Q: Hi on the first day after my fraxel treatment I went out to work with hot sun temperature but I used an umbrella to protect my face is it okay?
A: Fraxel laser makes your skin tender and even more vulnerable to sun damage. It’s very important to avoid the sun while you are healing. It’s a good thing that you used an umbrella, but you can still catch reflected UV light that bounces off sidewalks, gravel, and sand. You also need to wear a medical-grade sun screen to protect your skin — even when you’re indoors near the windows. Sun exposure greatly increases your risk for skin cancer, plus makes it likely that all of the issues you used Fraxel to improve will return. If you are dark skinned or olive, going in the sun right after treatment also increases your risk of PIH (post inflammatory hyperpigmentation) or browning of the skin. This is a temporary risk, but it can last a few months. If you see dark patches, please visit your dermatologist to start on a good skin care regimen, so that it resolves faster. Please find a board-certified dermatologist to get the protection you need to maintain your skin’s health.
Q: How long do the results (on average) do face laser resurfacing treatments last?
A: If you go for an ablative CO2 laser such as Fraxel, you could have stronger, more resilient skin and youthful collagen stores for up to several years. I generally recommend a touch-up every two years to maintain the benefit. Light nonablative lasers are more convenient because they have no downtime. But they need to be repeated several times to get the same results as one ablative treatment. And I usually recommend a touch up every six months to a year after you’ve attained the benefits you want, with those lasers. Be sure to consult a board-certified dermatologist who is an expert at rejuvenating the face with lasers.
Q: I am 57 years old and have deep smoker's lines I want to get rid of. They have the appearance of "scars" by now. I have never smoked and being light skinned, I have always been careful with the sun. I am considering Fraxel laser but I'm hesitant.
A: Your skin looks, acts, and feels younger after a Fraxel treatment. It’s a terrific treatment to get at 57 because your skin probably still has some collagen and is fairly resilient. Fraxel not only smooths out wrinkles and evens out your skin tone, it stimulates your skin to produce more collagen so that it’s stronger and thicker than before. Be sure to consult a board-certified dermatologist who is an expert with Fraxel so you’ll be one of the many very satisfied patients who return for Fraxel treatments every couple of years.
Q: I’m about to turn 33 this month and I’m really bothered by the signs of aging I’m seeing in my skin right now. I have some forehead lines, really bad dark circles, and slight parentheses lines around my mouth. What treatments would you recommend to make my face look young again?
A: You have a lot of options to improve your skin. Because the signs of aging are subtle in your case, chemical peels and a medical-grade skin care system like SkinMedica’s HA5, which contains hyaluronic acid or SkinCeuticals antioxidant serum, could be enough. You might also want to start light, nonablative laser treatments with Fraxel or another laser to keep your collagen production high. Be sure to consult a board-certified dermatologist who can work with you over the longterm to keep your skin looking healthy, toned, and lovely.
Q: What treatment(s) can I do to have to firm my skin and fix the frown look?
A: You didn’t include any photos or much information, but the good news is that there are myriad treatments to choose from. Fraxel is great way to firm up your skin because it stimulates you to produce new, strengthening collagen and elastin. Botox is the best remedy for frown lines.Consult with board-certified dermatologists to find out more about the options that are best in your particular case.
Q: Which specific laser/RF machines can achieve facelift without surgery and build collagen in face.
A: Aging issues generally require a multifaceted approach with combination therapy to get the most dramatic improvement, especially when you want to avoid surgery. Sagging of the face is due to multiple factors including sun damage of the skin, loss of volume in fat and bone, and loss of muscle and ligament tone. Therefore, one treatment cannot fix everything. If you’re going to choose just one procedure to start, I’d recommend ThermiTight, which uses radiofrequency energy to tighten the skin in the neck and lower face. It’s my favorite first-line treatment. From there, I might recommend overall Fraxel for the facial skin rejuvenation and Sculptra to fill in lost volume. Silhouette thread lifts also make a dramatic, instantaneous change that lasts for a couple of years because your skin creates new collagen that takes the place of the threads and holds up the lifted tissue. Please find a board-certified dermatologist who has expertise and who inspires confidence in you. Anti-aging is a lifelong procedure, so you want someone in your corner whom you like, trust, and whose results are absolutely spectacular. Rotating through the different treatments over the years with regular maintenance can truly help slow down aging and keep you youthful and radiant for years.
Q: I am almost 26 years old and I feel like the lower half of my face is already starting to sag and I feel like my face always looks puffy. Is there a way to tighten or make my face look more contoured?
A: You really seem too young to have sagging yet, but perhaps your weight has gone up and down with pregnancies or overweight issues. This can cause premature sagging. In addition, excessive sun in your childhood and teen years can already cause some laxity in the skin by the mid-20s. You can firm up your skin by starting to get mild laser treatments now that stimulate the production of more collagen. Depending on what look you want, you have many options to lift your face subtly. Building up your cheekbones with Sculptra, for instance, or just adding it to your midface can create more volume, lifting and creating a more sculpted, defined look. You may also have some submental fat that can be dissolved with Kybella or other fat removal methods.
We are lucky to have many, many options to help us improve and maintain our skin from youth to old age. Please find a board-certified dermatologist with whom you feel comfortable and confident to help you with this present problem, and prevent other problems in the future. It is good that you are looking to attend to the problem now before it becomes more noticeable. In that way, you are rejuvenating and slowing down and preventing early aging. We call this “prejuvention.” Your dermatologist can also help you with a good skin care regimen of sunscreen and anti-aging products to keep you looking young for years to come.
Q: What would be the best options for a non surgical facelift for a 71 yr old female?
A: Without a photo or an in-person consultation, it’s difficult to make specific recommendations because your best therapy choices depend on your individual issues. If you have a sagging neck and jawline, then I’d recommend ThermiTight, with or without liposuction, depending on how much fat is present in the submental area. Lower face and mid-face sagging can also be dramatically improved with Silhouette Thread Lifts, sometimes in combination with a skin tightening device like Ulthera or Thermage.
Laser resurfacing with Fraxel also plumps up and tightens the more superficial wrinkles of your skin, if that is the main issue. Dermal fillers such as Sculptra, Voluma, Restylane, or fat grafts add volume to the face, and often pick up the sagging cheeks and neck.. Lastly, Botox stops dynamic wrinkling and is a quick fix for the muscle cords that develop in the neck with age. When these cords, called platysma bands are treated, the neck line lifts up. Please find a board-certified dermatologist to evaluate your skin in person to pick out the most effective remedies to create a beautiful and naturally refreshed look.
Q: Does thermage and exilis really helps to tighten the skin and increase production of collagen?
A: Exilis, Thermage or ThermiTight can do a great job of tightening skin on the face and neck. Thermi uses radiofrequency energy to shrink your collagen layer and stimulate the production of new collagen. The new collagen supports your skin, making it look thicker and firmer. You can also further fill out your lost volume with Sculptra — another collagen stimulator — or Voluma, which has immediate benefits. As for a thread lift, you didn’t provide photos so I’m not sure if it’s the right solution for you. The Silhouette threads are really effective at lifting up sagging facial tissues and giving you a refreshed and revitalized look. Consulting with a board-certified dermatologist will help you choose the right treatments.
Q: Would it be beneficial to do fractal therapy for acne scars before a facelift?
A: My choice would be to do the facelift first and then, after the healing is well along, resurface with Fraxel. Your facelift is going to stretch out your scars somewhat and if you’re getting fat grafts, that may fill them in, too. The Fraxel treatment will stimulate your skin to produce more collagen, which helps with healing after surgery. Be sure to tell your board-certified dermatologist that you recently had a facelift.
Q: How close can you get to the eyes with Fraxel Dual? Can the lids be done if eye guards are used?
A: Fraxel lasers are a great choice to tighten sagging eyelid skin, as long as you wear eye guards underneath the lids. Also, your doctor should stop short of the lash line during your treatment, to avoid removing eyelashes. Be sure to only consult a board-certified dermatologist who has experience rejuvenating the eyes with Fraxel, because this is an advanced procedure.
Q: Which non invasive procedure is the very best to reduce deep and medium fine wrinkles?
I prefer not to have Botox or injections
A: In general, lasers are wonderful for resurfacing the skin and stimulating the production of new collagen that fills out fine wrinkles. Deeper wrinkles can be improved with microneedling, which stimulates even more collagen. Chemical peels can also be wonderful for revealing fresher, new-looking skin. However, by far the best result is with fractional CO2 or fully ablative CO2 lasers for the deep and medium wrinkles. Other, lighter treatments don’t add up to one good CO2 laser resurfacing. Despite 7 -10 days of downtime, the long-term excellent results are worth it! Please find a board-certified dermatologist to work with you to find the treatments that you’ll be happiest with and will make the most beautiful improvement.
Q: I am under Fraxel laser treatment. My consultant gave me a cream. Why?
A: We may recommend a number of post-Fraxel treatments for our patients to be sure they heal well and avoid any complications. Effective and safe sun protection is one type of cream we might recommend. It looks like you received a hydroquinone cream, which helps to minimize the chances of your developing hyperpigmentation — a real concern in patients with darker skin. Continue to use the cream as directed. Be sure to consult a board-certified dermatologist for your Fraxel treatments and always feel free to follow up with questions about your treatment and aftercare.
Q: After having severe acne, I do have some left over scars on my face which damaged my confidence to walk without covering it. Will it be worth to try fraxel or CO2 laser? Or any other suggestion to get my perfect skin back?
A: Fraxel is great for resurfacing skin, smoothing out acne scars, and stimulating the production of new collagen that helps repair your scars. Adding in microneedling produces even more collagen and improves tone and texture. However, perfect skin is not a possibility in the real world. Be sure to consult a board-certified dermatologist who can help you understand the improvements you can realistically expect while bringing your skin to its best possible, healthiest, and most beautiful state.
Q: I had laser around 11 days ago and my skin is still red. And also is there anything I can do to speed it along? Should I be worried?
A: If you had an ablative CO2 laser session, the red face can last for at least two weeks, then gradually fade. It’s a healing process. How long it takes really depends on your own skin. You could be pink for months. But the laser’s good effects will last for years before you need a touch-up. Be sure to consult a board-certified dermatologist who is an expert with lasers so you can feel confident in your treatment.
Q: Will Fraxel laser improve or eliminate the appearance of my acne scars? Or which facial treatment would be most beneficial?
A: You need to get more collagen into those scars so that they plump up and become more even with your skin. Resurfacing the skin with Fraxel improves overall tone and resilience. Microneedling helps break up the disordered collagen in your scars. Both of these therapies stimulate collagen, which will vastly improve the look of your scars. For deeper scars, you may need some hyaluronic-acid based dermal filler, too. Be sure to consult a board-certified dermatologist who has expertise in using multiple therapies to improve acne scars.
Q: What's the difference in laser treatments for brown spots, spider veins an crepey skin? Which laser treatment would treat brown spots, spider veins an crepey skin, along with tightening and collagen production?. I would prefer the least amount of treatments with optimal results.
A: Whether you use one laser or two, settings must be adjusted, depending on which problem you’re targeting. For instance, brown spots and spider veins may have different levels of pigments and so require different laser settings. Consulting a board-certified dermatologist will give you a better idea of the kinds of amazing improvements you can expect from lasers like Fraxel, and what your individual treatment would entail.
Q: Profound RF, Silhouette Lift, microneedling, what would be the best treatment to help build collagen in the face?
A: Many of our treatments have the amazing benefit of stimulating the production of new collagen. It may be that your skin would benefit from a combination of these. Lasers resurface your skin and stimulate neocollagenesis. Microneedling is a milder collagen remodeler, but can be enhanced if the tip of the needle has RF, such as seen in the infiniRF. These therapies take months before your see results. An immediate improvement can be had with Sculptra, which fills out lost volume first with the product itself and then with your new collagen, which takes its place. Silhouette threads give an instant lift, and are then replaced by your collagen, too. Consulting a board-certified dermatologist will facilitate choosing the best strategies.
Q: Which non invasive procedure is the very best to reduce deep and medium fine wrinkles? I prefer not to have Botox or injections.
A: Giving you a definitive recommendation without photos isn’t really possible. In general, combination therapy works best for fine lines and wrinkles. Lasers resurface your skin and jumpstart collagen and elastin production. Microneedling is a milder collagen remodeler than most lasers. Botox will help with reducing fine lines and wrinkles from muscle movement that lasers don't work as well to address. Consulting a board-certified dermatologist will let you make the most important decision of all: Finding a doctor whom you trust and whose results are spectacular.
Q: Is taking silca liquid or capsules effective in rejuvenating collagen in a 70 year old female?
A: Ingesting silica may improve your skin quality somewhat, but at 70 it can’t boost collagen production to youthful levels. Most skin issues (particularly as we grow older) need multiple therapies to be adequately addressed. Microneedling could make a great difference in the amount of collagen in your face. So could CO2 lasers, such as Fraxel. You may need volume replaced with Sculptra or Voluma. When you consult a board-certified dermatologist who is an expert at restoring skin’s firmness and pliability, you’ll probably be given a number of options to choose from. Find an expert and you’ll see a dramatic change soon.
Q: What kind of treatment would I need for my face? I suffer from acne scaring and large pores. I have a bumpy texture on my face. I use to have sick clear pretty skin, I’m so depressed.
A: Laser treatment with Fraxel could be a good solution to the bumpy skin texture you’ve developed, but only an in-person consult will decide that for sure. Unfortunately, no cosmetic dermatology treatments are covered by insurance. However, many dermatologists are happy to work out a payment plan. Be sure to consult a board-certified dermatologist who can help you improve.
Q: I had a facial tread lift 1.5 years ago and am now planning fraxel duo restore treatment. Is that possible?
A: Fraxel doesn’t affect a thread lift, whether it was done more than a year ago or yesterday. The laser energy doesn’t reach down to the level of the threads and won’t harm them, anyway. Also, after a year and a half, your threads have been replaced by your body’s natural collagen. Be sure to consult a board-certified dermatologist who is an expert with Fraxel to get a stunning, uniform rejuvenation.
Q: Sequences for liquid facelift, eyelid filler, thread lift, Fraxel to improve sagging skin, eye hollowness, dark circle, volume.
A: Just about any sequence of a liquid facelift and nonsurgical improvements could give you a really amazing rejuvenation. My personal recommendation would be to start with the procedures that give you an overall improvement, such as Fraxel and skin lightening. The Fraxel laser treatments will tighten and lift your skin. Depending on how much sagging you have, that might be enough to get the improvement you want. If not, move on to the Silhouette Threads, then fillers. Be sure to consult a board-certified dermatologist who has expertise in nonsurgical rejuvenations so that you can work out an optimal schedule for your procedures.
Q: I'm a teenager and my skin looks so dull. Why?
A: Many factors could be making your skin look dull. The sun can both darken and dull your skin if you don’t use sunscreen and hats. Smoking, a poor diet, and lack of exercise or sleep can also adversely affect your skin. Please find a board-certified dermatologist to help you find ways to nourish your skin to bring it back to life and help you keep it healthy and strong.
Q: Fraxel Restore for deeper hand wrinkles. How many passes & what settings are needed for optimal results?
A: You don’t have to figure out ahead of time what settings should be used when getting Fraxel on your hands. You’re paying your dermatologist for their expertise and ability to make these decisions from knowledge and skill. He or she will choose settings based on how fair or dark your skin is as well as by the extent of your lesions and quality of your skin. Be sure to consult a board-certified dermatologist whom you trust so that you can feel confident you’re getting the best treatment possible.
Q: At what age should someone seriously consider having the Fraxel laser treatment done over their face and throat area?
A: There’s no particular age at which you start benefiting from Fraxel. As soon as your wrinkles start to develop, or your skin sags or loses volume or elasticity, laser therapy can help. The great thing about lasers is that they not only improve the surface of your skin, they stimulate it to produce strengthening collagen and elastin, which makes it thicker and more resilient — like younger skin. I usually recommend touch-up Fraxel treatments every year or two. Be sure to consult a board-certified dermatologist who is an expert with Fraxel.
Q: Which laser is better for chicken pox scars removal, Fotona laser (Erbium yag) or the Fraxel Laser?
A: We have more than 40 lasers at our center, all of which can create beautiful improvements. When it comes to shallow scars from chicken pox or acne, however, Fraxel is my favorite. Fraxel Re:Pair only needs one treatment, but you’ll have a red face for a couple of weeks. Because scars usually require multiple therapies to fade and improve them, you’ll probably need PRP or microneedling and maybe filler, such as Bellafill as well. Be sure to consult a board-certified dermatologist who can take the time to evaluate your skin and choose the best remedies.
Q: 36 year old looking to bring back the glow in my skin. What are the best cost effective options?
A: You have some laxity on your lower face and neck that could be improved with ThermiTight. Laser resurfacing is best to help resolve the fine wrinkles. Sculptra would be an excellent filler for you right now to add volume to your entire midface. That would help smooth out some of your wrinkles, rather than trying to fill them individually with a softer filler. Please find a board-certified dermatologist to evaluate your skin in person to come up with the best solutions and work with you over the next years to keep your skin looking youthful and healthy.
Q: I’m suffering from dark circles ang wrinkles under my eyes .. my doctor inject filler for me which improve eye hollow . Also she told me that I need 3 session of fraction laser after filler injection by two weeks to improve wrinkles and skin tone around eys My questions :- can she do fraction laser after filler injection?
A: Normally, I’d prefer to treat the skin with lasers first and then, after a month or two, supplement with fillers. Since you had the fillers first, I’d suggest waiting a month to a month and a half before moving on to lasers. It’s OK to combine the treatments as long as you allow time in between for your skin to heal. Be sure to consult a board-certified dermatologist who is an expert with laser therapy.
Q: What is the difference between Fractional CO2, dermabrasion and microneedling? Age 50.
A: You may need a combination approach to get the improvements you want. Fraxel is my favorite modality for removing age spots, smoothing out fine lines and wrinkles, and polishing acne scars. It’s also a great stimulator of collagen and elastin. I don’t use nor would I recommend dermabrasion; it’s too harsh. Microneedling is a fantastic way to stimulate more collagen and can be used with the laser. Many times scars need combo treatment of microneedling and Fraxel. Be sure to consult a board-certified dermatologist who can evaluate your skin in person and make specific recommendations.
Q: Can i take a break from Fraxel for few months?
A: You can take a gap between Fraxel treatments. Continue regular treatments until you get the results you want. You’ll probably need a touch-up every few years. Be sure to consult a board-certified dermatologist for Fraxel.
Q: How old do you have to be to do the Fraxel laser?
A: You must be over 18 to have Fraxel without your parents’ permission. Teenagers can benefit from its ability to resurface and renew scarred skin — particularly acne scars. Young children’s scars can also be improved. As for its utility as an anti-aging treatment, I wouldn’t recommend it until you see the first signs of aging, such as a little discoloration or loss of elasticity. A great time to start is usually in your 30s or 40s. Be sure to consult a board-certified dermatologist who’s an expert in using Fraxel to treat scars, hyperpigmentation, fine lines, or slight sagging.
Q: Fraxel Dual: will it treat my moderate wrinkles as well as my pigmentation and sun damage?
A: In your case I’d recommend the original Fraxel Re:Pair, which is an ablative laser that can take care of the deeply etched wrinkles you have plus improve the quality of your skin. You’ll have a red face for about two weeks. You also may need fillers and Botox to smooth out the deeper wrinkles. Be sure to consult a board-certified dermatologist who can come up with an effective combination approach to get you the results you want.
Q: I am 32 interested in a facial makeover, would Fraxel laser be my best option?
A: You’re at a great age to begin anti-aging treatments. Fraxel not only resurfaces the skin and creates a more even color and tone, it minimizes pores, stimulates new collagen and elastin, and slightly tightens your skin, too. However, you might need a Botox brow lift to get the look you want to improve your eyelids. Be sure to consult a board-certified dermatologist who can offer you a number of options, based on the quality of your skin and your desired results.
Q: What treatment for my 4 year old facial scars? Resemble acne scars but from a skin care-related reaction.
A: Don’t worry about which laser is most effective. Many of them are great for acne scars. My personal favorite is Fraxel. I may pair that with microneedling, chemical peels and other therapies, based on the type and depth of your scars. You don’t need to decide ahead of time what treatments you need; that’s the physician’s job. Your job is to find an amazing board-certified dermatologist who has a proven track record getting beautiful improvements on scars like yours; he or she will choose the right approach to restore your skin.
Q: Is skin resurfacing the same as Fraxel?
A: Fraxel is a laser that is used to resurface the skin, even out color, polish away fine lines and wrinkles, and stimulate the production of rejuvenating collagen and elastin. There are many other lasers and techniques that resurface and improve the skin. At our center alone, we have about 40 different kinds of skin-resurfacing lasers, plus other skin-resurfacing treatments, such as microdermabrasion and chemical peels. Be sure to consult a board-certified dermatologist who can offer you a variety of therapies so you can choose the one that’s right for you.
Q: I'm a 56 year old woman that wants tightening and marionette lines gone. Will Fraxel Restore be good for me?
A: Fraxel Re:Store stimulates new collagen and elastin so it will tighten and rejuvenate your skin while also removing fine lines and smoothing out your tone. Whether that’s the ideal treatment for you can only be determined in person. Ultherapy and Thermi are great skin tighteners, too. Your marionette lines might respond to co-treatment with a hyaluronic acid dermal filler, such as Restylane Refyne or Defyne, which are flexible and natural looking. Be sure to consult a board-certified dermatologist who can evaluate your skin and help you pick the best solutions.
Q: Can dermaroller/microneedling make skin worse over time?
A: Any procedure, if done with the incorrect technique or at inappropriate time intervals or for the wrong reasons, can potentially lead to worsening of the skin over time. Microneedling is no exception to this general rule. Your question illuminates the importance of building a long-term working relationship with a board-certified dermatologist. Your skin needs someone who can maximize its health while simultaneously resolving present problems and avoiding future problems — such as over-stressed skin. This takes knowledge, skill, and experience. Consulting with a board-certified dermatologist will help you understand all of the procedures better and choose the right ones for each stage of life.
Q: My pores at 73 have gotten bigger. What is the best treatments for reducing the size?
A: Laser and light treatments do an excellent job of resurfacing the skin, tightening pores, and stimulating the production of new collagen. I often use Fraxel Restore and intense pulsed light for minimally invasive treatments. Microneedling is also an excellent technique to jumpstart collagen production, which improves the texture and tone of your skin. When pores are very deep, Infini is best. This is like turbo-charged microneedling, because radiofrequency energy is delivered right at the tip of the microneedles. A series of 3 treatments may be necessary, but make-up can be applied the next day so it is not too disruptive to your schedule. However, you need to be evaluated in person by a board-certified dermatologist to determine which combination of treatments would be best in your case.
Q: I know that fraxel restore is safer for dark or brown skin than fraxel repair. The doctor recommended fraxel repair and said there is a possibility of pigmentation since I have brown skin. He is only going to treat a very small area on my forehead and not doing my whole forehead or face and will start with a low setting to see how my skin would react. What are the chances of having pigmentation (PIH) and do you recommend the fraxel repair for my case?
A: I really wouldn’t recommend spot laser treatments for any skin color, because Fraxel and other lasers do such an excellent job of renewing your skin, it will look significantly healthier and better than the surrounding, untreated skin. I have used Fraxel Repair successfully on all skin tones. The settings must be adjusted precisely and the operator must be extremely experienced. Be sure to consult a board-certified dermatologist who is an expert with Fraxel; you may need other treatments to get the best resolution of your scar, including microneedling.
Q: What is the solution fpr chicken pox scars?
A: Shallow scars usually respond well to Fraxel. You may need combination therapy with microneedling or chemical peels as well. Be sure to consult a board-certified dermatologist who is an expert in treating scars with Fraxel.
Q: What would be best skin laser/peel/treatment for hyperpigmentation and pore size on body/face?
A: Fraxel lasers are excellent for resolving hyperpigmentation and scars. Scars can be difficult to treat and often require combination therapies, such as lasers with microneedling. Be sure to consult a board-certified dermatologist who can also help get you on a medical-grade skin program and effective sun protection.
Q: Should I continue my fraxel or not because I did not notice any improvement?
A: Fraxel works by stimulating the skin to produce more collagen and elastin, which improves its health. This is a process that takes some time. It may be that you won’t see results for 2 to 3 months. If you’re feeling uncertain, I’d suggest waiting a little longer before moving onto your next treatment. Also, if you haven’t done so already, take your “before” pictures now so you can compare them after your treatments. Sometimes we change so gradually that we don’t notice the improvements taking place. Also, treating acne often takes a multipronged approach. Be sure to consult a board-certified dermatologist who is an expert at treating acne and can offer you other therapies that might enhance Fraxel’s effects, such as chemical peels and microneedling.
Q: What's the very best laser to remove wrinkles on the facial and throat area, Fraxel? How often?
A: Fraxel Re:Store and Dual are excellent choices to resurface your skin by removing lines, fine wrinkles, and age spots. Fraxel also stimulates your skin to produce new collagen and elastin. It’s a great way to give your face a fresh new look and resolve early signs of aging, such as minimal sagging. You can enjoy the benefits of Fraxel for up to 7 years. However, I usually recommend touch ups every year or two. A facelift gives you a more dramatic rejuvenation and is most appropriate if you have significant sagging. Facelifts don’t alter the surface of your skin or improve the quality of your skin. Be sure to consult a board-certified dermatologist who can determine if you’re a good candidate for nonsurgical facelifting and resurfacing with Fraxel lasers.
Q: Will doing Fraxel Dual regularly (2-3 times a year) make you maintain youthful, with minimal wrinkling and sagging, skin?
A: In my opinion, Fraxel more than once per year is probably overkill. Results can last up to 7 years, though I generally recommend a touch up after 1 to 2 years. This schedule will keep your skin looking healthy and youthful, plus encourage your skin to continually produce new collagen. As you age, you’ll probably add in other therapies, such as Botox and HA dermal fillers. You can age beautifully and gracefully with the aid of a board-certified dermatologist who can help you plan the steps you need to take to be a head-turner for the rest of your life.
Q: I am 20 years old and my skin look looks so dry and dull. What can I do?
A: Be happy that you’re not happy with your skin at such a young age. Why? Because you can begin getting treatments that will not only improve the look of your skin and make it look more radiant, but will actually improve the quality of your skin over time. At your young age, I’d suggest starting with a dermatology consultation to get a medical-grade skin-care regimen based on your needs, advice for sun avoidance, and regular chemical peels to make your skin look bright and healthy again. Also be sure to eat lots of healthy fruits and vegetables and stay hydrated. Be sure to consult a board-certified dermatologist with whom you feel confident and comfortable so it can be a long-term relationship as you age.
Q: What type of collagen will be produced after Fraxel laser?
