Miami Lakes Laser Surgery doctors

Rian Maercks, MD Rian Maercks, MD
Miami Plastic Surgeon
757 Arthur Godfrey Road, Miami Beach
1 answer
Melissa Lazarus, MD Melissa Lazarus, MD
Miami Dermatologic Surgeon
1080 Kane Concourse, Bay Harbor Islands
Justin Yovino, MD Justin Yovino, MD
Fort Lauderdale Plastic Surgeon
910 NE 26th Avenue, Fort Lauderdale
Kellie Mosley-Mendez, DO Kellie Mosley-Mendez, DO
Miami Dermatologist
15600 NW 67th Ave Suite 105, Miami Lakes

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
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