San Diego Active FX doctors

Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
11 answers
Melanie D. Palm, MD Melanie D. Palm, MD
San Diego Dermatologic Surgeon
320 Santa Fe Drive Suite 310, Encinitas
2 answers
Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
1 answer
William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
1 answer
Arnold W. Klein, MD Arnold W. Klein, MD
Beverly Hills Dermatologic Surgeon
9415 Brighton Way M110, Beverly Hills
1 answer

Recent Answers

Is the Active Fx Procedure Painful?

I am considering the Active FX. I do not have much sun damage and am very sensitive to the sun. I am anxious about the procedure. My Dr. says it is painless and you feel like hot sand blowing on your face and can expect swelling for a few days. I have read reviews and it seems as if many people have various reactions.

A: Active FX should be comfortable

With proper topical numbing and/or nerve blocks where appropriate, the Active FX procedure is very well tolerated by patients.  We use forced air cooling in addition to numbing agents to increase patient comfort during the procedure.  Very rarely does a patient require an oral medication for pain control or relaxation during or after the procedure. 

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
Deep FX Laser Followed by Active FX to Face and Neck. How Much Pain Will I be in?

I am having deep FX followed by Active FX to my face and neck by the esthetician. How much pain will I have during and after? Is this safe to have done by the nurse esthetician?

A: Temporary pain with Deep/Active FX

Temporary burning and tingling sensation is common following fractionated laser resurfacing procedures, this subsides in 2-4 hours.  After this period, very little discomfort is felt, although swelling can occur for an additional couple of days, especially when areas such as the face are involved.  Continuing discomfort, redness, or swelling should be evaluated, as this may be an early sign of infection.

I caution the use of Deep FX on the neck and chest.  The density of hair follicles from which new skin cells are generated is sparse, and energy levels should be adjusted.  At our clinic, we only allow this procedure to be performed by board-certified physicians.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon
Active FX Vs. Deep FX - What's the Difference?

I don't get how Deep FX is any different than Active FX... Are they just different brand names? Thx

A: Difference between Active FX and Total FX

Same laser, different spot sizes. The bigger the spot size, the less deeply  the beam penetrates the skin. So the "Deep FX" spot size targets deeper lines, wrinkles, and scars, whereas the "Active FX" spot size targets pigments, superfical lines, etc.  By combining the two (Total FX) you can get  a dramatic treatment result with minimum downtime.

Some patients with severe lines and laxity still opt for  a "Max FX" (high powered Active FX). This has a longer downtime however.

Make sure you choose an experienced doctor, and they should choose the best settings for you.

Roy A. David, MD
San Diego Facial Plastic Surgeon
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