Oakland Fraxel Laser doctors

Tomi L. Wall, MD Tomi L. Wall, MD
Oakland Dermatologist
3300 Webster Street Suite 1106, Oakland
8 answers
Larry Fan, MD Larry Fan, MD
San Francisco Plastic Surgeon
77 Van Ness Avenue Suite 302, San Francisco
Karen M. Horton, MD Karen M. Horton, MD
San Francisco Plastic Surgeon
2100 Webster Street Suite 506, San Francisco
Kimberly Lee, MD Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
433 North Camden Drive Suite 780, Beverly Hills
Charles K. Lee, MD Charles K. Lee, MD
San Francisco Plastic Surgeon
2250 Hayes St. Ste 508, San Francisco

Recent Answers

Is Fraxel Laser or Accutane Better for Rosacea in Asian Olive Skin?

Hi, I have olive skin and have been on accutane for over a month for mild acne. Looking at pictures and descriptions online I summarised I had mild papules and erythema on areas covering the cheeks and noticable veins on my nose, which I guess is telangiectasia. I am planning to treat these when possible. Is there a good combination of treatments i can use? Is Fraxel laser for Rosacea in olive skin safe or should I continue with accutane to rid of it for good? I'm unsure if Accutane cures Rosacea. Any suggestions would be appreciated, Thank you.

A: Best treatment for rosacea is pulsed dye laser

It sounds like you are trying to compare apples to oranges. Accutane is used to treat nodulocycstic acne or very severe rosacea in some cases. It is a medical treatment which will not affect the redness and blood vessels. It is important for you to know that you should not have any laser treatments for 6 months to 1 year after your last accutane dose. There have been reports of scarring and problems healing that result if you perform the laser earlier.

In terms of laser treatment for blood vessels and redness, the pulsed dye laser (such as vbeam) is much more effective than fraxel. Fraxel does not specifically target the blood vessels. There are some reports of improvement, but your best bet is with a laser that specifically targets blood vessels. Good luck!

Tomi L. Wall, MD
Oakland Dermatologist
Fraxel Laser for Acne Scars on Asian Skin?

Hi, I have acne scar in my cheek and few bump (pimple). I want to get rid of that scar. Is Fraxel laser good for me? I'm Asian, 21 yrs old and have white skin. I'm afraid after I get Fraxel, my skin will be red and burned. Thanks

A: Fraxel for Asian skin and acne scars

Fraxel is a very effective and safe way to treat acne scars in Asian skin. There is a good number of published articles about the safety of this treatment in Asian skin. However, I would make sure that your acne is under "good control" before doing the treatments. 

Tomi L. Wall, MD
Oakland Dermatologist
Will Fraxel Work for Dark Circles Under Eyes?

I have bags under the eyes and considering a treatment. Do you think Fraxel will help to improve the color?

A: Laser treatments will not be effective for bags under eyes

I think if your primary concern is "bags" under the eye, laser treatments will not be as effective as a surgical procedure. Since there are many reasons for darkness under the eye--laxity of skin, blood vessels, heredity, and allergies--it is best to consult a physician and have them evaluate you.

Tomi L. Wall, MD
Oakland Dermatologist
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