Laser choice is not simple

Amir M. Karam, MD answers: Confused about Laser Resurfacing treatments after disappointment with CO2

I am Mexican and Filipino, but the Mexican side is questionable, as I may have French roots because I'm very fair and have had freckles as a child through adulthood. When I had hyperpigmentation/melasma  and fine lines under my eyes I went to get a CO2 treatment. The results were less than satisfying; I ended up having more lines on my lower lids plus hypopigmentation on the area, as well as above my upper lip. I have consulted various doctors, and I am overwhelmed with their suggested treatments: Fraxel Restore, fraxel Re:Pair, Plasma, and Cool touch, can't remember the rest. Is there anything that can help me get rid of the fine lines without causing more undesirable effects like the ones from my CO2 experience, which made me wary of laser treatments. I was told that I would have smooth skin--but I didn't. It would be two years in December since my treatment (2006) and I am still red/brown on the lower side of my lips. Thank you for any help.

 


Amir M. Karam, MD
7 months ago

First of all, with your ethnic background, lasers can have greater potential side effects. Hypopigmentation is just one problem which happens to be permanent (in most cases).

The first step is find a facial plastic surgeon, plastic surgeon or dermatologist who truly specializes in lasers and has a variety of lasers at their disposal.  Most people have one or two different types of lasers and try to treat everyone in the same way.  It takes a wide range of laser devices to treat the even wider range of skin types of skin related problems.

Further, not everything can be effectively treated with a laser.  The wrinkles under your eyes, may be better treated with a surgical approach or even with volume augmentation.  

Bottom line, go to a doctor who understands and is experienced with the nuances and challenges of rejuvenation of the ethnic face.  Though the topic may seem confusing, your doctor should simplify it for you.  

Good Luck, 

Dr. Karam

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