A: The collagen that gets produced after Fraxel treatments contains long, strong strands of protein that rebuild your skin and create a supportive matrix to keep it looking plump and healthy. The new collagen also allows increased production of two other extremely important skin components: elastin for elasticity and hyaluronic acid for moisture retention. My patients are very happy with their results! Be sure to consult a board-certified dermatologist who is a expert at restoring the face with Fraxel and stimulating the production of new, strengthening collagen.
Q: Is it possible to remove a peach color tattoo? Advice? I originally got the tattoo Back in January of 2016 then got a cover up a few months after. There was a part of the tattoo that i didn’t like So my artist told me he could cover that part up with skin tone ink (peach color). He thinks I’ll need 2 more sessions of skin tone ink to completly cover it up, but I’m having second thoughts. Idon’t think the ink will end up matching my skin color.
A: It would be much more efficient and result in a better outcome if you went straight for laser treatments to remove your tattoos. Covering them up with peach ink is an ineffective solution. First, as you point out, the peach color will probably not match your skin. Second, lighter colors such as peach are more difficult to remove. They oxidize and become darker when exposed to laser heat. Then the oxidized color must be removed. I’d advise you to stop the peach cover up, and consult with a board-certified dermatologist who is an expert in laser tattoo removal.
Q: Can Fraxel Dual be used on dark skin?
A: Fraxel Dual and Re:Store lasers can be adjusted to lower settings that are gentle enough for dark skin. You will need more treatments because less power is used during a session. Be sure to consult a board-certified dermatologist who has expertise in using laser therapy for darker skin tones.
Q: Would the Fraxel laser treatment be the best and most affordable option to remove facial wrinkles?
A: Fraxel laser treatments are one of the best ways possible to remove light facial wrinkling, improve skin texture and tone, and stimulate the production of newer, stronger collagen and elastin to thicken and strengthen the skin. Combining Fraxel with microneedling could give you quite spectacular results. Be sure to consult a board-certified dermatologist who can offer you a variety of rejuvenating techniques so that you can choose the ones that fit your needs, budget, and timetable.
Q: Can laser resurfacing or microneedling help with these acne scars?
A: Scars can be difficult to treat because the collagen remodeling is disordered. We usually speak about improving, rather than removing, scars. However, shallow scars — including some acne scars — respond very well to combination treatment with Fraxel or other lasers, microneedling, chemical peels, retinoids, and in some cases dermal fillers. The retinoid gel should not have made your scars more prominent, but you may be more aware of them simply because you’re dealing with your skin in a more focused way. Be sure to consult a board-certified dermatologist who can minimize your scars with laser and combination therapies, plus help you maintain your skin’s health and quality over the long term.
Q: What facial treatments do I need to do to attain this sort of texture/evenness to my skin?
A: Your skin is in pretty good shape, but it’s important to renew and refresh it every year to keep it at its best. Dermatologists have many options they can offer you to eliminate your hyperpigmentation and improve the texture and tone of your skin. A great place to start is with laser resurfacing. Fraxel Restore and IPL are both terrific ways to shrink pores, even out your coloring, and create more rejuvenating collagen. I love to combine these treatments together so that with one yearly maintenance treatment, you have a minimally invasive procedure, yet you are treating the issues that would become worse with age. Chemical peels are also very effective at removing freckles and age spots, plus creating a healthy glow, although I prefer the precision of lasers and the heat they generate because it’s the heat that stimulates growth and tightens collagen bundles. You need to avoid the sun, of course, and be diligent about wearing sunscreen and hats. Please find a board-certified dermatologist to start planning ways to improve your texture and tone and keep your skin looking as flawless as possible for as long as possible.
Q: Full body 20 micron fractional erbium, any reason I couldn’t have this done? Also, how often can I repeat it?
A: You could have your entire body skin resurfaced with a fractional laser, but not all at once. You’d need to treat different sections at different times to minimize toxicity from the numbing cream and decrease the stress on the body. Once your skin has been resurfaced, it shouldn’t need to be re-done for at least a year or two. Sometimes the benefits can last up to 7 years. Also, you absolutely must avoid the sun if you want to keep your skin healthy and looking good. Be sure to consult a board-certified dermatologist who is an expert at laser resurfacing.
Q: How long after Fraxel Rejuvenate on my face should I wait to have spider veins removed from my face?
A: You need to let your skin heal from Fraxel before moving on to spider-vein removal. This can take anywhere from 2 to 4 weeks. If you haven’t yet had a laser treatment, be sure to consult a board-certified dermatologist who can offer you many different types of therapies; some lasers can resurface the skin and remove facial veins at the same time.
Q: Stretch marks. Would it be worth trying to remove them with laser?
A: Fraxel is an excellent laser for resurfacing and smoothing out the skin — including fading stretch marks. Scars may never 100% disappear, but they can be vastly improved. Depending on how deep they are, you may need co-therapy with microneedling. Be sure to consult a board-certified dermatologist who can evaluate your stretch marks and make recommendations for the most effective therapies.
Q: What can be done to smooth skin and decrease pore size around nasolabial line? What options (as natural as possible) do I have to smooth my skin and decrease pore size around naso labial line?
A: While you are breastfeeding, you want to avoid topical retinoids and Vitamin A. But there are many mechanical treatments that can improve your skin, stimulate collagen and tighten your pores. Lasers such as Fraxel, microneedling, and chemical peels are all possibilities. Consulting a board-certified dermatologist will help you decide which works best for you.
Q: What can I do for a fresher look?
53, never did anything. Not looking for drastic changes.
A: There are many options you can choose from to rejuvenate your face and give yourself a boost, from ThermiTight to tighten the neck and lower face, to laser peels, neurotoxin, and dermal fillers.
A great place to start is with a laser resurfacing using Fraxel or another laser. This will even out your skin tone, plus stimulate the skin to produce more collagen and elastin over time, giving you a firmer, more youthful look and creating stronger, more elastic skin. Among all cultures, youthful flawless skin is a universal sign of beauty. Getting compliments on your skin is sure to give you the boost you need! Please find a board-certified dermatologist to evaluate your skin and make some effective recommendations.
Q: How risky is Fraxel restore for the hands? Have seen great pictures of results.
A: Fraxel Re:Store or Dual can rejuvenate the skin on the hands, resolving hyperpigmentation and creating more volume by stimulating the production of elastin and collagen. In the hands of an expert, there really are no risks except transitory side effects such as red skin for a few days. You will probably need three treatments, and then touch ups every year or two. Another great way to make your hands look younger is to fill in lost volume with the dermal filler Radiesse. Radiesse can last a year or more. Be sure to consult a board-certified dermatologist who is an expert with lasers and fillers to help you.
Q: Fraxel laser on legs: what's the recovery like?
A: Fraxel can significantly improve the hyperpigmentation on your legs. Leg and arm skin heals more slowly than facial skin, so you will probably have about two weeks of redness and roughness. Be sure to consult a board-certified dermatologist who has experience using Fraxel to improve leg skin.
Q: Fraxel and Infini safe in the right hands? I'm so nervous. Read so Many bad reviews.
A: If you’ve chosen an experienced, board-certified dermatologist who has great reviews and word-of-mouth, plus has been able to show you beautiful results in Before-and-After photos, then both Fraxel and Infini are perfectly safe. Remember that people are more likely to write a bad review than a good one. Happy patients just go on with their lives and pass on the good word to their friends about their favorite doctors and techniques. As long as you did your due diligence in picking your dermatologist, you should get a lovely rejuvenation with a combination of Fraxel and Infini.
Q: What is an IPL photofacial, how old would you recommend, and side effects? Will I have to keep up with treatments? I am a 22 year old girl. I believe less is more.
A: Intense pulsed light (IPL) is a laser treatment that can resolve hyperpigmentation, reddened skin and improve the appearance of fine lines and wrinkles. It’s very effective at combating the signs of aging and helping the skin look and act young again. As with any cosmetic procedure, it will need to be repeated at some point. We are constantly exposed to the sun’s damaging rays, as well as pollution, and are always aging. We brush our teeth three times a day, cut our hair every 3 months, work out to stay fit a couple times a week, and do laser maintenance every few years. Consulting a board-certified dermatologist will determine if you would benefit from IPL at this point, or if there are other therapies and preventive strategies that would be better for you.
Q: Hi, I had IPL for redness on Tuesday. It is now Friday and have had to go on a hike which went for most of the day and caused a lot of sweating. No extreme flushing though. I say that it said to avoid strenuous exercise for 24 hours but other places ive read up to two weeks. Also is it the flushing you want to avoid or the sweating?
A: One of the benefits of choosing Intense Pulsed Light (IPL) to resolve redness or other skin issues is that there is virtually no downtime. While you do want to avoid getting overheated and flushing your face the first day or so, exercising on day four is perfectly fine. You must absolutely use sunscreen, though, no matter what the weather. And yes, that means wearing it while driving to the gym or walking across the parking lot. It’s imperative! Consulting your board-certified dermatologist will help you feel more comfortable about where you are in the healing process.
Q: Face is looking darker after ResurFX. Is this permanent?
A: ResurFX is a very effective resurfacing laser that will remove hyperpigmentation and rejuvenate the skin by triggering the production of new collagen. Sometimes people with fair skin have transient darkening after treatment. This tends to resolve within a few weeks. If your skin doesn’t look better two weeks from now, please consult the board-certified dermatologist who treated you. However, I suspect that two weeks from now, you will be quite pleased with your results.
Q: Is IPL safe for someone that has rhinoplasty done? I have redness on my face, few lines of spider veins and some unevenness.
A: As long as you are fully healed after your rhinoplasty, IPL is perfectly safe. You will probably need at least several sessions to resolve the redness. Depending on your other issues, you may need combination therapy. Consulting a board-certified dermatologist will allow your skin to be evaluated and the best treatment chosen.
Q: IPL or Fraxel for uneven skin tone?
A: Based on the photos, I would probably start with Fraxel, which will even out your skin tone and smooth any fine lines, wrinkles and light scarring. IPL could also be effective for evening out the skin, but wouldn’t stimulate as much collagen. Consulting a board-certified dermatologist will allow your skin to be evaluated and the best treatment or treatments chosen for you.
Q: What's the best way to treat facial redness and pigmentation?
A: Intense Pulsed Light (IPL) is a terrific way to resolve red, blotchy skin, age spots and hyperpigmentation. Whether that would be the best treatment for you will be determined in your consultation. Usually, blotchy skin will require a combination of treatments plus excellent skin care and sun avoidance. Consulting a board-certified dermatologist is the best first step toward getting the clear and radiant skin you desire.
Q: Fraxel - Yes or No for men? Researching pros and cons for men. Any tips and advice would be greatly appreciated.
A: Not only do I think Fraxel is an excellent anti-aging therapy for my male patients, I use it myself! It’s a great way to get rid of hyperpigmentation and other forms of sun damage, including fine lines and crepey skin. It stimulates the production of new collagen to help your skin repair itself, strengthen, and remain resilient. Be sure to consult a board-certified dermatologist who has experience using anti-aging techniques such as Fraxel in men.
Q: A spa offers a Fraxel Facial, which only does 2 passes with the laser, as opposed to the usual 8 in a session. Would this be worth the time and pain to see results?
A: I’m sorry to say, but “Fraxel Facial” just sounds like a marketing term to get people in the door. Usually Fraxel Re:Store takes at least three sessions to create a significant rejuvenation. Its effects go far beyond that which a facial could offer, including significant new collagen production. Fraxel takes a great deal of expertise to administer correctly. Settings must be adjusted based on each patient’s skin tone and needs. Don’t trust your face to an amateur. Be sure to consult a board-certified dermatologist who has verified great results rejuvenating the face with Fraxel.
Q: Will Fraxel help with the discoloration on my legs?
A: Fraxel Re:Store Dual can help resolve the age spots and discoloration on your legs. It takes about a 2 weeks to see results and sometimes needs to be combined with a Q-switched alexandrite laser for best results. You also may need more than one treatment because the legs improve and heal slower than the rest of the body. Consulting a board-certified dermatologist will help you get the best results, including matching the skin tone of the untreated portion of your leg as best as possible.
Q: I'm a 32 year old and I want to know what's the best way to remove dark spots on my face from sun damage? I also have broken capillaries around my mouth and cheeks.
A: Intense Pulsed Light (IPL) and other lasers are my first choice when evening out skin tone and resurfacing the face. I might use Fraxel Re:Pair or Dual on the broken capillaries. Even more important than treating the cosmetic damage, though, is preventing future damage. You absolutely must avoid the sun. It has already damaged your skin. Further exposure could lead to skin cancer, which can be lethal. Be sure to consult a board-certified dermatologist who can help you protect your skin as well as remove the damage that has occurred so far.
Q: What procedure would be best for large pores, pebbly textured skin? I am 69 and have aging, sagging skin, but my skin texture bothers me the most, especially in social situations.
A: Fraxel Dual would probably be my first recommendation to get you feeling better about your skin. It would remove the fine wrinkles, even out the pebbly texture, stimulate the production of rejuvenating collagen, and tighten your skin slightly. Add in a medical grade skincare regimen with hyaluronic acid and you’ll have much smoother, more youthful looking skin. Please avoid the sun and wear sunscreen whenever you’re outdoors. Be sure to consult a board-certified dermatologist who will take the time to work with you to resolve all of your issues and keep your skin looking healthy for years to come.
Q: Best non-invasive treatment for skin rejuvenation after smoking?
A: Based on your description, you probably have uneven skin tones and fine wrinkles. These tend to respond well to resurfacing with Fraxel Dual. Microdermabrasion, chemical peels, microneedling could all also be helpful. You should also get a medical-grade skincare system to help manage your aging over the long-term. Be sure to consult a board-certified dermatologist who can evaluate your skin in person, determine your issues and recommend the best solutions… for you.
