CO2 Laser

I decided to get my face treated for acne...

I decided to get my face treated for acne scarring, pore size and fine lines. I am only 29 but I have always had problem oily skin. At my PS office the esthetician started me on Obagi Nuderm which has helped tremendously with the breakouts. I am looking for a improvement around my eyes and forehead as well as the pore size and acne scars on my cheeks.

The procedure wasn't so bad. It was a little bit...

The procedure wasn't so bad. It was a little bit more painful than I had anticipated but tolerable and well worth it. I can already see an improvement in my fine lines. I won't be able to tell for sure until all of the swelling has resolved, but I can already see a difference.

After the procedure my face was slathered with Aquaphor. The home going instructions included water and vinegar soaks followed by applications of Aquaphor a few times daily. The skin has to be kept moist until the small laser marks are gone. It's a bit of a pain to have this on my face but hopefully by Monday I should be using other products. The office includes a kit of 6 products from the Avene product line for after procedure use. I love this line of products, the moisturizer is soothing and doesn't make my skin oily or breakout. I had a follow up appointment today with the medical esthetician (she is awesome) who said it looks like it's healing well!
I will post pics of the first night, there was quite a bit of oozing and I had to do the vinegar treatment 3x within the first 6 hours of being home. The next morning my face was more red, like a sunburn and by evening the redness was not as bright.

So the results of my procedure have turned out...

So the results of my procedure have turned out well. I haven't posted pics since I lost my camera charger (hoping Santa brings me a new one). Anyway, I did have hyper pigmentation on the upper left area of my forehead and 3 very distinct lines on my left chin. Several people had actually asked me if I scratched myself. The discoloration on my forehead was a brown color and the three marks on my chin were red. The rest of my face was not discolored. I was very worried about the healing process at this point since it was in mid November. Approximately one and a half months since the procedure. I went back for a follow up and Dr. Goldman scheduled me for a free Hydrofacial. I would compare this to wet micro-dermabrasion where they can add glycolic acid. I believe the aesthetician used 15% glycolic on my face and she recommended 1% Retin-A from Obagi. My skin since the stronger Obagi (started in mid November) has been breaking out consistently. They say this is normal, but it's incredibly annoying. My skin is also oilier and has more dry patches with the Retin-A. I never know if I should moisturize or apply something for acne?
Overall, my skin has improved a little bit. My husband said he thought my skin looked smoother. One week a few people even commented on how young I looked :) I have pics from a recent vacation we took to give you an idea of what my skin looks like from about 4-5 feet away. When Santa brings me my camera I will put up more pictures. If anyone has any questions about the process, please feel free to email/message me!


So it has been a few months and my skin is worse...

So it has been a few months and my skin is worse off than before I had the laser done. The laser indentations are still prevelant on my cheeks and forehead. I have to use foundation primer now. The Obagi Nuderm still makes me break out badly. I don't think it's the right product for my face. I am a very optimistic person and was hoping this would be the cure to some of my skin issues. In the begining I thought it was changing the texture of my skin. As it turns out, the laser marks have made the skin texture worse. I now have milia all over my cheeks. This is something that is considered 'normal' after a laser treatment. I have no idea how to get rid of them. You can clearly see them in the picture I just posted. In addition to all of this, the PS said there were some options if I am still having problems there were other things we could do. One of those things would be to re-laser the problem areas. He never gave me a time line or any follow up instructions on this. It's getting frusterating, especially after spending this much money on one treatment. Looking back I would've done better with a high percentage glycolic acid peel series like I have had in the past.

Dr. Goldman is awesome, not really sure how else...

Dr. Goldman is awesome, not really sure how else to put it. If you have read the above posts you know that I was not happy with the results and felt like my skin became worse from the laser. Well, Dr. Goldman did another laser session at a lower setting to even the indentations that were left and the pigmentation issues. I am keeping my fingers crossed this time. I was REALLY heistant to do this again, but I trust my PS. He is conservative in his procedures and honest. I don't think he would do this if he thought there was a chance of a bad result. I will "decide" if it's worth it after I see the results probably in like 1-2 months. But honestly, if anyone is in the CLE area and wants to see a PS that truly cares about his patients get a consult from Dr. Goldman.... He is the best :)

I forgot to mention. I went to see Natalie at Dr....

I forgot to mention. I went to see Natalie at Dr. Goldman's office and she added the Obagi Vitamin C serum to my regimen and some other Obagi products. It stopped my breakouts with in 3 days and kept my skin regular. I still have the redness and pigmentation issues but that is something I have always had. This was back in February and should've posted then but forgot....

The size of the pores on my upper cheeks have...

The size of the pores on my upper cheeks have gotten smaller. :) My face is red still but I am hoping that will resolve soon. Overall, my skin is clearer. I have had less breakouts with this session and my skin is slightly clearer. I am not sure if that is because my skin care regimen or the laser. I have small indentations (again) on my cheeks but not all over my face this time. I know from the last session that they will take months to resolve. Anyway, I am not sure if it was worth it for me personally. Will update as I heal!

