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Ideal SmartDot Laser Setting for Wrinkles?

asked 5 months ago by hether
Latest answer by Richard H. Tholen, MD, FACS
Question viewed 61 times
Tags: protocol, setting

I have just had a second SartDot Laser, this time it was more painful and pinpoint bleeding. Also my doctor said the protocols have changed and he had new gas put in. He said that was why it was getting a deeper depth and he did stacking 4 is that the dots been closer and the sound of the machine was different second time. Do you think this was a deeper treatment than my first even though I had more swelling first time. I really want to know what is best for wrinkles and what setting is best. 

3 answers to Ideal SmartDot Laser Setting for Wrinkles?

+2

What is the right laser setting?

You have had the perspective of two procedures with the same machine, same doctor, and same target area, so your experience does have some value in anticipating potential outcomes. Your doctor also sounds as if he is honest and forthcoming about the reasons your experience was so different the second time around. "New gas" means a rejuvenated laser tube for the resonating chamber, which in this case is a CO2-containing laser tube. This means a stronger beam for otherwise... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

www.mpsmn.com

+2

Dot Laser settings

There is no best setting. A nice advantage of the DOT laser is that it easily customized for each patient. The DOTS can be moved closer together and depth adjusted. The closer the dots and deeper the dotsgives a more aggressive treatment and usually better results , but also takes longer to heal and slightly increased the risks. Also , the DOTS can be stacked or a second pass done to problem areas,which I frequenly do around the lip area. It sounds like your... more
Lana Long, MD

Cincinnati Dermatologic Surgeon
+2

DOT CO2 laser

It sounds like your second treatment was deeper but you should ask your doctor if you want to know for sure. I often see pinpoint bleeding after a more aggressive treatment. It is also common to see swelling for a couple of days, especially around the eyes. There is no one best setting. It all depends on your doctor's experience, the patient's degree of sun damage, and the patient's tolerance for downtime. Usually when a patient... more
Richard Ort, MD

Lone Tree Dermatologic Surgeon

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