Laser Surgery

Laser surgery by Dr Toby Nelson is available at the Devon Hair & Skin Institute

Dr. Nelson and his team are privileged to offer patients a wide range of advanced treatments for pigmentation, photo damage, acne, redness, and more. Utilizing the cutting-edge Sciton Joule, one of the most innovative aesthetic laser and light-based systems available, Dr. Nelson provides a variety of laser therapies tailored to individual needs.

As of summer of 2024, Dr. Nelson will also be introducing the highly regarded BBL® HEROic™ treatment. Backed by solid scientific research, rave reviews from both patients and providers, and remarkable before-and-after results, this treatment is exceptional for rejuvenating aging skin. It effectively improves skin tone and texture, addresses acne, sun spots, age spots, and more, all with minimal to no downtime. Say goodbye to brown spots, unwanted redness, and visible signs of aging – instead reclaim your healthier, vibrant skin.

What lasers does Dr Nelson use?

BBL Heroic
Halo. The world’s first hybrid fractional laser
Erbium tunable resurfacing laser. The World’s Most Advanced Resurfacing Laser

What Laser is best for me?

A consultation is essential to understand your concerns, goals, and, most importantly, your expectations. During this appointment, Dr. Nelson will thoroughly examine your skin and provide a realistic assessment of what can be achieved. He will also discuss the expected recovery time and any potential risks or complications, which are rare. This ensures you are fully informed and comfortable before moving forward with treatment.

Conditions Dr Nelson treats with laser;

Redness: commonly associated with rosacea, can be challenging to treat and often requires laser therapy to reduce and eliminate the unwanted blood vessels in the skin. Despite being recognized as an effective treatment in national guidelines, laser treatment for rosacea is not currently covered by the NHS.
For stubborn brown patches, such as solar lentigines (sunspots), BBL HEROic™ is an ideal solution. While some spots may require two treatments to fully disappear, it’s important to note that they can reappear over time. To maintain long-lasting results, it’s essential to use SPF regularly after treatment.

Fine Lines: While Botox can smooth out wrinkles, it doesn’t address the underlying collagen structure. Laser treatments, on the other hand, can stimulate collagen regeneration, providing long-lasting results while also repairing damaged collagen bundles. Dr. Nelson typically uses the Halo laser for patients in their 40s to 60s with fine lines and mild wrinkles.

Deep Wrinkles & Lip Lines: For deeper wrinkles, such as those around the lips (smoker’s lines), Dr. Nelson uses a more aggressive erbium laser. This treatment targets deep lines effectively, though it comes with increased downtime. Redness and recovery after full-field ablation can take several months, but the results are well worth the wait.

Xanthelasma: These yellowish skin patches, caused by cholesterol buildup, can be tricky to remove, especially when they form in a wide band. Surgical excision can be risky, so Dr. Nelson prefers careful ablation, which is a highly effective treatment for all skin types.

Scars, Including Acne Scars: Scars, particularly acne scars, can be challenging to treat, but with thorough planning and an honest consultation, Dr. Nelson can assess the potential for successful treatment. Often, scar treatment requires multiple sessions, including ablative lasers, subcision, and punch excision (for ice-pick scars).

Acne: While laser treatments can improve acne, it is not Dr. Nelson’s first-line treatment of choice for this condition.

Large Pores: Laser therapy can be very effective in reducing the appearance of enlarged pores, giving your skin a smoother, more refined texture.

How much does Laser cost?

Prices for treatments start at £400 (excluding the initial consultation fee) and can exceed £4,000, depending on the procedure. Dr. Nelson will provide you with a detailed written quotation prior to any treatment, ensuring complete transparency. The cost of laser treatments reflects the quality and long-lasting results achieved.

A single, well-planned full facial resurfacing treatment using erbium or CO2 lasers is typically a once-in-a-decade procedure, making it a valuable investment compared to many other treatments that often show limited or no lasting benefits.

Is there downtime?

Yes, there is always some downtime, which will vary depending on the depth and extent of the laser treatment. For example, BBL HEROic™ typically involves little to no downtime, while a full-field ablation to address deep wrinkles may require several weeks of recovery.

What are the complications of Laser?

Yes, there is always some downtime, which will vary depending on the depth and extent of the laser treatment. For example, BBL HEROic™ typically involves little to no downtime, while a full-field ablation to address deep wrinkles may require several weeks of recovery.

Can I have laser with dark skin?

Yes you can. One of the main reasons Dr Nelson and the team at the Devon Hair and Skin Institute use the Sciton system is its safe use in all skin types.

Is there any special laser care creams you advise using before and after laser treatment?

Surprisingly no, we do not recommend or sell any specific products. Patients are instructed to use bland emollients after their laser to ensure the skin doe not become too dry. Written instructions are provided to all patients as part of their laser package including a selection of creams to use in the first few days.

Can I go in the sun after my laser?

That is a no! Laser patients are instructed to avoid direct or strong sunshine for the first 2 months following treatment to avoid pigmentation forming in odd places.

Can I get my skin wet after laser?

Yes, we instruct patients to wash and clean daily

Can I use ice packs after laser?

Only for the first 24 hours after this we want to allow the skin swelling to come out.

Can I take painkillers?

Yes, ibuprofen can help in the first 24 hours after this regular paracetamol if required.

Where can I find more information about Dr Nelson and lasers?

Hair Loss & Dermatology Specialists – Devon Hair & Skin Institute

Sciton | Leaders in Medical and Aesthetic Laser Technology