ALMA HYBRID LASER
Discover the future of skin rejuvenation with the Alma Hybrid device, a cutting-edge treatment that combines the power of ablative and non-ablative technologies. This dual-action approach targets various skin concerns, including wrinkles, uneven texture, scars, and pigmentation, delivering remarkable results with minimal downtime.





The results speak for themselves





How It Works
Following your surgery, you will be taken into recovery where you'll be monitored until awake. You may experience some discomfort which can be managed through prescribed pain medication. The treated areas may be covered with protective dressings or ointments to promote healing and prevent infection. Applying cold compresses can help reduce swelling and discomfort. Swelling and redness are common after Hybrid laser resurfacing and typically peak within the first few days, gradually subsiding over the following weeks. Keeping the head elevated and using cold compresses can help minimize these effects. Patients should follow a gentle skincare routine, including regular cleansing and moisturizing, to keep the treated areas clean and hydrated. The use of specific healing ointments may be recommended. The treated skin will begin to crust and peel within a few days, revealing new, healthier skin underneath. Patients should avoid picking at the peeling skin to prevent scarring. Protecting the treated areas from sun exposure is crucial during the healing process. Patients should avoid direct sunlight and use a broad-spectrum sunscreen with a high SPF when outdoors.
Strenuous activities, heavy lifting, and contact sports should be avoided for at least two to four weeks. Most patients can return to work and normal activities within one to two weeks, depending on their comfort level and the nature of their job. Full healing can take several months, with the final results becoming apparent as redness fades and collagen production increases. Subtle changes can continue to occur up to a year post-procedure. Maintaining a healthy lifestyle, including a balanced diet and regular skincare routine, can help prolong the results of the procedure. The office staff will schedule check-ups to allow Dr. M to monitor your progress and address any concerns.
Hybrid laser resurfacing is performed under general anesthesia. The skin is thoroughly cleansed to remove any oils, makeup, or impurities. The physician uses the Hybrid laser to deliver short pulses of high-energy light to the targeted areas of the skin. The laser precisely removes the damaged outer layers of the skin while simultaneously stimulating collagen production in the deeper layers. The treated areas may be cooled with a special device to minimize discomfort and reduce the risk of overheating the skin.
The duration of the operation varies based on individual factors but generally lasts between 30 minutes to 2 hours.
Following your surgery, you will be taken into recovery where you'll be monitored until awake. You may experience some discomfort which can be managed through prescribed pain medication. The treated areas may be covered with protective dressings or ointments to promote healing and prevent infection. Applying cold compresses can help reduce swelling and discomfort. Swelling and redness are common after Hybrid laser resurfacing and typically peak within the first few days, gradually subsiding over the following weeks. Keeping the head elevated and using cold compresses can help minimize these effects. Patients should follow a gentle skincare routine, including regular cleansing and moisturizing, to keep the treated areas clean and hydrated. The use of specific healing ointments may be recommended. The treated skin will begin to crust and peel within a few days, revealing new, healthier skin underneath. Patients should avoid picking at the peeling skin to prevent scarring. Protecting the treated areas from sun exposure is crucial during the healing process. Patients should avoid direct sunlight and use a broad-spectrum sunscreen with a high SPF when outdoors.
Strenuous activities, heavy lifting, and contact sports should be avoided for at least two to four weeks. Most patients can return to work and normal activities within one to two weeks, depending on their comfort level and the nature of their job. Full healing can take several months, with the final results becoming apparent as redness fades and collagen production increases. Subtle changes can continue to occur up to a year post-procedure. Maintaining a healthy lifestyle, including a balanced diet and regular skincare routine, can help prolong the results of the procedure. The office staff will schedule check-ups to allow Dr. M to monitor your progress and address any concerns.
What to Expect: Pre-Operative Phase
Before undergoing the Hybrid laser treatment, you will be required to have an initial consultation with Dr. Manolakakis to discuss your goals and expectations for the procedure. During this consultation, Dr. M will conduct an examination of your skin to determine its suitability for laser resurfacing.
Once the decision to proceed with the procedure has been made, there are several preoperative preparations to consider: Patients will undergo a thorough medical evaluation to ensure they are in good health and fit for surgery. This may include blood tests, imaging studies, and other diagnostic tests as needed. Patients should inform M about any medications they are currently taking, including prescription drugs, over-the-counter medications, vitamins, and supplements. Some medications may need to be temporarily stopped or adjusted prior to surgery. Patients should avoid taking certain supplements that can increase bleeding risk such as vitamin E or fish oil in the weeks leading up to surgery. Antiviral medication may be prescribed to prevent herpes simplex infections. Patients may be advised to use specific skincare products, such as retinoids or bleaching agents, in the weeks leading up to the procedure to prepare the skin and improve outcomes. Avoid excessive sun exposure and use a broad-spectrum sunscreen to protect the skin before the procedure.
Patients should arrange for transportation on the day of surgery as they will not be able to drive themselves home after undergoing anesthesia. Patients should plan ahead for their recovery period by arranging for help at home if needed. It is recommended that someone stays with them during the first few days following surgery. M and the team will provide specific instructions on when to stop eating or drinking before surgery as well as guidelines regarding showering with antibacterial soap prior to coming in for your procedure.
What to Expect: Operative Phase
Hybrid laser resurfacing is performed under general anesthesia. The skin is thoroughly cleansed to remove any oils, makeup, or impurities. The physician uses the Hybrid laser to deliver short pulses of high-energy light to the targeted areas of the skin. The laser precisely removes the damaged outer layers of the skin while simultaneously stimulating collagen production in the deeper layers. The treated areas may be cooled with a special device to minimize discomfort and reduce the risk of overheating the skin.
The duration of the operation varies based on individual factors but generally lasts between 30 minutes to 2 hours.
What to Expect: Post-Operative Phase
Following your surgery, you will be taken into recovery where you'll be monitored until awake. You may experience some discomfort which can be managed through prescribed pain medication. The treated areas may be covered with protective dressings or ointments to promote healing and prevent infection. Applying cold compresses can help reduce swelling and discomfort. Swelling and redness are common after Hybrid laser resurfacing and typically peak within the first few days, gradually subsiding over the following weeks. Keeping the head elevated and using cold compresses can help minimize these effects. Patients should follow a gentle skincare routine, including regular cleansing and moisturizing, to keep the treated areas clean and hydrated. The use of specific healing ointments may be recommended. The treated skin will begin to crust and peel within a few days, revealing new, healthier skin underneath. Patients should avoid picking at the peeling skin to prevent scarring. Protecting the treated areas from sun exposure is crucial during the healing process. Patients should avoid direct sunlight and use a broad-spectrum sunscreen with a high SPF when outdoors.
Strenuous activities, heavy lifting, and contact sports should be avoided for at least two to four weeks. Most patients can return to work and normal activities within one to two weeks, depending on their comfort level and the nature of their job. Full healing can take several months, with the final results becoming apparent as redness fades and collagen production increases. Subtle changes can continue to occur up to a year post-procedure. Maintaining a healthy lifestyle, including a balanced diet and regular skincare routine, can help prolong the results of the procedure. The office staff will schedule check-ups to allow Dr. M to monitor your progress and address any concerns.

