What Laser Treatment Wuld Best Work for my Skin Condition? (photo)

I am currently going to a dermatologist who told me that mircodembrasion would best work for my skin situation, which she says is superficial. I have already gotten the first mircodembrasion done this past week. i seem to have in my opinion moderate sun damage, uneven skin tone, and viewable acne scars especially on the light. Would microdembrasion work significantly improve my skin or would i be better off getting co2, laser peel, fractional other lasers done. i have uploaded two pics below.

Doctor Answers 2

Microdermabrasion And Fraxel Lasers Best Reserved For Refreshing Facial Skin Appearance

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Microdermabrasion, as the name implies, is any procedure that very superficially mechanically abrades the skin. Aluminum oxide crystals, synthetic diamond particles, brushes of all kinds, etc. have been used for this purpose for a number of years. The effect is not much different than if you vigorously used Buf-Pufs, Loofah sponges, Clarisonic brushes, or even a vigorous scrub with a wash cloth or gauze pad.

For individuals with mild sun damage, skin roughness, slightly irregular pigmentation and very fine wrinkles, the results of a series of microdermabrasion treatments are typically somewhat smoother skin, improved luster discolorations, and perhaps subtle diminution in the appearance of fine wrinkles. I have no objections to microdermabrasion for anyone seeking a pampering, spa-like treatment experience.

A series of fractionated laser treatments are perhaps slightly more effective in this regard than microdermabrasion. However, here too, in my experience, the results are far from dramatic and often disappointing to patients expecting more from their treatments and economic outlay. (Ablative carbon dioxide laser treatments, on the other hand, are aggressive and can rival true surgery with potential series consequences and prolonged downtime and healing times; these should not be confused with the milder fractionated laser treatments and are best employed when serious skin resurfacing is required).

For persons with more pronounced wrinkling, scars of all kinds (including acne scars) and discolorations, there are many more appropriate, effective, and more cost-effective treatments that are available. Depending upon the individual circumstances, these range from chemical peels of all kinds, manual dermasanding, radiowave dessication, subcision and medical microneedling, to name just a few.

Of course, consultation with a board certified aesthetic physician who is skilled and experienced in all these modalities and who can create a treatment plan for all skin problems present is the best way to ensure that all your needs will be addressed properly and most cost effectively.

New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews


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If you think of your skin as a rough piece of wood, peels, lasers, and microdermabrasion are all different grades of sandpaper.  The more coarse the wood, the heavier grade sandpaper you need.  Microdermabrasion is a fine grade of sandpaper.  If you are seeing results then continue.  However, in my practice most patients require something more aggressive or a combination of topical products with the microderm.  Then, we use microdermabrasion for maintenance.

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.