Not Worth It - Skin is a Blotchy Mess

I have been wanting to have my faced sloughed for...

I have been wanting to have my faced sloughed for about 10 years.  I am a 40 year old woman who loved tanning and tanning beds, wearing no protection of course.  I am of Meditteranean descent, so I handled excessive sun very well, hardly ever burning....but, by age 30, I started seeing the abuse on my skin.  I started Botox and wearing sunscreen which did wonders.  As I was closing out my 30s, I needed something more invasive.  I decided to go with Active FX.  I wanted my dark spots gone, my acne pocks removed, and wrinkles reduced.  A little tightening too!  My only concern was the fact that I am 100% Greek, and I have read in many journals that Europeans could develop pigmentation issues....which is why I used the lightening cream for 3 weeks prior.

I had my procedure done yesterday.  I have been using a hydoquyonine cream for the last 3 weeks, and I have stayed out of the sun for the past couple of months.  I arrived thrilled and ready to get on with things.  I was seated in a chair where they applied a numbing cream for about an hour. I had filled a prescription for Adivan and Tylenol 3, and I was told to bring them to office.  I took two of each when I got there.  The doctor came in an hour later and begin sticking more meds into my face with a needle.  Bearable.  Then he started with the procedure.  I was very uncomfortable when he inserted the contact lenses... I felt like there were two heavy plungers bearing down on my eyes...  He used the Deep FX on my entire face.  It mostly hurt around the eyes and perimeter of face.  He told me I was responding  very well, since I was not bleeding.  He then switched to another handle, not sure which one... Now this hurt... scale of 1 to 10... a nine.  I asked for two more pain pills.  Got more injections.  Going over the same places with more laser...ouch.. not sure how aggressive he got considering I could not  bear the pain.  It was like getting 10 wasps stings at once on your face.... stopping for about 2 seconds to get 10 more.... and so on....OUCH!  When it was over, he gaveme a  shot of an antiinflammatory in my arm.  I then asked for some Perlane to plump my lips....  Why not? Right?  :)

I slowly started to get up.... and they said I needed a wheelchair...I told them I would run to the bathroom to prove my point that I was ok... But they were right.  I stood up and instead asked for a bucket.  I puked  a bit....  Sat my happy bottom in the chair and was taken to the bathroom.  I was then given Acquafor and Cetaphil... that is it.  Wash with Cetaphil .... apply Acquafor... 2x day.

Now, let me give  a word of caution, and I can only say this from my own experience.  DO NOT DRIVE YOURSELF home.  I have a high tolerance for pain, and I thought, if my husband can't take me, I will just drive home myself.  DONT DO IT>  I could not even sit up.... I had to hold a barf bag .... and used it again on the way home....  sorry to gross out... but if you think you can drive, you can not.  I know I had pumped myself full of meds....but still...

Last night, I slept fine.. thanks to Xanax...  Woke up fine.  DOnt feel much pain at all...which worries me..  All these threads about needing ice packs, etc...  I dont need any of it.  I have not taken any pain meds today.  Feel good.  My face is scaring my children, and my husband I am sure... but again, I was expecting worse.  I look tan with red freckles all over...little spots of blood the size of a needle head....  I can see some places where the skin has flaked off...and it is white underneath.  My lips look fantastic...hope they stay like this.  Very plump.  I will post pics of yesterday and today.  I unfortunately do not have befores.  I will ask my doctor to send me them.  If you have any questions, please contact me.  I will be posting each day until the desired result.  Wish me well.  Thank you!

Today is the 2nd day after procedure. The...

Today is the 2nd day after procedure. The highlight of the day is when I can wash my face. I do it twice a day with the cetaphil and then I apply the acquafor. It feels so good to wash my face, and I would love to be able to gently rub the washcloth over it.... It is very tempting, but you are not supposed to rub at all. My face is extremely swollen still and very pinkish brown. Quite honestly, I do not see an improvement at all with yesterday. I don't have my postop appt until Tuesday ( in two days)... at this point, I can't imagine being healed enough to be seen in public. I look horrible, and there is alot of discoloration in my face. Some parts are raw and pink, others are brown, and others are white. I can see traces of the laser, especially along the perimeter of my face. I have no idea how I am faring, and I am anxious to see what my doc thinks..

Wow... 3rd day after procedure....lets just call...

