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Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. . Best, Dr. Karamanoukian Realself100 Surgeon
Thank you for your question. While there may be some improvement with fractionated CO2 devices, for red spots we recommend the Excel V 532 KTP laser as it has unparalleled efficacy in treating these lesions. Regards, Dr. Matt Elias
A CO2 laser puts out a wavelength that is maximally absorbed by water causing it to ablate or burn those areas that contain water. The problem is that it does not target pigment such as red, therefore, it is not a good choice for red pigmented lesions. there are other types of laser that will treat red pigments. I suggest you consult with someone who has experience with these types of lesions.
Sure you can have yearly improvement although I find that after a few if you do nonablative lasers like fraxels you end up getting more improvement long term. you do not need ablation/burn to get the best results long term. Dr. Emer.
Removal of syringomas with a laser should not be too difficult for an experienced laser dermatologist. Both Dr David Goldberg and Dr Roy Geronemus are very experienced and competent
Scarring requires a series of treatments. PRP post co2 helps the healing of the co2 and currently a growth factor and topical skin care products should be used. I suggest speaking to your physician for his protocol. Best, Dr. Emer.
