Affirm Multiplex

What is the Affirm Multiplex laser?

One of  the latest innovations in the field of non-ablative skin resurfacing, this exciting new technology  uses a fractional laser beam to help smooth, tighten, and improve the overall appearance of the skin.  The Affirm’s fractional duo wavelength technology  minimizes downtime, making it an appealing alternative to traditional laser resurfacing.

What is non-ablative skin resurfacing?

It is a laser rejuvenation technique that  does not cause the top layers of the skin to peel. In the case of the Affirm, the main after effect is redness, however the skin surface remains intact. This contributes to the faster healing time.

What is fractional resurfacing?

This is a new development in the field of lasers, a result of looking for providing effective treatments without causing downtime, while decreasing the risk of complications such as scarring and infections. What it means in practical terms is that the laser beam is divided to microbeams, kind of like a sieve. For every laser microspot, there is an adjacent microspot of untreated, normal skin. This normal skin in between the laser microspots helps support  healing after the treatment. With  traditional resurfacing, the entire skin is lasered off, resulting in a longer  regeneration process  and more severe downtime after the treatment. In essence, you get the benefits of laser skin resurfacing without most of the side effects.

How does the Affirm make the skin look better?

Similar to Fraxel, the first fractional resurfacing laser that came out years ago, the Affirm Multiplex stimulates the skin to make new collagen. The new collagen production helps smooth out superficial lines, as well as depressed and raised scars in the skin. Unlike the Fraxel, the Affirm has a second, simultaneous wavelength released into the skin, which delivers heat to the deeper layers of the dermis, causing the the collagen to contract. This contraction has a tightening effect, which helps firm the skin and reduce sagging over time.  Because of its duo wavelength technology, the Affirm works simultaneously on the upper and deeper skin layers, enhancing  both the surface texture and elasticity of the skin.

“Dr. Hellman, As my 58th birthday loomed, my neck suddenly became saggy and started to develop the texture of crepe-paper. I decided to take Dr. Hellman’s advise to use a combination of Affirm Multiplex and Refirme ST treatments to tighten the skin and stimulate the growth of collagen. There were noticeable results after the first treatment and the procedure is painless. I am glad I made the decision to proceed – the results and this technology are truly remarkable. -K.D.” *Results may vary

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Before & After Photos

Affirm Multiplex - Before and After Treatment Photos: Female (frontal view)
Affirm Multiplex - Before and After Treatment Photos: Woman (oblique view)

*Results may vary

What type of problems does the Affirm treat?

The Affirm has many indications. It can help tighten sagging skin on the face, neck and other body areas including the knees, stomach, upper arms and inner thighs. It also helps smooth out superficial wrinkles, reduce the size of pores, and improve both raised scars (keloids) as well as help fill out depressed acne scars. I often use the Affirm on my acne patients following Pulse Dye Laser treatments for their acne, to even out the surface of the skin from the scarring that remains from the healed cysts.

Is the Affirm safe?

Yes, it is one of the safest fractional technologies around. The combination of two wavelengths means that lower energy levels of each are needed to maximize the effectiveness of the treatment. It is also significant that, unlike with the Fraxel, no dyes have to be applied to mark the skin prior to treatment. For this reason, the treatment takes less time with the Affirm than with Fraxel. And as we know in Manhattan, when it comes to time, every little bit counts!

Is the treatment painful?

As a result of the combined wavelengths and the reduced energy levels needed, the Affirm is easily tolerated by most patients. Many of those whom I treat require no numbing at all However, or the sensitive patients, or for those who are scared to try the treatment “straight up”, I do offer numbing cream. The treatment also utilizes a cooling device with cold air blowing on the skin along the path of the treatment, increasing both comfort and safety.

“Dr. Hellman, I just wanted to let you know that I am starting to see the results from the laser we did last Friday. My skin is starting to seem smoother and healthier. It is the clearest it has been in several months! I think I will start going without makeup which is very exciting for me. Thanks! -L.A.” *Results may vary


QuestionHow much downtime is there after treatments?

AnswerUnlike the Fraxel, which results in significant redness and swelling, the Affirm entails only some sunburn-like redness after the treatment. This typically lasts between 24-48 hours, after which the skin looks normal. For this reason, this treatment is very popular among my patients who are in the public eye with little time to hide, yet are in need of a touch of firming and tightening of areas on the face or the neck.

QuestionHow many treatments are needed?

AnswerAlthough for minor problems a series of 3 treatments can be sufficient, anything more substantial such as deeper wrinkles, scars or more pronounced sagging will most likely need 6 treatments. Packages for both 3 and 6 treatments are available. Treatments can be spaced about 4-6 weeks apart.. After each treatment, the skin will rev up collagen production for up to 6 months, thus prolonging the rejuvenation and revitalization of the skin for many patients.

QuestionCan the Affirm treatment be combined with other treatments?

AnswerYes. For  some patients the Affirm is all they need; others, may benefit from  combining  the Affirm laser with Refirme ST treatments, as well as fillers and BOTOX® & Dysport®. Glycolic peels and/or microdermabrasions can  also be helpful in facilitating the Affirm treatment and may prolong the effect even further out in the future. Packages for combined modalities are available upon request.

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