La Jolla Fraxel Repair doctors

William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
21 answers
Robert B. Pollack, MD Robert B. Pollack, MD
La Jolla Plastic Surgeon
4510 Executive Drive Suite 105, 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
Richard Fitzpatrick, MD Richard Fitzpatrick, MD
San Diego Dermatologic Surgeon
9339 Genesee Ave Suite 300, San Diego

Recent Answers

Fraxel CO2 for Facial Pigmented Areas and Broken Capillaries

I am 55 years old and am considering Fraxel CO2. I have pigmentation areas, moderate to fine wrinkles and broken capillaries from rosecea. My question: Will this procedure work for both the pigmented areas and the broken capillaries?

I also have some loose skin under the eyes and look tired. My opthalmologist wants me to wait before having a bleparoplasty till my ocular rosecea gets under better control. I have time scheduled off work in June and would like the idea of one treatment. Will this help with the loose skin under my eyes as well? Thanks.

A: A combination of lasers in one session will work best

Using just the fraxel repair alone will not give you the best results. I would recommend using the Fraxel repair to tighten the eyelid skin, and improve all-around texture and wrinkles. I would use a separate laser to address the pigment (q-switched alex), and the vbeam perfecta to address your rosacea and capillaries. These can all be used in the same treatment session. I have posted some before and after photos of some of my patients on Realself so you can see some examples. Let me know if you have any other questions. Best, Dr. Groff

William Groff, DO
San Diego Dermatologist
Will Fraxel Repair Help with Scars Left After CO2 and Fraxel Restore?

About 15 years ago, I had a CO2 Laser resurfacing done for acne scars that left me with redness, hypopigmentation, and hypertropic scars especially on my chin.

I recently had two Fraxel Restore treatments that gave very minimal improvement in texture and my doctor is now suggesting switching to Fraxel Repair for the more severe scarring although initially he had said he was more confident about the Restore so I would love some additional thoughts about this. Thanks for your time.

A: Fraxel Repair for scarring and hypopigmentation

Fraxel restore and repair are the best lasers I have seen for improving scarring and pigmentary issues. It is reasonable to try the repair since the restore hasn't done much, although you reallly didn't do enough treatments to know for sure whether it will work or not. We combine a topical agent with our Fraxel repair treatments to help repigment the skin. I would also consider using the Vbeam perfecta during the treatment sessions (to treat redness).

Take care,

Dr. Groff

William Groff, DO
San Diego Dermatologist
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