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Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery. Best,Dr. Karamanoukian Realself100 Surgeon
Every patient reacts differently and you need to discuss the options with your surgeon. However, I frequently perform chemical peels on the lower eyelids to tighten the skin. Most commonly it is a procedure performed in combination with a transconjunctival lower eyelid blepharoplasty.
Skin resurfacing is certainly one of the solutions to crepey lower eyelid skin. This can be accomplished through chemical peels or laser peels. The peel needs to be moderate in depth and that would include Jessners and TCA or Phenol. Laser resurfacing can be performed with CO2 laser or Erbium and even Fractionated laser can be of benefit. Good skin care products will help to maintain the result and possibly Botox.
A Chemical Peel would most definitely help under eye crepey skin. Chemical peels safely remove or exfoliate the top layer of dead skin, allowing new, more youthful, healthy skin to show through. While the skin typically sheds old, dull dead skin cells every 28 days, this process slows down with prolonged sun exposure and aging. Chemical peels cause this natural cell turnover process to speed up, helping to stimulate the growth of new collagen—the skin-firming protein that acts like a scaffold for the skin. The speed or depth of cell turnover is determined by the concentration of the peel and the amount of time it’s left on skin.Chemical peels can be done at different depths—light, medium, or deep—depending on your desired results. Deeper chemical peels produce more-dramatic results, but also involve longer recovery times.
Chemical peels are an excellent treatment to improve wrinkled eyelid skin. There are several different types of peels, so someone needs to help patients decide what is best in their case.Sometimes, a high quality medical grade skin exfoliation and hydration program is all that is needed. But, no one can make a recommendation without an examination.In my opinion, it is important to have an evaluation by an experienced doctor who understands the entire gamut of skin care and peels.