Thanks for the question! Be reassured that this type of response appears to be consistent with what we expect after IPL for capillaries.&nbsp; The energy is absorbed by the vessel and usually darkens or looks bruised for a few days. The vessel has to be injured in this controlled way for the vessel to collapse, heal and then disappear. It usually resolves over 5-10 days.&nbsp; It would be of concern if there were actual skin breakdown,&nbsp;however it does not appear to be that way based on the recent picture.&nbsp;
Consider a check in with your provider to ensure they are aware of your concern, otherwise you will likely have a very nice result.&nbsp;
Health and Happiness!
Dr. Hester

Has IPL made my capillaries worse and will the damage go away? (photo)

Thanks for the great question! &nbsp; ThermiVa results vary based on age, medical history, external or internal laxity and condition of the vaginal tissue.&nbsp; Patients who have mild to moderate laxity and incontinence issues with no other underlying pathology have a very high satisfaction rate after 3 sessions.&nbsp; We find that&nbsp; results generally last 12-18 months, however we encourage an additional treatment anytime starting at 6 months after their last session to maintain results.&nbsp;&nbsp;Peri-menopausal and menopausal women tend to have better overall results with ThermiVa when they are supplemented&nbsp;with bio-identical hormones either systemically or vaginally.&nbsp; Sexual intercourse should not be a factor with maintaining results from ThermiVa.&nbsp; In fact, our patients report a significant enhancement of the sexual&nbsp;experience.
Health and Happiness
Dr. Hester

Will ThermiVa only last one year even if I dont have sex?

ThermiVa

Thank you for the question. It makes sense to allow your skin the chance to heal and complete remodeling prior to a second Mixto&trade; SX Micro Fractional CO2 laser&nbsp; resurfacing treatment. If your treatment was aggressive and you had significant downtime you should consider waiting 6 months. &nbsp;Whereas, traditional CO2 treatments could require weeks of healing or months of social downtime, the Mixto&trade; laser reduces healing time to days and social downtime to a week or so. The healing time you required will depend on the settings and number of passes required for good result. The benefits of your Doctor's ability to customize settings include&nbsp;shrinkage of damaged skin, softening of fine lines and wrinkles, smoothing acne scars, removal of age and sun spots, and new collagen production for up to 6 months. A repeat treatment before 3 months is likely to place unnecessary burden on the skin, as it is actively remodeling for the 6 months following laser treatment.&nbsp;If you had your last Mixto&trade; treatment over 6 months ago, your Doctor can help you determine whether you would benefit from a second treatment or an alternative procedure. &nbsp;It would be safe to repeat Mixto earlier than 6 months, but I would not encourage my patient to do so without allowing adequate time for maximum improvement.
Health and Happiness, Dr. Hester

Is it safe to have the MiXto laser done more than once if I don't like the results?

MiXto Laser

Thank you for the question.&nbsp; Resurfacing lasers have been used to improve the appearance of the skin for many years.&nbsp; Some side effects of the CO2 traditional laser treatments have been reduced by applying the energy to the skin in through newer variable density methods called fractional or micro fractional&nbsp; resurfacing.&nbsp; Mixto&trade; SX Micro Fractional CO2 Laser is an example of a resurfacing machine with this new technology. Whereas, traditional CO2 treatments could requires weeks of healing or months of social downtime, the Mixto&trade; SX Micro Fractional CO2 laser reduces healing time to days and social downtime to a week or so. In experienced hands, it is a proven skin rejuvenation treatment that makes it possible to promote healthy, younger looking skin because we are able to customize the depth, the power level and the density of treatment depending upon the patient’s needs. The healing time you require will depend on the settings and number of passes required for good result, but even aggressive treatments seldom require more that 6-8 days of social downtime. The benefits of customized settings include shrinkage of damaged skin, softening of fine lines and wrinkles, smoothing acne scars, removal of age and sun spots, and new collagen production for up to 6 months. Mixto&trade; remains&nbsp;a popular choice for resurfacing&nbsp; because the treatment delivers more results in a 30-45 minute treatment than many other resurfacing techniques can accomplish in 3-5 treatments. 
 
Health and Happiness, Dr. Hester

I'm a male so I can't use makeup and trying to plan ahead so I don't have to go outside looking horrible.

How long of a downtime should I expect until someone wouldn't notice I had the MiXto CO2 laser done?

Thank you for the question.&nbsp; Resurfacing lasers have been used to improve the appearance of acne scars for many years.&nbsp; Some side effects of the traditional CO2 laser treatments have been reduced by applying the energy to the skin in through newer variable density methods called fractional or micro fractional &nbsp;resurfacing. &nbsp;Mixto&trade; SX Micro Fractional CO2 Laser is an example of a resurfacing machine with this new technology.&nbsp; In experience hands, it is a proven skin rejuvenation treatment that makes it possible to promote healthy, younger looking skin with minimal treatment sessions, rapid healing and thereby less post-treatment down time. A single treatment can show significant improvement in skin texture and color while softening wrinkles. &nbsp;With your skin type, even the new micro fractional lasers could cause some hyperpigmentation as the darker cells (melanin) is recruited to the skin layers heated by the laser. Due to the fact that CO2 reaches the shallow layers, reduced power settings could still stimulate pigmentation in your skin and would surely decrease the intended effect on the acne scars. &nbsp;The best method of resurfacing for your skin type will be use of a technique that delivers less heat near the surface and more heat at the deeper levels of collagen production.&nbsp; You may want to discuss the use of deep micro fractional radiofrequency device such as Fractora&trade; with your Doctor. Some of these can be effective at reaching the layers important for skin remodeling and sparing the levels that stimulate pigmentation. Unlike the Mixto&trade; CO2&nbsp; fractional&nbsp; laser that delivers results in a single 40-minute treatment , the microfractional radiofrequency &nbsp;technique might&nbsp;require several sessions. The good news is that there is virtually no social down time following a&nbsp;&nbsp;Fractora treatment, so it is easy to schedule and&nbsp;maintain your result. 
 
