ThermiSmooth vs Fraxel laser for under eye laxity?

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

Fraxel is great for under the eyes, but keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

At our practice we love using ThermiSmooth for the under eye area. It is a great option for people who do not desire injectables and does not cause any discomfort. ThermiSmooth gently warms the skin to stimulate collagen production. In the months following the ThermiSmooth treatment, the existing collagen continues to tighten and new collagen is formed; so the results get even better with time! 

Without properly assessing the degree of under eye laxity, I can only suggest thermismooth for mild to moderate skin laxity and would also combine treatments based on the severity.  Also, vs laser treatments, the thermismooth requires no downtime and is gentle and non-invasive compared to laser treatments.