Bellevue Active FX doctors

Philip Young, MD Philip Young, MD
Bellevue Facial Plastic Surgeon
1810 116th Ave. NE Suite 102, Bellevue
4 answers
Daniel Levy, MD Daniel Levy, MD
Bellevue Dermatologic Surgeon
4455 148th Ave NE, Bellevue
1 answer
Sam Naficy, MD Sam Naficy, MD
Seattle Facial Plastic Surgeon
1110 112th Ave NE Suite 150, Bellevue
1 answer
William Portuese, MD William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle
1 answer
DeEtta M. Gray, MD DeEtta M. Gray, MD
Bellevue Dermatologic Surgeon
1515 116th Avenue 307, Bellevue

Recent Answers

Will One Active FX Treatment Reduce the Risk of Future Skin Cancer on my Face?

I had a basel cell skin cancer removed from my back last summer and my dermatologist told me that Active FX would reduce the possibility of getting a similar skincancer on my face. In all the literature I've read about Active FX, I haven't seen this benefit mentioned. I'm 50 and fair-skinned.

A: Active fx can reduce your recurrence rate for skin cancer

Active fx may reduce your recurrence rate for skin cancer. However, you should know that active fx is a fractionated approach and will get a percentage of your affected cells. Most of the studies on reducing the recurrence of skin cancer are based on complete resurfacing through either chemical peels or laser resurfacing. So, if you really want to reduce your risk of skin cancer I would suggest more complete chemical peels or laser resurfacing.  For Active fx, the term would be max fx and this would be more traditional resurfacing and riskier in some sense but safe in qualified hands and a person with experience.  We have a tremendous amount of information on our website on these subjects with a photo diary of someone who underwent this procedure.

Thanks for reading, Dr Young

Philip Young, MD
Bellevue Facial Plastic Surgeon
Active FX and Sculptra Compatible?

I'm considering having both Active FX and Sculptra to fix the deep lines around my eyes. Are they compatible? Which procedure should be done first?

A: Active FX and Sculptra are Compatible and Synergistic

Active and Deep FX can improve deep lines anywhere on the face because the energy delivered by this laser system directly stimulates production of new collagen “from outside in.” Combining this laser treatment with a subdermal, injectable treatment such as Sculptra makes sense because Sculptra also stimulates production of new collagen “from the inside.” Each treatment promotes skin renewal and collagen production in different yet synergistic ways.

The FX treatment should be done first. A hyaluronic-acid based injectable (Restylane or Juvederm) can be done a few weeks after the FX; I recommend waiting 3-6 months before starting a series of Sculptra treatments.  

Daniel Levy, MD
Bellevue Dermatologic Surgeon
How Long Does Redness Around the Eyes Last After Active FX?

I had the Active FX done around my eyes 26 days ago. It is still quite red. There is no scabbing or peeling anymore, just redness. One eye seems to be healing properly, but the other is still VERY red. It looks almost like I'm recovering from a black eye. I also noticed that the skin feels different, rougher on the red part. My application of hydrocortisone 1% seemed to have made it worse. Why is this happening?

A: prolonged redness can occur with laser resurfacing

Prolonged redness can occur with laser resurfacing.  Although with Active Fx this should be much less common.  If there is some tenderness, itching, and the redness is persisting and it begins to become more raised, you could be developing some scarring.  High dose steroids would be helpful in this case.  Contact dermatitis can occur if you are starting some creams that could be irritating your skin at this crucial stage. I would then consider holding off on those topicals and stay with some gentler products.  The other possibility is that the doctor was more aggressive around your eyes which could lead to prolonged redness which is common after traditional resurfacing.  I would see your doctor to have him figure out this. He will know his settings to determine what is going on with the setting of your physical exam.

Philip Young, MD
Bellevue Facial Plastic Surgeon
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