Q: I am 61-year-old female. I was told Fraxel 1500 would help my wrinkles. Do you agree?
A: I’d recommend Fraxel Re:Pair to help improve your wrinkles and the texture of your skin. However, Fraxel alone won’t be able to “get rid” of all of your wrinkles. It will resurface your skin, improve the fine wrinkles and stimulate the production of new collagen to help your skin look and feel thicker, healthier, and younger. However, you have significant creasing of your nasolabial folds and marionette lines and a great deal of volume loss in the upper and mid face. Dermal fillers such as Juvederm could improve the NLFs and marionettes. Voluma in the midface can help with restoring volume. There are many, many options available to you to help you look and feel younger without needing to undergo surgery, but you need to be realistic about what can be achieved. Be sure to consult a board-certified dermatologist who will take the time to discuss your options and help you come up with a plan to rejuvenate your skin, minimize your wrinkles, and help you look healthy and younger in the years to come.
Q: I'm planning to undergo a Fraxel Repair treatment. What is the latest version of it? I don't want to have the treatment that admits using Fraxel Repair but using a decade ago version of the laser machine.
A: Fraxel Repair is still one of the most effective lasers around for resurfacing the skin, eliminating wrinkles and hypopigmentation, and smoothing scars. I usually will combine Fraxel with other techniques, such as microneedling, plus a great medical-grade skin care system, such as SkinMedica’s HA5, which contains hyaluronic acid. Be sure to consult a board-certified dermatologist who will help you repair your skin now and take care of it in years and decades to come.
Q: I have had 2 fractional laser treatments on my face with 4 weeks between them, is it okay to have a third one? I had a pimple before having the treatment and it was not treated but it got inflamed and i'm afraid that it may leave a scar I'm afraid that too much laser heat harm my skin.
A: It’s fine to have a third Fraxel treatment one month after your second. However, if the only thing you are worried about is the one pimple, there are many other methods to deal with that. Be sure to consult a board-certified dermatologist who is expert at both skin resurfacing and treating acne.
Q: Are these lasers the best solution for my skin problems? Could I just do Fraxel Repair or CO2 Laser for all my concern?
A: Multiple issues require multiple therapies to effectively resolve them. Fraxel Re:Pair CO2 ablative laser is a great start to resurface your skin and stimulate more collagen. Your scar may need subcision and/or a dermal filler such as Juvederm, Belotero or Restylane. Be sure to consult a board-certified dermatologist who makes you feel comfortable and confident, as solving your problems will take some time and a variety of methods.
Q: I have a scar on my lip because I cut it with a pair of scissors. It did heal but you can still see the outline of it.
A: There are many ways to improve the look of scars. We usually need to combine a few methods to get the best results. Radiofrequency microneedling, fractionated laser resurfacing and/or resurfacing with ResurFX are all possibilities. Please consult a board-certified dermatologist who is an expert in scar removal so that your scar can be evaluated and the best treatment plan devised.
Q: Can I have ResurFX (1565nm) and skin needling performed in a single treatment?
A: Infini is fractional radio frequency microneedling that uses very fine needles to deliver heat to precise, predetermined depths in the skin. It works wonderfully to tighten loose skin and improve the quality of acne scars by stimulating the production of new collagen. Multiple treatments are necessary to achieve great results but there is little down-time to the procedure. Please consult a board-certified dermatologist who can determine if you are a candidate for Infini.
Q: Will my fine motor functions be affected if I have a laser tattoo removal at the underside of my left wrist? I am a musician and so it really is a concern for me.
A: Lasers that remove tattoos are designed to shatter the pigment in skin and that’s all. They do not reach below the skin and will not affect your nerves, muscles, ligaments, tendons or bones. You should be perfectly fine continuing to play musical instruments, even during the long tattoo-removal process. Consulting with a board-certified dermatologist who is expert at laser tattoo removal will give you the most satisfactory and safest results.
Q: I'm 40 years old and it's time for a little bit of rejuvenation. What is the best skin resurfacing treatment?
A: Fraxel Re:Pair is a CO2 ablative laser that will resurface and tighten your skin. The results can last several years, though I do recommend having maintenance treatments every two years or so. You will have a red face for about 2 weeks, but then the skin begins to clear and tighten over the next several months. The results can be phenomenal. Consulting with a board-certified dermatologist will help you pick the right laser treatment; we have more than 40 lasers at our center that can address a variety of needs.
Q: I am 61 years old, female, and am considering laser resurfacing for my mouth and chin. Would my existing milia create a problem?
A: You should be able to have your skin resurfaced with Fraxel or another laser even though you have milia. The milia can be improved with chemical peels and/or microneedling. Be sure to consult a board-certified dermatologist who will devise a treatment plan for you that will rejuvenate your skin plus take care of the milia.
Q: I'm debating between CO2 fractional laser and micro needling for my acne scars. Micro needling seems a little bit more appealing because of the shorter recovery time. Which treatment would give me the best results?
A: Scars can be improved considerably, but not always resolved. Instead of wondering which type of procedure to go for, spend some time finding an expert dermatologist who specializes in resurfacing the skin and treating scars. Most of the time, a combination approach that includes both Fraxel or another laser and microneedling works best. Be sure to consult a board-certified dermatologist who will spend time analyzing your skin and coming up with the optimum treatment plan.
Q: Face drooping/sagging due to chronic illness. Will it bounce back once recovered?
A: I’m sorry to hear you’ve been ill. Unfortunately, illness often ages us more rapidly and when we recover, the face may not recover 100%. When you are feeling better, an affirmative step to full recovery is to actually look healthy and vibrant. It is a time many patients choose to visit their local cosmetic dermatologist. There are many different options for rejuvenating your face, which would be determined in an office consultation. Some options might be Fraxel laser or IPL to resurface and brighten up the skin and ThermiTight or Ulthera to tighten it. You will likely need to replace lost volume with hyaluronic-acid based fillers such as Voluma. Looking like your younger self will help you feel like you used to. Please find a board-certified dermatologist who will take the time to evaluate your skin and facial anatomy and offer you a number of options to help you look as young as you feel.
Q: I'm in my late 30's and would like to improve my skin. What should I do?
A: You will need lasers such as Fraxel combined with a vascular laser like the V Beam to take care of your broken capillaries, fine lines and wrinkles. Fraxel lasers will also work to stimulate the production of new collagen and elastin, which will thicken and rejuvenate your skin. Fraxel lasers can be as light or aggressive as you need, depending on your skin, and they heal quite rapidly. With sensitive skin, enzymes in chemical peels often irritate it rather than help it. After a combination Fraxel and V Beam treatment, your skin will be less sensitive. Because you are in California, daily sun protection is essential, as is a medical-grade skincare system. Please find a board-certified dermatologist to help you improve your skin now and then come up with a plan for maintenance and continued improvement. Silk peels are wonderful, but they won’t make much of a difference for you until you repair your sun damage.
Q: What safe period after botox I can start laser peeling on my face?
A: If you’ve already had Botox, you don’t have to wait more than a couple of days before doing a laser peel. The laser will treat your skin, while Botox is working on the muscle. Ideally, just to save yourself time, you can get them both done on the same day. Generally, I do a laser resurfacing and then move on to neuromodulators and/or dermal fillers, if necessary. Be sure to consult a board-certified dermatologist who can offer you a number of options to rejuvenate your face.
Q: Is non-ablative fractional resurfacing the right procedure for me?
A: Acne scars can be quite difficult to resolve and generally require a variety of treatments. Melasma also can be improved but not cured and often needs a multi-pronged approach, too. Fraxel Re:Store plus IPL and microneedling would be a good start for your needs, as is pulsed dye laser. Every dermatologist would have a slightly different plan, based on the methods they’ve found to be most successful in their patients as well as on your own unique requirements. As long as you have consulted a board-certified dermatologist who has been able to demonstrate to you his or her expertise in resolving acne scars and melasma, you can feel confident in the treatment plan that you outlined.
Q: What needs to be done to my skin to smooth it out, fade acne scarring, and shrink my pores?
A: You would probably do best with a combination of therapies to resolve your various issues. First, I’d recommend resurfacing the skin, shrinking pores and building up collagen and elastin with Fraxel. Next, you would probably need microneedling to improve your scars. You may need excision for the deeper scars. Be sure to consult a board-certified dermatologist who can offer you a number of therapies to restore your skin and keep it in good shape as you age.
Q: I'm 45 years old and want to do some facial rejuvenation, especially around the eyes. I was considering Fraxel but have been reading some negative reviews online. They say it could take years for the negative results to show up, and that it causes DNA changes to the undamaged skin. Is Chemical Peel a safer approach? Do you have any other suggestions?
A: I haven’t encountered any studies that have demonstrated long-term negative effects with Fraxel. I have been using Fraxel Re:Pair, which is a CO2 ablative laser, plus the gentler Fraxel Re:Pair and Fraxel Dual for many years and have had terrific results. Re:Pair needs only one treatment, but you will have a reddened face for a couple of weeks. Re:Store and Dual have no significant downtime, but you will probably need more than one treatment; three is the norm. Chemical peels are also great to resurface the skin, but at 45 you probably would benefit from additional collagen and elastin. While chemical peels will stimulate the production of some new collagen, it’s not to the same degree that occurs with Fraxel. Fraxel creates microwounds in the skin that triggers the body’s healing response, including the production of new collagen and elastin that plump up your skin and strengthen it. These effects can last up to 7 years. Be sure to consult a board-certified dermatologist who has experience with both Fraxel and chemical peels so that you can learn about the benefits of both and choose the one you’re most comfortable with and that will give you the results you want.
Q: I have very red skin and I also have large pores and acne scars. Best treatment for uneven skin?
A: Your skin has a number of issues that will require a number of therapies to resolve. Intense Pulsed Light (IPL) can help with the redness and unevenness. Fraxel Re:Store can refine the texture and improve the quality of your skin. Microneedling, chemical peels, excision could all be used to improve your scars. You also need to be on a good skincare and sun protection regimen. Be sure to consult a board-certified dermatologist who is expert with a number of therapies and who can work with you over the long term to improve your skin now and keep it looking healthy and young as you age.
Q: Second Fraxel repair. Is it safe to have the procedure again or could I have complications due to skin thinning with age? I am a 60 year old female.
A: Fraxel Re:Pair may be too strong a laser, considering your fair skin. Both Dual and Re:Store might be better choices for you. Rather than degrading thin skin, Fraxel actually helps build it up by stimulating the production of new collagen and elastin, which make the skin stronger and more resilient. Therefore, not only does Fraxel work on the outside of your skin by removing fine lines, wrinkles and discolorations, it also strengthens it from the inside. Be sure to consult a board-certified dermatologist who can offer you a choice of lasers and other treatments to help you looking young and refreshed.
Q: Should I get laser resurfacing and fillers or something a little more drastic?
A: No matter what you decide about surgery, you will still benefit from laser resurfacing to improve the color and texture of your skin. You also need to begin serious sun protection and avoidance to limit further damage from UVA and UVB rays. Eye bags can be rectified with fillers. I’d suggest moving forward with the laser resurfacing and waiting first to see how satisfied you are with your results. But please do take sun protection seriously; it’ll save your looks and the health of your skin. Be sure to consult a board-certified dermatologist who can offer you a variety of options to repair your current damage and minimize future signs of aging.
Q: Which laser for undereyes wrinkles and fine lines? Fraxel or Halo?
A: Every dermatologist has his or her favorite lasers; at our center we offer over 40 varieties of highly effective lasers. One of my favorites is Fraxel — especially Re:Store or Dual. This is a very gentle laser that requires no downtime. You will probably need at least 3 sessions. You also may want to consider resurfacing your entire face with Fraxel. Not only does it improve the look of your skin, it also causes it to act younger by stimulating the production of new collagen and elastin. Be sure to consult a board-certified dermatologist who is an expert at rejuvenating the under-eye area with lasers.
Q: I had a radio frequency skin tightening session 2 weeks ago. I still have heated sensations after even minimal sun exposure.
A: Please do not use a self tanner for any reason. Not before radio frequency therapy, not afterward. It’s very dangerous and dramatically raises your risk for skin cancer, which can be deadly. Also, a cosmetic procedure that creates micro wounds in the skin, as RF energy does, makes your skin extra vulnerable. I strongly advise you to consult a board-certified dermatologist who can make recommendations to control your reaction to the sun and recommend a serious sun protection and avoidance program.
Q: What type of treatment (fraxel or microneedling) would be best for old, pitted acne scars?
A: Unfortunately, there is no easy solution for pitted acne scars. I prefer a multi-pronged approach, using Fraxel Re:Pair or another laser (we have more than 40 different types of lasers), microneedling, chemical peels and even excision. Be sure to consult a board-certified dermatologist who has had success improving scars like yours.
Q: How do fractional lasers work in removing small bits of sun damaged skin? How exactly do they remove the sun damaged skin?
A: In brief, Fraxel removes sun spots by vaporizing the pigment. This makes the lesion significantly lighter, though it may not fade completely. Fraxel creates new collagen because the treatment creates microwounds in the skin. This stimulates the body's immune system to instigate a wound-healing process, which includes creating new collagen. The collagen strengthens and thickens the treated skin. Be sure to consult a board-certified dermatologist who has experience rejuvenating the skin with Fraxel.
Q: About how much does it generally cost to have Fraxel repair on the nose? My doctor quoted me $2,500, which seems really high.