Wow... 3rd day after procedure....lets just call it ....  " A Molten Mess"...  or how about "Reptilian Rapture"..  I have been shedding skin all day long..   Last night I could not sleep, so I got up at around 4 to take a shower....  From then on, I have been peeling like crazy, and Just when you think  you have reached the end of your ugliness....  it just keeps going .....  I do not feel human today.  I was not expecting all this dead skin to be coming off.  About a quarter of my face has peeled right off.  The other three quarters is in various stages of treatment...mostly crusty skin waiting to shed.  Like I posted earlier, it is very tempting to want to rub a washcloth over my face and just force it off, but I will be patient.  Today is more of the same...mostly hiding out and waiting for the improvement to be seen.

4th day:  I was supposed to go to doctors office today.  No way.  I called to reschedule.  Very supportive staff.  They said that I sounded like I was right on track....but look at me, I will not be seen in public.  Again, last night I got out of bed at around 4 to shower.  Tonight, I will definitely take something to sleep through the night.  I need rest to heal better.  My skin is about half way peeled.  I was told to shower and let the water run over my face for a few minutes to help with the peeling.   I wonder when I will be able to be seen in public.  Tomorrow does not even look promising.   Still hard to say what the results will be.  Skin looks good under peeling, but what will skin do over the next few days/ weeks?

Day 5 after procedure....  This procedure...

Day 5 after procedure....  This procedure took 5 days for me to go out in public, and I am not so excited about that.  am 100% done peeling, and I am off to see my doc, and I am going sans fancy hat and scarf....  Dont think a baseball cap and huge shades will do the trick... but it is what I have.  I will tape a paper bag to my window to try and block out some of the sun as well.  I have not used Acquafor today, nor did I get up in the middle of the night last night to shower.  I feel like I should apply some sun bock, but I will wait to see what doc says.  My skin underneath is pretty blotchy.  I am concerned about that.  I will post what my doc told me tomorrow.

Went to see the doc yesterday.  He was...

Went to see the doc yesterday.  He was extremely supportive and optimistic.  He said he passed over my skin with both the active and deep, and even tried a third pass in problem areas.  The setting was on 3.  He said my skin looked as good as it could at this point. 

I went into see him without any suncreen or acquafor, and I regretted not putting something on.  I wanted him to see my face bare.   My face was beet red, and I was pretty self conscious about it.  Today, my face is a teeny tiny bit less red, and I have noticed a couple of broken capillaries.  My forehead shed last, and it has some broken capillaries as well as my nose.....My guess is that I let my skin dry out too much yesterday.  SO, for advice, I would say that make sure you have purchased a good sunbock and a good post treatment creme.  I am going to go to Sephora today to find these two things. 

I put a bit of acquafor on my face today.  I am posting pics of today.  My skin does look better than it did before procedure, and each day it gets better.  Main improvement I see is the dark spots are gone.  I still have some traces of my acne visible, and I am not sure how much of an improvement there is.  As for wrinkles, it is still hard to tell because my face is still swollen.  My skin is smoother.  Skin does glow, and the ruddiness is gone.  I am blotchy and hope like crazy that it will all even out.  As for my lips....  geez, I just need to get used to them.  They are huge.  I will keep posting....not so much daily... but maybe weekly.

What I am taking away from this experience ...

1.  Be Prepared.  I gotta wonder about the validity of some of these reviews.  People who just write about what a great experience they had.....have to be full of it.  This is not a cake walk.  It was not easy.  It is not a procedure on Friday, back at work on Monday deal.  (Unless you are casted for horror flick).  Take a week out of your life.  You will look hideous for days.  Swollen and Scaly.  I could not even look at my husband or myself for that matter, and my kids were scared they would catch it....On average, by the 5th day after treatment, you can go out in public....semi-comfortably.  Prepare with plenty of food, your meds, and cremes (postop, too).  If you dont have someone to take care of you, you may struggle a bit.  Enlist some help, especially if you have children. 2.  Stay hydrated before, during, and after treatment.  Skin needs water/nourishment. Be sure to rest. No alcohol.  Eat right.   I also took Arnica 3 times a day, and I can't say if it helped or not.

3.  Be patient.  Let the shedding occur naturally.  I took two showers a day.  One in the middle of the night, and one in the middle of the day.  You will feel a bubbling feeling.... and when I could not stand it anymore.... I got into the shower.... Now if I see a lizard shedding its skin, I will relate....Let the water soak not rub face.  When I got out of shower, I patted a wash cloth all over my face, and lots of dead skin just came off.  I did not force any off.  Let it run its course. Slathered on the Acquafor.  I would also recommend silk pillowcases.

