How early can CO2 laser be done after sutures?

Question

I had sutures on my face which will be removed this week. I am wondering how soon I can do CO2 laser to minimize scarring. According to this research article, there is benefit in doing early CO2 one week after suture removal. But many physicians on RealSelf recommend waiting months before doing CO2 laser. https://pubmed.ncbi.nlm.nih.gov/31286546/

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

The timing for CO2 laser treatment after suture removal can vary based on individual healing and the specific circumstances of your case. The research you referenced suggests potential benefits of early CO2 laser treatment to minimize scarring. However, many practitioners recommend waiting a few months to ensure proper initial healing and to reduce the risk of complications.

Here are a few considerations:

Healing and Skin Integrity: It's essential to ensure that the skin has healed adequately post-suture removal to minimize the risk of adverse effects from the laser.

Individual Variation: Each person's healing process is different. Factors such as skin type, the location of the sutures, and overall health can influence the optimal timing for laser treatment.

Consultation with a Specialist: A personalized evaluation by a dermatologist or a qualified laser specialist is crucial. They can assess your healing progress and recommend the best timing for CO2 laser treatment based on your specific needs.

Ultimately, while early intervention might offer benefits, the decision should be tailored to your unique situation and made in consultation with your healthcare provider.

How early can CO2 laser be done after sutures?

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How early can CO2 laser be done after sutures?

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