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I am a fellowship trained cosmetic surgeon with emphasis on aesthetic lasers. Happy to help.
I am interested in Laser CO2 fractional for rejuvination, but I am doubt about the side effect for our Indonesian patients (color type Fitz 3-4).
And the procedure: it is hurt a lot, and needed a sedation? or just EMLA cream is it enough?
Thank you so much
Susanti
Dermatologist
hi I am interested also in fractional c02 laser resurfacing i want it on my eyelids because they sag a little i want them tighter would this laser help? and if its done too much will it cause sunken eyelids? i would be grateful for your reply thanks.
Dr. Saluja may be able to better answer this question but our understanding is that sagging can really only be corrected with surgery or a brow life using fillers like radiesse or restylane. Dr. Saluja, please let us know what you think.
To answer the first question, fractional CO2 laser has been done up to Fitz skin type V (there is an article showing that no hyperpigmentation occurred..) But the study was small. I am very cautious with Fitzpatrick skin type IV and I tend to stay away from treating type V.
As far as for Fitz IV a less aggressive approach can be utilized, with the knowledge that you may have to come back and treat again. Also, it may be good to do a test spot on your skin and see how you do at a given fluence and density setting and then adjust parameters accordingly.
As far as the second question. Fractional CO2 can help with the sagging of the skin (dermatochalasis) to tighten the lid. But I will say that if there is significant laxity, then you would have to go down the route of blepharoplasty, because there is only so much tightening that can be done.
I don’t know if we can post photos, but I will try to see if I can download some to show you the level of tightening which can be achieved with fractional CO2, which can be impressive, but does have it’s limits.
I typically use EMLA cream under occlusion for 1 hr. I do give my patients a pain med and a valium (therefore they would need a driver). Patients typically say they experience a 2-4 out of 10 discomfort during the procedure. I do one area of skin at a time, and leave the numbing gel on the other parts and wipe it off only when I am ready to do that particular area. That also minimizes discomfort.
You can also do nerve blocks, however, I find that it typically is not needed.
After the procedure, your face will feel quite hot for about 1-2 hours and that is when cold compresses are done and then the heat dissipates.
So all in all, it is not bad.
Hope that helps.
I am interested in having the SmartXide DOT Therapy fractional Co2 laser. The facility I am going to visit recommends that I use the ointment they provide for 4-7 days after the treatment and that I can not reapply makeup until that time as well. Why should I use the ointment for so long and what would happen if I didnt use the ointment for that long and applied makeup before the recommended time?
Thank you!
Hello Raminder Saluya:he comprado un laser co 2 radiofrecuency (fractional), y no me quedo tranquila en como lo programo.¡¿ puedo enviarte los parametros y me orientarias por favor?
muchas gracias Karina(on time off time power %,duration etc.la empresa es goldstar o macfree.)
HELLO , I WOULD LIKE SOME HELP.I HAVE A PATITNT WHO HAVE A SCAR , I HAVE DONE CO 2 LASER FRACTIONAL RESURFACING BUT ON THE SCAR WITH MORE POWER, NOW ( 1 DAY LATER) THE SCAR IS A LITLE BLACK.SOMEBODY CAN SAY ME IF THIS PROCESS IS NORMAL? THANK YOU KARINA