Which is best, Picoway or Vbeam laser treatment, for fixing scar across on chest? (photos)

Question

Hey, I've contacted 3 different clinics. 1 hospital offered to do V-beam treatment and that I may need 4-5 sessions for best results. They said 1 treatment will give about 20-30% improvement The other 2 clinics both offered Picoway laser treatment and that I need about 10 sessions. Obviously I'm no doctor, so what is really the best choice for me to fix the scar across my chest to make it less noticeable?

Raffy Karamanoukian, MD, FACS · Answer

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

It's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. 
Options can include:
1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 
2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 
3. Microneedling/PRP 
4. Silicone-based scar gels with growth factors 
5. Excision/revision surgery 
See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

Which is best, Picoway or Vbeam laser treatment, for fixing scar across on chest? (photos)

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Which is best, Picoway or Vbeam laser treatment, for fixing scar across on chest? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Vbeam

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