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The reason cited is body size and a generally lower baseline GH-response threshold

When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making

Especially for areas like post-pregnancy abdomens or upper arms where skin laxity is a concern, this dual-action approach is incredibly valuable. The science is straightforward: when the laser gently heats tissue internally to approximately 48-50C (while keeping the skin surface comfortable and safe), it triggers a healing response that includes immediate collagen contraction followed by regeneration

This is to prevent bleeding, which happens when you bend your head forward