Can a chemical peel and Erbium laser be done together on face?

Question

I have small brown spots on my face and very small acne pores/holes. My doctor suggests me to go for erbium + peeling, and i already had one session of this. First peeling, after that Erbium, in a gap of 10mins. Just to confirm whether having this two treatment in the same time is helpful and harmless as I'm doing both of the treatment at a same time.

Susan Schroeder, MD · Answer

As far as laser resurfacing is concerned, Erbium-YAG is fairly superficial and is classified as a semi-ablative treatment. It targets and removes superficial skin and also causes a minimal amount of collagen remodeling and tightening (as opposed to the more powerful CO2 ablative laser). In targeting superficial skin, Erbium:YAG does a nice job of removing brown spots, and addressing skin texture. Chemical peels do the same thing, but use different "acid" components to achieve these ends. Unless you are getting a medium depth or deep chemical peel, you are addressing the most superficial aspect of the skin in both cases.
Doing both together is redundant and doesn't offer any additional "depth" of treatment. I would pick one or the other. 
Hope this helped.

Susan Schroeder, MD

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