I had fractionated ablative erbium combined with non ablative erbium 4.5 months ago for sun damage, sagging skin and fine lines. After four months the improvement is almost non existent. I'm 33 yo and I was told the settings were very high. Healing process was corresponding with high settings too. I don't believe it will improve from now on. All fine lines in the mouth and eye area are still there. I thought that fine lines would be erased since they're not deep. Any explanation? Thank you.
Answer: Recommend doing Clear & Brilliant to help reduce appearance of fine lines 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
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CONTACT NOW Answer: Recommend doing Clear & Brilliant to help reduce appearance of fine lines 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
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CONTACT NOW November 14, 2022
Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert "I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments. 1) Skincare with products and microneedling/PRP 2) PDT Light Therapy a few times per month with growth factors 3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year 4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill 5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting 6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest Best, Dr. Emer."
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CONTACT NOW November 14, 2022
Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert "I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments. 1) Skincare with products and microneedling/PRP 2) PDT Light Therapy a few times per month with growth factors 3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year 4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill 5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting 6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest Best, Dr. Emer."
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March 7, 2017
Answer: Erbium laser results At 4.5 months, you should be close to your final result. With a combination treatment, there should be significant improvement in lines and wrinkles. I would recommend returning to see your board-certified plastic surgeon or dermatologist to assess your results, and determine whether a repeat treatment, or additional modality is necessary. Best wishes.
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CONTACT NOW March 7, 2017
Answer: Erbium laser results At 4.5 months, you should be close to your final result. With a combination treatment, there should be significant improvement in lines and wrinkles. I would recommend returning to see your board-certified plastic surgeon or dermatologist to assess your results, and determine whether a repeat treatment, or additional modality is necessary. Best wishes.
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January 17, 2017
Answer: Fractionated laser I'm sorry that you're not happy with your results. Often times these fractionated/combined therapies take multiple rounds of treatment to see significant benefits. In my practice, I use ablative lasers more because the results are more substantial. The recovery can be more protracted but none can argue with the results. I would recommend returning to the plastic surgeon who performed these to make sure everything was performed as discussed. Communication is key and you have to be realistic with the expectations of the treatment. Hope this helps and God Bless! Dr. Robb
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CONTACT NOW January 17, 2017
Answer: Fractionated laser I'm sorry that you're not happy with your results. Often times these fractionated/combined therapies take multiple rounds of treatment to see significant benefits. In my practice, I use ablative lasers more because the results are more substantial. The recovery can be more protracted but none can argue with the results. I would recommend returning to the plastic surgeon who performed these to make sure everything was performed as discussed. Communication is key and you have to be realistic with the expectations of the treatment. Hope this helps and God Bless! Dr. Robb
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January 24, 2017
Answer: No improvement after laser resurfacing Fractional ablative laser at appropriately high settings should reduce fine wrinkles and sun damage. Deeper wrinkles may require more than session. Folds of skin can not be eliminated with laser resurfacing. CO2 fractional ablative resurfacing at moderate or aggressive settings (according to skin type and other factors) is extremely gratifying for patients after just one session. Photographs are important to check progress with wrinkles and sun damage. Collagen neo-genesis and remodeling continues for 6-12 months. It is important to follow up with your doctor so that he/she may be aware of your results at particular settings with the particular laser used. Your doctor can give you explanations that are most accurate for your situation. Lasers can "turn back the clock" to some extent, but they will not stop the clock from ticking. It is important to have healthy habits with regard to eating, sleeping, and skin care. For example, if you have a laser treatment and then return to smoking, sun-bathing, or other not-so-healthy habits, your skin will deterioration to pre-laser status rather quickly. Best wishes.
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January 24, 2017
Answer: No improvement after laser resurfacing Fractional ablative laser at appropriately high settings should reduce fine wrinkles and sun damage. Deeper wrinkles may require more than session. Folds of skin can not be eliminated with laser resurfacing. CO2 fractional ablative resurfacing at moderate or aggressive settings (according to skin type and other factors) is extremely gratifying for patients after just one session. Photographs are important to check progress with wrinkles and sun damage. Collagen neo-genesis and remodeling continues for 6-12 months. It is important to follow up with your doctor so that he/she may be aware of your results at particular settings with the particular laser used. Your doctor can give you explanations that are most accurate for your situation. Lasers can "turn back the clock" to some extent, but they will not stop the clock from ticking. It is important to have healthy habits with regard to eating, sleeping, and skin care. For example, if you have a laser treatment and then return to smoking, sun-bathing, or other not-so-healthy habits, your skin will deterioration to pre-laser status rather quickly. Best wishes.
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