Dr. Manolakakis
Dr. Manolakakis takes a conservative and integrative approach to medicine, designing personalized treatment plans for each individual that comes to Advanced Facial Surgery in need of a change. He specializes in facial cosmetic surgery and non-surgical treatments, facial reconstruction, maxillofacial trauma management, jaw surgery, and cleft lip and palate repair.
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Testimonials
EXCELLENT Based on 114 reviews Posted on Joan ShanebrookTrustindex verifies that the original source of the review is Google. Hello i was very pleased with the results and excellent care i received. Dr M, Britt and all the staff are highly skilled, exceptional professionals that immediately reassure their patients that everything is taken care of and we are in safe hands.Thank you all.Posted on Debbee DavisTrustindex verifies that the original source of the review is Google. I can’t say enough about his office in NYC. My experiences there have been nothing less than fantastic from Brit You won’t be disappointed.Posted on barbara cTrustindex verifies that the original source of the review is Google. I had a great experience with Dr. M and his entire staff. I felt fully supported during the entire process and very well cared for. My transformation was exactly what I asked for and better than I hoped for. I highly recommend them!Posted on Suzanne MarshockTrustindex verifies that the original source of the review is Google. I just went for my second appt with Britt and I can’t say enough about the treatment 2 weeks ago I went in with concerns about the wrinkles around my eyes and a little sag ..I also said I like my forehead the way it is I like expression..well the results I feel are fabulous and when I went in today for a follow up touch up ..well both thought everything looked great and she did not try and up sell I what I didn’t really need …I’m 55 and don’t mind 55Posted on Joseph BruscaTrustindex verifies that the original source of the review is Google. Dr. Manalakakis is an extremely talented plastic surgeon and a great guy. He is fastidious and will make sure that you are happy with his work. His staff is great and makes you feel welcome. His right hand, Nurse Britt is very talented and a pleasure to deal with. His front desk person,,Christen, is very friendly and makes sure your appointments are on time. I’m leaving out some names but all the staff makes you feel at home and important. Both my wife and I have had work done by him and I would recommend him to everyone. I wouldn’t go anywhere else.Posted on Barbara PlattTrustindex verifies that the original source of the review is Google. My experience has been extremely wonderful from the time I met dr Manolakakis and his staff. They made me feel very comfortable. I would highly recommend them!Posted on Patricia semenTrustindex verifies that the original source of the review is Google. I can’t even begin to tell you all the elements that contributed to the most positive experience(s) I have ever had, with the amazing Dr.Manolis & his incredible & stellar staff! He is truly an artist & an incredible human being. If you want to looker fresher, younger, more beautiful., if you want the best, most natural results, then Dr.Manolis is your man, to do what is right for you! He takes the utmost pride in “the type” of “specialized” & “elevated work” he does. Theres a reason it’s called “ADVANCED FACIAL SURGERY” & there’s no comparison to his work! His staff are the most professional, kind hearted, welcoming, supportive people who will treat you like royalty. You will feel so comfortable, held & guided by these people, both in his beautiful plastic surgery suite & his separate aesthetics suite at Advanced Facial Plastic surgery. It has been 6 months since my procedures. People see themselves from the front view every day. But I recently took a random profile selfie and literally GASPED at the amazing results I received by Dr.Manolis! I didn’t know I looked like this and almost cried. The results have impacted my life in the most positive ways and are truly life changing! I thank Dr.Manolis & his staff from the bottom of my heart. So grateful to have found them!Posted on Emily SallustioTrustindex verifies that the original source of the review is Google. Dr. M and his team are the best of the best! He recently removed a keloid from my ear and he made the process so easy. Everyone was kind and comforting, and Dr. M explained everything clearly, which really put me at ease (and I'm an anxious patient). And my ear looks great! You would never know anything was ever there!! I'm so grateful for Dr. M and his team's skill and care.Posted on Julie ShanebrookTrustindex verifies that the original source of the review is Google. Incredibly gifted surgeon and medical staff. You will be so well taken care of! Highly recommend, could not be happier to be a patient of Advanced Facial Surgery!


