Can Fraxel Repair be used after Sculptra?

Can Fraxel Repair be used 6 months post Sculptra injections? I had this on my temple & under eye area for acne scars and would like to know if Fraxel Repair can now be used.

3 answers to “Can Fraxel Repair be used after...”

A: Fraxel re:pair after Sculptra

Michael A. Persky, MD

Hi Caddy, You can have Fraxel re:pair 6 months after Sculptra.  In the New York City area Roy Geronomus, MD has a great deal of experience with the Fraxel technology.  Good luck and be well. Dr. P

A: Sure, it is a great adjunct to this procedure

Joel Schlessinger, MD

Fraxel re:pair is a great adjunct to any procedure like you have done.  It helps to tighten if you use high enough settings and can make the results of the fillers more dramatic and long lasting!

A: Yes Fraxel of other Fractional lasers can be used after fillers

Mark Berkowitz, MD

I have successfully combined treatments for many years for my Michigan medical spa patients.  It is not unusual for a patient to have great outcomes at Accents medical spa after having fillers (Sculptra, Restylane, Radiesse), Botox Cosmetic, Thermage, and Mixto fractional laser all during one visit! ... more

Comments

caddi
9 posts
21 Oct 2008

Thanks Dr.Schlessinger,berkowitz,and Persky.This has helped a great deal.

awalk
465 posts
9 Jan 2009

Confused...If lasers are attracted to water...... And Resty HA's attract water wouldn't it cause overheating or melting of fillers in those areas??? My doctor is suggesting Fraxel Repair and I am not totally convinced it is ok to do with fillers...Please explain.

Michelle P
91 posts
11 Jan 2009

Please stop this nonsense insanity for profit. I can't bear to see other woman harmed. No fraxel isn't going to help, sorry you have been harmed, it may be permanent. That is the truth. Ask these doctors to treat you for free since they care so much. Watch what happens.

awalk
465 posts
20 Feb 2009

Find out what sculptra is encapsulated with first..... They use fraxel to remove tattos because it makes your body have a immune response to the chemical the ink is encapsulated in..... You could end up with granulomas trying to escape thru your epidermas..and scarring Be sure and do your homework.. Resty HA's are fine they are not encapsulated they are a gel.... Sculptra ect is another ballgame...

Michelle P
91 posts
21 Feb 2009

I got the answer. Sculptra is Polylactic acid. What trusting patient knew this. sanofi aventis, a french drug company, the 6th largest drug company worldwide, used HIV/aids, facial thinning, a side effect of this horrid disease, to win quick stamp approval based on a vote of compassion by the FDA Panel, to get their foot into the door of the US Beauty market. Look at the trail studies, all 3 of them. They are so limited you will have a hard time believing this could happen in the US. 54% of the patients developed "Nodules" in the trial studies supplied by the drug company. Nodules, what is a nodule? Oh, it is a reaction in the immune system that causes disease. This drug company used a horrid disease to spread disease to any b.c.p.surgeon or dermo willing to inject disease for $$$$'s. Got it.

awalk
465 posts
22 Feb 2009

It would make sense they should not be combined..The reaction could be severe I would encourage anyone considering this procedure to get full blood work ect..Your doctor should get a full medical history and examine your skin closely not just your face before recommending a procedure… If you have any type of auto-immune issues... Asthma,allergies dry skin,lupus, diabetes ect, Many people can be in pre stages for years before being diagnosed They need to be taken into consideration.. This is laser surgery on your FACE and is not a lunchtime procedure.. These procedures are profit based so you must take control and take precautions the developers of devices are not making contraindications know and don't disclose them like drugs do..... Proceed with caution if you feel a procedure like this is necessary to improve your quality of life.. And ask specific questions..Take a list so you don't get side tracked A doctor saying he has had great results and no complications could be ONE person… It is not rude to ask how many you must be specific…. This is your FACE you can’t hide it under clothing…

