Madison Laser Resurfacing doctors

	Mark J. Lucarelli, MD Madison Oculoplastic Surgeon 2349 Deming Way, Madison		3 answers
	Benjamin C. Marcus, MD Madison Facial Plastic Surgeon 2349 Deming Way, Middleton		1 answer
	Kevin Robertson, MD Madison Facial Plastic Surgeon 3205 Glacier Ridge Road, Middleton		1 answer
	Andrew Campbell, MD Milwaukee Facial Plastic Surgeon 1411 North Taylor Drive, Sheboygan
	Timothy W. King, MD, PhD Madison Plastic Surgeon 600 Highland Avenue U W Medical School G5/358 Clinical Science Cntr, Madison

Recent Answers

I Have Dry Eye After Lower Blepharoplasty, is Laser Resurfacing for Wrinkles Too Risky? There seems to be a lot more lasers nowadays with technology constantly improving. Does anyone know of any laser which is suitable for treating wrinkles for patients who suffer from dry eyes? I would be extremely grateful to find out.

A: Dry eyes after lower blepharoplasty and considering lower eyelid laser resurfacing

It might be well worth your time to have your lower eyelids and ocular surfaces evaluated by an oculoplastic surgeon prior to undergoing any additional eyelid treatments. Alternatively, almost all ophthalmologist are well versed in evaluating and treating patients with dry eyes.

Once a patient's dry eyes are optimized, consideration can be given for laser resurfacing of the lower eyelids. In patients who have significant dry eye symptoms, I would favor a fractional treatment rather than a fully ablative one. Fractional treatments (CO2 or Erbium) are usually done as a series with incremental improvement over time. With this approach, there is the opportunity to experience one treatment and wait 6 weeks to several months before going forward with additional treatments.

Best wishes,

Mark Lucarelli, MD, FACS

Madison, WI

Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon

Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler? I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

A: Laser first; Filler second

It is generally better to accomplish the laser resurfacing of the lower lids prior to fillers. The laser treatment will usually tighten the skin by stimulating collagen formation. By about 6 weeks after the laser, the skin should be optimal for precise placement of filler.

Mark Lucarelli, MD, FACS

Madison, WI

Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon

Will Erbium Laser Around Mouth and Undereyes Cause Uneven Pigmentation? I am wanting to do fully ablative laser (medium to deep)under the eyes and about the mouth only. I was thinking I might not have to be put to sleep if I have it done deep in just those areas. Have a microlaser full face at the same time. My question is with having just the under the eyes and above the mouth cause it to alway look a different color in those areas. That is why I am wanting to have the microlaser full face hoping it would help blend in any differents in color. What do you think?

A: Erbium Laser around Eyes and Mouth

There are several variables to consider, especially your skin color type (Fitzpatrick I-VI) as well as the depth of the treatment around the eyes and mouth. The more sun damage one has and the darker one's skin is, the more likely that there could be a demarcation line between the deeper and more superficially treated areas. On a positive note, unlike the occasionally seen complication of hypo-pigmentation with CO2 ablative resurfacing, undesirable dramatic depigmentation with erbium resurfacing is not generally a concern. Also, having a micro-peel over the rest of the face at the same session is a good strategy to help with blending.

Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon