Laser Resurfacing: Q&A

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Will a CO2 Resurfacing with a Sciton Laser Diminish Marionette Lines and Jowls?

Some information I am finding contradicts other I find so I am not sure if this procedure will realistically give me the results I seek. I am 50 and have a prejowl sulcus and mild jowling...also noticing neck sagging. I am torn between this CO2 resurfacing and an "injectable facelift" with eventual neck lift. Do I lack volume? Yes some..do I have sun damage also? Yes some. Unfortunately money matters so I cannot have both procedures. Torn between which one will fix my main concern, jowls which have really aged my face.

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5 Doctor Answers | Asked by Barlnk in TEXAS

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Lasers and fractional lasers for jowl and neck looseness

Lasers and fractional lasers help greatly for skin tone and fine wrinkles. They do not adjust jowls or correct volume loss. Your picture shows a very pretty face with early signs of facial aging. Patients such as yourself obtain their best results with a volume adjusting facelift and necklift. Laser may be added as an adjunct treatment but is not a substitute. A midface lift is the wrong procedure to correct jowling. We reference several chapters and... more

Lasers can't get rid of deep folds and lines

I have a DeepFX laser and while it does wonders on fine wrinkles and acne scars, the limited skin tightening you see with laser resurfacing doesn't have a substantial effect on the folds and deep lines that occur around the mouth, as in your case. Fillers would be helpful. Lifting procedures would help as well.

Ivan Wayne, MD

13 reviews

Oklahoma City Facial Plastic Surgeon

www.oumedicine.com

Marionette lines and jowls respond to fillers

First, let me tell you I have been a Sciton user for 5-10 years, so I am quite comfortable telling you what it can and can not do. Sciton's laser is not CO2, but erbium. Not really a big difference, given it's advanced generation power, meaning it can promise as much result as a CO2 but without the down time. But the truth of the matter is that any resurfacing modality, whether it's erbium, CO2, or phenol peels, won't give you enough tissue tightening to... more

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Treatment of jowls with laser or lifting

your photograph does show volume depletion and fillers would help rejuvenate your face, but if the jowls are your biggest concern, a midface lift will provide you with more "bang for your buck" than any laser resurfacing or multiple fillers which need to be redone every year or a series of fat injections. Volume augmentation would probably not lift your jowl enough. Certainly fillers can be placed in the prejowl sulcus but this is treating the sympton, not the cuase. more

Fractional C02 is mainly for the skin surface

I can certainly empathize with your dilemma. There are several approaches, all with their advantages and weaknesses. The C02 laser (Sciton, Affirm, etc) will reduce fine lines and give a younger appearance. It also reduces small discolorations like red or brown pigmentations. There are better options for jowls, which would likely only respond slightly to this. Slightly more aggressive is the fibre optic laser such as Smart Lipo. Because this is used beneath the surface it can... more

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