Encinitas Fraxel Laser doctors

William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
31 answers
Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
4 answers
Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
1 answer
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
Kimberly Butterwick, MD Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 125, San Diego

Recent Answers

Is It Possible That 13 Days After a Combination Active/deep Fraxel, Wrinkles May Be More Visable While Skin is in Transformation

Could a Deep Fraxel Destroy Collegen in the Dermis Before New Collegen is Formed, Causing Wrinkles to Be More Visable? My Doctor was qualified, instructions were followed.

A: Recovery from Total FX

Skin may remain edematous (swollen) for several weeks after this treatment. In some areas, wrinkles may seem more prominent because overlying sun damage has been removed, "unmasking" the wrinkles. In other areas, such as thin lower eyelid skin, the swelling and dryness  may temporarily exacerbate some fine lines. It's usually helpful to express your concerns to your doctor, moisturize, and keep your follow up appointments for best results. Remember- your results depend not only on the actual laser  procedure but on your skin care over the next few months and beyond.

Roy A. David, MD
San Diego Facial Plastic Surgeon
Does Fraxel Works for Long Term Collagen Production?

Does Fraxel Laser create long term collegen production? I know the C02 works very well. Does fraxel just take away skin and not damage the tissue so it can produce more collegen?

A: Fraxil and collagen

Fraxil is a trade name for fractionated laser treatment. There is a non-ablative fractionated Fraxil which does not work very well to increase new collagen. But, the CO2 - ablative Fraxil and other fractionated CO2 lasers do promote collagen production to remove fine lines and wrinkles. I recommend the Active and Deep FX fractionated CO2 lasers since they are less painful and have faster healing that other fractionated lasers. The collagen they produce lasts 5-10 years but any laser can not stop you from aging so plan on additional treatments every few years to maintain your correction and look younger.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
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: The more laser treatments, the better the results

The more treatments you get the better. Remember, the more aggressive the treatment (ablative CO2 laser is more aggressive than non-ablative lasers) the better the results. If you want almost no downtime it will take many treatments to get the same results as a ablative laser which will have 1-2 weeks of redness and healing.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
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