So, we will see.  If you would like to email me privately, please do.  I would love to help in any way that I can. 

Today is Day 11.  I went to see my doctor...

Today is Day 11.  I went to see my doctor again.  I stopped using the Acquafor about 5 days ago (per doc's instructions), and my skin really started to dry out.  I have tried a multitude of moisturizers.  I even bought one from the office called Vivete.  I did not like it.  I switched to Aveeno... then Eucerin (the one that "soothes redness").....  Nothing is moisturizing enough.  My skin is very dry/rough to the the point that if I wear cakes...yucky.  The day I stopped using Acquafor, my skin was supple...  Makeup glided on, and I, this was worth it....  I could cover up the redness with some concealer, and I was good to go.  Now, I prefer being without makeup which I really don't like doing.  I wasn't a big makeup wearer before... but,, I would at least like to cover up the dark circles under my eyes and the redness.   My skin is blotchy, too.  The doctor assured me that I was progressing beautifully, and once the redness went away, my skin would be the same uniform color.  I definitely see an improvement in my skin as far as it looking clearer...pore size smaller and darker spots gone.  Acne scars less noticeable...I think (hard to tell since I am stil swollen a bit).  Will probably have procedure done again in 6 months for further improvement.  Not sure about wrinkle reduction either.  The swelling is going down more and more everyday, and until that is complete, I won't know about the wrinkles either....which is the least of my worries.  So, we will see....  will keep posting.

Ready to update again.  Day 24.  Not...

Ready to update again.  Day 24.  Not happy with results.  Since swelling has significantly decreased....  What I once thought was maybe some wrinkle reduction/acne scars improvement, has turned into my skin looked a bit plumper due to swelling.

 I would recommend that  IF you have this procedure done....DO NOT DO FILLERS WITH IT!  I almost got Botox when I was there...and  I would have had no idea what improvements were due to Active FX...

I have my old skin back.  My skin is a blotchy mess. Hyperpigmentation.... hypopigmentation... you name it..Stripes.... I've got it going on.  Remember the TV series "Alien Nation"....  That is what my skin looks like.  I can not be seen without makeup since I have a striped/blotched face.... I have parts that look like a honeycomb mainly around forehead...  Still have dark spots that I had before around eyes

OVer three weeks later... been using hydroquinine cream again...  see no improvement.  This procedure HAS NOT BEEN WORTH IT! Maybe if it cost $100 .... I could see paying for it... You have to think all that shedding got rid of something...  Maybe it would be worth it if in two/three months, my skin has a uniform color...  which I highly doubt.  I am VERY concerned that these problems I have are permanent.

An interesting thing to note...  I remember the doctor going over my skin ONE time.  He tried to go back over it again.....  I could not bear the pain.  He says he went over it two times, and he tried to go over it a third time.   Any doctors listening?  Is it possible he tried to go over skin a third time?

Anyway....  it is your decision... believe the posts with pics over the ones just gloriflying their doctor....  do not throw caution to the wind...this is a serious procedure with serious downtime.  3 weeks and counting... and for the first are not in a good place...definitely not one where you want to be out in public.  DO NOT SCHEDULE anything importance for months after weddings, vacations...etc...

Took pics outside... hoping the camera would pick up the extent of the issues....but it did not.  The redness is muted..  The red streaks, spots  should be darker...and I have dark spots that are not seen.... sorry. 

Photo Update

Antiage Institute- Dr. LeConey

Dr stands behind his work. He will do whatever it takes to make you happy.

