La Jolla Laser Resurfacing doctors

Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
5 answers
William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
5 answers
Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
3 answers
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

What Causes Broken Capillaries After Laser Treatment?

In the past I have had laser treatments for broken capillaries on my face. The first treatment I have been unresponsive. The second treatment is where I have problems. After the bruising and swelling subsides I am left with new broken capillaries. I have been treated by my regular doctor and a "cosmetic surgeon". Why is this happening? Could the settings be to high on the second treatment? In both situations the doctors were unwilling to help.

A: Lasers should not make the problem worse

This is a very difficult question to answer. I have 38 different laser and energy devices in my office so I have no idea what laser was used for your condition. In addition, each laser can be set with different energy levels as well as diameters, pre and/or post cooling and pulse durations. In general, a properly performed laser treatment should NOT make the problem worse or leave you with more blood vessels. I would advise seeing a laser surgeon who has more than one laser and enough experience to evaluate your problem .

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler?

I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

A: Filler + Laser Treatment

This is a difficult question to answer. There are many types of erbium lasers, which can be set to perform fractionated or confluent treatment. In general, it should not matter what order to do the procedure; a filler can be performed at the same time as a laser procedure. Since a filler will also smooth the skin, you may not need a laser procedure after, so I would recommend getting the filler first and then after a week, schedule the laser procedure.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
Can Laser Resurfacing Cause Acne Breakouts?

I've had 3 pixel laser sessios done and have experienced breakouts afterwards. My derm told me it has nothing to do with the procedure, but I had never had acne before on my left cheek and when I peeled after my first session I had quite a few pimples and it was quite a shock... the worst episode took place 5 days after my last session: 2 huge cysts popped there (on my left cheek) out of nowhere, and now I'm left with 2 very nasty icepick scars... Is it possible that laser triggered my acne?

A: Acne after laser treatment

An acne breakout after a laser treatment is usually not due to the laser itself, but the topical agents that are used following the procedure to accelerate healing. Proper cleansing and topical care will cure the acne.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
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