Fraxel Repair or Mixto CO2 for Smoker's Lip Lines?

Profractional erbium laser is much better as it creates focused ablation channels in your skin without extensive heat damage and coagulation thus recovery is dramatically reduced and effects are maximized by treating all the way through all of your skin into the subcutaneous tissue on 6-12% of your face.  There is a robust collagen response and modest skin tightening with very little redness.  The laser is made by Sciton, the best manufacturer of lasers and is very expensive so it is a less common find but it is the choice of elite plastic surgeons for many reasons.  I hope this helps!  

 

All the best,

 

Rian A. Maercks M.D.

While the use of a laser like Fraxel or Mixto are good if used on a person's face in its entirety, use of it for a selected area will most likely result in a disaster.
The reason for this is that it will probably change the color of the area compared to the rest of the face, so you now will have a clown-like whitish area around your mouth rather than the smoker's lines. Are you seeing the problem yet?
If your surgeon hasn't told you this yet, then you need to find a different surgeon - one who is proficient in fillers and doesn't use the excuse that you have an overbite in order to steer you to more lucrative procedures.
Good luck.

Hi there-
While I personally prefer one of the lasers you mention over the other, because I don't think the preference has anything to do with the outcome you could expect from either (provided the procedure were performed by a well-qualified and Board Certified Dermatologist or Plastic Surgeon), I don't think it matters.
Both are fractional carbon dioxide lasers and both, in the right hands, are capable of achieving a pleasing improvement in the texture of the skin.
In other words, you should understand that the person holding the instrument is infinitely and undoubtedly more important to your safety and your outcome than which machine he or she prefers.
It's really not unlike any other human endeavor which requires a lot of study and application over time- what's between the ears of the person doing this on you is a lot more important than what's in their hand. As long as you choose a well-qualified and experienced provider, you should be able to achieve equally good results with either laser.
This also brings up another issue- please be careful that the costs are not lower because you are compromising on the skill of your provider. Cut rate prices can sometimes (but not always) indicate a lack of experience, training, credentialing, etc...
Please be careful.