Long Beach Fraxel Laser doctors

Grant Stevens, MD Grant Stevens, MD
Los Angeles Plastic Surgeon
4644 Lincoln Blvd #552, Marina Del Rey
21 answers
Harold J. Kaplan, MD Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
23211 Hawthorne Blvd. Suite 200, Torrance
9 answers
Nancy Samolitis, MD Nancy Samolitis, MD
Beverly Hills Dermatologic Surgeon
153 S. Lasky Dr. Suite 1, Beverly Hills
1 answer
David Alessi, MD David Alessi, MD
Beverly Hills Facial Plastic Surgeon
8670 Wilshire Boulevard. Suite 200, Beverly Hills
David A. Bray, Sr., MD David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
23560 Madison St Ste 102, Torrance

Recent Answers

Hydroquinone Absolutely Necessary Before Fraxel?

I never had the fraxel treatment before, and I was consulting my dermatologist if I should get some. He said, that before putting me under the procedure he would have to put me on some hydroquinone for at least a month. The problem is, I need the treatment done fast, and therefore I don't really have the time to pre-treat my face. Is it safe enough to get fraxel (probably re:store or re:pair) without applying hydroquinone? How bad does the chance of possible side effects increase? Thank-you.

A: Skin Brightening Products and Fraxel Treatments.

Skin brightening products are recommended prior to treatments with Fraxel lasers but not absolutely necessary!  I would highly recommend at least getting on these products IMMEDIATELY after your laser treatment to help prevent any unnecessary hyperpigmentations that may appear post procedure.  The use of sunscreen in addition, is highly recommended after any Fraxel laser.

Hope this helps.

 

Dr. Grant Stevens        Marina Plastic Surgery Associates          Marina del Rey, CA         The Institute

Grant Stevens, MD
Los Angeles Plastic Surgeon
Fraxel Dual: Will It Help for Post Inflammatory Hyperpigmentation? (photo)

I have had these post acne red spots on my face for years now and was wondering if Fraxel Dual would be of any help. I tried the V-Beam once and didn't notice any improvement.

A: Cynosure V-Star for Red Scars

Hi Elbert.  The V-Star and V-Beam would both be superior for treating red scars like this than the Fraxel.  It may take more than one treatment (and maybe a different practitioner) but these lasers are designed to treat vascular (red) lesions and the Fraxel is not.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
Does FRAXEL Dual 1927 Treat Dermal Hyperpigmentation?

I do not want to get the 1550 wavelength, and since I don't have acne scars or wrinkles, I don't see the need. Will the 1927 alone treat dermal hyperpigmentation?

A: Fraxel Dual treatment for pigmentation

The Fraxel Dual laser has 2 wavelengths: 1550nm for deeper pigmentation, wrinkles, and acne scars, and 1927nm for more superficial pigmentation, sunspots, rough texture, and milder sun damage.  True dermal pigmentation is usually caused by melasma or occurs after trauma to the skin, especially in people who have darker skin or tan easily (post-inflammatory hyperpigmentation or PIH).  This type of pigmentation can be very difficult to treat and, in some cases, can be exacerbated by laser therapies including Fraxel.  My approach to a patient who has melasma and/or PIH is to pre-treat them with a bleaching cream such as hydroquinone for at least 2 weeks prior to treatment with the Fraxel.  I often will use both wavelengths in a treatment session to target the superficial and deeper pigmentation.  If you truly have dermal pigmentation, the 1927nm wavelength alone may not penetrate deep enough to target it and may cause it to worsen.  Once the patient is healed, the bleaching cream should be continued to prevent PIH.  In certain patients, a short course of topical anti-inflammatory creams can also be used to prevent PIH.  There are risks involved with any laser treatment, so make sure that your physician is skilled in using both Fraxel wavelengths on all skin types. 

Nancy Samolitis, MD
Beverly Hills Dermatologic Surgeon
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