Efudex and CO2 laser skin resurfacing have been the gold standard for treatment of actinic keratosis. We offer fraxel laser treatments in our clinic, but I am not convinced that they are adequate for the treatment of AC. We also offer DOT laser treatments. At their highest setting I believe... more
Fraxel Laser for extensive facial actinic keratosis?
I find the use of topical treatments (Efudix) etc quite intrusive and protracted in terms of repair. I am considering Fraxel Laser, but am not convinced its the right treatment for actinic keratosis. But is patently good for photo damage. SA dermatologists do not appear to have sufficient product experience to endorse with real confidence. Will Fraxel Laser work for this condition?
3 answers to “Fraxel Laser for extensive facial...”
A: Aldara, Caroc, or Active FX
If you want to do a laser for actinic keratosis, do an ablative treatment. Fractional or traditional CO2, or dermabrasion are the most effective options. Fraxel Restore is non-ablative and not that effective for AK. Fraxel Repair would be an option, as it is ablative. Non-procedural options are Aldara and... more
A: PDT and Solaraze
There is much more evidence regarding the role of photodynamic therapy in the treatment of actnic keratoses than there is for Fraxel. In this treatment, a liquid is applied to the skin, Levulan, and then the patient is asked to sit in a waiting room where reading material and the gentle... more
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