Why did the wrinkles on my upper lip go away at the 3 week mark of CO2 laser resurfacing and reappear at 6 weeks?

Question

I did co2 laser resurfacing 8 weeks and the wrinkles on my upper lip have come back. Initial around 3 weeks they were gone and notice them coming back around 6 weeks. The whole reason I went through this terrifying process was for my upper lip. Any other treatments for that area ? And is this it or will they go away over time ?

Timothy R. Miller, MD · Answer

Commonly, the re-appearance could be from the resolution of swelling (edema). However, with a good CO2 laser treatment you will continue to "build collagen" beyond this time point and may see more improvement in the wrinkle.The attached link provides more information.I hope this helps.

Payman Kosari, MD, FAAD · Answer

Swelling is common with laser treatments and can vary in length of time it is present depending on type and extent of treatment.  Sounds to me like some of the initial swelling was obscuring the lines which gave the appearance that they had resolved.  Once the swelling began to resolve, the lip lines became apparent again but hopefully better then they were at baseline.  Regardless, collagen remodeling continues to occur up to 3 months after your treatment so I would give it time.  If you have concerns, discuss this with the doctor who performed your procedure to alleviate some of your uncertainties.  Best of luck!

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. It can take 6-12 weeks for laser results to settle. I recommend following up with a cosmetic dermatologist for after care and skin care recommendations.Sun protection is essential. Lasers like Co2 work best in combination with other treatments in order to improve the skin's texture and collagen. After Co2, I recommend adding fraxel lasers, microneedling/prp and radiofrequency treatments. See an expert. Best, Dr. Emer

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question nsana13. Fractional
CO2 laser resurfacing is an outstanding treatment that can address multiple
aspects of aging in a single treatment. The treatment stimulates collagen production to improve wrinkles and fine lines. Collagen takes time to grow and results from this are seen 3-6 months after the treatment. Patience is important. Swelling also occurs for the first few weeks after a treatment. The swelling brings water into the skin which can temporarily lead to improvement in the appearance of wrinkles. Once the swelling resolves the appearance typically goes back to baseline until somewhere in the 3-6 month range when full results are seen. Please
consult with a doctor for specific recommendations. Good luck!

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Why did the wrinkles on my upper lip go away at the 3 week mark of CO2 laser resurfacing and reappear at 6 weeks?

Answers (4)

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