A: Costs for Fraxel will vary depending on geographical location, what needs to be done and the skill of practitioner. The price quoted does seem high. If you are not happy with it, feel free to meet with other dermatologists whose work you admire to see if you can get a better price. Be sure to consult board-certified dermatologists who have experience making the types of changes you are hoping to see on your nose.
Q: Can fraxel be used on my back for old acne scars?
A: If the scars are shallow, Fraxel may be able to fade them well enough for you to be satisfied. However, scars can be very difficult to treat and may require multiple therapies, including microneedling and chemical peels. Scar tissue is very tough and does not respond like healthy skin. Be sure to consult a board-certified dermatologist who can offer you a number of options – either singly or together as co-treatments – to improve your scars.
Q: Is the fraxel laser the only laser able to remove wrinkles from the facial area and neck too?
A: A well-performed facelift can be highly rejuvenating and flattering – but it is major surgery and has all the risks associated with that. Also, to look good, it requires other therapies – including laser resurfacing to improve the skin. Luckily, we have amazing new technologies that allow us to address the signs of aging as soon as they begin to appear, so that we can avoid facelift surgery altogether. Fraxel laser is one of my favorites for resurfacing the skin and removing fine lines and wrinkles. It also helps improve the quality of the skin by stimulating the production of new collagen and elastin that can last for up to 7 years. However, there are many other very effective lasers that have similar abilities; our center alone has more than 40 of them! We can also tighten the skin using radiofrequency (RF) energy in the form of ThermiSmooth (on the surface of the skin) or ThermiTight (delivered into the dermis via an inserted probe), or Ultherapy. We often combine several different anti-aging treatments to rejuvenate our patients’ faces. Many of them look younger now than they did 10 years ago. Be sure to consult a board-certified dermatologist who can offer you remedies for the conditions that bother you now, plus make recommendations for anti-aging treatments that will keep your skin looking healthy and strong for years to come.
Q: So I just came back from Greece and no where on my body gets these horrible ugly sunspots but my face ESP my chin !! I want my skin clear!
A: You would probably respond well to either Fraxel Re:Store and/or intense pulsed light (IPL). You may need several sessions to resolve your hyperpigmentation. You will also need to institute a rigorous skin-protection regimen so that you don't undo the benefits of treatment or get more hyperpigmentation. Be sure to consult a board-certified dermatologist who can help you pick a strategy to deal with the spots you have now and also help you devise a routine that will prevent you from getting them in the future.
Q: How long after a Fraxel Restore do I have to wait to try Fraxel Repair?
A: Fraxel Restore takes several sessions and many months before results can be seen. If you have already had multiple Restore treatments and are not happy, then I'd wait another 2 months before moving on to Repair. If you've only had one Restore treatment, you can either continue to see if you improve after a full course of treatment, or move on to Repair once your skin has healed. Be sure to consult a board-certified dermatologist who is an expert at using Fraxel to resurface and rejuvenate the skin.
Q: Does fraxel cause fat loss?
A: None of the Fraxel lasers will cause fat loss; they are designed to treat the skin only. Fraxel Re:Pair is an ablative CO2 laser that will resurface your skin and leave it reddened for about two weeks. Re:Store and Dual also resurface the skin and resolve hyperpigmentation, light wrinkling and light scarring. They do not have much, if any, downtime but will need to be repeated at monthly intervals for about 3 months. All of the Fraxel lasers stimulate the production of new collagen and elastin to restore flexibility and strength to the skin. Be sure to consult a board-certified dermatologist who has experience rejuvenating the skin with Fraxel lasers to find out if you are a candidate for one of these effective anti-aging procedures.
Q: I got my first session of laser hair removal done about 2 weeks ago with the Lumenis LightSheer laser. My question is: over 3/4 of the hair has fallen out and i am just wondering if typically when the hair falls out that means that its generally gone for good?
A: I actually prefer the GentleMax for removing hair from the bikini area. However, if you are getting good results with LightSheer, then it is fine to continue with that laser – it's another one of my favorites. It's unusual for so much hair to be removed during one session. You will probably need about 4 to 6 sessions total, with a month to a month-and-a-half between each session to do a nearly complete hair removal. Much of the hair will ultimately grow back, which is why touch-ups are recommended every 6 months to a year. Consulting a board-certified dermatologist who has expertise in hair removal will clarify the process for you.
Q: Can I have Fraxel laser treatment 20 years after CO2 laser treatment?
A: Twenty years is plenty of time between laser treatments! Generally, we recommend a touch-up laser treatment every year or two. If you were comfortable with a CO2 laser, then you might like the Fraxel Dual system best. It uses two lasers to create a dramatic resurfacing and rejuvenation. It only takes one treatment and has minimal downtime. Fraxel Re:Store is gentler, has absolutely no downtime, but may take several sessions to get the improvement you want. Be sure to consult a board-certified dermatologist who can evaluate your skin, explain your options, and help you make the best decision.
Q: My dr. suggests combining IPL with Resurfx, 3 sessions. The Resurfx is quite expensive.
A: Intense pulsed light (IPL) is sometimes described as a “photofacial” as it uses light to remove discolorations such as age marks and redness. If that's your main issue and you would be satisfied with just an improvement in your skin tone, then perhaps IPL is enough for you. If you have issues with skin texture, large pores, and fine lines and wrinkles, then adding in the ResurFX nonablative fractionated laser can substantially rejuvenate your skin. IPL only affects the skin surface. ResurFX not only improves the texture of the surface and tightens pores, it penetrates into the dermis – the 2nd layer of skin – to stimulate collagen production. ResurFX thus actually improves the quality of your skin by causing it to thicken and actually “act” younger because it will have more elasticity, too. If this sounds like it would be beneficial to you, consult your board-certified dermatologist about payment arrangements that can make it easier for you to obtain the optimal treatments for your rejuvenation.
Q: I was wondering, do you think gentle laser or lightsheer duet is better for dark hair on fair skin.
A: Fair skin and dark hair is actually an ideal combination for laser hair removal. I prefer the Lightsheer Duet for removing/reducing hair in areas such as: Back, Chest, Shoulders and Legs. I prefer the gentleMax for: Face, Neck, Bikini and Underarms. The LightSheer uses a vacuum to distract the nerve endings near the hair follicle while the laser light is being pulsed. This actually obviates the need for numbing cream and makes the procedure basically pain free. Darker skin types, such as Hispanic, Asian and Mediterranean complexions also do well with Lightsheer Duet because it uses a higher wave length than most other hair-removing lasers. Its large size allows you to treat a large area – such as the entire back – in less than 15 minutes. As with all lasers, it takes about 4 to 6 treatments spaced 4 to 6 weeks apart to get the best results. Because no laser can completely remove hair, you will need to maintain your results every 4 to 6 months. Consulting a board-certified dermatologist who is an expert with Lightsheer Duet give you the best results.
Q: What is the best way to fix the old looking skin under my eyes? Fraxel laser? Filler in the tear trough, Surgery, cheek filler?
A: Now is the perfect time to begin stimulating your skin to stay young with Fraxel Re:Store. It's a nonablative laser that can remove fine lines and wrinkles, plus stimulate your skin to begin producing more collagen and elastin, which will thicken and strengthen the skin plus make it more elastic. You will probably need at least two to three sessions. There is no downtime. Fraxel requires a yearly maintenance session as well. The Fraxel will also help thicken your eye skin and make it easier to resolve your tear troughs with a dermal filler such as Belotero or Restylane. Be sure to consult a board-certified dermatologist who has experience smoothing tear troughs with dermal fillers.
Q: ResurFX - how long am I supposed to avoid the sun after treatment?
A: ResurFX is a highly effective nonablative skin resurfacing technique that improves fine lines and wrinkles. However, it also makes your skin extra sensitive to UVA and UVB rays. You need to avoid sun for three months. If you must be outside, protect yourself with sun block and protective clothing such as hats – which, by the way, everyone should be doing. Be sure to consult your board-certified dermatologist if you have any questions about how to maintain the benefits of your ResurFX treatment and how to avoid skin damage from the sun.
Q: Is ResurFX a good option for acne scars?
A: As you have experienced, acne scars can be difficult to treat and usually require more than one kind of therapy, plus multiple sessions. ResurFX is one of my favorite lasers for treating acne scars. Maximal results take a few months and between 3-6 monthly treatments are necessary to see a significant improvement. It can definitely help with smaller acne scars and pits. However, you may need other therapies as well, including excision and/or fillers for deeper scars. It sounds like your dermatologist has chosen a good first step, but if you do not get as a dramatic improvement as you want, you may need to talk about adding in other therapies, too. Please consult your board-certified dermatologist about the timeline for improving your scars, what kind of improvement you can expect, and what other therapies you might need.
Q: Which procedure can I do to compliment ultherapy results?
A: Combination treatment is the best way to get the most spectacular results when it comes to nonsurgical cosmetic procedures. Ultherapy will do a wonderful job of tightening and lifting your face, and is the only device FDA cleared for a nonsurgical lift of the brow and neck skin. You can choose from a number of lasers to resurface and smooth out your skin, stimulate more collagen and elastin production, and tighten your skin further. I have published extensively on this and did a retrospective study where we combined IPL with Ultherapy and another one where I combined IPL ultherapy and Fractionated CO2. There are many choices you could have, depending on your needs. We offer more than 50 lasers and light therapies at our center. Consulting a board-certified dermatologist who has a wide variety of effective resurfacing and tightening modalities will give you plenty of options to get a noticeable but natural rejuvenation.
Q: What can I do about large pores, rough skin on my face, and dark spots?
A: Depending on the improvements you need -- which can only be determined with photos or, ideally, in person -- I might recommend a combination of lasers, chemical peels, and medical-grade skin care to shrink your pores, fade your dark spots, improve the texture of your skin and stimulate the production of new, rejuvenating collagen and elastin. When it comes to skin problems, there is no one-fits-all therapy. Often, to get the best results, a number of different therapies must be combined and tailored just for you. Start consulting board-certified dermatologists who can work with you to rejuvenate your skin and then make recommendations so that you can keep the benefits of your treatment going in years to come.
Q: Are these pearly penile papules? They have been around for 8-10 years. I have gone to the doctors before and they either don't notice them or just say it's nothing. Never give me an answer of what they are.
A: Those look like pearly penile papules (PPP), and as the doctors you have consulted have noted, they are nothing to worry about. You should not really feel them or by bothered by them physically. However, if they embarrass you or you would just like to be rid of them, this is easily done in a dermatologists's office with a CO2 laser. Be sure to consult a board-certified dermatologist who has experience treating PPP with lasers.
Q: Trying to remove mole with apple cider vinegar, why is my skin looking like this?
A: While I appreciate your resourcefulness, I don't recommend trying to remove a mole on your own. As you've noted, the skin seems to be getting irritated. And the mole is still there. It's also an unsafe habit as some moles may be cancerous. Save yourself some time and aggravation and ensure your safety by having the mole evaluated by a dermatologist. There are many methods we use to quickly and permanently remove moles so that they do not recur, including laser treatments (Active FX/Deep FX, Sciton, eMatrix, etc.) and/or excision. Be sure to consult a board-certified dermatologist who has expertise in mole removal.
Q: Will lasers tighten loose crepey skin on arms?
A: While we usually think of Fraxel lasers as being used solely on the face, they can treat almost any other area of the body as well. Both Fraxel Re:Store and Dual will heat the underlying collagen layer, forcing it to contract, which will also shrink the skin. The lasers stimulate the production of new collagen and elastin – the building blocks of the skin's supportive matrix. Whether Fraxel is sufficient to alleviate the sagging on your arms, however, will depend on how much sagging there is and the quality of your skin overall. This will be determined when you consult with a board-certified dermatologist who has expertise using lasers to resurface and tighten the skin.
Q: Will Fraxel damage my micro-bladed eyebrows?
A: Your question underlines why it is so important to take your time to find a board-certified dermatologist who has expertise in resurfacing the face with Fraxel. A skilled professional will be able to resurface your entire face without affecting the eyebrows at all. You must alert him or her, however, to the fact that your eyebrows were tattooed. Be sure to find a board-certified dermatologist who can help you improve your skin while maintaining the quality of your microbladed brows.
Q: Which laser is best for dark (sun) spots?
A: Without a photo, I cannot give you a specific answer. Fraxel Re:Pair or Re:Store may be sufficient to resolve your dark spots. You will have a reddened face for two weeks. However, many people who have hyperpigmentation require multiple therapies used in combination to completely resolve their sun spots. Intensed pulse light (IPL), chemical peels, hydroquinone and retinoids can all be helpful. Be sure to consult a board-certified dermatologist who can offer you a number of treatments.
Q: With PPP does it also swell the edge where they appear?
A: If your penis is swollen, that is not a result of pearly penile papules (PPP). PPP are benign growths that affect one in five men. I would suggest that you consult a board-certified dermatologist who has expertise in identifying and treating PPP with CO2 lasers.
Q: I have some pinkish/white dots/pumps on my penis head. What could they be?
A: Without a photo or a face-to-face consultation, I cannot say for sure what the growths on your penis are. Generally, pearly penile papules (PPP) don't appear on the penis head. I'd advise you to consult a board-certified dermatologist to have your bumps evaluated.
Q: Are these red Pearly Penile Papules?
A: Pearly penile papules (PPP) affect one in five men. Your photo does seem to demonstrate their presence. They are benign growths and do not need to be treated. If you are embarrassed by them, they can be removed one at a time with a CO2 laser. The entire procedure only takes about 20 to 30 minutes in the doctor's office. Be sure to consult a board-certified dermatologist who is an expert at treating PPP.
Q: What are these penile papules on the head of my penis?
