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Fraxel Lasers and TCA Peels (Facial) for Middle Easterners/Indians?

asked 10 months ago by Tretion in Morristown, NJ
Latest answer by Ariel Ostad, MD
Question viewed 261 times
Tags: wrinkles, Indian, Middle Eastern, risk

I'm of Middle Eastern/Indian descent and have light brown skin, and would like to get fraxel treatment or TCA peels to deal with wrinkles under my eyes. But I've heard that these procedures are riskier for people who aren't caucasian, and may discolor (perhaps permanently?) the skin of people with brown skin tone. What is the risk level for these procedures for people who are not white?

5 answers to Fraxel Lasers and TCA Peels (Facial) for Middle Easterners/Indians?

+1

Fraxel Restore for all skin colors

Fraxel is so safe that it is used in all skin colors and skin types. Traditional laser treatments target melanin and or have a higher risk of scarring. Since the laser light in Fraxel targets water and is fractionated it can be used in Asian, Latino and Middle-Eastern skin types
Ariel Ostad, MD

New York Dermatologic Surgeon
+1

Fraxel is a safer choice for wrinkle removal in dark skin

Fraxel restore and Fraxel repair laser treatments can be excellent procedures to smooth wrinkles, texture and scars in dark skinned individuals. Although there is some risk for hyperpigmentation, it is a much lower risk than with other procedures such as TCA peels. We have found it to be a very safe treatment in our office with a low incidence of increased pigmentation. When this has occurred it was usually in Asian skin, not Middle-Eastern and it was usually temporary. I have not seen... more
Lorrie Klein, MD

Laguna Niguel Dermatologic Surgeon

www.ocdermatology.com

+1

TCA not the treatment in Indian skin for Wrinkles

In my experience it would be a major risk and therefore a mistake to use TCA in a high percentage to treat under eye wrinkles in someone with Indian skin color. While Fraxel has a higher risk in this population than in Caucasians ( light skinned individuals) it has been safely used on thousands without longterm side effects when not used overaggressively. The severity of the eyelid wrinkles as well as the number of Fraxel treatments you would be willing to pursue would determine if Fraxel ,... more
Joshua L. Fox, MD

Long Island Dermatologic Surgeon
+1

Fraxel Lasers and TCA Peels (Facial) for Middle Easterners/Indians?

This is a truly excellent question. Certainly there are increased risks for these procedures in people of color. however, these risks can usually be managed with vigorous pre and post treatment skin regimens, and any increased pigmentation is almost always reversible (not permanent). Personally, I think the most important question to ask yourself is whether either of these procedures would be effective for the under eye wrinkles which are your greatest concern. ... more
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon
+1

Farxel and TCA

Neither would get rid of wrinkles. TCA has to be very deep to affect the wrinkles, and that would be dangerous in your color, Proceed very carefully.
Samir Shureih, MD

Baltimore Plastic Surgeon

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