Trifecta Facelift: Next-Level Face and Neck Rejuvenation

Trifecta Facelift is Dr. Lacerna’s signature surgery. The Trifecta Facelift is a safe and effective procedure that combines three great cosmetic techniques for long-lasting, transformative rejuvenation.

Skin Resurfacing

The third component of the Trifecta Facelift is treating the facial and neck skin with RENUVION Helium RF Plasma. This deep resurfacing technology resets the facial skin by eliminating years of lines, aging and sun damage. Furthermore, it tightens the deepest layers of the skin. This is suitable for lighter skin types Fitzpatrick 1-3. For darker skin types, NEOGEN PSR Nitrogen Plasma can be utilized, as the treatment parameters can be adjusted accordingly.

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The Benefits of skin resurfacing

PLASMA Skin Resurfacing treatments offer several benefits for improving the overall appearance and health of the skin. Here are some key advantages of skin resurfacing:

    • Reduction of Fine Lines and Wrinkles: Skin resurfacing can effectively diminish the appearance of fine lines and wrinkles. Treatments such as PLASMA SKIN RESURFACING promote collagen production, which helps plump and tighten the skin, reducing the depth of wrinkles and fine lines. These technological advances are far more superior to C02, erbium lasers or chemical peels as far as wrinkle correction and tissue tightening.
    • Diminished Scarring: Whether caused by acne, surgery, or injury, scars can be significantly improved with PLASMA SKIN RESURFACING. The treatments help to break down scar tissue and encourage the growth of new, healthy skin cells, leading to a smoother and less noticeable scar appearance.
    • Increased Skin Radiance and Glow: PLASMA SKIN RESURFACING procedures promote cellular turnover, which results in a fresher, brighter, and more radiant complexion. By removing dull and damaged skin cells, the treatments reveal a healthier layer of skin with a natural glow.
    • Boosted Skin Health and Function: PLASMA SKIN RESURFACING procedures not only address specific concerns but also enhance the overall health and function of the skin. By promoting collagen production, improving cellular turnover, and increasing blood circulation, these treatments can lead to improved skin vitality and resilience.
    • Improved Skin Texture: PLASMA SKIN RESURFACING treatments can help smooth out rough, uneven skin texture caused by factors like acne scars, sun damage, or aging. By removing the outermost layer of damaged skin, PLASMA SKIN RESURFACING procedures stimulate the growth of new, healthier skin cells, resulting in a smoother and more youthful texture.
    • Sun Damage Reversal: Prolonged sun exposure can lead to various skin concerns, including sunspots, uneven pigmentation, and texture irregularities. PLASMA SKIN RESURFACING treatments can effectively address these sun-related damages, restoring a more youthful and healthy complexion.
    • Elimination of pre-cancerous skin cells: Many scientific studies show that PLASMA SKIN RESURFACING preferentially targets and kills cancerous and pre-cancerous skin cells. PLASMA SKIN RESURFACING, whether via helium or nitrogen plasma, interacts with oxygen on top of the skin, producing free radicals that are preferentially taken up my more highly metabolic neoplastic cells over normal cells, causing cell death. Many patients with a history of skin cancers (basal and squamous cell carcinoma) who undergo PLASMA SKIN RESURFACING find that they remain skin cancer free for many years after their treatment. If you have a history or non-melanoma skin cancers, please check first with your Dermatologist prior to getting PLASMA SKIN RESURFACING.

Dr. Lacerna utilizes Renuvion, a minimally invasive procedure that can resurface the skin to minimize these imperfections. Renuvion is the only device that is FDA cleared both for resurfacing the skin on the face (with lighter skin tones [Fitzpatrick 1-3]) and for tightening the skin below the chin and on the neck through a subdermal application.

Renuvion & Skin Resurfacing

Renuvion combines the energy from radiofrequency (RF) applied to helium gas, producing a “cool beam” plasma for ablative resurfacing of the skin on the face. This is effective enough to be performed as a standalone procedure but gentle enough to be done concurrently with a facelift and fat grafting.

As an alternative, NEOGEN Nitrogen plasma resurfacing can also be performed for darker skin types, or for those who prefer less downtime or as a non-surgical alternative.

Dr. Melinda Lacerna is a Double Board Certified Plastic Surgeon who has earned a reputation for being one of the most experienced Renuvion users in the country! With her extensive experience using the device, she has helped many patients achieve natural-looking facial skin renewal.

Skin Resurfacing





What To Expect from Skin Resurfacing

Renuvion facial skin resurfacing is a deep ablative procedure and therefore requires downtime of about two weeks for maximal recovery. During this time, it is important that patients follow up with Dr. Lacerna and her staff with every-other-day visits for the first two weeks, in order for her and her team to monitor the patient’s healing progress closely.


The results that can be achieved with Renuvion Skin Resurfacing of the face are superior to other ablative procedures such as C02 lasers and deep chemical peels such as phenol peels. One advantage of this procedure over phenol peels is that there is no associated risk of cardiac arrhythmias during the procedure. In addition, Renuvion Skin Resurfacing does not fully ablate the skin’s pigmentation, unlike the hypopigmentation often seen after C02 laser procedures. In addition, there is more deeper skin tightening achieved with Renuvion resurfacing because the device is coupled to the patient’s body, forming a dual flow of gentle energy that produces both superficial and deep skin tightening, as opposed to C02 laser’s unidirectional, surface only interface with the patient’s skin.


Patients typically find that their skin remains smooth, with a healthy glow and a more even skin tone for about two to five years following treatment. This is often a “one-and-done” procedure, but maintenance of skin health with sunscreen and a good skin care regimen will further extend the results.

The addition of EXOSOMES both topically and intradermally during PLASMA SKIN RESURFACING procedures has truly hastened and improved our patient’s healing time, minimized post-recovery discomfort, and enhanced long term effects and skin quality for our patients.

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