Which is best for freckles, Co2 laser or advanced laser?

Question

I have freckles on left side face and neck..they appeared when I was 8yrs old.they are light brown in colour.mostly on upper left lip left forehead and under my eyes.

Jason Emer, MD · Answer

A combination approach will give the most improvement with freckles. I recommend lasers (IPL or BBL combined with Fraxel/Halo/Moxi), microneedling with PRP, Cosmelan and TCA peels. The number of sessions needed will vary. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer​

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. I would recommend consulting with a Board Certified Dermatologist to give you the best treatment plan. I hope this helps!

Brian S. Biesman, MD · Answer

People with freckles typically have light skin which is also prone to sun damage.  Laser resurfacing treatment can improve the sun damage but the freckles would eventually be expected to return.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question. Pictures would be helpful.Typically, some type of resurfacing or ablative laser is helpful such as an Erbium YAG Laser or a Co2 Laser.

To be sure, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have these
treatments.

I hope this helps.

Michael H. Gold, MD · Answer

Thanks for your
question and my first recommendation is to have a consultation with a board-certified
dermatologist to see exactly what the freckles you are talking about are. This
needs to be determined first and then we can work with you to determine which
laser out there might work best for you. There are lots of lasers and light
sources and they all can work to make freckles go away. Sometimes an IPL might
work, sometimes a microlaser peel with an erbium laser will work, and at other
times, a fractional laser may be best for you.

Things that will
also be important to know is how much sun damage you have and how fast do you
want them to go away, as some of the procedures will have more downtime than
others --- this is where a skilled laser surgeon comes in to explain all the
options, the risks and benefits, and what can be expected from each procedure.

And remember, one
laser may not treat everything, so check to make sure that the office you are
going to has options – we want the condition to fit the device, not the device
to fit the condition.

Which is best for freckles, Co2 laser or advanced laser?

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