Cleveland Plastic Surgeon

4 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
4 out of 5 stars Wait times
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Comments (16)

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hi k77 hows your healing coming along? I was wondering when you said you had little indentions did you mean little holes in your face and if so did they heal after the 2nd laser treatment because I had 1 co2 done and am left with alot of little holes
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Hi Missmyoldface, I still have small ridges in my skin from the laser. They are predominantly on my upper cheeks. My acne scarring became worse after the second treatment. I had a breakout while using Aquaphor and when the acne went away there were three large scars. I didn't pick at them, so I have no idea what happened. Overall, I would not recommend this treatment to people who have oily/sensitive skin. I have been using chemical peels and went to a different dermatologist who took me off all Obagi products and put me on topical clindamycin. Since switching, my skin has cleared up beautifully from the acne but now the marks and scars are visible from the laser treatment.
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hi k77 I also had larger pores and redness after the laser my doc said I should have another one done Im afraid it will only get worse and wonder how yours has turned out?
  • Reply
Benzac W (Benzoyl peroxide) is an antibacterial medicine which is often prescribed for treatment of acne. The medicine shows a mild drying effect and it effectively reduces excess oils and dirt from the skin, which helps in reducing the problem of acne.

VISIT THIS WEBSITE FOR MORE INFORMATION https://www.rx247.net/Benzac-W.html
  • Reply
Hi K77,

I have much worse acne scars than you do -- imo, but we're always our own worst critics -- and problems with oily skin. Have you tried spironolactone? I finally broke down and went back to a dermatologist after years of feeling left high and dry by former derms. He prescribed spiro, which I had been on before. I felt like I had taken most everything so I'd give this another shot. He originally prescribed 50 mg, but I upped it to 100 mg myself. After feeling remarkably different, I asked if he could prescribe the 100 mg. He did. Although spiro is a blood pressure medicine, it works in removing excess testosterone. My face doesn't break out now unless I'm stressed or it's time for my cycle, but even then, it's not ANYTHING like it was. And the oil production RADICALLY decreased.

Thanks for sharing your story! I hope my story will help you, as well. :)
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I too was prescribed aldactone. It has worked wonders for me as I have had only one minor blemish in nine months. Previously I had at least one major one a month! It has been a miracle drug for me!
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Hi RenataSP

Yes, I am just over 8 weeks out from full face laser resurfacing and it was pretty traumatic. I still have 2 linear red marks on the left side of my face near my mouth where several passes were completed to eradicate some lines. However, the redness has improved tremendously on my forehead and cheeks, as I am able to finally feel like I can go out without using redness remedy & coverup.

I have excellent results under my eyes and the texture of my skin is so improved. I had to stop Renova as that was worsening the redness and I have learned it really matters what skin care you use after this procedure. Because basically, this is all new skin. Moisture, moisture, moisture is the key. I am using emu oil at night 2-3X/wk also.

Laser just requires a lot of recovery time depending on the depth of the treatment. Hang in there!
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Hi Rhonda! I saw your posts earlier this week. It's been some months since you had the procedure, if I'm not mistaken?
Do you still have redness? Did you experience red 'stripes' through your skin? :/
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Hi girls,
So sorry to hear that you are having issues, because I thought your pictures with makeup looked wonderful.

I wanted to share my skincare regimen that I think has made a world of difference with my post procedure results. I am using a pharmacist-developed system called SimplySkinRx which includes:
1. a very mild foaming Cleanser (not abrasive at all)
2. followed with "Restore" which is a clear serum type product with peptides and hyaluronate which encourages tightness and boosts moisture
3. Prime day lotion-packed with antioxidants & retinol
4. Refine night lotion- glycolic acid

Learn more at http://www.simplyskinrx.com/Default.asp

Love this system! Added EltaMD sunscreen with bare minerals makeup and slowly but surely, my redness is improving.

Hope this helps,
Rhonda
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Hi H77

Doctor said it will heal by itself (everything from hyperpigmentation to the "scratches").

I started to use a gentle glycolic acid soap (Dermadoctor Wrinkle Revenge) and Biomedic (La Roche-Posay). I find these are more gentle to my skin than 0,5% retinoic acid, so my skin doesn't react to them causing more bad than good. These peel very gently so I can use everyday. I'm not ready for anything stronger than that - it's been only a month since the procedure and I'm trying to be pacient and confident. (I'm not sure how well I'm doing that)

I had the procedure in Sao Paulo , Brasil, and I was not told I could have these hyperpigmentation and indentations. I'm not happy about it...

Let's hope for the best. :/

Thank you for the update!
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Hi RenataSP,

I just posted another update with pictures above. Which product with glycolic acid are you using. I need that for my regimen instead of what I have been using. I still have the indentations from the laser and the scratches on my chin. I have been trying to be optimistic about the whole thing, but I am really disappointed. My skin looks worse than it did before. :(

Where did you go for your treatment? Did you have a good experience? Did they tell you anything about a follow up appointment or if they need to re-laser? I am at my wits end with this mess. I don't mean to be a downer, just really frusterated at this point.

I would love to see your pics! :)
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Hi K77
I had the procedure 23 days ago and I have the same marks, like scratches and a lot of 'squares'. :O
I was so worried, but it seems it can happen.
I'm starting today Glycolic Acid and Retin-A. Can you tell how well this treatment is working for you?

And let me tell you the detailed description of your experience is SO helpful I intend to do one myself when I'm better so I can tell everything to others and be helpful too.
Thank you very much!
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Hi Rhonda,

I posted a small review above. Let me know if you have any other questions!
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Thanks K77, for not only posting great pictures, but also updating the community. People often forget to update us on how things turned out and that seems to be what everyone wants to know.

Thanks so much,

-Britt

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Hi K77,
Would love to see your results at this point. I am 24 days post op and still red. How are you now? Thanks for sharing your story & pics.
Rhonda
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HI K77, 

We are on the edge of our seats with how everything turned out. I know you gave it a "worth it" review but how did you face end up looking? You are, as you said, very red in the pictures. Great info about aftercare, which often times I think is forgotten.

Thanks,

-Britt 

  • Reply