Raised scar in nasolabial fold - Would I be a good candidate for fractional CO2 laser treatment? (photo)

While you could attempt to improve the texture with multiple CO2 laser treatments, a scar that is that raised in that area would likely benefit from re-excision and injection of steroid. After the texture is improved, if the erythema remains, can try a PDL laser to decrease the redness.

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

Hello bradycooper0509:

Fractionated CO2 is a great treatment for scars. The earlier after the injury the treatment is given, the better the results with a single treatment, but improvement is seen at any time point after injury. You can expect from a few to 10 days of downtime, depending upon the intensity of the treatment.

All the best from NYC,
Sheryl Clark MD FAAD