Palm Springs Fraxel Laser doctors

Timothy Jochen, MD Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
42-600 Mirage Road Building A-1, Rancho Mirage
2 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
1 answer

Recent Answers

Ive Had Juvederm Removed from Under Eyes, and Im Now Left with Dents and Bags- Will Fraxel Help?

ive had juvederm filler removed from under both eyes as it had given me fluid bags . had it injected twice and the bags are still would having fraxel help to improve any of this ???? i had a tca peel about 7 years ago under my eyes .

A: Fractional C02 or RF laser can tighten/smooth under eyes

I am assuming the Juvéderm was removed using hyaluronidase.  Assuming so would lead me to recommend you ask for more in the areas where there are lumps still. The bags may be secondary to hyaluronidase injections and can be treated. I’d recommend a fractional CO2 treatment to attempt contraction of any loose skin cause by swelling. Fractional CO2 is an ablative procedure and may not be preferred by most patients. If an ablative treatment is not desired I would then recommend you use a Radio Frequency laser like the Refirme to stimulate collagen and smooth out skin however without any ablation you may need more than one treatment.

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
Fraxel-laser Resurfacing Before Midface-lift and Neck Lipo?

I am planning on getting a midface-lift and liposuction on my neck area, but I also have some minor acne scars and skin-imperfections that I'd like to fix with the fraxel laser (that I've actually already booked an appointment for). Is it wiser to go with the resurfacing laser first and then perform the two other surgeries, or do the opposite? AND for how long would I have to wait between the two? Thanks!

A: Fraxel Before or After Mid-facelift and Neck Lipo?

I would encourage you to do the facelift and lipo first because reorientation of your wrinkles can occur during the facelift procedure.  Vertical wrinkles can shift horizontally, which can appear unnatural.  The Fraxel laser will help to smooth out any shift in the direction of your wrinkles and will also help soften any scarring from the surgery. 

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
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