Skin damage on chin and mouth from previous laser treatments. Can this be repaired? (photo)

Question

Can skin damage from laser done in '95 be repaired? I'm 68 years old with a normal weight.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Nelson Lee Novick, MD · Answer

I am really sorry that you have been suffering from this. It is why I am no proponent of the use of "bells and whistles" fraxel lasers and other so-called energybased devices, as the use of these are much more backed by heavy marketing hype rather than hard science. Professionally performed manual (no need for the addition of relatively expensive RF) microneedling can be used to improve superficial skin texture and color irregularities. You would be wise to consult a board certified cosmetic dermatologist and best of luck.

Camille Cash, MD · Answer

I encourage you to begin by visiting with a board certified plastic surgeon near you.  You will probably have the best outcome from a combination of treatments such as Morpheus8 which focuses on improving overall skin tone and texture and medical grade skin care products.  Your specialist will give recommendations after an in person evaluation.

Skin damage on chin and mouth from previous laser treatments. Can this be repaired? (photo)

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