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Hi I had active fx done to my face and neck 2011 and I was thrilled with results I am now 56 and had it repeated on Tuesday I started taking an anti biotic two days prior to treatment and will continue for a further 6 days after - precaution against infection. I am at day 3 now and peeling away as explained to me, I rinse my false 5/6 time throughout the day and replenish my skin with Vaseline I am a little itchy and face is red and swollen but this is what was explained to me I am hoping by Saturday I will be able to return to my own daily skincare routine and were makeup to cover up on patchy parts will check back with you on Saturday bye for now Mary.r
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This is a very old post. I've recently had FX CO2 and I believe my face is ruined. The texture is horrible. I'm so scared I'm practically going out of my mind. Can someone respond?
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I would be happy to see you in my office. I have been using CO2 lasers for 20 years as well as Erbium and IPL.Call 281-655-8200 for a complimentary appt.
Joseph Perlman MD FACS
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Hi I hope your face has settled down I'm sure it has and you are delighted with the results. I had my second treatment done on Tuesday of this week the first in nov 2011 which I though was fab I am on 3 today still blotchy, swollen and starting to peel I expect to be totally peeled by Saturday let me know if anybody is freaking out ta
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just read your experience. you posted in 2008 correct? how does it look now? would you recommend this procedure? can you be outdoors and not have negetive results? thanks for you sharing, Zado
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Hi Can you please let me know how the results were months later, even now? I have many pot holes and want to no if Active FX helped these long term? Thanks Kelly
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Hello all, it has been a while since I have posted. I had the procedure done 13 months ago the first time. My doctor was generous enough to do it again (free) about 6 months ago. I think Dr LeCOney is a wonderful doc who will stand by his work. He is all about his patients being happy with the results which is hard to find in cosmetic docs. Sorry for not posting the second procedure. The second's procedures recovery was more of the same, except the downtine was longer. My skin took longer to peel, and I was extremely swollen for days. I would guess that the downtime doubled the second time around. Today my skin shows improvement, but I traded off some issues for others. I still have my hyperpigmentation issues that I had before procedures, and although they have lightened a bit, the problematic areas are also more widespread. I tanned with 85 SPF a bit this summer, and now my face is pretty blotchy with hyperpig marks in areas I did not have before (like around my jawline)... BUT the texture of my skin has definitely improved. My skin is softer, smoother looking. All in all, Active FX did not work for me like it was supposed to, and I believe that my heritage had alot to do with all you Europeans and Asians..... heed the precautions. If you have problems with Hyperpigmentation before this procedure, this is not the procedure for you....
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Seems like you shouldnt be standing out in the sunlight taking pictures!
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do you have a before picture Thanks so much for the detailed info . How do you look now ?
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this is one reason that I don't recommend the procedure in the summertime,because it's difficult to avoid sun exposure,which compromises the result.Also,you will need to use hydroquinone for 3-4 months at a minimum and possibly need 3 or more IPL treatments to improve the overall appearance.
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How are you doing now with your recovery? Was there anything that you found particularly helpful? I have Active FX 23 days ago and am kicking myself. I seem to be following your path with streaks along my cheeks and mottled skin on my face and neck. I've also seen zero improvement----only worsening. I talked with the doctor's office yesterday and they told me that this is normal recovery and that it will go away, but from reading these posts, I'm fearful that they will not go away but may get worse. Does anyone have any words of advice? I didn't go into this believing that I would look 10 years younger (I'm 53), but I never anticipated looking worse.
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I had Active FX in May 2008. The results were awful, just as you are describing. Rest assured it will all go away, or at least back to where you started, but you will probably need several IPLs, and the hydroquinine. My hyperpigmentation was so bad from the Active FX I had to wear a lot of makeup to cover the damage for several months. The doctor was great about providing free IPL treatments, but that doesn't take away all the down time and anxiety that comes with having your face so messed up. Most of the age spots have come back, but my skin does seem to be a little tighter and smoother. I would never do any of these procedures again. I would start the IPL ASAP, and keep your skin moisturized. Mine was so bad, I started using Vaseline once a day. I smoothed it on very lightly, and it made a big improvement over how the makeup would look on my face. Hang in there, it will eventually remedy itself.
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I was wondering if someone could give me some ideas to relieve the pain. I had active fx 3 1/2 days ago and I am so tired of not being able to get some sleep. I am up all the time from the pain. Any suggestions would be great