A: Those look like pearly penile papules (PPP). However, you should have that verified by a dermatologist. PPP can be easily removed with a CO2 laser. Be sure to consult a board-certified dermatologist who has a lot of experience treating PPP with lasers.
Q: How to get rid of pearly penile papules?
A: The most effective way to remove pearly penile papules (PPP) is in a dermatologist's office with a CO2 laser. The treatment takes less than one hour. The PPP will not return. If price is a concern, most dermatologists will be happy to work out a payment plan. Be sure to consult a board-certified dermatologist who has experience with PPP.
Q: PPP on penis. How get rid of white spots on my penis?
A: The best way to get rid of pearly penile papules (PPP) is to go to a dermatologist and have them removed with a CO2 laser. PPP is a benign condition, but some people find it unsightly. If you want the PPP gone, be sure to consult a board-certified dermatologist who has experience treating PPP with lasers.
Q: How to stimulate elastin production? Does tretinoin or any laser treatment work?
A: One of the best ways to stimulate the production of new collagen and elastin is through skin resurfacing with Fraxel lasers. You can either choose Fraxel Re:Pair or Re:Store. Re:Pair is a CO2 ablative laser that will redden your face for a couple of weeks. You only need one treatment to get a dramatic improvement. If you want to eliminate the downtime that comes with a red face, then choose Fraxel Re:Store, which is nonablative and has no downtime. You will need more than one treatment with this laser to get the same results as you would with Re:Pair. Be sure to consult a board-certified dermatologist who has experience resurfacing the face with Fraxel to get the most benefits.
Q: What is this? Pearly penile papules or genital warts?
A: The photos appear to show pearly penile papules (PPP), but this should be verified by a board-certified dermatologist. If it is PPP, they can be easily removed with a CO2 laser. Be sure to consult a board-certified dermatologist who can evaluate your lesions more fully and make the appropriate recommendations.
Q: I have PPP and would like to have them removed.
A: You have read correctly: Pearly penile papules (PPP) can be easily removed with a CO2 laser. It is a painless procedure that can be performed in the dermatologist's office. Be sure to consult a board-certified dermatologist who has experience removing PPP.
Q: Severely dehydrated crepey skin! What procedure can be done to take that away and produce new healthy non crepey skin?
A: Fraxel Re:Pair and Re:Store are two of my top modalities for resurfacing aging skin and stimulating the production of new collagen and elastin. Re:Pair is a CO2, ablative laser that will leave your skin looking reddened for a couple of weeks. You only need one treatment per year. Re:Store is gentler, but will take more than one session. Boosting your skincare regimen with antioxidants and creams like SkinMedica’s HA5 with hyaluronic acid will help you maintain your results. You also need to take extra precautions in the sun and always wear sunscreen. Consulting with a board-certified dermatologist will help you find the best treatments to repair and maintain your skin.
Q: Can Penile Papules Appear on My Glans? PPP Appears on Glans, Corona, Sulcus
A: PPP generally appears on the corona or sulcus portion of the glans. If you do not know whether it is PPP or not, then I'd suggest consulting a dermatologist to rule out other conditions. Be sure to consult a board-certified dermatologist who specializes in PPP. They can be removed in the office with a CO2 laser.
Q: I have developed PPP, mild. How much would it cost to have it eliminated?
A: Pearly penile papules (PPP) will not come back after they've been removed by a CO2 laser. Look for expertise, not price, when searching for someone to remove them in your area. You can find experts on the American Academy of Dermatology website. Be sure to consult a board-certified dermatologist who has experience treating PPP with CO2 lasers.
Q: Do pearly penile papules go away by themselves?
A: We don't know exactly why pearly penile papules (PPP) affect some men and not others. There seems to be a genetic component and they do seem to occur more often in younger men and in those who have not been circumcised. Be assured that PPP is a perfectly normal skin variant and is not a disease or disorder. PPP may represent vestiges of penile “spines” that occur in other animals. They won't disappear by themselves, but you can have them removed with a CO2 laser at a dermatologist's office. Be sure to consult a board-certified dermatologist who has experience using lasers to remove PPP.
Q: I recognized pearly penile papules on the corona of my penis; can I get a non-surgical, but home remedy for this?
A: There is no reason to feel badly about having pearly penile papules (PPP). They are not only harmless, they are a normal variant of penile skin. If you are bothered by their appearance and want them to disappear, the only effective way to make that happen is with a doctor's help; there are no home remedies for PPP, but they can be easily removed in the dermatologist's office with a CO2 laser. Be sure to consult a board-certified dermatologist who has experience removing PPP with lasers.
Q: Cosmetic dermatologist for pearly penile papules?
A: Whenever you are searching for board-certified dermatologist to help you with a problem related to your skin, a good first stop is the website for the American Academy of Dermatology. There you will find experts in your area. You can check out their websites, call for information, find out about payment options, and set up a consultation. When you are ready to have your PPP removed with a CO2 laser, be sure to consult a board-certified dermatologist who has expertise in doing so.
Q: PPP on my penis - can I just live with it?
A: It is fine to leave your pearly penile papules (PPP) alone. They are not harmful and should not cause you any discomfort. If, however, you don't like the way they look or a partner doesn't feel comfortable with them, they can be removed easily in the dermatologist's office using a CO2 laser. Be sure to consult a board-certified dermatologist who has experience removing PPP with lasers.
Q: Best Treatment for Actinic Keratoses, Fine Lines, and Sun Damage?
A: Please start to use sun screen and protective clothing to avoid further damage to your skin. Luckily, the actinic keratoses, fine lines and other evidence of sun damage can be improved and even reversed with photodynamic therapy (PDT). PDT will also stimulate collagen to make your skin thicker and healthier. Depending on your initial evaluation, you may also need combination therapy with other resurfacing modalities, such as Fraxel or microneedling. Please consult a board-certified dermatologist for your Photodynamic Therapy and to receive recommendations for new skin care and sun protection regimens.
Q: Is INFINI the best microneedling tool to improve acne scars?
A: Infini uses fractional radiofrequency microneedling to break up scar tissue, stimulate the production of new collagen, and improve the texture, strength and elasticity of skin. Discomfort during the procedure is minimal and might include some tingling or stinging sensations. At our center, only the doctors perform microneedling and laser therapy. Please consult with a few board-certified dermatologists until you find one who is offering the level of service you desire.
Q: Is Affirm or Accent Skin Tightening Effective for a 70-year-old Woman?
A: Affirm Multiplex is, in my opinion, the most effective and satisfying nonablative laser for resurfacing and tightening older skin. It actually uses two different types of lasers to rejuvenate the skin. First, a fractional laser resurfaces and removes fine lines, scarring, hyperpigmentation and hypopigmentation while also stimulating the production of new collagen to strengthen and rejuvenate the skin. The second laser heats the deep layers of the skin, which shrinks the collagen and other tissue. This not only tightens the skin, but makes it more elastic. That means you will have less sagging and your skin will look significantly younger. How much younger will depend to a large degree on the quality of your skin at baseline as well as your overall health and hydration levels. Affirm Multiplex is easily tolerated and has minimal downtime. You will see results after just one treatment. Please consult a board-certified dermatologist who has expertise in rejuvenating the face with Affirm Multiplex.
Q: Is this PPP? What is going on?
A: Those do look like pearly penile papules (PPP). PPP are a normal variant of sweat glands and are perfectly benign. However, they are not caused by perspiration on your scrotum, masturbation or anything else under your control. They can be easily removed in a doctor's office with a CO2 laser. Please consult a board-certified dermatologist who has expertise in removing PPP with lasers.
Q: About PPP. Is castor oil OK to use?
A: Pearly penile papules are benign dilations of oil glands. Castor oil will have no effect on them, one way or another. If you are troubled by their appearance and would like them removed, this is easy to accomplish with a CO2 laser in a dermatologist's office. The procedure is fast and painless. Please consult a board-certified dermatologist who is an expert at removing PPP with lasers.
Q: Is Fraxel Restore a good idea before a ski trip?
A: While I don't think skiing would actually un-do the benefits of a Fraxel Re:Store treatment, it is not a good idea to expose yourself to intense reflected light (such as that from the snow) so soon after Fraxel. Even though Re:Store is a gentle laser, your skin will be more sensitive than normal and more easily damaged and/or irritated by such elements as sun, wind, and dry air. Enjoy your vacation, wear plenty of sun screen and emollients, and treat yourself to a facial rejuvenation after the ski trip. Be sure to consult a board-certified dermatologist who is an expert at using lasers to resurface skin.
Q: I've been trying to remove my PPP with tea tree oil for about 2 weeks now, there is no change at all. Why?
A: Tea tree oil is a natural antiseptic, but it will have no effect on pearly penile papules (PPP) other than, perhaps, to irritate the skin. PPP is not caused by an infection. It is a normal enlargement of penile glands on the skin and is perfectly normal. PPP is not a disease or a disorder; it is just a skin variant. Nevertheless, many people are bothered by the way it looks. A dermatologist can easily remove PPP in the office with CO2 lasers. Be sure to consult a board-certified dermatologist who is an expert at treating PPP.
Q: I have PPP at the lower side of glans penis; is there any medicine available to get ride of this?
A: Unfortunately, there are no topical creams or any other medication that I know of that are effective on PPP. Pearly penile papules are normal and benign, but often their appearance causes distress. If you would like to remove them, a dermatologist can do so with a CO2 laser in the office. It is a very quick and pain-free treatment. Be sure to consult a board-certified dermatologist who is an expert at removing PPP with lasers.
Q: 30 seconds of direct sun exposure directly after fraxel treatment on the way to car?
A: I think it's wonderful that your venture into self-care with Fraxel has made you so aware of the dangers of sun exposure and so diligent about avoiding it. This is an additional good outcome to the benefits you'll receive from your rejuvenation. Although the sun can indeed damage the skin in brief periods if it is very intense, between the limited amount of time it took to get to your car and your shading your face, I think you'll be fine. However, please remember that even in the car your skin is exposed to UVA and UVB rays. So please wear sunscreen even when indoors or driving and be sure to pack a hat so that you can walk the parking lot confident that your skin is protected. Please consult your board-certified dermatologist to get more tips on how to protect your skin from sun exposure.
Q: I have got these small white pearly bumps on the back of my penile head after having sex with my gf 4 months ago.
A: Based on your photos and description, the pearly bumps are probably pearly penile papules. These are a normal variant of penile skin, are very common, and are harmless. They are easily removed with a CO2 laser. However, please remember that no diagnosis can be made over the internet. If they continue to concern you, be sure to consult a board-certified dermatologist who has experience removing PPP with lasers to have them evaluated.
Q: I know i have ppp but i dont know who i should go to get treatment or how to find it. Ive searched the internet with no precise results.
A: There are many board-certified dermatologists who will be able to help you. You don't need a surgeon. PPP is removed with a CO2 laser. Call a few board-certified dermatologists and ask about their experience removing PPP with lasers to find someone with the most expertise.
Q: I have PPP; could this compromise my chance of being a soldier?
A: Pearly penile papules (PPP) aren't just harmless, they are a normal variant of penile skin and are very common. There is no reason that they would affect your passing a physical exam for the armed forces. In fact, chances are that one of medics who examines you has them too! If the papules worry you, they can be removed with a CO2 laser. Be sure to consult a board-certified dermatologist who has expertise in removing PPP with lasers.
Q: Do hispanics run the risk of hyperpigmentation when treating acne scars with laser treatments or more sensitive to the sun?
A: Fraxel Re:Store is a very gentle laser that works wonderfully on Hispanic and darker skins. The settings should be adjusted based on your particular skin hue. Depending on the depth and age of your scar, microneedling and even subcision may be necessary. As a caveat, scars can be improved but they don't always resolve completely if they are very deep. As for sun avoidance and sun screen: Whether before Fraxel or after, whether light- or dark-skinned, everybody should be using sunscreen daily, avoiding the sun at peak hours, and using protective clothing such as hats and long sleeves. No ethnicity is immune to skin cancer. Be sure to consult a board-certified dermatologist who has a great deal of expertise treating Hispanic skin with Fraxel and other modalities to remove scars.
Q: I would like to do Fraxel laser on my face but my neck and décolleté area.
A: Fraxel is a terrific way to resurface your skin and stimulate the production of new collagen and elastin – the building blocks of healthy skin. It is appropriate for the face, neck, chest and many other areas of the body; if you have sun-damaged skin anywhere, there is probably a Fraxel option for you. You have a number of choices, including Fraxel Re:Pair (the strongest, CO2 laser; results in about 2 weeks of a reddened face), Fraxel Re:Store (a gentler laser, also known as a “lunchtime” laser because there's no real downtime) and Fraxel Dual, which combines the two other Fraxels. Re:Pair only requires one treatment and gives the most dramatic results. Re:Store and Dual must be administered several times. All lasers will need touch ups after about a year. Cost will vary by practice, area, and expertise. Be sure to consult a board-certified dermatologist who is expert in resurfacing the skin with Fraxel.
Q: From what age is Fraxel dual recommended?
A: Board-certified dermatologists make decisions about what treatment to use on a patient not based on chronological age but on factors such as skin type, skin quality, degree of damage, and desired results. There are people in their 20s whose skin has been damaged by the sun who would benefit from Fraxel Dual. There are others in their 40s who really don't need to do a major resurfacing because they've avoided the sun, still have good skin laxity and volume, and would do just fine with a chemical peel. The only way to know when it's time for resurfacing fine lines, scars and discoloration with Fraxel Dual is that 1) you are ready to do so; 2) you've consulted a board-certified dermatologist who agrees that Fraxel is the best solution. Be sure to consult a board-certified dermatologist who is an expert at resurfacing the skin with Fraxel:Dual to get the best results.
