Lutronic Ultra Laser or Lumenis UltraPulse for sagging skin and crepey skin?

Question

I would like to improve the crepey skin around my eyes and my slightly sagging jawline. Which of these 2 lasers is stronger and likely to be more effective for sagging and crepey skin?

Jason Emer, MD · Answer

ultrapulse, plasmapen and renuvion j plasma are the most agressive and best treatments for wrinkles. sagging is not treated by lasers! you need lifting, cutting, or skin tightening like morpheus treatments. I suggest you go to an expert, as its not the LASER that gives results its the PROVIDER with expertise and skill. without seeing your face nobody can give you a good idea of what is best. often you need skincare, dermarolling, peels at home and then lasers between daily treatments. this is a long term plan.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Lutronic Ultra Laser or Lumenis UltraPulse for sagging skin and crepey skin?

Answers (2)

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