Fractional Laser Q&A
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Can You Get Good Result Combining Non Fractionated Laser with Fractionated?
asked 4 months ago by Littlebits91 in Atlanta
Latest answer by Ronald Shelton, MD
Question viewed 99 times
Tags: age 35-44, combination, fair skin, fine lines, laxity, outcome
Im 40 w/ fair skin.I have some fine lines and laxity. They are much deeper under my eyes.I have had under eye bleph.I am looking at getting laser-resurf all over face.I am not concerned with downtime.I am more concerned with a good result.There is one doctor in my area with the non-frac Co2 laser. They said its aggressive and advised could do just around eyes. Would it be ok to get the more aggressive non-frac in eye area and maybe a frac-laser on rest of face?Results be uneven with demarcation?
3 answers to Can You Get Good Result Combining Non Fractionated Laser with Fractionated?
+1
Ablative and non-ablative laser resurfacing on the face at the same time especially for eyelids
Utilizing multiple devices for treatment of my patients' faces is very common. Having a multitiude of energy sources for resurfacing, allows a physician to select the best treatment per cosmetic unit. Certainly CO2 ablative, nonfractional laser resurfacing can be done on lower eyelids, provided the elasticity of the skin will allow healing wtih a minimal risk of contraction and complication of pulling the eyelid down and away from the eye. The rest of the face can be...
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+1
Combinations in laser resurfacing match the needs with the treatment
It is commonplace to mix and match both ablative full field and fractional treatments to go after the most wrinkled parts of the face with full field and provide a quicker healing intervention on the areas that don't need such aggressive treatment. In addition, fractional non-ablative can be overlapped on fractional ablative areas to enhance the wrinkle smoothing effects with very little change in recovery time. A demarcation is always possible with any laser treatment but...
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Lawrence Bass, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
Combining fractional and non-fractional lasers
Laser resurfacing of the lower eyelids whether with non-fractional CO2 or erbium (this is called full field resurfacing) will give excellent results. Fractional resurfacing with CO2 or erbium will give good results but not as good as with full field. Combining full field around the eyes and fractional on the rest of the face is very common in our office. There should not be any color or textural step offs or demarcation. On some patients we will do light full field and fractional...
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