How Do I Know if I'm Being Duped by My Dermatologist?

Because of situations like yours, I feel it is important for patients to really educate themselves on how various cosmetic skin procedures work to give results. With this knowledge, it becomes easier to make informed decisions and discern what is legitimate and what is not.


Lasers basically heat the dermal layer beneath your skin's surface. Heating this tissue in a deliberate fashion causes the skin to produce healthy new collagen fibers in an attempt to heal itself. Using the body's own physiological systems in the skin to boost collagen production is what enables your skin to improve its firmness and elasticity.

That said, a laser resurfacing procedure may reverse the signs of aging in the manner described, however, it would not stop the normal aging process from resuming after the treatment. To buy more time, you should adopt strict sun protective measures, moisturize adequately and after about 6 months of your laser treatment consider topical treatments like Renova.

After 6 months it would be also fine to start treatments with mild AHA peels for the same reason. Sellas Evo is similar to Fraxel Restore active in the 1550nm wavelength and fractional. Typically you should not require pretreatment of the skin before these lasers are used. However, your dermatologist may have a reason not evident to me for asking to have the procedure.


In choosing a dermatologist, it is important to look for board certification.

After the most aggressive laser resurfacing techniques of the past, most patients healed beautifully well after medically recommended regimens were used by our patients. This included the proper cleansing and emollients.  Aquaphor and other ointments and salves were recommended.  Never have I heard of vitamin facials being required to prevent cracking which would cause permanent scarring.  Run, don't walk, to a board-certified dermatologist for a second opinion of which laser, if any, is best for your skin and what rejuvenation procedure and topical regimen is best.  Some facials and vitamin applications might help but they're not medically tested to determine what the scientific proof of benefit truly is.