Boca Raton Laser Surgery doctors

	Rian Maercks, MD Miami Plastic Surgeon 757 Arthur Godfrey Road, Miami Beach		1 answer
	Jacob D. Steiger, MD Boca Raton Facial Plastic Surgeon 4800 Linton Blvd. Suite D502B, Delray Beach		1 answer
	Kenneth Beer, MD Palm Beach Dermatologic Surgeon 1500 North Dixie Highway Suite 305, West Palm Beach
	Jonathan Berman, MD Palm Beach Plastic Surgeon 670 Glades Road Suite 240, Boca Raton
	Andrea Nowonty Hass, MD Palm Beach Oculoplastic Surgeon 2401 PGA Blvd. Suite 150, Palm Beach Gardens

Recent Answers

Smartdot Lazer and Erbium Lazer Are They the Same Lazers? I am thinking of having smart dot laser can you tell me if this will be the same as erbium laser. I have fair skin and wrinkles above my lips and around the eye area I want to improve. I want to no if this is done more aggressive what that entails and would I need more than I week from public. And how bad I will look, I have seen a couple of videos on this site of a full face were it is co2 laser but no mention to how deep there treatment was. Also can I get colour change in the aggressive area?

A: For a fractional laser forget about CO2. Go with an Erbium beam for precise ablation, quick recovery and dramatic results!

I would strongly suggest you avoid CO2 lasers. They created large zones of heat induced coagulative damag and thus result in long recovery and prolonged redness. Erbium beams can cause ablation so fast that there is no measurable coagulative heat damage, this means less redness and recovery. A fractional CO2 laser like fraxel or DEKA's SMARTXide have never made sense to me. If you fractionate the beam you still get widespread coagulative damage of the entire treated area thus there is really no advantage to the fractionated beam. I use only Erbium lasers for deep resurfacing. The Profractional XC laser by Sciton is the world leader. It allows me to adjust exact treated depth and percentage of surface treated so I can deliver a three day recovery or a one week recovery depending on patient needs and expectations. Fractionated beams that cannot separate coagulative and ablative energy are marketing ploys in my opinion. I have never treated a patient with Fraxel or DEKA SmartXide( I have used both) with significant energy that wasnt red and swollen for weeks. Sure you can turn down the energy and get quicker recovery, but a tthe sacrifice of results. If you want fractional laser results, look beyond CO2. I hope this helps,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon

Skin Tightening Laser Procedure in Mouth and Eye Areas? I am considering some laser surgery in the face to tighten skin around the mouth and under the eyes; but I have received mixed information from 2 doctors. One says it does not work and another says it does. I had some allergy to Restylane before, so a filler is not an option. Is laser the answer before a surgery, which is too drastic right now?

A: CO2 laser for wrinkles around the eyes and the mouth

The newer fractional CO2 lasers can offer a nice improvement in the appearance of the fine lines around your eyes and your mouth. Remember that skin resurfacing such as a fractional CO2 laser is not the same as surgery and often times they are not interchangeable. What this means is that they can treat two different things. The laser is excellent for the very fine lines and wrinkles, where surgery such as a facelift treats the drooping jowels and the hanging neck. Consult with a qualified physician with experience in all of these modes of treatment in order to get a better idea as to what is best for you.

Jacob D. Steiger, MD

Boca Raton Facial Plastic Surgeon