Bay Area Laser Surgery doctors

	William Ting, MD Bay Area Dermatologic Surgeon 2262 Camino Ramon Suite #200, San Ramon		4 answers
	Donald M. Brown, MD San Francisco Plastic Surgeon 2100 Webster Street Suite 429, San Francisco
	George Commons, MD Palo Alto Plastic Surgeon 1515 El Camino Real Suite C, Palo Alto
	Miguel Delgado, Jr., MD San Francisco Plastic Surgeon 450 Sutter Street Suite 2433, San Francisco
	Larry Fan, MD San Francisco Plastic Surgeon 77 Van Ness Avenue Suite 302, San Francisco

Recent Answers

Fibrous Papule on Nose I have a fibrous papule on the tip of my nose. I use a razor almost daily to lessen it. Is laser treatment the best way to remove this permanently? What laser type is recommended? Thank You, Any help is very appreciated. Steve

A: Fibrous papule removal on the nose

Fibrous papule is a benign growth that is often found on the nose in individuals with history of sun damage. Shave excision by an experienced dermatologist typically offers the best cosmetic outcome. Ablative laser should not be used as a first line unless pathology has been determined and skin cancer ruled out.

William Ting, MD

Bay Area Dermatologic Surgeon

Skin Tightening Laser Procedure in Mouth and Eye Areas? I am considering some laser surgery in the face to tighten skin around the mouth and under the eyes; but I have received mixed information from 2 doctors. One says it does not work and another says it does. I had some allergy to Restylane before, so a filler is not an option. Is laser the answer before a surgery, which is too drastic right now?

A: Rejuvenation around eyes and mouth

While traditional CO2 laser resurfacing remains the gold standard, not too many people can afford the downtime that may be required. Combination of fractional co2 laser resurfacing, hyaluronic acid filler (Restylane or Juvederm), and Botox/Dysport can be fantastic for periorbital and perioral rejuvenation.

William Ting, MD

Bay Area Dermatologic Surgeon

Laser Surgery for Jowls? I had laser surgery about 12 years ago on my entire face. I got a staph infection and toxic blood poisoning. I ended up on a respirator for about 3 weeks in the ICU. My lungs kept filling up with fluid. I smoked two and a half packs of cigarettes per day, and I drink beer daily. I am now 47 and starting to get sagging jowls; I'm wondering, what risk would I be in by having laser for jowls only? Is there be a better alternative without surgery?

A: Filler injection more helpful for sagging jowls than Laser surgery

Sagging jowls come from loss of volume along marionette areas along corners of mouth as well as the overall diminised volume along upper 1/2 of the face. Other than surgical facelift, your best bet is to consider combination of localized filler injection along marionette areas and cheek augmentation with Radiesse or Sculptra. Fractional CO2 laser resurfacing can be helpful to tighten the jowl sagging but should be performed in conjunction with judicious filler injection to achieve optimal outcome.

William Ting, MD

Bay Area Dermatologic Surgeon