Jeffrey R. Raval, MD, FACS, MBA

We often recommend a combination of laser treatments to help patients get the best results possible. You might look into a combination of IPL, ProFractional and Microlaser a peel for texture issues. And, filler for the deeper lines is a good idea as well.

Although your crow's feet do seem very mild, ProFractional Laser Treatments might be something to try out. ProFractional treatments can significantly improve overall skin tone and texture by reducing the appearance of lines, wrinkles, scars, and other imperfections. ProFractional is different in that the laser delivers thousands of micro-beams, but only to a fraction of the skin within the treatment area. That triggers the unaffected surrounding cells to produce new collagen which helps produce smoother, younger-looking skin.

If you are trying to find a permanent. or semi permanent solution to hair between the eyebrows, laser hair removal is worth trying. Lasers are beneficial for eliminating undesirable hair from the bikini line, underarm, arm, leg, face, and other places. Benefits Include: - Lasers are precise and can aim right for the dark-coarse hairs while the surrounding skin area remains unharmed. - They are faster. Each beat of the laser requires only a mini-second and is able to eradicate multiple hairs simultaneously. - The laser can deal with areas roughly small to medium sized areas every second. - The majority of patients, at least 90%, have long-term hair loss within several sessions. - Skin color and complexion can appear more even. - Only a small amount of discomfort. - Laser treatments are a perfect replacement for bleaching, shaving, and electrolysis. - Little, if any, time is required for recovery.

If you have done well with Fraxel, you might want to try again with lasers. At my practice, we offer a TriplePeel, which consists of IPL + Profractional + MicroLaser Peel. Look for a provider who can work with different types of lasers that can approach different types of skin concerns in different ways. The IPL - or Intense Pulsed Light - works well with brown spots and discoloration, for example, while the profractional tends to wound the skin at a deeper level, stimulating the collagen and elastin production that can help with pore size concerns and wrinkles; texture issues.

Hello and thank you for your question. It's understandable to be concerned about alar scaring as it is a delicate area for operation. If the procedure is not executed perfectly, there will be scars. Once healed, though, it is possible to have revision treatment to diminish the appearance of the scars. I would recommend speaking with your surgeon about his/her experience performing the specific surgery you're considering and then discuss options for scar revision if it becomes necessary.

Hi there - thanks for your question! If you are unhappy with the dark circles and hollowness under your eyes, exploring dermal fillers is a great option for you. There's no need to wait if you don't want to. Keep in mind, though, that dermal fillers are not a permanent solution and you'll need to return to your doctor's office every few months to maintain your new look.

Hello and thank you for your question! To answer simply, DOT is a laser resurfacing technique that can be more precisely targeting than microneedling, which tends to address more broad areas. There is also the difference in using light (DOT) or needles so it's possible that your skin reacted to the light in some way. It is best to consult a doctor, in person, who is experienced with both procedures. This will ensure that he/she can examine your individual skin type and help you choose the most suitable method.

Hello and thank you for your question! While it is best to see a licensed dermatologist when you are considering any facial treatment, I can understand your desire to make changes, especially when you cannot see a doctor right now. However, I must caution you not to use any type of microneedling pen on active acne as that will spread bacteria around your face and worsen your problem. To achieve the greatest results is is best to wait until you can see a professional.

It certainly is possible to reduce the appearance of folliculitis scars with laser resurfacing. Of course, it's difficult to give you a definitive answer (also as to the type of laser) without a medical examination, but laser resurfacing is often used to reduce the appearance of scars. It works by stimulating new collagen growth around the treated area. Regarding recovery time, it can be anywhere from 3-10 days and you're correct - the area of concern for you may produce a more unique recovery. 

Your frustration is understandable! There is good news - you can address chronic folliculitis with laser hair removal treatments. It works by destroying the follicle and is a relatively painless procedure (likened to a rubber band snap on the skin). It will take multiple sessions as the hair grows in varying stages and we'll want to be sure and get all of them!