Health and Happiness, Dr. Hester

I'm a Filipina woman with deep <a href="/Acne-scars/info">acne scars</a>. A <a href="/Dermatologist/info">dermatologist</a> recommended a light Fractional CO2. I was told new CO2s are safer. I was classified as Type 4 and I'm afraid of <a href="/Hyperpigmentation/info">hyperpigmentation</a>. What can I expect from Fractional CO2 treatments?

Fractional Co2 Laser for Acne Scars on Asian Skin?

Fractional Laser

BodyTite

Botox

Dermal Fillers

Juvederm

Paul L. Hester, MD

Be Medispa

Chasity Hester, PA-C

Restylane Silk

ThermiSmooth Face

TCA Peel

Skin Tightening

Skin Rejuvenation

Sculptra

Salicylic Peel

Retin-A

ThermiTight

Restylane Refyne

Restylane Lyft

Restylane Defyne

Restylane

Radiesse

Photodynamic Therapy

Lip Fillers

Neocutis

Vollure

AccuTite

Votiva

Scar Removal

Microneedling RF

Nonsurgical Neck Lift

Xeomin

Voluma

Volbella

Vivace

VI Peel

Hyaluronidase

Hand Rejuvenation

Facial

Dysport

Collagen Injection

CO2 Laser

Chemical Peel

Belotero

LED Light Therapy

Nonsurgical Nose Job

Nonsurgical Facelift

Microneedling

Microdermabrasion

Microblading

Liquid Facelift

Lightsheer Laser

Latisse

Laser Resurfacing

Laser Hair Removal

Kybella

Jessner Peel

Atlanta

Robert Colgrove, Jr., MD

ARTAS Robotic Hair Transplant

Breast Implants

Breast Augmentation

Breast Implant Revision

Breast Lift with Implants

Mentor Breast Implants

Abdominal Etching

Adam's Apple Reduction

African American Rhinoplasty

Areola Reduction Surgery

Arm Lift

Asclera

Asian Rhinoplasty

Bellafill

Belly Button Surgery

Biocorneum

Body Lift

Brazilian Butt Lift

Brazilian Butt Lift Revision

Breast Fat Transfer

Breast Implant Removal

Breast Lift

Breast Reduction

Brow Lift

Buccal Fat Removal

Butt Augmentation

Butt Lift

Cheek Augmentation

Cheek Lift

Chin Implant

Chin Liposuction

Clitoral Hood Reduction

Daxxify

DefenAge

Dermabrasion

Dermaplaning

Diastasis Recti Repair

Double Eyelid Surgery

Drainless Tummy Tuck

Ear Surgery

Earlobe Repair

eMatrix

Eyebrow Transplant

Eyelid Surgery

Facelift

Facelift Revision

Facial Fat Transfer

Feminizing Top Surgery

FUE Hair Transplant

Genioplasty

Gynecomastia Surgery

Hair Loss Treatment

Hair Transplant

Ideal Implant

Inspira Breast Implants

Jeuveau

Labia Puffing

Labiaplasty

Lip Lift

Lip Reduction

Lip Surgery

Lipoma Removal

Liposuction

Liposuction Revision

Lower Facelift

MACS Facelift

Male Tummy Tuck

Mini Facelift

Mini Tummy Tuck

Mole Removal

Mommy Makeover

Monsplasty

Natrelle Breast Implants

Neck Lift

Nipple Surgery

Panniculectomy

critical risk

Miami

Max Polo, MD

AlloDerm

Body-Jet Liposuction

Breast Reconstruction

Breast Reconstruction Revision

Breast Reconstruction with Latissimus Flap

Butt Implants

Calf Implant

Cellfina

Deep Plane Facelift

Facial Reconstructive Surgery

Forehead Reduction

Glycolic Peel

Jaw Reduction

Lifestyle Lift

Lip Implants

Lipodissolve

Liposculpture

Masculinizing Top Surgery

Mesotherapy

Morpheus8

NeoGraft

Pec Implants

Power-Assisted Liposuction (PAL)

PRP for Hair Loss

San Antonio

Gary Lawton, MD, FACS

Mastectomy

Ptosis Surgery

Subcision

Thigh Lift

Tumescent Liposuction

Tummy Tuck

Tummy Tuck Revision

El Paso

S. Ozan Sozer, MD

Rhinoplasty

Revision Rhinoplasty

ActiveFX

Agnes RF

CoolSculpting

Cosmelan

DeepFX

Fraxel Laser

Fraxel Repair

Laser Liposuction

Laser Peel

MiraDry

Sclerotherapy

Septoplasty