I am considering Laser Resurfacing for lines around my mouth and around my eyes. Would CO2 Laser resurfacing or the newer Total FX be more effective? I would like to know the pros and cons of each procedure.
Laser Resurfacing Wrinkles - Around Eyes and Mouth
Doctor Answers 18
Laser treatment for wrinkles around the eyes & mouth
Combined non-ablative and Ablative Erbium Laser resurfacing
Older flat beam CO2 laser resurfacing removes lines and wrinkles but recovery is horrible and the skin is usually left white or hypopigmented.
Most experienced doctors today are using fractional laser resurfacing--the active FX and Deep FX are fractional CO2 lasers.
I have used most of the lasers that have been available in the last 15 years and continue to work hard to improve results, lessen downtime, and avoid complications.
Like Dr. DiBernardo I now use Fractional Erbium, because it is effective and pain and downtime are significantly less than with fractional CO2.
Recently we have achieved the best wrinkle removal and skin rejuvenation results that I have ever achieved by combining Non-ablative fractional 1540 Erbium resurfacing with ablative fractional 2940 erbium laser resurfacing done at the same session.
Recovery time is 5-7 days, only topical anesthesia is required and the results are excellent.
Fractional Laser Resurfacing for Mouth and Eyes
TotalFX IS CO2 laser resurfacing delivered fractionally to facilitate shorter post treatment recovery, while maintaining the benefits of CO2 laser treatment.
TotalFX combines narrow column delivery of CO2 laser energy to the dermal layer (DeepFX) for long term collagen remodeling and more shallow, epidermal delivery for skin surface refinement. TotalFX can be used effectively in one treatment session to improve lines and wrinkles around the mouth and eyes.
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Fractional CO2 for Wrinkles Around the Mouth and Eyes
Thank you for the great question. There are many brands and models of CO2 laser, and though there may be subtle differences in the delivery systems or power, the technology is very similar. Fractional CO2 is my go-to treatment for fine lines, wrinkles, and pigmentation issues around the moth and eyes. It can be used alone or in combination with other surgical on non-surgical rejuvenation procedures. Recovery is generally about a week, depending on how aggressive the treatment is. Pre- and post-laser care are generally easily managed. Best of luck!
Any other laser is not as good, but many avoid the real CO2 laser because of the history of long healing and recovery that used to be the case. Today, however, withe the use of the Oxy-mist treatment, effective, multi-pass CO2 laser resurfacing patients are healed within ONE WEEK, and have less subsequent redness which fades faster (within weeks instead of months).
Oxy-mist treatments use Amino-plex spray delivered with medical grade oxygen, and the results are WOW in many patients. The dramatic improvement in skin tone, skin texture, skin appearance, and wrinkles is long lasting. I have many patients who are more than ten years after full CO2 laser resurfacing, and still look better and more youthful than they did before the procedure.
Laser resurfacing around the eyes and mouth
Periorbital and perioral Fractional CO2 laser resurfacing (around the eyes and mouth, respectively) can be quite satisfactory. There is really no need to consider the traditional CO2 laser resurfacing as the additional clinical benefit does not quite justify much prolonged recovery period, demarcation of treated areas and increased risks of infection and/or scarring. The make of a FDA-approved Fractional CO2 laser resurfacing does not make as much difference as the experience of the board-certified aesthetic physician as there are subtleties of depth of penetration and/or energy emitted of Micro Fractional CO2 laser resurfacing.
Laser Resurfacing Wrinkles - Around Eyes and Mouth
There are multiple lasers that can treat this area effectively. Consult in person with three experienced and expert treating physicians to understand your options. Choose the one that can honestly and effectively meet your needs.
Best Laser for Fine Lines
There is no definitive answer to your question, because each patient's skin condition and needs are different. Total FX is a fractional CO2 laser that can be effective, but you will likely require multiple treatments. I use the Halo hybrid fractional laser, the first and only laser to combine 2 laser wavelengths in a single handpiece. That allows me to adjust the treatment's intensity based on the patient's cosmetic goals.
CO2 laser can work well for lines around eyes and mouth
It depends on several factors..
TOTAL FX in deep fractional mode treats more deeply, with a higher safety margin, however you may need several treatments for optimal outcomes.
How do I approach this common question of which is better? I conduct a fusion of Ebrium laser to reduce the depth of wrinkles, THEN perform CO2 Fractional straight after to achieve collagen contraction and stimulation - all in the one treatment.
See my before and afters in my gallery for a full explanation.
Dr Davin Lim
Laser Specialist, Brisbane
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.