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Thank you for posting your photos. I was scared my dr tried somethingnew by doing it on my eyelids and so close to under neath. I drove myself and left with my eyes a little bleering. half way home I pulled off the road to have some one come get me. By the end of the day I was blind from my eyes sooo swollen. You did not look swoolen at all. I was a balloon. I was blinded for almost two days. it was terrible. Then as my swelling went down the puss around my eys would hold them shut. By day three I could see. I do not see any photos on line of the level of swolleness i was. I was so scared & felt helpless. I am now on day four and don't think I would ever do this again no matter the results. I sure did alot of praying for my sight back. I thought it was a mistake he wenof him lazering too close to my eyes. whew
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This article is from the U of Michigan Cosmetic Dermatology Center. You may want to research more articles on laser resurfacing by Jeffrey Orringer. Your explanation differs from my doctor's and his research. Laser Resurfacing / Fractionated CO2 Laser Treatment (UltraPulse Encore Total FX/Deep FX/Active FX™ Laser) We are pleased to be able to offer to our patients treatment with a new type of CO2 laser that we believe may change the way sun damaged, scarred, and wrinkled skin is treated for years to come. Combining the safety of fractionated laser therapy with the unparalleled efficacy of CO2 laser treatments, the UltraPulse Encore Total FX ™ (fractionated CO2) laser is revolutionary technology that is certain to help thousands of patients look their very best. With this device, microscopically small but deeply penetrating and highly effective CO2 laser "microbeams" ("Deep FX ™") remove old sun damaged and scarred tissue and stimulate the body to produce new, healthier collagen. In addition, most patients also elect to have the surface of their skin treated with a second laser pass designed to blend color imperfections ("Active FX ™"). The result is a significantly improved appearance of the treated skin with wrinkles and scars substantially diminished and skin color made more uniform. Patients especially appreciate the laser"s ability to safely treat both facial and neck skin, resulting in a very natural outcome. Healing after this treatment is rapid with minimal care required for just a few days and redness of the treated skin generally resolving over the subsequent week. Most patients' appearance will continue to improve for months after this unique laser therapy. Only one or two treatment sessions are generally required to achieve our patients' goals. Because of extensive research done here at the University of Michigan regarding the molecular effects of carbon dioxide (CO2) laser therapy, we are uniquely positioned to maximize the benefits of this treatment for our patients.
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OMG you scare the hell out of me, Im about to do it this 26 dec..
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well,,, did you get it done?
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Can you tell me which doctor did you get this treatment from pls?
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Hi Misb, Doctor information appears above the review. You must be signed in to view; this requires free registration for an account.
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I just wanted to put my two cents in. I had Active FX about a month ago and I have great results that are still evolving. When I went to see my doc before treatment I wanted Total FX and he offers that too because I was convinced I would see greater benefits with that. The doc incidentally helped Lumenis develop the treatment. In any case, he talked me out of Total FX because he said it was too extreme for what I needed and that the downtime would be high and he compared it to old school CO2, and that he could accomplish the same result with two Active FX treatments spaced 4 months apart with a better safety profile. He used an aggressive setting on the Active FX and he stressed that going less intense versus traditional CO2 allows the skin to repair itself more efficiently and more quickly. My doc does lots of Active FX and I went with what he recommended. He believes that patients should come in once a year for a touch-up to repair the yearly damage and that makes sense to me. Hope this helps.
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Did you like your doctor and was it what you thought it would be like? what type of pain did you have? ty
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Hello, just thought I'd put my two cents in. I am a Fraxel laser technician and my office is about to get the Active FX. Sounds to me like you need to go have a little chit chat with the doctor that did this! My office could do a dental block (like at the dentist) for those who jump right off the table because they have such a low tollerance to pain, or we could prescribe valium to relax them; but, I don't think we've ever had to do that. The skin bleaching cream (or any type of retin-a for that matter)should have NOT been used for at least two weeks prior to the treatment! It compromises and irritates your skin (even if you don't itch or turn red, it's happening!) and makes it thinner, therefore not helping in the healing of your skin b/c you've already stripped it of what it needs to be healthy. A day or two is not enough to get it all out of the skin and out of your system either.