I had erbium and co2 laser 4 weeks ago to tighten my eye area. My skin is raised, bumpy, shiny and leathery. Makeup doesn't cover the damage properly. Is my skin ruined forever? Is it possible it could look and feel normal again?
March 29, 2020
Answer: Agreed- you do need to see your treating physician ASAP! ie. ME I performed this procedure 6 weeks ago. Erbium laser using Scition 20 microns dialled in 10 hz, no coag. Very quick passes to the area, down to mild pin point bleeding- upper dermis. Then swapped to CO2 5% 80 mj, 3 passes, moved quickly and revisited the area 3 times. Very conservative IMO. No pulse stacking. Blended surrounding area with erbium only. No coag. Just another walk in the park procedure. Aborted Co2 Fractional to other areas as had evidence of melasma during procedure, swapped to 1927, conservative 10 mj 6 passes, followed by HQ 5% 8 days later to prevent rebound. Patient loss to follow up apart from photos. Ideally I see all my patients until COMPLETE healing is achieved. Completely agree with Dr Emer's comment. I performed the procedure, and I should be responsible for follow ups including methods to reduce scarring (if evident on clinical examination). Ideally patients should be followed up by their treating Specialist- this is how we ensure best patient care. Catrealo9, If you could come back for an examination, I am sure a treatment plan can be initiated for best outcomes. All I have are emails and low res. photos. I appreciate your postings online, but remember, I fix other patients problems, including mine- however a visit will be appreciated. Door is open for you... just need to open it. Warmest regardsDr Davin Lim Laser and aesthetic dermatologist ( to date with an excellent reputation for patient care and satisfaction - bar one!)
Helpful 2 people found this helpful
March 29, 2020
Answer: Agreed- you do need to see your treating physician ASAP! ie. ME I performed this procedure 6 weeks ago. Erbium laser using Scition 20 microns dialled in 10 hz, no coag. Very quick passes to the area, down to mild pin point bleeding- upper dermis. Then swapped to CO2 5% 80 mj, 3 passes, moved quickly and revisited the area 3 times. Very conservative IMO. No pulse stacking. Blended surrounding area with erbium only. No coag. Just another walk in the park procedure. Aborted Co2 Fractional to other areas as had evidence of melasma during procedure, swapped to 1927, conservative 10 mj 6 passes, followed by HQ 5% 8 days later to prevent rebound. Patient loss to follow up apart from photos. Ideally I see all my patients until COMPLETE healing is achieved. Completely agree with Dr Emer's comment. I performed the procedure, and I should be responsible for follow ups including methods to reduce scarring (if evident on clinical examination). Ideally patients should be followed up by their treating Specialist- this is how we ensure best patient care. Catrealo9, If you could come back for an examination, I am sure a treatment plan can be initiated for best outcomes. All I have are emails and low res. photos. I appreciate your postings online, but remember, I fix other patients problems, including mine- however a visit will be appreciated. Door is open for you... just need to open it. Warmest regardsDr Davin Lim Laser and aesthetic dermatologist ( to date with an excellent reputation for patient care and satisfaction - bar one!)
Helpful 2 people found this helpful
