Newport Beach Fraxel Laser doctors

Grace Liu, MD Grace Liu, MD
Newport Beach Dermatologic Surgeon
3991 MacArthur Blvd Suite 228 , Newport Beach
17 answers
Michael Elam, MD Michael Elam, MD
Orange County Facial Plastic Surgeon
360 San Miguel Dr #207, Newport Beach
5 answers
Boris M. Ackerman, MD Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
360 San Miguel Drive Suite 607 , Newport Beach
David Alessi, MD David Alessi, MD
Beverly Hills Facial Plastic Surgeon
8670 Wilshire Boulevard. Suite 200, Beverly Hills
Anthony Corrado, DO Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
1797 Springdale Road, Cherry Hill

Recent Answers

Best Treatment for Brown Spots and Large Pores on Asian Skin?

I had light brown spots on the side of eyes and a skin laser spa recommended for a Fraxel treatment to improve the melasma and big pores on my nose/face. The Fraxel left me with even darker sports all around eyes and no improvement on my pores.

Would you please advise what else can be done to treat these brown spots after the Fraxel and improve the big pore size? I'm 40 years old Asian. Thank you!

A: Fraxel Restore on Asian Skin

Hi,

It sounds like you may have what we call temporary post-inflammatory hyperpigmentation after your Fraxel Restore treatment.  It is best treated with a bleaching cream that includes hydroquinone.  We treat many Asian patients with Fraxel Restore and we prepare them by putting them on a bleaching cream before Restore and occasionally after Restore to prevent PIH.  With Asian skin there are also optimal Restore laser settings to achieve your desired result.  The good thing is that your pigmentation is not permanent and will go away.  The best thing for you to do is to start a cream with hydroquinone and use a sunscreeen with a minimum SPF of 45 that contains a physical sunblock like zinc or titanium.

 

Best,

Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
Brown Spots and Rough Skin After Fraxel Restore

It has been 2 days since my first Fraxel Restore treatment. My face feels like sandpaper and has a pattern of tiny brown spots on it. Is this normal, and will this go away?

A: Rough Spots After Fraxel Restore Will Go Away

Hi,

The concept of the Fraxel Restore is that each of the microscopic laser spots is separated from the other by normal skin so that there is no full ablation of the skin.  What you are seeing is the laser spots as they come to the surface naturally and exfoliate typically 4-5 days after your treatment.  By seven days, all the spots on the face should gently and naturally fall off.  We recommend not exfoliating yourself since it will prolong any redness you may have and potentially irritate your fresh new skin!

Best,

Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
Does Tazorac Help with Collagen Rebuilding After Fraxel?

Will Tazorac help with collagen rebuilding after Fraxel procedure, just as they say Retin-A does? If so, how is it possible?

A: Tazorac After Fraxel for Collagen Stimulation

Hi,

Any of the retinoids including retin-A and tazorac stimulate collagen production.  They all have varying degrees of irritation with them based on their strength.  What is important to realize is that after Fraxel Restore, your skin is  much more sensitive and in a sense like baby skin.  You can use a retinoid after Fraxel Restore but cautiously.  We recommend waiting 2-3 weeks before resuming any products that could irritate the skin like Vitamin C, glycolic, or retinoid after Fraxel Restore.  For Fraxel Repair, we wait even longer, a minimum of one month.

 

Best,

Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
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