Erbium Fractional Lasers and CO2 Procedure. How Long Should I Wait Between? (photo)

How long after a fractional laser treatment should I wait before having a C02 procedure. I had disappointing results with Erbium Fractional, especially around the mouth. Please see attached photos 3 months post. I understand C02 is necessary to remove such lines. Have also been told I need to wait 6 months after any fractional treatment before C02. Is there consensus on this? All and any suggestions wanted!! Thank you kindly.

Doctor Answers (1)

Ablative fractional laser treatments can be repeated safely after a 3 month healing period

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Although there is documentation of continued collagen stimulation for 6 months or more following an ablative laser treatment, it is safe to repeat treatments after 3 months. This is the time interval used for repeating fractional CO2 treatments in the FDA clearance study for the Fraxel Re:Pair laser. Using just a fractional ablative laser ,improvement in the 30-50 % range can be anticipated. If this fractional treatment is combined with pulsed CO2 and pulsed erbium lasers for sculpting and precisely smoothing the wrinkles, improvement of greater than 75% can be achieved.This last procedure however requires far more expertise than just using the fractional laser. However I do agree that the fractional CO2 should out - perform the fractional erbium laser for lip wrinkle correction.

San Diego Dermatologic Surgeon
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