San Diego Laser Resurfacing doctors

Mitchel Goldman, MD Mitchel Goldman, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 300, San Diego
5 answers
William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
5 answers
Bryan K. Chen, MD Bryan K. Chen, MD
San Diego Dermatologist
10672 Wexford Street Suite 205, San Diego
4 answers
Jason R. Lupton, MD Jason R. Lupton, MD
San Diego Dermatologist
12395 El Camino Real Suite 117, San Diego
4 answers
Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
3 answers
Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
2 answers

Recent Answers

Safest Treatment for Sun Damage and Broken Capillaries in Sensitive Skin?

I was diagnosed with mild Rosacea 3 years ago. After being on a low-dosage Isotretinoin for 9 months my skin stabilised. I have some sun damage and brown spots/patches, I have several broken capillaries around my nose, my pores are enlarged and skin looks rough. I am currently using Obagi Nu derm with Tretinoin 0.05 which seems to even out the skin tone but I would like to get treatment for the redness and roughness. Which is safest: Sciton BBL or Pulsed Dye Laser?

A: Pulsed dye laser for rosacea

I prefer the pulsed dye laser for redness and roughness on the skin. You can consider combining an IPL device witht the pulsed dye laser so that the brown patches could be eradicated along with the facial redness. I usually find 3-5 treatments are necessary for optimal results. Good luck. 

Jason R. Lupton, MD
San Diego Dermatologist
What Causes Broken Capillaries After Laser Treatment?

In the past I have had laser treatments for broken capillaries on my face. The first treatment I have been unresponsive. The second treatment is where I have problems. After the bruising and swelling subsides I am left with new broken capillaries. I have been treated by my regular doctor and a "cosmetic surgeon". Why is this happening? Could the settings be to high on the second treatment? In both situations the doctors were unwilling to help.

A: Lasers should not make the problem worse

This is a very difficult question to answer. I have 38 different laser and energy devices in my office so I have no idea what laser was used for your condition. In addition, each laser can be set with different energy levels as well as diameters, pre and/or post cooling and pulse durations. In general, a properly performed laser treatment should NOT make the problem worse or leave you with more blood vessels. I would advise seeing a laser surgeon who has more than one laser and enough experience to evaluate your problem .

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler?

I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

A: Filler + Laser Treatment

This is a difficult question to answer. There are many types of erbium lasers, which can be set to perform fractionated or confluent treatment. In general, it should not matter what order to do the procedure; a filler can be performed at the same time as a laser procedure. Since a filler will also smooth the skin, you may not need a laser procedure after, so I would recommend getting the filler first and then after a week, schedule the laser procedure.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon
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