CO2 laser under eyes for milia, bumps, fine wrinkles and dryness of skin

Question

Hi I am considering having CO2 Lazer under my eyelids because I am only 27 and have quite a few milia bumps fine lines and i've noticed recently more dry patches of skin almost like plaques of dryness. It's very concerning to me because this is my eye area. I tend to wash this area quite often well in the shower and when i wash my face and right after i see the dryness of the skin and the milia and lines i put a small amount of vaseline but it never goes away and lately ive noticed it looks wors

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

co2 and plasma pen are great for the under eyes, you need to start skincare and peels and dermarolling now (see link).

I suggest following up with your doctor or a cosmetic dermatologist for a formal evaluation and after care recommendations. I recommend skin care with vitamin c, b5 hydrator, silicone-based scar gels with growth factors, and enzymatic washes with papaya enzyme to give improvement. 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 fractional lasers such as Clear and Brilliant, Fraxel, Moxi, or Halo, microneedling/PRP, and radiofrequency treatments. Best, Dr. Emer​

Davin Lim, MBBS, FACD - Account Suspended · Answer

See a beautician or aesthetician for milia. Simple solutions that don't require CO2 laser. In fact aggressive CO2 lasers increase the incidence of milia. You can consider small beam NA lasers including diode or thulium 1927. 
All the best, Davin Lim
Dermatologist 
Brisbane, Australia.

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CO2 laser under eyes for milia, bumps, fine wrinkles and dryness of skin

Answers (3)

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