CO2 and RF microneedling combined for scars?

Question

I have an appointment booked for CO2 resurfacing on hypertrophic and atrophic surgical incision scars. I read that CO2 can be combined with RF microneedling for good results. My CO2 provider does not offer RF microneedling so I would have to look for another place. Can the treatments be on separate days? If so, how long do I have to wait after CO2 to get RF microneedling? Thanks in advance

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nadir Qazi, DO · Answer

Combining CO2 resurfacing and RF microneedling can indeed offer enhanced results for treating hypertrophic and atrophic surgical incision scars. CO2 resurfacing helps to improve skin texture and stimulate collagen production, while RF microneedling further enhances collagen remodeling and skin tightening through the application of radiofrequency energy.

As for scheduling the treatments, it is possible to have CO2 resurfacing and RF microneedling on separate days. The timing between the two treatments will depend on your skin's healing process and your healthcare provider's recommendation.

In general, here's a guideline to consider:

After CO2 resurfacing, your skin will need time to heal and recover. This usually involves a downtime of about 7 to 10 days, during which your skin might be red, sensitive, and in the process of peeling. It's important to follow your provider's aftercare instructions during this time.

RF microneedling can typically be performed after your skin has fully healed from the CO2 resurfacing. This could be around 4 to 6 weeks after the CO2 treatment, depending on how well your skin has recovered.

By allowing enough time between the CO2 resurfacing and RF microneedling, you're giving your skin the opportunity to heal and achieve optimal results from both treatments. However, the exact timing should be determined in consultation with your new RF microneedling provider. They can evaluate your skin's condition and provide personalized recommendations based on their expertise.

Remember that each person's skin is unique, and the timing between treatments might vary. Prioritize your skin's health and well-being by following the guidance of experienced professionals and adhering to proper aftercare practices. This will help you achieve the best possible outcomes in your journey to improving the appearance of your surgical incision scars.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

CO2 and RF microneedling combined for scars?

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