Can CO2 Laser help lower the crease and lessen eyelid surgery scar? (photos)

Question

It's been a month since my double eyelid revision. The creases are too high and deep making me look half asleep and unnatural. Doctor said the crease will lower overtime but it hasn't changed. He suggested laser genesis treatment to speed up healing, but I'm confused. Laser resurfacing CO2 is for wrinkles and eye bags, not my concerns. Will CO2 treatment help lower the crease and lessen the scar? How will it speed up healing? This is a revision with the same doctor.

Raffy Karamanoukian, MD, FACS · Answer

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

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nadir Qazi, DO · Answer

CO2 laser resurfacing can indeed offer benefits beyond treating wrinkles and eye bags. It can aid in scar remodeling and collagen production, potentially leading to improved texture and scar appearance over time. While CO2 laser treatment might not directly lower the crease, it could contribute to overall skin rejuvenation and scar healing. However, it's important to have an open discussion with your doctor about the specific goals and expected outcomes.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Can CO2 Laser help lower the crease and lessen eyelid surgery scar? (photos)

Answers (3)

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