I am unsure what route to go down whether to have a Chemical peel, Microdermabrasion or laser treatment. Here is my self assessment of my skin: I have light acne scarring, some discoloration, redness around nose and a little on cheeks, and pores could be made smaller. Which among the mentioned treatments will work best on my problems? Thanks in advance!
How to Choose Between Chemical Peels, Microdermabrasion and Laser?
Doctor Answers 12
You probably need all three: Laser, Chemical Peels, and Microdermabrasions
For acne scarred and discolored skin, you probably need a variety of treatments to get the best results. Lasers help with the scarring while chemical peels do better for discolorations. Microdermabrasions do good to maintain your complexion once you get it cleared up and the way you like it. Fraxel laser $1000 each; light chem peels $250 each; Microdermabrasions $100 each.
How to Decide Between Chemical Peel, Laser or Microdermabrasion
You should do either a medium depth chemical peel (35%TCA) or Erbium Laser Resurfacing. I am assuming you are a pure caucasian. Do it in winter when sun is not out much and practice strict sun protection
After you recover, start Sculptra injections on the face in the areas of acne scarring.
Microdermabrasion vs Peels vs Lasers
Each of these modalities have a role and it depends on several factors which is best for you. First you must be seen by an experienced physician who will evacuate your skin - the amount of sun damage, pore size, depth of acne scarring, skin texture and color, wrinkles, furrows, smoking habits, sun exposure, etc. He/she should discuss with you your goals and expectations and then advise a treatment plan based on all of this. (Certainly a medical history is mandatory as well). Although a series of microdermabrasions may improve your skin, it is likely that you may want or eventually do something more intense such as peels or laser treatments. Again, you must discuss the pros and cons of each of these with your physician. Do not be afraid to ask what their laser experience is, see pictures and possible talk with patients that have had the proposed procedures done. The Fraxel laser (both re:Store and re:Pair) are very good for your problems with the re:Pair better for acne scarring. So, sometimes the end result is the same but it may take longer to get there with certain treatments or cost more. Regardless, you must also be seen by a medical aesthetician to establish a skin care program which will help to maintain whatever you achieve.
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Peels versus Microdermabrasion Versus Laser
Consultation Needed to Tailor Specific Treatments
Clients with the following conditions should be referred to a medical aesthetician:
- Hyperpigmentation and irregular pigmentation, age spots
- Acne and its complications – e.g. scarring, hyperpigmentation, and large pores
- Rhytides (Wrinkles) treatment
- Patients with medical conditions such as Diabetes, Exzema, history of cold sore, shingles, psoriasis, rosacea, or steroid use
- Scar Management
- Previous chemical peel or laser treatment
- Severe sun damage (actinic changes of the skin)
- Plateau of results by conventional spa services requiring more aggressive medical based protocols
- Patients with a history of Skin Cancer or pre-cancers ( e.g. Actinic Keratosis, pigmented sores, or scaling lesions)
Which problem bothers you the most is the first question?
Laser is a two step process, you can go thru either full laser ablation, or fractional, and it will improve your acne scars, and discoulouration, but you will need something like a vascular laser or IPL for redness. Laser can improve your pore size.
Choosing a correct treatment for your particular problem is the way to go, not the other way around.
DR Davin Lim
Chemical peels, microdermabrasion or laser
Do yourself a favor and don't try to choose the treatment modality. Instead, make your effort be one of choosing a physican who listens to you and who is experienced in these various modalities, all of which may be effective in certain situations. good luck!
Have you considered other options first?
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Peels, Lasers, dermabrasion
Whether you choose a peel, a laser treatment or dermabrasion is a choice you make with your doctor. All can give you the same results. I personally think that the laser treatments can be more precise.
Peels versus Dermabrasion versus Laser
It all really depends on what is best for you skin. Based on your description, it sounds like you would benefit greatly from laser. However, without seeing you in person, it is hard to tell for sure. If you are looking for a mild change over time, then chemical peels may be better. If you want immediate and effective treatment and have time for recovery, then laser may be best. Good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.