(Bleaching creams are WONDERFUL don't get me wrong :) ) Then he was injecting you with stuff while he was doing the procedure? Um... never heard of that before in my life, unless it was a dental block which it doesn't sound like to me....I've heard of: numbing cream- absolutely, dental or nerve blocks (Nerve blocks numb nerves on the forehead and temples like the dental block does on the lower face)- sure, it's quite nice actually, anti-inflamatory-maybe if you're very allergy sensitive. It just doesn't sound right. You shouldn't have had to stop mid treatment to take more pain killers at all! I've heard also that the Fraxel even hurts worse than the Active FX, so it shouldn't have been bad enough to take more pain meds. I've had the Fraxel done twice on myself and I didn't find it painful at all, just uncomfortable, so I can't imagine the Active FX being THAT much more painful :/. Maybe for some because of the different pain levels in people. Kind of like some people can do natural childbirth and not even have a drop of sweat and others you might as well put them to sleep because they are in so much pain they panic. (bad comparason, I know, but it's kinda the same thing) From what I understand about the Active FX, you're only supposed to use one or the other all over and the deep and the active heads on problem areas because that IS a double wammy and can be painful and cause skin problems if not done properly. Ex: deep scars on the cheeks could use both, but not lighter, superficial ones or deep crows feet, but again, not superficial. But absolutely NOT three times! Are you kidding me? You've already taken that layer of skin off all the way to the dermis and maybe a bit beyond, so let's fry the muscles now shall we? That is just pure ignorance on his part! Fraxel and Active FX are very similar, Fraxel heats the skin to the point of later dying off, and the Active FX basically incenerates the skin and goes deeper. That's what's supposed to make it so awesome. Like the Fraxel, it goes in little pinpoint dots and only treats 20% of the skin at a time, leaving 80% of healthy tissue around it to help heal the damaged part. (that's where no bleaching creams or retin-a's come into play) The old CO2 lasers would take off all of the skin at once so you might as well have just held a flame thrower to your face for a couple of seconds and saved your money. The down time was rediculously long, but the results were great and in the early 90's they started coming up with the concept of "fractional" CO2 and perfected it finally in the late 90's and 2000. Fraxel is 4 treatments to the Active FX's 1, so yes, Active FX can obviously be rough, but it has way better results in the end. BUT it's also not recommended for darker skin tones... a lot of european skin is very "iffy", you walk that fine line between dark and light, so you need to be really careful!!!! Personally, I don't like to work on european skin because they are so unpredictable when you do serious treatments (peels, lasers, etc.), but how do you know unless you experiment, right? Bleaching creams work great on european skin and chinese skin, whereas my very oily acneic southern po-dunk skin dosn't like them at all. Another thing is that no smart injector is going to give you fillers immediately after (or before) a laser treatment. Our rule here (governed very strictly by our injector specialist that's been doing botox and filler injections for 14+ years) is never do a laser after filler or botox for at least two to three weeks prior, or if you want them after, wait until you are completely healed and add a week. They need time to bind to your muscles and tissues and after a laser, you need to give your body time to heal from the laser so they can bind properly b/c your body could reject it and it would be an even bigger mess! They could just absorb into your body (like it naturally does over time, but within a day or so) or sit on top and make a lumpy mess! I know that's an earful, or eyeful.... whatever, but this could have purely been an innocent mistake on the doctor's part because you have to be very careful on european skin. You almost have to treat it like a black person's skin because it is so unpredictable. BUT at the same time, the doctor should have been able to look at you and know to take special precautions. Understand too that collagen and elastin are stimulated over time so even six months or a year from now the results will be getting much better, I promise!!!!!!! Sorry you had to go through that! I hate it when people call in here or I read about this stuff. It just makes me ill how ignorant people can be!
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Not sure if you still comment on this blog alj. I had TOTAL FX to my entire face 6 weeks ago. I spent $2,850 for the procedure. I had the dental block and valium and felt no pain. I trusted my technician and doctor. I am 57 and have never had acne as an adult or teen. My face keeps breaking out now--also although the peeling is over and I am pretty much back to my normal skin. The skin itself is in constant need of exfoliation to give it a smooth area for foundation. Without exfoliation my skin looks flakey under makeup. Not the result I was hoping for. I take care of my skin and I always have. I use a good cleanser, I use very good moisturizers, etc. Why do I keep having this flakey skin and acne from this procedure? For me it was not worth it.
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Wow, August, and where do YOU practice? Your patients are very lucky to have such a knowledgeable and caring practitioner! I can tell that you are in this industry because you have a true passion for it, and not because you are out to make a quick buck. I feel that this industry needs REGULATING. How do you know how many patients your doctor has treated before, how do you know what type of training your doc has undergone... heck, when docs put botox in you.. how do you even know you are getting botox, and exactly how much is getting diluted? So many docs, etc are in this industry for the money ONLY... and it is real easy to make it because it is unregulated, expensive, and any Jo Schmo can call themselves a "cosmetic surgeon".. not a stab at you.. but, You know what I mean. Again, thanks for your responses. You sound like an awesome RN...
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If you had Deep FX, you didn't have Active FX. Deep FX is old fashion full blast CO2 laser from what my derm explained to me. He told me that I didn't need that, and if I did, my downtime would be VERY long.
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