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Spot Treatment with Laser Resurfacing

asked 1 year ago by anon
Latest answer by Mark Taylor, MD
Question viewed 319 times
Tags: crows feet, eyes, alternative, long-lasting

I heard that laser resurfacing is a better long-term solution than Botox or Fillers for deep wrinkles and creases. Is this true for the person who has only a small area they want spot treatment on (such as crows feet)?

13 answers to Spot Treatment with Laser Resurfacing

+2

Spot Treatment of Crow's Feet Wrinkles with Laser Resurfacing

Laser resurfacing can be a great option for improvement of deep lines and wrinkles in select patients who do not wish to undergo surgery or who are not surgical candidates. By my philosophy, the primary purpose of improving lines and wrinkles is to provide a balanced, more youthful look without looking "done". Fractional laser resurfacing as performed at our facility uses the CO2 Ultra Pulse Encore to improve deep lines and wrinkles as well as improve skin surface color,... more
Anifat Balogun, MD

Seattle Facial Plastic Surgeon
+2

Laser resurfacing is a more long-term solution for some wrinkles

It depends on the type of wrinkles you have. If at rest, without smiling, you have crow's feet and lower eyelid lines, then laser resurfacing would be a great option as Botox will not do anything for lines at rest. Lines at rest are ingrained in the skin from years of smiling and sundamage. Botox only paralyzes the muscle under the skin so inhibits dynamic lines which are created when you smile. Now certainly with time, repeated Botox may soften some of... more
Carla R. Retief, MD

Nashville Dermatologic Surgeon
+2

Crows feet treatment

As usual, it depends on what your skin looks like. If the texture and color is good and the only problem that you have is crow's feet I would go for the Botox or Dysport. I do not think that "spot treatment" is a good way to do laser and do not think that it would do well for your problem , as explained.
Jo Herzog, MD

Birmingham Dermatologist
+2

Laser resurfacing is likely not a better solution

I am not sure what type of laser technology you are considering but, sure, laser resurfacing can be used for periorbital wrinkles/"rhytids" but the results would more likely be underwhelming and carry a higher risk of complication. Treatment of crows feet is predictable and safe using Botox +/- fillers. Laser resurfacing is more predictable for finer lines/ texture and for color irregularities, though any result would certainly be longer lasting. more
Connor Patterson, MD

Baton Rouge Dermatologist
+1

Laser resurfacing is not a permanent treatment for lines caused by muscle movement.

Laser resurfacing is not a permanent treatment of lines caused by muscle movement. I get the best results on by doing both laser resufacing and Botox if the wrinkles are moderately sever and located in areas where there is also sun damage. see photos
Mark Taylor, MD

Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

+1

Laser a Long-Term Solution

Laser is definitely a better long term solutuon for wrinkles. The problem is spot treatments can leave you looking uneven. I suggest the erbium or CO2 fraxel and always do at least an entire aesthetic unit and not a spot.
Richard Galitz, MD

Miami Facial Plastic Surgeon
+1

Best treatment depends on extent of wrinkling

Maybe, it depends on the extent of the wrinkling and the condition of the skin. Oftentimes, if there is extensive photodamage elsewhere, it is better to resurface the entire face. Non-ablative fractional lasers are another way to improve deep wrinkles and works well in conjunction with a neuromodulator like Botox or Dysport as well as skincare products like TNS from SkinMedica, Tensage from Biopelle, Neocutis or Elastoderm from Obagi Medical Products.
Mitchel Goldman, MD

San Diego Dermatologic Surgeon

www.GBKderm.com

+1

Botox is a bettter treatment for Crow's feet than laser

When wrinkles and photodamaged skin are in static lines, in other words, when the wrinkles are present in skin that doesn't move with underlying muscle action, laser resurfacing can provide a long term improvement. Mimetic lines are those wrinkles created by the pleating of the skin over the contracting muscle such as the crows feet or the upper lip vertical creases/smokers' lines. Botox is more effective in these areas because it eliminates the cause of the wrinkle.... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

Botox versus laser

Anything you read in this day and time recommends combination treatment. We really recommend a consultation to look at your skin and specific problems. Botox is going to do great for those dynamic lines used in facial expression. Resurfacing is actually going to help the skin itself and re-build collagen. So they both work in different ways for different problems. Depending on exactly what patients expect...both may be the option!
Tracy Kuykendall, MD

Tulsa Dermatologist
+1

Botox and Laser Resurfacing

Botox addresses the underlying muscle movement that causes the wrinkle, the resurfacing addresses the loss of collagen in the skin. Thus, both are integral to optimizing your outcome. Ideally, combining resurfacing of the wrinkle, and Botox provides the best results.
Sonia Badreshia-Bansal, MD

San Francisco Dermatologic Surgeon

www.elitemdspa.com

+1

Spot teatment with Laser resurfacing -- maybe not such a good idea!

I think the answer depends on which wrinkles you want to treat. Fortunately, you answered this by alluding to spot treatment of Crow’s feet. Usually (but not always) the wrinkles in the Crow’s feet are DYNAMIC wrinkles, caused by the muscles of facial expression. In this case, the optimal treatment is Botox (or Dysport) because these procedures are not SURFACE treatments; they treat the muscles beneath the skin which give rise to the wrinkles. Laser... more
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

+1

Laser Resurfacing Long Term Results

You have to understand that different problems may need to be addressed differently. Sometimes you use these treatments together or in different areas for different problems. Botox works best for dynamic facial wrinkles; in other words wrinkles caused by movement. This would include wrinkles around the eyes ("crows feet") and between the eyebrows. Fillers work well for acne scars and for deeper lines (e.g. the creases between the cheeks and lips). Laser resurfacing is a long-acting... more
Andrew Kaufman, MD

Los Angeles Dermatologic Surgeon
+1

For lids, best results use both Botox and a CO2 laser

Our best outcomes to treat wrinkles about the lids use the following routine: Area is injected with sufficient wrinkles to quiet the orbiculares muscle Two weeks later we use a fractionated CO2 Laser (We now prefer the MiXto) to stimulate collagen production as well as help decrease pigmentation The combination gives us the best results Dr. Mayl Fort Lauderdale
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon

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