Would I benefit from fractional laser for dark spots and surfacing? (photos)

Fractional lasers will almost always help with texture and pigment issues because it "resets" the top layer of skin. However, there are other less invasive modalities, such as IPL or erbium, that can also help with these concerns. If you have not had success with non-ablative lasers, it would be OK to move to an ablative laser with more downtime to fix these concerns. This ablative procedure will come with more down time and cracking/peeling which may or may not your decision to pursue this.

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. 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