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Raffy Karamanoukian, MD answers: How to prevent scars or scarring from a laser treatment?

the one fear I have about laser treatment like Fraxel is the danger/risk/side effect of scarring. are laser scars avoidable?


Raffy Karamanoukian, MD
9 months ago

Laser is simply a monophasic beam of light.  The theory is that each laser wavelength targets a specific part of the tissue. In hair removal, the wavelength chosen is absorbed greatest by black color in the follicles, whereas wrinkle reducing lasers target the water chromophore and cause energy absorption and tightening.

Experience with your skin complexion is most important in seeking a physician to perform laser treatments. I see patients regularly with laser complications. When you delve into their history, time and time again, the patients report going to an inexperienced or non-credentialled practitioner.

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A: Avoid scars from Laser Resurfacing

Harold J. Kaplan, MD
7 days ago

The risk for scarring from laser resurfacing treatments can be minimized by focusing on a few issues:

1.  Make sure that you independently verify that the laser being suggested for your treatment is appropriate for your skin type. For example if you are African American and your physician suggest CO2 resurfacing, I would be worried.  There are lots of lasers available but many should be limited to certain skin types.

2.  Choose a physician that has done hundreds if not thousands of the procedures being proposed. Preferably one that has a specialty in lasers.

3.  Ask lots of questions. Has the laser been used with your skin type commonly?  What is the incidence of side effects? What are the most serious side effects that have been encountered?  What is being done to minimize unintended side effects in the treatment?

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