and
short-lived. No anesthesia is needed.

How many treatment sessions will I need?
Your doctor will create a customized course of therapy for you based upon the extent, degree of depigmentation, and location of the
patches. Patients may enjoy repigmentation after 30 or fewer sessions.

How do I prepare for treatment?
No extensive preparation is required for laser therapy. Just ensure that the skin to be treated is clean, dry, and free of any make-up, lotion,
or creams containing SPF protection.

Are there side effects?
The side effects of laser therapy are minimal. Most patients report no side effects. A few patients have reported a mild and short-lived
redness at the treatment site. More serious side effects such as blistering and hyper-pigmentation are rare and short-lived.

Are laser treatments covered by insurance?
Some national, state, and local insurance companies cover the laser treatment, but coverage levels will vary by plan.  
VITILIGO

OVERVIEW
Excimer lasers can treat vitiligo more
effectively, safely, and conveniently than
topical creams, UVB booths, or PUVA.

Effective: Clinical studies show that
patients treated with the excimer laser
system achieve greater repigmentation
in 2 to 4 weeks than with any other
present vitiligo therapy.
Is treatment safe?
The laser may have fewer shortcomings than many common psoriasis treatments. Due to the targeted nature of laser therapy, healthy
skin is not exposed to the ultraviolet light. This may reduce the risk of premature skin aging that is often associated with lamp
phototherapy. There is no thinning of the skin, easy bruising, or stretch marks often caused by steroids, nor any of the systemic side
effects caused by some oral medications.

What can I expect during treatment?
Treatment will take place in your doctor's office. First, your doctor will determine the best dosage level for you. Then, the doctor will place
the handpiece directly on the psoriatic lesions and apply the laser therapy. You will hear a gentle hum and see a blue colored light from
the handpiece tip. Most treatments take only a few minutes.

Does treatment hurt?
No. Most patients experience no pain or discomfort. A few patients may feel slight warmth shortly after treatment. This warmth is mild
and short-lived. No anesthesia is needed.

How many treatment sessions will I need?
We create a customized course of therapy for you based upon the extent, thickness, and location of the lesions. Some patients enjoy
clearing after about 8 sessions.

How do I prepare for treatment?
No extensive preparation is required for laser therapy. Just ensure that the skin to be treated is clean, dry, and free of any make-up,
lotion, or creams containing SPF protection.

Are there side effects?
The side effects of laser therapy are minimal. Most patients report no side effects. A few patients have reported a mild and short-lived
redness at the lesion site. More serious side effects such as blistering and hyper-pigmentation are rare and short-lived.

Are laser treatments covered by insurance?
Many national, state, and local insurance companies cover the laser treatment, but coverage levels will vary by plan. Talk to your doctor's
billing staff for details about your insurance coverage.
What Patients Say about EX-308 Excimer Laser Treatments
"When I started treatments, about a quarter of my face was affected. Now,
after 32 treatments, the treated areas are more than 85% repigmented.
People who did not see me before cannot detect I ever had vitiligo. If I had
vitiligo any other place, I would definitely get EX-308 excimer laser
treatments. It definitely works. There is no point trying anything else."
We only offer this treatment in our Los Angeles area dermatology practice.  To find a physician in your area, please contact www.RAmed.com
(818) 505-9300
Gene Rubinstein, M.D.
Dermatologist and Harvard Trained Laser Specialist
Medical and Cosmetic Dermatology
SKIN
REJUVENATION
OTHER SERVICES