Q: Are these pearly penile papules?
A: Those look like they are probably pearly penile papules, which are enlarged skin glands. They are normal. If you'd like to have them officially diagnosed and evaluated, you need to see a dermatologist. They can be removed with a CO2 laser. Be sure to consult a board-certified dermatologist who has experience treating PPP with lasers.
Q: These bumps been here for awhile and I never had unprotected sex with anyone.
A: Those look like they are pearly penile papules (PPP). They are a very common and completely normal skin variant that probably has a genetic basis. It usually affects younger men and uncircumcised men. PPP is not an STD. However, you should still continue to have protected sex. If they bother you, they are easy to remove with a CO2 laser. Be sure to consult a board-certified dermatologist who specializes in removing PPP with CO2 lasers to have your condition resolved.
Q: When can I go for tattoo removal?
A: You can't begin to remove a tattoo until it has totally healed. This usually takes between two weeks to two months. However, catching the tattoo as early as is safely possible sometimes allows for easier removal as the pigment has not had as much time to integrate into the skin. The picosecond lasers are the most advanced and effective tattoo removal lasers currently available and I often use a combination of both PicoWay and PicoSure lasers to get optimal results for all colors of tattoos. However, it will still take a number of sessions to fade your tattoo, probably at least three to five. Please consult a board-certified dermatologist to have your tattoo expertly removed.
Q: Will it be possible to lighten my sleeve tattoo for a cover up?
A: The picsecond lasers (PicoWay and PicoSure) are my lasers of choice for removing complex tattoos with many colors. These use intense and very short bursts of energy to shatter the pigment, which your body will then eliminate. This is not a quick process. It will probably take at least five or six sessions to fade your tattoo sufficiently for you to do a cover up. Please consult a board-certified dermatologist to handle your tattoo removal.
Q: Can a Fraxel laser or some sort of scar revision be done on the nose for a scar due to acne?
A: Fraxel is perfectly safe and effective on the nose and can be used to treat scars in that area. Scars are usually quite difficult to resolve and often require combinations of lasers, microneedling, and chemical peels. Which combination would be the best treatment for your scar must be determined in a face-to-face consultation with a board-certified dermatologist.
Q: Is Fraxel Repair for me? 40 year old Asian with brown spots and freckles.
A: Fraxel Re:Pair is an ablative laser that would not be appropriate on your skin as it is too harsh. Darker skin must be treated more gently to avoid possible hypo- or hyperpigmentation. Fraxel Re:Store or Dual, however, might be an excellent choice for you. They do take more than one session to give you optimal results, but there is significantly less downtime. You may also need combination treatment to fade your freckles sufficiently. Please consult a board-certified dermatologist who has expertise in resurfacing Asian skin for best results.
Q: Are these PPP?
A: Those look like they are probably pearly penile papules. You should have this confirmed in person by a dermatologist. They can be removed with a CO2 laser in the office. It is a fast and virtually pain-free experience. Please consult a board-certified dermatologist to have your PPP treated.
Q: Can Fraxel Restore/Repair improve the texture of hypertrophic surgical scar?
A: Scars can be very difficult to treat and usually need combination therapy. I've gotten some very good results using Fraxel Re:Pair combined with microneedling to break up the fibrous tissue. To find out if your scar will improve significantly with Fraxel Re:Pair and/or other therapies, please consult a board-certified dermatologist who has expertise in treating scars.
Q: After photodynamic therapy, how long does the skin's purging process last?
A: PhotoDynamic Therapy (PDT) uses four different wavelengths of lasers (PDL, IPL, red light and blue light) to target lesions and irregularities on the skin. It can be used to improve or resolve issues such as: Aged or irregular skin Acne Actinic keratosis (precancerous lesions) Hyperactive oil glands Hyper and hypo-pigmentation Depending on your metabolism, it will take approximately 4 to 8 weeks before the old skin is completely eliminated and the new layers of improved skin can be seen. Please wait about two months before deciding if you need another treatment. Finding a board-certified dermatologist who is expert at resurfacing the skin with PDT will help answer any questions you have and determine if you are a candidate for PDT.
Q: Can I use Pepsodent for pearly penile papules treatment?
A: Please do not use any kind of toothpaste or home remedy on your pearly penile papules (PPP). These substances may irritate your skin and even cause damage. PPP is a benign condition that does not need to be treated at all. However, if you find the papules embarrassing or if they bother you, they are easily and painlessly removed in the doctor's office. Please find a board-certified dermatologist who is expert at removing PPP with a CO2 laser to help you.
Q: Will PPP go away by itself?
A: Pearly penile papules (PPP) are nothing to worry about, as they are merely a benign penile skin variation that may be genetic in nature. They tend to appear in younger men and in uncircumcised men. You will get fewer as you age, but they will not disappear on their own. If you are bothered by them, they are easily removed in a doctor's office with a CO2 laser. Please consult a board-certified dermatologist who is expert at removing PPP with lasers.
Q: The best stretch mark removal? I have black stretch marks on my bum & breast since I was pregnant.
A: Stretch marks are difficult to treat, as the damage reaches into the deepest layers of the dermis. They can be improved with a combination of lasers or light therapy plus microneedling. They will not fade completely, but combination therapy should fade them. Please consult a board-certified dermatologist to find out if you are a candidate for improving your stretchmarks with combination therapy.
Q: How long do Fraxel Repair Results last?
A: Once you have resurfaced your skin with Fraxel, the results are immediate and permanent. Your skin will continue to improve over the next six months as it begins to repair itself from the microwounds caused by treatment. The repair process stimulates the production of new collagen, which will further rejuvenate your skin. Although the results from your treatment are permanent, you will continue to age as normal. The rejuvenated look should last anywhere from five to 10 years. Please consult a board-certified dermatologist about repairing your skin with Fraxel.
Q: I have been using Tretinoin (Retrieve Cream) for a couple of years. It has been beneficial but I feel that my skin is very thin now. My questions is how long should I wait (or should I not have it) before doing Fraxel Restore? I am concerned that my thin skin will cause the Fraxel Restore laser to penetrate too deeply. Will the skin go back to its original thickness eventually? Any advice would be appreciated.
A: To avoid irritation, discontinue your tretinoin at least two weeks before you have Fraxel Re:Store. The laser will not only resurface your skin, but stimulate the production of collagen. This should add some volume to your skin, making it look more youthful. Please consult with a board-certified dermatologist to have your skin evaluated for Fraxel.
Q: Is it safe to use Fraxel on african american skin?
A: Fraxel Re:Store is a non-ablative laser, which means it does not create wounds on the surface of the skin. In most cases, it can be used on darker complexions without risk of hyper- or hypo-pigmentation. Please see a board-certified board dermatologist to see if you are a good candidate for Fraxel.
Q: I got hit by a car and I have alot of scars but the most noticeable ones are on my face. I have train track stitches scars from the guys windshield. I ended up with over 300 stitches and the scars look like it. I don't want anything crazy and I have seen 15 doctors and none could help. Has anyone had surgical scars removed and can tell me about it? Thanks
A: Fraxel Re:Store breaks up scar tissue and stimulates the production of collagen, which will improve the appearance of scars – including ones that are years or even decades old. You will probably need multiple treatments spaced from a month to a month and a half apart, depending on your healing process. The scar will not be totally removed, but will blend much better into the surrounding skin. Depending on how deep and discolored the scars are, you may need additional therapies, such as micro-needling and chemical peels. Please consult a board-certified dermatologist to have your scars evaluated and find out which treatment options will give you the best results.
Q: I have a mole on my cheek about 3.3 mm in diameter and maybe raised 1-2mm. I want to get it surgically removed and have spoken to a plastic surgeon about it and know there will be some scarring. I plan to have Fraxel and would like to know how long after the removal would I have to wait to have it, and if it will actually do anything for the scarring. Thanks!
A: Provided that the mole was benign, Fraxel Re:store can help remove the scar once it heals. I would wait at least two to three weeks before using Fraxel on the scar. Please see a board-certified dermatologist.
Q: I am hispanic with olive skin can I get Fraxel treatments? I have some acne scaring from when I was younger and I also have a very small amount of brown spots from tanning. Am I a candidate for fraxel treatments and if I am, would it be Fraxel re:fine, re-store or re-pair?Thank you very much!
A: Fraxel Re:Store is a non-ablative laser that does not create the wounds that might create hyperpigmentaton in ethnic skin, provided it is performed at the correct setting. Please see a board-certified dermatologist to resurface your skin with Fraxel.
Q: The skin on my arms is getting saggy and I have some sun spots. Will Fraxel Laser work for this and which one, Restore or Repair? Also, which one is better for the decolletage area? I am in my late 40's, fair-skinned. Thanks
A: Fraxel Re:Store should work well on your decolletage area, where the skin is quite delicate and thin. Depending on the degree of sagging, it is possible your arms would respond better to Re:Pair. Re:Pair can both fade the sun spots plus tighten your skin. However, pale skin tends to be more sensitive, so I would advise a patch test. If you can't tolerate Re:Pair, Re:Store could work for the arms as well, although it may take more sessions. Please consult a board-certified dermatologist.
Q: Are there benefits for having more than 6 Fraxel treatments?
A: Generally, patients improve significantly sufficiently after four to six treatments that they see no need to continue. And, as with all cosmetic dermatology procedures, sometimes less is more. You want your skin to look natural and healthy, so I would avoid over-treating. It is a good idea to have yearly maintenance treatments to continue the benefits of collagen production and rejuvenation. Please see a board-certified dermatologist about how to repair and rejuvenate your skin with Fraxel.
Q: What do you feel would be most helpful for making my skin look better? Should I consider the Fraxel Repair or Fraxel Restore?
A: Using a combination of Fraxel Re:Pair and Fraxel Re:Store should improve the scarring and the texture of skin on your face. Consulting with a board-certified dermatologist will help you come up with an appropriate treatment plan.
Q: Is the fraxel laser good for under eye wrinkles? I have fine lines directly under my eyes. My doctor applied Botox to the outer eye area (where the lines were very minimal); but I still have fine lines. I've tried Fraxel under my eyes about 6 times last year, and saw a vast improvement. They still bother me though. Should I go back for more Fraxel to build more collagen? Thanks.
A: Depending on the depth of your wrinkles, either Fraxel Re:pair or Fraxel Re:store would be appropriate. Both technologies will also stimulate collagen production, which improves the quality of your skin. You may also need some fillers, such as Restylane, and possibly some Botox to prevent further wrinkling. Because Fraxel Re:store is less aggressive than traditional Fraxel, it may take multiple sessions to obtain your desired results. However, there is no downtime after treatment, allowing you to return to daily activities immediately. Please schedule an appointment with a board-certified dermatologist to find out how Fraxel can rejuvenate your under-eye area.
Q: Do I need to modify my workout after laser treatment?
A: You do not have to modify your lifestyle in any significant way after receiving Fraxel Restore or Fraxel Dual treatments, as they are nonablative and do not wound the skin. However, if you have a Fraxel Repair treatment, you will have some downtime that may last a few days to a week. Because you may be slightly uncomfortable after your treatment and experience such minor side effects such as tingling, burning, slight swelling or bruising, I do recommend holding off of exercise for at least a day, and perhaps up to three or four days, depending on how you feel. Call a board-certified dermatologist for a consult and learn how to use Fraxel to restore youth to your skin.
Q: What is best for a 77 year old woman Fraxel or halo?
A: Fraxel lasers are a wonderful choice to begin repairing skin damage caused by sun exposure and aging, and can be safe at any age. Fraxel removes the damaged outer layers of the skin. With repeated treatment, Fraxel can resolve age-related hyperpigmentation as well as crepey or finely wrinkled skin. Please consult a board-certified dermatologist to have the quality of your skin evaluated and an appropriate treatment plan developed to restore youth to your face.
Q: I'm a 45 year old woman who is a past sun fanatic. In the past year or so I've noticed my skin severely breaking down, no surprise given the abuse from the years of sun tanning. Is there any procedure that will help reverse or diminish the crepey/wrinkley skin on my chest, legs, arms, hands and even feet? Would Fraxel or Ultherapy be of any help? It's depressing to know I can no longer comfortably wear shorts, t'shirts or even a bathing suit in public again.
A: Fraxel lasers can indeed help repair some of the sun damage on your body and also stimulate the skin to produce new collagen, which will help it maintain elasticity. Consult with a board-certified dermatologist to discuss Fraxel and also a skin-care regimen that will let you take control of your aging process so that you feel comfortable in summer clothes again.
Q: I saw a brochure for fraxel laser at my dermatologist. it seems like it works on lots of skin problems. is fraxel better for some skin problems than others?
A: When administered by a board-certified dermatologist, Fraxel can be used to treat a variety of troubling skin issues. In addition to helping rejuvenate scar tissue, and virtually erasing lesions such as acne scars and stretch marks, Fraxel can fade age spots, smooth out wrinkles, and even resurface large-pored and uneven skin. Please consult with a board-certified dermatologist to find out how Fraxel can help your skin look its best.
Q: I'm looking to get this laser done on my belly. b/c i have stretch marks everywhere on my tummy. its very unwanted scars i cant ware a two piece b/c its so ugly. please somebody let me know if this is a good thing to do.
A: Fraxel can indeed help to minimize stretch marks on the abdomen, allowing you to feel comfortable in a bikini again. Laser treatment with Fraxel can help to soften and smooth the scar, helping it to fade into the surrounding skin. Although many patients find that one treatment is sufficient, depending on the depth of the scar and the quality of the skin, multiple sessions may be advised. Please consult with a board-certified dermatologist to discuss how Fraxel can restore your skin's smoothness and elasticity.
