Can fully ablative CO2 laser cause textured skin and fine lines? (Photos)

Question

The photos are before and after I was convinced to do a CO2 laser by a facial plastic surgeon. I had zero skin texture issues (except for a scar) before this procedure and right after I noticed all of these fine lines and texture which still hasn't gone away. The surgeon is claiming I had acne which is what caused this which is a complete lie/stopped taking my calls. Does anyone know how to fix this or is my face ruined?

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.

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

Can fully ablative CO2 laser cause textured skin and fine lines? (Photos)

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Everything you need to know about CO2 Laser

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Can fully ablative CO2 laser cause textured skin and fine lines? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about CO2 Laser

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