Boston Laser Peel doctors
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Brooke R. Seckel, MD
Boston Plastic Surgeon
131 Old Road Nine Acre Corner - Suite 700, Concord |
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5 answers |
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Thomas C. Cochran, Jr., M.D.
Boston Plastic Surgeon
170 Commonwealth Avenue, Boston |
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Jeffrey Dover, MD
Boston Dermatologist
1244 Boylston Street Suite 302, Chestnut Hill |
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Robert Gilman, M.D.
Boston Plastic Surgeon
332 Washington St Suite 215, Wellesley Hills |
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Ioannis Glavas, MD
Boston Oculoplastic Surgeon
9 Newbury St Sixth Floor, Boston |
Recent Answers
I just had Botox (crows feet and forehead), and Juvederm (parenthesis). Now I'm looking at a laser peel that is supposed to go down 3 layers. Will this breakdown the effectiveness of the Botox and Juvederm?
Anecdotally, laser resurfacing may lessen the duration of the Botox result. There is no scientific proof but some patients who have had surgery or laser resurfacing shortly after Botox injections have reported that the Botox Effect was shorter lasting by a month or so than when Botox alone was used.
However, the benefits of using Botox before a laser peel far outweigh the disadvantage of shorter duration, if in fact that occurs.
I am a 42-year-old Asian woman. I had full facial Micro Laser Peel (20 micron depth) and 20% ProFractional Laser Resurfacing (200 micron depth) 16 days ago. The day of the procedure, I had a lot of bleeding all over my face and could see very distinct parallel longitudinal red bands (3 on each side) running down my cheeks, as if some of my skin had received far more exposure to the profractional laser than other parts.Beginning a week after treatment I started to get a hyperpigmentation reaction exactly corresponding to the vertical bands on my cheeks. There were no bands on my forehead or chin following the procedure, and I have not had any hyperpigmentation occur on those areas either. Can anyone explain what is going on?
You are describing post inflammatory hyperpigmentation which is very common following ablative laser resurfacing of Asian skin.
The Erbium laser is less likely to cause hyperpigmentation than the CO2 but as you now know it can still happen.
The areas involved were treated deeper than the areas that do not have pigment.
This should resolve. Once your skin has healed, microdermabrasion, Hydroquinone and retin A can be used to reduce pigmentation. Occaisionally IPL or Photofacial is required.
Delayed long term hypopigmentation can occur when deep ablative laser peels are done on Asian skin. This should be less of a chance because the profractional is a fractional ablative laser.
Technically a demarcation line is usually used to refer to a junction between hypopigmented facial skin, which has been lasered and normal skin below the jawline which retains its normal color.
I have had a problem with some fine lines on my lower face, I have had a serious of three laser facials one month apart. My last was in November. The dematologist said it would take about 12 months to see the final results, however, that is a long time to be stuck with lines that I don't like. What else can I do? I am only 33. Yes I use strong sunscreen everyday.
The fact that you had 3 laser peels means that they were very superficial peels and not likely strong enough to remove mouth lines.
Newer Combined laser resurfacing which uses both a non-ablative fractional 1540 Erbium and an ablative 2940 fractional Erbium at the same time, provides the deepest and most effective improvement in lines around the lips and cheeks.
Even with excellent laser resurfacing results around the mouth, wrinkles persist. This is because the pursing muscles of the mouth cause wrinkles. For best results small amounts of Botox can lessen these dynamic lines. Filler injections can plump the lips and help the lines.
Thus, the best treatment for lip lines is a combination of combined laser resurfacing, Botox and Fillers.
