Lancaster Fraxel Laser doctors

William Groff, DO William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego
31 answers
Richard M. Levin, MD Richard M. Levin, MD
Lancaster Plastic Surgeon
1608 Lititz Pike, Lancaster

Recent Answers

How Close Can the Fraxel Restore Laser Go Under the Eye?

I want to get Juvederm under my eyes for tear troughs, however, I also want to get Fraxel Restore for skin resurfacing. I have two questions: 1) How close can the Fraxel Restore laser get to the eye for fixing under eye wrinkles and crepe under eye skin? I notice some doctors treat right under the eye in photos, and 2)Is it safe to have Fraxel Restore done full face and including under the eye two months after injecting Juvederm under the eye for tear troughs? Could this cause pigmentation?

A: Fraxel Restore laser is safe for under the eyes

1. It is safe to treat right up to the lash line, but the physician needs to place a corneal shield (fits like a contact lens) over the eye for protection.

2.  It is safe to treat 2 months after Juvederm injections, but there is a slight risk of hyperpigmentation (temporary), and this is more likely if you have darker skin.  If you have fair skin, this would be a rare complication.

William Groff, DO
San Diego Dermatologist
Track Marks After Fraxel Repair

I'm looking into Fraxel Repair, but I'm concerned about track marks. Can they be avoided? I'd rather not have to deal with bleaching creams etc. after an already difficult recovery.

A: Avoiding Track Marks with Fraxel Repair
  • Almost all patients require more than one laser during a resurfacing case.
  • If you use the correct combo of lasers during the treatment, the risk of track marks can be nearly eliminated.  (see my photos of Fraxel Repair cases for further explanation)
  • Only a Board certified dermatologist or plastic surgeon should be doing your treatment.  If they delegate your treatment to another staff member, go somewhere else.
  • Take care, Dr. Groff
William Groff, DO
San Diego Dermatologist
Fraxel Only on Skin Above the Lip - Lip Line Treatment

I am fair skinned and have fairly good skin tone and texture. However, the texture above my lips is not as good as the rest of my face and I am beginning to develop those nasty lip lines. Can I have Fraxel only on the skin above the lips and nowhere else, or will that lead to freaky uneven results? I don't want to have a full Fraxel treatment because of the expense - I am planning to have a facelift this year and would rather put my money toward that rather than full resurfacing.

A: Fractional treatments do not work well for upper lip lines, but there is a great treatment!

Experience has shown us that fractional treatments do very little for vertical lip lines. We have both the Fraxel restore and repair and have done thousands of these treatments. The best way to erase these lines safely in using a combination of the newest C02 laser and an erbium laser to peel away layer by layer until the wrinkles are gone or significantly better. You can combine this while you are under general anesth. or it can be done separately from a facelift. I have some great examples of this if you look at my photos. Take care, Dr. Groff

William Groff, DO
San Diego Dermatologist
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