Laser Resurfacing: Q&A

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Best Laser for Limited Wrinkling Around the Eyes and Lips?

I saw a plastic surgeon today who suggested that putting me to sleep (no pain!) and doing a full-face and neck non-fractional treatment with the Sciton laser (erbium) would give me a better and longer-lasting result than a full face and neck fraxel re:pair treatment. He admitted that he has only done two Fraxel Re:pair treatments so is working on limited evidence.The laser price is the same for both although the cost to be put to sleep adds $2500 to the bill over and above the laser cost. I am a 51 year old woman with some limited wrinkling around the eyes and lips. What will give me the best results?

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age 45-54 eyes lip lines

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8 Doctor Answers | Asked by Lisa Striebing

Doctor Answers (8)
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"Best Laser"

There is NO "Best Laser" There hundreds of medical lasers on the market. Some lousy, some outdated, some formerly great.and there are good lasers. The factor common to most medical lasers out there which are taking up room in doctors' offices and salons is that they are expensive tools (between 70,000 and 200,000) which have yet to be completely paid for. The need to pay for these investments, especially in a poor economy, is acute and the direct result are the non-stop BOMBASTIC... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Fractional Ablative Erbium Best for Laser Resurfacing Eyelid Wrinkles

The eyelids are very thin and delicate structures. CO2 Laser Resurfacing is risky on the eyelids. Fractional Erbium Ablative-2940 laser resurfacing is the safest laser technique for the eyelids. Heat production and this the risk of pigment loss or scarring is less with the Erbium than with the CO2. Demarcation lines between treated and untreated skin are much less likely with the Erbium than with the CO2, thus treating only the eyelids and lips and not the whole face more

Best Laser for wrinkling around the eyes and lips

For limited wrinkling around the eyes and lips, 2 or 3 treatments with a Fractionated CO2 Laser would be sufficient, especial;ly if Botox is administered 7-10 days prior to the Laser treatment. One traditional CO2 or Erbium Laser resurfacing treatment will also be quite effective. I wouldn't advise a total face laser resurfacing if your concern is the presence of limited wrinkling around the eyes and lips.

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Expertise is key

There are many lasers for this procedure, but more than the type of laser is the expertise of the practitioner and whether they can offer you fat removal as this is oftentimes the problem. A surgeon who can offer you a fat removal procedure, a blepharoplasty, and/or laser is the best choice for this problem.

Best laser for limited wrinkling around the eyes and lips

I agree with Dr Aldea's posting. Why not try Botox and a peel (VI Peel) first to see if you like the result with out as much down time. Also try fillers for lips. From MIAMI Dr. B

Laser treatment for wrinkles around eyes and lips

We have the Madonna lift here for which we use the Affirm CO2 laser. It could take up to a series of 3 to 5 treatments and they can be done every 2 weeks. You are completely awake and have minimal downtime. The results are amazing.

Bruce Katz, MD

9 reviews

New York Dermatologic Surgeon

www.juvaskin.com

Less downtime and risk with fractional

My guess is that he is talking about a fully ablative erbium resurfacing. What it boils down to is that the risk of what he is proposing is greater - anesthesia, hypopigmentation, and scarring are much greater than the Fraxel re:pair which is done in the office. Also, the healing time and wound care are much longer with total ablative technology vs fractional ablative technology. If everything goes perfect, and your healing time is not prolonged (less than 2 or 3 weeks), you might get a... more

Steven F. Weiner, MD

6 reviews

Panama City Facial Plastic Surgeon

theclinique.net

Improving periorbital and perioral wrinkles

Either treatment with the erbium, traditional CO2 or Fraxel can effectively treat those areas. What you have to consider is the degree of improvement varies since each laser has a differing depth of penetration. If you have fine lines than any treatment would work well for you. If you have deep lines, then the traditional CO2 laser would work the best. If you have mild to moderate, than the erbium or Fraxel can work but both might require multiple treatments depending upon how bad your... more

Scott Trimas, MD

3 reviews

Jacksonville Facial Plastic Surgeon

www.facesonly.com

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Laser Resurfacing: Q&A