Had CO2 fractional laser 3 years ago, would another round provide meaningful results or should I try something else? (Photo)

Question

37 F Face feminization surgery 10 years ago Fat grafting multiple sessions over 10 years Tretinoin use: for 5 years At home microneedling & chemical peels: for 4 years CO2 SmartXide dot fractional laser: 3 years ago

Kally Papantoniou, MD, FAAD · Answer

CO2 can give meaningful results, but it’s not always a one-and-done treatment. Some people do benefit from another round, especially for texture or deeper lines, but it also comes with downtime so it’s not always the first thing patients want to jump back into.

Other options can help refine things more gradually, so it’s not necessarily CO2 or nothing.

This is one where an in-person evaluation matters. With your history of prior treatments and fat grafting, someone needs to actually assess your skin quality and structure to decide if another CO2 would be worth it or if a different approach would make more sense.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. Helps reduce appearance of Cellulite by helping aid the production of collagen and tightening the skin. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Had CO2 fractional laser 3 years ago, would another round provide meaningful results or should I try something else? (Photo)

Answers (2)

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