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Laser for Moderate Under Eye Laxity/lines, Cancer Scar and Slight Marionette Lines for the Most Dramatic and Longlasting Result?

asked 5 months ago by Nancy5203
Latest answer by Michael R. Macdonald, MD
Question viewed 344 times
Tags: under eyes, laxity, scar revision

I had been considering a mid to deep peel, but decided I am not comfortable with the toxic chemical aspect. I'd like a fairly extensive re-surfacing of face (maybe neck/chest) for under eye lines and laxity, a 2"+ skin cancer scar/asymmetry by nose, minor marionette lines and sun damage/spots. Botox glabella/forehead 3-4 mos, and Radiesse every 1.5-2 years in naso-labial folds. I am less concerned with downtime and recovery as I want a long-lasting outcome. I am 50 with fair skin. Thanks!

7 answers to Laser for Moderate Under Eye Laxity/lines, Cancer Scar and Slight Marionette Lines for the Most Dramatic and Longlasting Result?

+2

Laser resurfacing offers a very well controlled, precise modality for addressing any wrinkles, post-operative scars and even imp

A mid to deep chemical peel would be an excellent treatment to correct uneven skin pigmentation and fine lines. However, it is unlikely to improve your appearance of any noticeable wrinkles or post-operative scarring. Your choice to consider laser resurfacing is a good one, given your goals. Laser resurfacing offers a very well controlled, precise modality for addressing any wrinkles, post-operative scars and even improving under eye laxity. Physical improvement you enjoy will often... more
Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

www.drmmacdonald.com

+2

Laser Resurfacing Results are Optimized When Combined with Fillers

I have extensive experieince with the Fraxel Repair (CO2) laser which causes skin tightening, especially in the thin skin areas under the eyes. I have also seen many cancer removal scars and Mohs' flaps improve with the Fraxel, avoiding the need for scar revision. The best rejuvenation results in my practice are achieved when the patient has Fraxel combined with volume enhancement, such as Sculptra. The combination is synergistic, adding volume below the skin layer to... more
Edward Szachowicz, MD, PhD

Minneapolis Facial Plastic Surgeon
+2

Laser Resurfacing

Most authorities agree that CO2 laser will provide more tightening and collagen deposition than erbium laser. Portrait plasma is another good option which I have used but in my hands I prefer CO2 laser. I currently use the SmartXide DOT CO2 laser with excellent results. There is about 5 days of recovery time after a moderately aggressive treatment. DOT laser is great for reduction of fine lines, general tightening of the skin, and... more
Richard Ort, MD

Lone Tree Dermatologic Surgeon
+2

Resurfacing with fraxel laser or portrait plasma, botox, fillers, eyelid wrinkles and Mohs scar

When considering what is best to rejuvenate the facial skin and evaluate scar revision, one needs to see a physician in consultation to have the skin examined for elasticity, skin texture and coloration. Some resurfacing techniques have greater risks than others. Lower eyelid skin can be resurfaced using medium depth chemical peels but we tend to get better results with either the Fraxel Repair (carbon dioxide fractional ablative) laser or the Portrait Plasma resufacing (recently... more
Ronald Shelton, MD

Manhattan Dermatologist
+2

Laser resurfacing

Laser resurfacing with an erbium or CO2 or fraxel may be helpful. This can be done with the botox, and the fillers. I prefer an erbium.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Laser Resurfacing instead of Mid to Deep Chemical Peeling

Since you do not wish to undergo the peel resurfacing your alternate option for a long lasting result is laser resurfacing. Specifically, Ultra Pulse CO2 fractional resurfacing (Total FX). This will help with laxity, deeper lines, scars, sun damage, age spots and collagen stimulation for plumping the skin. This treatment may be performed in combination with Botox or Dysport treatment just prior to resurfacing for optimal results. You will more than likely need on-going Botox or... more
Anifat Balogun, MD

Seattle Facial Plastic Surgeon
+1

Laser resurfacing in a 50 year old

I'm sorry but I didn't really see a question here. Yes, I think you are a candidate for deep laser or chemical peel resurfacing. But you should know in advance what this technique can and cannot do for you. It really does not take the place of eyelid surgery and it will not lessen the need for fillers to the nasolabial folds, and possibly not for Botox either. Hope this helps.
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

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