Is it reasonable to continue trying lasers if I've previously responded poorly?

Question

I've had a couple different series of lasers at different points and the results have been non existent at best. ScarFX laser gave me a massive greenish scab. Fraxel and VBeam together made my scar cracked, red and raised. (This was potentially because of being instructed "no aftercare"). At this point, should I just give up on lasers altogether or could resurfacing a scar still be a possibility if I find the right laser?

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is the gold standard for deeply red or pinkish hyperemia on the skin from skin trauma or surgery. We use this laser quite often to improve redness in combination with Plato’s Scar Serum twice daily. Options for red scars include scar modulation, intralesional injections to reduce inflammation, vbeam laser, and IPL treatment. Many sessions are required which is why you should schedule with a trained clinician familiar with scar treatment and Vbeam pulsed dye laser.

Best,
Dr. Karamanoukian

Best, 
Dr. Karamanoukian

Jason Emer, MD · Answer

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer.

Is it reasonable to continue trying lasers if I've previously responded poorly?

Answers (2)

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