Which is Best for Skin Tightening, Pro-fractional by Sciton or Erbium Micro Laser Peel?

Which of the two would give me better results for a little tighten of skin with wrinkle reduction out to the pro fractional by sciton or erbium micro laser peel. Thanks.

Doctor Answers 4

Wrinkle reduction & skin tightening with Profractional

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Your best option is to have both done.  Think about laser resurfacing and the ProFractional treatments in yard maintenance terms.  The MLP (micro laser peel) is like mowing your yard.  It removes the top layer of dead skin allowing the new healthier skin to surface.  Where as the ProFractional is like aerating the yard.  The laser takes out columns/plugs of skin deep into the dermis allowing the skin to shrink down and tighten.  Anytime heat is applied to the skin you start a cascade effect of new collagen growth.  By doing both treatments together, you will not only brighten and tighten superficially but also stimulate a more robust collagen production deep in the dermal level. 

Most physicians will have access to both procedures since they come together as a module in the Sciton Platform of lasers.  Adding one to the other only adds a little more treatment time and a few extra days of healing.   So I always recommend to my patients to do both at the same time and price it so that it is appealing.  Ultimately you will get better overall results. 

Portland Facial Plastic Surgeon

Sciton makes great lasers for skin tightening.

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We have had great success with Sciton laser for wrinkle correction, removal of dark spots, and skin tightening.  But be prepared for a few days of recovery.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Which is Best for Skin Tightening, Pro-fractional by Sciton or Erbium Micro Laser Peel?

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You will get a nicer result by having BOTH procedures done at the same time, but strictly speaking the ProFractional treatment will shrink and tighten skin while Micro Laser Peel (MLP) will only remove superficial pigmentation, fine wrinkles and scaly areas.

The Micro Laser Peel is often used WITH a ProFractional because depending on the thickness of the superficial skin (10 microns to 40 microns) evaporated by it, it will remove and smooth superficial areas of roughness, pigmentation and fine wrinkles. A ProFractional treatment done after wards puts tiny wells whose depth depends on your Plastic surgeon's judgment (250 to 450 microns), with or without coagulation to bring about skin tightening. With the top superficial most layer of damaged skin smooth by the MLP and the tightening produced by the ProFractional you would get a much better result.

Peter A Aldea, MD 

Peter A. Aldea, MD
Memphis Plastic Surgeon

Fractional erbium laser resurfacing is better for skin tightening than Micro Laser Peel

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Fractional laser resurfacing creates thousands of tiny “wells” through the top layers of skin, causing immediate contraction of existing collagen and formation of new collagen in the deeper layers of the skin. Because entire layers of skin are NOT removed, healing occurs quickly.  The depth of the fractional resurfacing is chosen depending on the severity of wrinkling and sun damage.  The deeper the resurfacing, the better the results, however that also means the longer the recovery period.  However, similar benefits can be gained by doing a series of more shallow fractional laser procedures to one deeper one.

Fractional erbium resurfacing is used for:

  • Moderate to Severe Sun Damage.
  • Moderate to Severe Acne Scars
  • Fine Lines and Wrinkles
  • Vertical Lip Lines
  • Surgical and Accident Scars
  • Stretch Marks
  • Melasma Reduction (usually requires a combination of treatments with other modalities)
  • Uneven Texture
  • Skin Quality Improvement

Micro Laser Peel is a controlled minimal to full epidermal laser peel that precisely removes the outermost layers of the skin, improving fine wrinkles, sun damage and skin texture.

MicroLaserPeels work for:

  • Sun Damage
  • Fine Wrinkles
  • Mild Scars
  • Age SpotsPigment irregularities

Emily Altman, MD
Short Hills Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.