Philadelphia Laser Resurfacing doctors

Ryan N. Heffelfinger, MD Ryan N. Heffelfinger, MD
Philadelphia Facial Plastic Surgeon
925 Chestnut Street 7th Floor, Philadelphia
3 answers
David A. Bottger, MD David A. Bottger, MD
Philadelphia Plastic Surgeon
3855 W. Chester Pike Suite 230, Newtown Square
Eric Chang, MD Eric Chang, MD
Baltimore Plastic Surgeon
8860 Columbia 100 Parkway Suite 206, Columbia
Anthony Corrado, DO Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
1797 Springdale Road, Cherry Hill
Bruce Genter, MD Bruce Genter, MD
Abington Plastic Surgeon
100 Old York Rd Suite 3 - 120 (Lobby Level), Jenkintown

Recent Answers

Best Laser for Eyelid Wrinkles?

machines "specialized" for one treatment perform that treatment perfectly.What is the best laser for “eyelids wrinkles”? Please I ask your opinion for “wrinkles..” on lasers that require one session AND your opinion on lasers that require more sessions to obtain the same results… What is the best laser specific for skin resurfacing? Please,I’m again asking about lasers that require one session AND on gentler lasers that require more sessions to obtain the same results. Thanks a lot

A: CO2 is best for wrinkles, give fractional a try for shorter downtime!

It is well proven that the carbon dioxide laser is the best for wrinkles and skin tightening, but as others have pointed out, the "downtime" is often too much for busy Americans to handle.  The fractional CO2 works unbelievably well around the eyes, and depending on how aggressive I am with the treatment, the recovery can vary from 4 days to 2 weeks.  I use the Smartxide DOT Therapy and have been thrilled with the results.

Ryan N. Heffelfinger, MD
Philadelphia Facial Plastic Surgeon
Laser Resurfacing for Acne Scars

How effective is Laser resurfacing for clearing acne scars? I don't really care about the downtime, but the cosmetic results are very important. What number of treatments do you recommend? I'd prefer if I only have to get it done once.

A: Fractional CO2 for acne scars

The other doctors that posted here make good points, but I have been thrilled with the results of the fractional CO2 for acne scars.  Of course, your skin type will dictate the available treatment, but I have successfully treated darker skin types using this laser.

Ryan N. Heffelfinger, MD
Philadelphia Facial Plastic Surgeon
Ablative V. Non Ablative Fractional Laser (Fraxel, Mixto, Active, Etc.)

I know this has been asked before...I am considering one of these procedures for age spots, folds and fine lines. Obviously, the no down time with the non abalative sounds appealing; however, what happens to the coagulated tissue if the skin is left intact? I assume it has to break down, dissolve, heal then rebuild? I would think that vaporized tissue would heal better since it would need to only heal then rebuild? Plus 3-5 treatments at 3 days v. 1 treatment at 7-14 days equals the same.

A: Ablative vs Non-ablative laser depends on downtime and expectations

The way that non-ablative and ablative lasers improve skin is similar if you look at the histology.  They both create zones of thermal damage that serve to "extrude"  the bad stuff in your skin.  The ablative lasers, especially the CO2 lasers, do a much better job at collagen remodeling and tightening and will be better for your fine lines.  If you have the time to recover, the CO2 fractional laser is the way to go in my opinion.  Keep in mind that "folds" as you describe in your post generally won't improve with any of these lasers.

Ryan N. Heffelfinger, MD
Philadelphia Facial Plastic Surgeon
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