Erbium, Fraxel, chemical peel or better treatment? What's the best treatment? (photo)

Question

I have a Fraxel appt for face/décolleté but heard Erbium or chemical peel would be a better one-time ablative resurfacing for me. I don't mind cost or downtime just want the best result. I may also combine it with another procedure like submentoplasty, but prefer to avoid general anesthesia. Thank you!

Jason Emer, MD · Answer

Fraxel and/or CO2 are best for resurfacing, but Erbium is a good alternative. I always combine lasers with microneedling/PRP for more robust outcomes. For skin tightening, I recommend a combination of Ultherapy with RF treatments and Sculptra for skin tightening. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

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. 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

David Hansen, MD · Answer

I would recommend a medium TCA peel then 3 weeks later do Morpheus8 for great skin tightening treatment.  It will do so much better than a fraxel laser treatment although both are helpful and better than doing nothing.

Adeline Coleman, MD - Account Suspended · Answer

Fraxel gives great results so you'v got the best option scheduled since you don't mind that you may have some down time.  Chemical peel will be the second option in my opinion.  Erbium is good too however, typically multiple treatments are needed for the best results.  Sound like you are in good hands.  
All the best.

Erbium, Fraxel, chemical peel or better treatment? What's the best treatment? (photo)

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Answer: Erbium, Fraxel, chemical peel or better treatment? What's the best treatment?

Answer: Erbium, Fraxel, chemical peel or better treatment? What's the best treatment?

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Everything you need to know about Chemical Peel

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Erbium, Fraxel, chemical peel or better treatment? What's the best treatment? (photo)

Answers (4)

Answer: Erbium, Fraxel, chemical peel or better treatment? What's the best treatment?

Answer: Erbium, Fraxel, chemical peel or better treatment? What's the best treatment?

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Everything you need to know about Chemical Peel

Our mission is to create a world where every investment in modern beauty is Worth It.