awalk
465 posts
24 Feb 2009

I agree doctors should have an in-depth form that patients can take home and fill out...disclosures should be given days before or printed off online before the day of the procedure..Not after you’re on the table… Such a simple thing that can save both time and complications.. So much can be lost or misconstrued in verbal communication To actually read all the forms you are handed would put you in the office after closing....It implies to me they don’t want you to read them.. Just sign initial... This is the same reason so many people got in trouble with their homes. Signing a stack of papers looking only at payment now,, not what it may be next year ect.. Unless you have an attorney representing you at closing or preparing your documents. They represent you… A title company does not. You only have a notary there to witness your signature..Who generally depends on the lender or Realtor (who doesn’t get paid unless it closes) for their livelihood Why anyone would use a Realtor title company for their biggest investment if they are not a pro in the area to save a couple hundred dollars is beyond me… Follow the money people!!!! And ask what does this person have on the line…Their Face,Health,Body, Home ect... What are they getting out of this and what recourse do I have if they screw it up?? You won’t like the answers.. I used to do closings, But always took the time to explain the terms making sure they understood completely what they were signing, Prepayment penalties adjustable rates ect… I lost business and turned business down because of this and don’t regret it…My conscience is clear… A majority had no idea what they were agreeing to until sitting at the table and I explained it…Even then some had invested so much, forfeited other options..Had time constraints ect,, that they went forward anyway.. Being told they could refi later..Not guaranteed of course.. The Lenders and loan officers counted on this… I see the same epidemic happening with these lasers and in elective procedures.. Signing one thing but being told another…. NOT ACCEPTABLE So agree up front to all terms before you have invested yourself emotionally or financially to a procedure ect… Who says we can’t cross out unacceptable terms and ask them to be more specific if they want our business.. Create a list of questions from resources online I know many whom I consider to be good people. They have convinced themselves this is the nature of business… If I don’t take it someone else will… The ones making billions off medical devices, mortgages ect need to be held to a higher standard of responsibility ethics and integrity to doctors and patients regarding safety and complications.. It’s disgusting and in the old days we would not be giving them billions but hanging them in town square… They knew this would happen and we wouldn’t have a choice to bail them out…Stealing more of our money.. They will keep taking advantage and living the good live off the suffering of those who are misinformed regarding the way politics and these big money industries operate..They have the best attorneys who's only responsibility is to do whats best for their client... And doctors and patients it's not us!!!! More people will now be tempted or forced to put ethics and integrity aside in these tough economic times… It’s imperative to protect yourself consider worst case agree up front and be informed

awalk
465 posts
24 Feb 2009

I'd be curious to know how many doctors requested info from thru the FDA or relied and relayed the marketing info they received from the manufacture to give patients???? If your body creates a immune response to remove biologically inert foreign bodies why not sculptra ect...It seems it would cause problems. I'm not a doctor but it seems to makes sense that if they create this immune response trouble could follow.. [0085] In yet another aspect of the invention, methods and apparatuses disclosed herein can be used to modulate the immune response for the removal of tattoos, and other biologically inert foreign bodies. Some foreign bodies are not recognized by the immune system and therefore are biologically inert. Examples of biologically inert foreign bodies include tattoo inks and encapsulation materials used for encapsulating tattoo inks. Tattoo inks have been treated with nanosecond pulse lasers that rely on absorption of the laser energy by the ink leading to its fractionation into smaller particles. Not all colors of tattoo inks have sufficient absorption at selected laser wavelengths and this has meant that physicians do not get the desired response or must repeat treatment many times to get adequate results. The patient can thus be subjected to significant pain and a higher risk of scarring. Since the immune system is capable of removing foreign bodies when it is able to detect the presence of the foreign body, the fractional phototherapy device 100 can be used to resensitize the immune system to the tattoo ink and encapsulation material thereby leading to an immune response. The effect of this stimulation is activation of the normal physiological cascade against a foreign body, leading to its effective removal. Thus, noninflammatory skin conditions can be treated using the methods and apparatuses disclosed herein. [0086] In an embodiment, exogenous agents can be used to enhance the inflammatory response that removes the tattoo ink particles. The inflammatory response can be enhanced by using antibodies to suppress growth factors and/or by using cytokines, TNF?, IL-I, and/or IL-6 to stimulate a phagocytic response. A second treatment can be used approximately 7 days following the first treatment to release additional bFGF to promote further collagenlytic activity. Rhamnolipids, agents that inhibit fibroblast and keratinocyte proliferation, can be optionally used to prevent wound contraction and scarring at the end of the treatment. [0087] In another embodiment, stem cells may be administered to the site of treatment, for example, to rejuvenate heart tissue that is either dead or injured. Heart tissue may be treated with fractional phototherapy device 100 to create a particular biological signature that would initiate or accelerate the removal of damaged or dead heart tissue, for example, after a myocardial infarction. Heart stem cells may then be introduced to the treatment site and allow for replacement of the removed tissue.

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