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 17
Laser treatment for wrinkles around the eyes & mouth
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.
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.
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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.
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
Laser treatments of fine lines and wrinkles
Although there are many treatments for fine lines and wrinkles few can compare with the laser. Peels, dermabrasion as well as fillers have been for this. The laser because of its versatility can treat both deep and shallow levels of skin, meaning collagen as well as pigment and lesions.
It should be noted though that the laser is simply another instrument in the armamentarium of the practitioner and thus its benefit is only as good as the person doing the treatment. Lasers work by generating heat when the beam strikes the skin. The heat will cause a wide range of responses depending on a number of factors including the energy level, the wave length of the laser, the duration and concentration of the laser beam. All of these except the wave length of the laser can be adjusted. Responses vary from redness and swelling to micro ablations of tissue with most showing some coagulation of the protein (collagen and elastin of the skin). Collagen is shortened when heated as in a coiled bed spring. Furthermore over ensuing months new collagen may be produced to replace the lost and damaged collagen of the aging skin. There is a limit as to how deep and aggressive a treatment the skin will tolerate, which is a very good reason to choose your laser surgeon carefully.
Laser Resurfacing Wrinkles - Around the Mouth?
- The skin around the mouth is relatively thick and requires different laser settings to be effective.
- Laser resurfacing of this area may need to be coupled with additional treatment such as volume enhancement around the lips. Volume enhancement around the lips can be non-surgical with a hyaluronic acid filler or surgical with fat transfer.
- Lines around the mouth are generally more challenging to treat that lines elsewhere on the face and a discussion of realistic expectations from the treatment.
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.