Q: Heard a lot about Fraxel laser. Acne is a problem for many people, as well as scarring — can Fraxel treat acne scarring on the face?
A: If you no longer have active acne, resurfacing and rejuvenating the skin with the Fraxel fractionated CO2 device can be an excellent choice. It is particularly helpful for patients with darker skin tones, who might experience hyperpigmentation with other resurfacing treatments. Fraxel penetrates the skin deeply and helps even out color, texture and tone. Multiple treatments may be necessary, depending on the severity of scarring. Please consult with a board-certified dermatologist to find out how Fraxel can help resolve your skin issues.
Q: Is it okay to take a 2 hour flight immediately after a Fraxel treatment?
A: It should be fine to fly right after a Fraxel treatment. You may be a little uncomfortable, however. If you are having a stronger Fraxel treatment such as the CO2 Fraxel Repair, it might not be a good idea to fly, as the downtime is a little more severe than with the non-ablative Fraxel lasers. I would discuss your concerns with your doctor and follow their advice.
Q: Why do the pores enlarge as years go by after having a Fraxel Dual treatment? Is it always the case that this will happen?
A: Fraxel Dual should not cause the pores to enlarge. However, pores will often appear larger as a function of age. The size of your pores is genetically determined, so if your parents had large pores, most likely you will too. There are various ways that you can help to minimize the appearance of pores, though, among which is laser resurfacing.
Q: Is Deep FX or Fraxel Repair better for treating deep acne scars?
A: Acne scars can be tricky to treat, and often require a combination of treatments, including a vascular laser for redness and sometimes even subsicion for maximum results. Which laser is used is less important than the skill of the dermatologist using the laser. I suggest finding a board-certified dermatologist in your area who has experience treating acne scars and going in for a consultation to come up with a custom treatment plan.
Q: How do I find an expert to do Fraxel or a different laser treatment for crow’s feet on an African American?
A: I would research board-certified dermatologists in your area, making sure to look through their before and after photos to see if there are African American patients there. Laser treatments have gotten much more advanced in recent years and can be done safely on people with darker skin tones, but it still requires an expert with years of experience. For the crow’s feet, however, a better solution than a laser is Botox, which can be done safely on any skin type.
Q: Is it okay to use Fraxel Restore on African-American skin under the eyes for tightening and wrinkles?
A: Fraxel Restore can be used safely on African-American skin when performed by an expert, board-certified dermatologist with experience treating a wide range of skin colors. Ultherapy is my treat of choice in this area as it is a good option for tightening skin and smoothing wrinkles around the eye area that and is safe for all skin types.
Q: Does IPL work to clear reddish pink port wine stains or is PDL preferable?
A: For port wine stains, a PDL (pulsed dye laser) will usually be your best bet. IPL is not generally used to clear this type of birthmark, but is instead better for brown spots or overall redness from rosacea or flushing. PDL works well to clear even deeply colored port wine stains, though.
Q: I had two IPL sessions at the dermatologist for blue veins in my face, but they were not eliminated. What treatment is best to get rid of these veins?
A: IPL is not the best treatment for blue veins in the face. At my practice, I’ve had great success using the CoolTouch Varia laser to eliminate unwanted blue facial veins; see a before and after picture in the link below. I would suggest finding a new board-certified dermatologist with experience eliminating unwanted facial veins to come up with a better custom treatment plan.
Q: Does IPL increase photosensitivity? I received IPL on my shoulders for brown spots and noticed some improvement, but then I went on vacation 4 months later and now have more brown spots than I did before the IPL. There’s no increase in brown spots on my face, where I didn’t have IPL. I used SPF 60 sunscreen but I was sun exposed.
A: IPL can increase photosensitivity immediately after treatment, but not four months later. We always advise avoiding the sun and being diligent about applying broad-spectrum sunscreen and protective clothing following treatment. Perhaps your sunscreen only provided UVB protection, as the SFP number only refers to UVB protection. For best coverage, the sunscreen label should state both UVA and UVB coverage. I doubt the IPL had much to do with your increase in brown spots, though. Brown spots can appear after sun exposure whether you’ve had an IPL treatment or not. Perhaps there is another reason, for example, certain medications can cause photosensitivity like tetracycline or sulfur antibiotics. While it may be unrealistic to avoid the sun entirely, being very diligent about reapplying sunscreen every few hours, making sure your sunscreen blocks both UVA and UVB rays, making sure not to stay in the sun for too long, and wearing hats and protective clothing when you know you’ll be in the sun for a while will all help to reduce the occurrences of brown spots. With good protection, those spots may fade completely. If not, I suggest you visit your dermatologist for evaluation.
Q: Is this PPP? I’ve seen photos but mine seems to have too many bumps.
A: It’s difficult to tell from your photo whether you have PPP or something else. I suggest visiting a doctor to find out if you have PPP. If it turns out that you do, they can be safely removed with a CO2 laser treatment done by an experienced, board-certified dermatologist. Good luck.
Q: I’m 52 and have bags under my eyes. I want to get rid of them but I don’t want surgery. Is there a way to do this that’s not too expensive?
A: There are a variety of non-surgical ways to treat eye bags but it depends on what is causing them. Dark circles under the eyes are typically caused by a combination of 4 different factors: volume loss, excessive pigmentation, excessive vasculature, and fat herniation. Each of these can be addressed in a variety of ways but the good news is that there is a non-surgical option for almost every situation. These options include injectable agents and lasers. Consult with a board certified dermatologist or cosmetic physician for a full assessment and discussion of what may be the best for you. Good luck!
Q: I’ve always had bags under my eyes. Will a laser treatment help to reduce them?
A: There are a variety of non-surgical ways to treat eye bags but it depends on what is causing them. Dark circles under the eyes are typically caused by a combination of 4 different factors: volume loss, excessive pigmentation, excessive vasculature, and fat herniation. Only the excessive pigment and vasculature can be targeted with laser treatment. Consult with a board certified dermatologist or cosmetic physician for a full assessment and discussion of what may be the best for you. Good luck!
Q: Do I need to stop Retin-A before having laser resurfacing for acne scars?
A: There is no peer-reviewed evidence to suggest that topical Retin-A has any negative effect on laser resurfacing for acne scars. I do not counsel my patients to discontinue prior to the procedure.
Q: What can I do about broken veins and pigmentation on upper cheeks and under my eyes?
A: Broken blood vessels and excess pigmentation are two of the most common concerns that present to my practice. There are a large variety of options for the effective treatment of these issues. These options include intense pulsed light (IPL), vascular lasers, pigment lasers, and resurfacing lasers. I typically use a custom combination of all these options to address each patient’s individual needs. Tailored individual treatments that use a combination of different therapies are essential to achieve the best results. However, these combinations should only be undertaken by experienced and specialty trained physicians. Hope that helps and good luck!
Q: What laser is best for freckle removal? I tried IPL but it didn’t work for me.
A: There are several options for pigment removal using laser devices. These options in IPL, alexandrite, ruby, pulsed-dye, KTP, Nd:YAG, and picosecond lasers. I’m sorry to hear that IPL did not work for you, but often it’s the settings and treatment technique that determine the outcome not necessarily just failure of the device. The best device depends on many factors such as your skin type, the type of freckle you have, your previous treatment record, and how your skin reacts to laser energy. For assessment of these factors and design of an appropriate treatment plan tailored to your needs, it’s best to see a specialist trained laser surgeon. Good luck!
Q: I’m considering laser resurfacing for wrinkles around my mouth and eyes. Would CO2 or Total FX be a better procedure?
A: The areas around the mouth and eyes are excellent areas to treat with ablative laser resurfacing (of which the two main types are CO2 and Erbium). Total FX is a type of CO2 laser that can be used to great effect to reduce wrinkling around the mouth and eyes. I typically combine a variety of different lasers to achieve the best effects in these areas (both ablative and non-ablative as well as both CO2 and Erbium). In particular, the eye area tends to be very responsive to ablative laser resurfacing but the treatment settings and treatment technique of the laser surgeon are the most important factor in ensuring optimal results. You can see typical examples of CO2 laser resurfacing around the eyes and mouth on my profile pics. Hope that helps!
Q: Does laser resurfacing work for dark circles under the eyes? What are my options for lightening and tightening this area?
A: Dark circles under the eyes are usually caused by a combination of several factors: volume loss, increased pigmentation, increased vascularity, and fine lines and wrinkling. If fine lines and wrinkling is the main contributing factor, then laser resurfacing can be an excellent treatment option. However, volume loss is better addressed with fillers and pigment and vasculature is best addressed with pigment and vessel-specific lasers. Usually, combination treatment will result in the best outcome. As this can be a tricky area to treat, it’s best to see an expert laser surgeon who has a solid understanding of the various causes of dark undereye circles to tailor your best treatment.
Q: When can I go back to work after a laser resurfacing procedure? Are there any tips to recover faster?
A: Non-ablative laser resurfacing procedures typically have between 0-3 days of downtime, during which time you may look a bit bizarre but you are able to function without any real impairment. Ablative laser resurfacing can sometimes entail 7-10 days of downtime with the earliest you can return to work around 5-7 days. The most important thing to do to speed recovery is to follow the post-operative care instructions provided by your laser surgeon and to follow up regularly during the first few days to make sure everything is on track.
Q: What are the pros and cons of laser resurfacing for acne scars?
A: Acne scarring can be a tricky problem that is resistant to treatment. The pros of laser resurfacing are that it is one of the single most effective treatments and that it undeniably improves the structure and function of your skin via inducing new collagen formation. The cons are that there is a variable amount of downtime after the procedure depending on what type of laser treatment is selected and that the results tend to take months to fully come in. The optimal way to treat acne scarring is using multiple different modalities – including ablative and non-ablative lasers, minor surgical procedures such as subcision, radiofrequency and ultrasound devices, and injectable fillers – to achieve the best result. Patience is the key as the treatments are sometimes best done in stages and improvements come in gradually over time.
Q: It seems like laser resurfacing will be tough on my skin. What can I do to take care of my skin afterwards?
A: Laser resurfacing is broadly categorized into “ablative” and “non-ablative” procedures. The amount of damage and aftercare required after each is quite different. For the ablative procedures, a careful regimen of healing ointments and cleansing protocols must be followed with regular and frequent follow up appointments with your laser surgeon to make sure everything is on track. These aftercare regimens vary from clinic to clinic and so it’s important to find one with certified operating facilities, experienced nurses, and specialty trained laser surgeons who will walk you through every step of the way. The non-ablative laser resurfacing procedures typically require less aftercare with a thin ointment or cream sometimes all that is required for a few days to a week. Hope that helps!
Q: Is it okay to have Fraxel treatments spaced 3 months apart? I’ll be out of the country for 3 months and am wondering if I should have my first treatment now or wait until I get back to start.
A: It’s up to you whether you want to get started right away or wait until you get back to start. While typically Fraxel sessions are done spaced one to two months apart, there is no real harm in waiting 3 months between treatments; the only downside could be that it may take longer to see full results from your full course of sessions. You may also want to take into consideration that your skin will be more sensitive following a Fraxel treatment, especially to the sun, so depending on what your trip abroad entails you may want to wait until you get back to start treatments.
Q: How long after having Fraxel is it safe to have sun exposure? I’ll be visiting Hawaii 2 months after my treatment and am worried about keeping my skin protected.
A: The amount of time required to stay out of the sun after a Fraxel treatment varies depending on which treatment was performed and what area of the body was treated. There are a number of different laser wavelengths available under the Fraxel name, with varying levels of aggressiveness. I recommend talking to your doctor who performed the treatment about your concerns, and following their advice about sun exposure. Keep in mind also that sun protection is important at all times, not just after a laser treatment! You definitely want to make sure you are protecting your investment if you are embarking on having laser procedures.
Q: I had Fraxel Dual a week ago and now I have red streaks on my face. Will these streaks dissipate in time?
A: It is common after a Fraxel treatment to have areas of redness. While typically this redness occurs all over, it may also be concentrated in “streaks” where the laser was focused. This redness may last for a few weeks, after which it should completely dissipate. If you are still experiencing significant redness after 1 week, I would recommend visiting your provider for a follow-up to see what can be done.
Q: Can PicoSure fully remove tattoos? I have a large, colorful half sleeve tattoo that I’m looking at trying to get removed.
A: PicoSure is a great laser for removing certain colors, but if your tattoo is very colorful you will most likely require a combination of lasers to try to fully remove it. Different ink colors respond better to different laser wavelengths, so if your tattoo has many colors it would be impossible to treat with just one laser. I recommend visiting a board-certified dermatologist for an in-person consultation to come up with a custom treatment plan.
Q: Is PicoSure a good option for skin rejuvenation?
A: While PicoSure can be a good option for skin rejuvenation in the right candidate, an in-person consultation is necessary to properly evaluate your skin and come up with the best treatment plan for you. “Skin rejuvenation” is a vague term, and more information about your skin issues and desired goals is needed in order to determine which laser is right for you. I recommend visiting a board-certified dermatologist with an array of different lasers (not just one which is applied to multiple conditions) for an evaluation and custom treatment plan. Good luck!
Q: Can PicoSure remove a tattoo with dense black outlines and shading?
A: PicoSure works well to remove blue, green, and some black tattoos. Different colored inks respond better to different lasers, and an in-person consultation is necessary to evaluate your tattoo and make sure your skin color Is right for the picosure or would be better served with the pico way laser. We offer a variety of lasers that can help treat a wide range of tattoos at my practice, and have a high success rate for tattoo removal.