San Jose Laser Resurfacing doctors
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Michael Tomcik, MD
San Francisco Dermatologist
101 Park Place Ste 101, San Ramon |
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David W. Kim, MD
Bay Area Facial Plastic Surgeon
490 Post Street Suite 933, San Francisco |
1 answer | |
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Donald M. Brown, MD
San Francisco Plastic Surgeon
2100 Webster Street Suite 429, San Francisco |
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George Commons, MD
Palo Alto Plastic Surgeon
1515 El Camino Real Suite C, Palo Alto |
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Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
805 El Camino Real Suite A, Palo Alto |
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Recent Answers
I am confused about Hyaluronic acid fillers such as Restylane, and laser resurfacing. Are they safe together? I thought Hyaluronic acid and laser are attracted to water, so wouldn't the laser cause more intense treatment in the areas where there are fillers?
Yes Laser resurfacing, fillers such as Restylane, Radiesse, Juvederm, and Botox can be used together, just not at the same time. We will use Botox/Dysport as well as fillers 2 weeks before Microfractional CO2 laser resurfacing. Botox prevents the patient from bending the new collagen they are producing from the laser. We do "volume replacement" in the cheeks and temple areas because laser resurfacing won"t produce enough collagen or restylane to fill these areas. However we do not put fillers in the Nasolabial folds( The groove between the nose and the lips) or the lines between the lips and the chin at this time, because Microfractional laser resurfacing will lift the sagging cheeks and therfore the patient ma not need this additional filler.
What is the difference between Profactional Laser resurfacing and CO2 Fractional Laser Resurfacing?
After performing more than 4600 CO2 procedures since 1992, I can catagoricaly state that threre is no contest. Microfractional CO2 laser resurfacing is Superior to All of the Erbium lasers. the reason is simple. CO2 lasers are 10,600 nanometers and Erbium-yag laser are at 2640 nanometers. This higher wavelength produces much more heat in the deep dermis that Erbium can and this deep, higher temperature is what is needed to ensure long lasting (10 years or more) tightening. The Profractional Laser by Sciton Is a fractionated Erbium laser and cannot defy the laws of physics and give more tightening than a Microfractional CO2 laser. The real problem here is the deliberate confusion by the manufacturers of CO2 and erbium lasers. (Most companies make both). eg. Fraxel Repair is a CO2 laser(10,600nm) Fraxel Restore is an Erbium laser(1550nm) and Fraxel refine is (1440nm) all three made by the same company. In my opinion, the C02 laser> erbium> 1440. The consumer sees "Fraxel" in ads and has no way of determining effectivness. I conclude by mentioning that Sciton does make a double erbium-yag laser the Contour trl which is the only Erbium laser that comes close to Microfractionlal CO2, but still isn"t as good.
After much struggle with this issue, I've been told that Pixel Laser is not strong enough for what I to achieve on my neck/ chest area. I'm not suffering from lax skin or pigmentation, just wrinkles that have resulted from excessive movement, which was related to a mental condition of tourettes/OCD. I desperately want to get rid of these wrinkles as they are almost like "scars" resulting from terrible mental/ physical suffering on my behalf. I'm only 21, and now am even embarassed to wear anything but a t-shirt. What laser will give me a safe and complete resurfacing for the part below my collarbone and up? Any help would be greatly appreciated!
The most effective laser for tightening, smoothing and reducing pigment on the neck and chest is one of the Microfractional CO2 Lasers. The energy must be turned down to not cause scars. It may take 2 or 3 treatments to get the best results. If you have dark eyes or tan easily, You should be on a 6% or higher Hydroquinone cream to prevent an increase in pigmentation and, of course, be on Suncreen SPF 60 or higher to "protect your investment". Make sure that you doctor is Board Certified in Dermatology or Plastic surgery and that they are the ones performing the procedure, not a nurse
