Irvine Fraxel Repair doctors
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Nissan Pilest, MD
Irvine Dermatologic Surgeon
16100 Sand Canyon Ave Ste 190, Irvine |
25 answers | |
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Grant Stevens, MD
Los Angeles Plastic Surgeon
4644 Lincoln Blvd #552, Marina Del Rey |
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1 answer |
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David Alessi, MD
Beverly Hills Facial Plastic Surgeon
8670 Wilshire Boulevard. Suite 200, Beverly Hills |
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Jeremiah P. Tao, MD
Irvine Oculoplastic Surgeon
Gottschalk Medical Plaza 1 Medical Plaza Drive, Irvine |
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Christopher B. Zachary, MD
Orange County Dermatologist
15374 Alton Pkwy, Irvine |
Recent Answers
I was born with bilateral cleft lip and I am 19 years old. My last surgery was 2 months ago and I have a new scar because I had lip Advancement. Can I use pulse dye laser and fraxel repair or restore?
You can start getting pulse dye laser treatments now to decrease the redness of the scar but I recommend waiting at least a 1 to 2 more months before starting with the resurfacing lasers. This will give you optimal results in minimizing the appearance of your surgical scars.
Good luck. Hope this helps.
Dr. Grant Stevens
When post-op is the best time to undergo Fraxel Repair to minimize a scar on the face? Is the sooner the better? How soon exactly?
Without a detailed history or examination, the general rule is to wait 4-6 weeks post-op until corrective laser treatments can be performed. However, the face heals well, and if you are not taking any medications after your surgery, namely blood-thinners and corticosteroids, you may be treated as early as 7-14 days after.
Numerous lasers have the capability to stimulate and renew collagen. As soon as sutures have been removed from a surgery, correction can be initiated with a pulsed-dye laser, like the Perfecta/V-Beam [by Candela]. From that time, patients should expect multiple treatments, once every 3-4 weeks apart. I have found that succeeding this with a series of erbium laser treatments, as the Fraxel Restore [by Solta], also spaced 3-4 weeks apart, is optimal. Combining these lasers allows one to target multiple layers of the skin, which, in recovering from a scar, all have different functions and needs.
Benefits in addressing these layers and needs include: promoting healthy circulation, stimulating your body to create collagen, and re-building damaged tissue. And though the V-Beam and Fraxel Restore combination brings a considerable improvement in the color, texture, and overall appearance of the scar, it can be further "polished" by a total resurfacing, a more aggressive laser treatment, like the CO2 Fraxel Repair [by Solta] as you suggested. However, renewal through skin products and topical treatments for "at-home" maintenance is often enough, and may also be recommended.
What sort of aftercare regiment do you recommend after Fraxel repair treatment? Are there any particular skin care products I should or shouldn't be using?
The after care for Fraxel Repair is very important.
We advice our patients to start soaking with water and vinegar as soon as they arrive home followed by application of Aquaphor every 2-3 hours for the first 3 days.
They are also to take the antibiotics, antivirals and anti fungals two times a day for one week.
We also bring the patients everyday or every other day for treatments with the Omnilus Red 633 nm for faster healing.
We dont start any other topicals for one week after the procedure to eliminate any risk of contact dermatitis.
