Is it okay to take anti viral medication for cold sores after facial laser resurfacing?

Question

I am day 3 of Erbium YAG laser resurfacing. When i arrived at the clinic they asked me if I had taken any anti viral medication (i have a history of cold sores after needles around my mouth) and I was not aware i had to take it for laser. only for needles. I am now concerned that I may break out in cold sores and want to know if i should go to my doctor and get a prescription?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. It is common practice to take antiviral medication for a few days before and a few days after laser resurfacing near the mouth. It is not mandatory though. At this point, it is less important. Speak with your doctor for best advice.Good luck,

Robert G. Aycock, MD, FACS · Answer

Day 3-4 is usually the time when patients would show symptoms of any cold sores or infection after an erbium laser treatment. If you experience any tingling around the lips then you should probably start the anti-viral medication.

Annika Crosby, MD · Answer

Hello! In our clinic, we advise patients to an anti viral medication before their laser treatment.  If you are still in the midst of healing, you could call your provider for a prescription.  Best of Luck!

Louis W. Apostolakis, MD · Answer

Hello,It is standard for all patients to take Valtrex or a similar anti herpes medication as part of laser resurfacing.  It is best to start the medication before the resurfacing.  How far before is a debatable issue.  I have my patients start the morning of the procedure if they are not known to get cold sores or a few days before if they have regular outbreaks.  The duration of the treatment will depend on the intensity of the laser treatment.  Simply knowing that it is an Er:Yag treatment isn't enough info as the power levels could range from only a couple days recovery to several months.  If you had a very light treatment and are nearly healed, it may not serve much benefit to start now.  But if you are still in the midst of healing, I would definitely recommend starting immediately.Best Regards,Dr. A

Davin Lim, MBBS, FACD - Account Suspended · Answer

Follow up from the Specialist is mandatory. If you have any concerns, speak to your Specialist. We all have our own protocols regarding HSV and prophylaxis. Dr Davin S. Lim. Brisbane. Australia.

Is it okay to take anti viral medication for cold sores after facial laser resurfacing?

Answers (5)

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