Facial Plastic Surgery

Laser Cosmetic Procedures - Palomar Starlux 500

Photo Facials

Have you spent too much time in the sun, and now it’s taking a toll on your skin? Turn back time with the Palomar Starlux® photo-rejuvenation treatment, and discover renewed, vibrant skin. This treatment is indicated for hyperpigmentation (sun spots) and vascular areas (redness). It evens out the color of the skin, smoothing out red and brown spots. The areas usually treated are the face, neck, hands, arms, back, legs and other areas exposed to the sun. The Palomar Starlux® photorejuvenation treatment is also used along with other treatments like the Palomar Starlux® 1540 and 1440 fractional skin resurfacing.

Palomar Laser



Your provider will move the handpiece over your skin, pulsing regularly. Each pulse will send a beam of light through your skin. A flashing light, an audible tone and a mild sensation on the skin will tell you when the handpiece is being pulsed.


Immediately after treatment, you can expect some mild redness to your skin and the sensation of heat. This usually lasts 2 to 24 hours. 

Sun spots and sun damage: the sun spots will darken after treatment and will naturally shed from the skin within 1 to 2 weeks.

  • Rosacea: skin tone will typically benefit from less pronounced redness within a week after treatments.
  • Spider veins: vessels may appear after treatment or they may appear darker and then fully or partially fade within 10 to 14 days.

Typically, a few visits will be necessary to treat sun spots, rosacea and vessels.

Before & After Photos

Laser Before and After Chest

Hair Removal

Unwanted hair can make you feel unattractive and self conscious about your appearance. Why not feel more confident by removing it? With our state-of-the art Palomar Starlux® laser hair removal system, you can rid yourself of unwanted hair. The Palomar hair removal system emits pulses of light that kill the roots of the hair. Unlike many technologies that are inefficient at killing the follicle, the Palomar laser hair removal system permanently prevents hair from growing back. Most areas of the body can be treated, as long as the hair has color (melanin). Typical areas treated are legs, bikini line, face, neck, back, arms, chest, etc.


Your provider will move the “self-cooling” handpiece over your skin, pulsing as it travels. The device pulses as it travels and each pulse will send a frequency of light through your skin to the hair follicle. A flashing light, an audible tone and a mild sensation on the skin will make you aware of an active treatment. Treatments are done at 4 to 6 week intervals. Minimal or no sun exposure should be observed during the treatment process.


Immediately after treatment you may see some slight to mild redness of the skin and it may feel warm. This usually lasts 2 to 24 hours. The treated hair will continue to fall out over the next 7 to 30 days post treatment.

At any given time, some of your hair is not in a phase of active growth. Therefore, you will need more than one treatment to affect the growth of unwanted hair. Typically, a full course of therapy is 5 to 6 treatments to ensure permanent hair reduction.

Before & After Photos

Laser Hair Removal

Skin Tightening Procedures

As we age, our skin begins to sag around the face, neck and other parts of the body. Sacramento Ear, Nose and Throat and Facial Plastic Surgery Center can improve the overall appearance of your skin using laser skin tightening. During this procedure, the Palomar LuxIR Fractional Infrared hand piece heats and stimulates the collagen under the skin’s surface, causing the skin to tighten. This collagen regeneration fills in wrinkles and tightens sagging skin creating an overall more youthful complexion.


The Palomar LuxIR also uses 3-stage cooling. It cools the skin before, during and after each light pulse, so you feel little discomfort during treatment.


You may experience lingering warmth, tightness or redness in the treated area, which fades within a few hours of treatment. There is a quick healing process. A series of treatments at 4 to 6 week intervals may be required to achieve the desired result of smoother, tighter skin in the face, arms, abdomen and other areas.

Before & After Photos

Skin Tightening


Varicose (VAR-i-kos) veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs. However, they also can form in other parts of your body. If your varicose veins are making you feel self-conscious, they can be easily treated with our laser system. The Palomar Starlux® 1064 YAG delivers energy that increases the temperature of the blood within the vein. The temperature increase of the blood affects the vessel wall causing it to collapse. Depending on the size of the vessel, it will immediately go away or fade over time.These leg vein treatments are skin-safe and comfortable.


The Palomar Starlux® 1064 YAG delivers its energy in one smooth, gentle pulse to protect the skin from a sharp rise in temperature. A chilled fluid supply runs through the handpiece down to the tip, leaving your skin continually cooled throughout the treatment.


Immediately following the treatment, you will see a number of possible outcomes. The vessel will disappear, the area will appear black and blue, or the vessel will shrink with mild surrounding redness for 12 to 24 hours. To decrease the likelihood of these vessels reforming, the nurse or physician may recommend temporary use of support stockings.


If you are interested in regaining a more youthful glow to your skin, Palomar Starlux® laser skin resurfacing may be the solution for you. As we age, our skin can become wrinkled, uneven in tone and can lose its elasticity. During laser skin resurfacing, the laser is used to remove layers of damaged and wrinkled skin, which can also significantly improve the skin’s tightness and firmness.

At Sacramento Ear, Nose and Throat and Facial Plastic Surgery Center, we use the most current fractional laser technology – the Palomar Starlux® 1540 and Lux 1440. This phenomenal technology delivers light in an array of narrowed focused “microbeams” to create columns of coagulation within the skin. These columns initiate a natural healing process that stimulates the formation of collagen and new healthy tissue. This will help eliminate your fine lines and wrinkles, decrease pore size, and tighten your skin to give it a healthier look. Almost any area of your body can be treated, including your face, chest, arms and hands.


The laser device sends light pulses into the epidermis and dermis, while leaving the stratum corneum in place. This allows for healthy tissue to survive, which allows for a quick recovery. Downtime with the Palomar Starlux® laser skin resurfacing is 24 to 48 hours, as compared to a week with intense peels or use of CO2 devices, which can have a downtime of 10 days or more.


You will experience some redness, swelling, or tightness to the treated area, which usually lessens within a few hours of the treatment. The skin may often have a pinkish tone for 2 to 5 days. A series of treatments at 3 to 6 week intervals may be required to achieve the desired results.

Before & After Photos

Skin Resurfacing


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