PS1 recommends Pixel treatments (non CO2), full face 3-5 treatments. PS2 recommends dot fractional, one, probably two treaments. Said he can do just mouth/chin area, he recommends full face lest the skin surfaces of treated vs. non-treated be uneven. With 2 very different choices, I am confused. How can such different treatments produce the same results?
Different PS Recommendations for Deep Lines Around Mouth, Lips, and Pitted Skin on Chin. Pixel NonC) Frac Vs DOT Frac? (photo)
Doctor Answers 1
Facial Lines and Scars
Texture and wrinkles around the mouth are challenging and require relatively aggressive treatment. The non-CO2 Pixel is an Erbium laser that coagulates the skin. It is not ablative, as CO2 is. It offers less improvement with each treatment and may require a series. CO2 penetrates deeper, which can be more effective. Of course this means that the healing time with CO2 will be longer for a more significant improvement. Treating the entire face is important so that there is not a transition between treated and untreated skin.
An alternative approach is to combine treatments that will treat all aspects of the scarring and wrinkles. We use ePrime, which stimulates deep collagen, elastin and hyaluronic acid production. This treat the actual cause of the scarring and wrinkles, leading to younger, healthier skin. We combine this with a highly precise CO2RE CO2 treatment to stimulate surface change to complement the deeper ePrime effects. Although this sounds very aggressive (and it is!), the downtime is less than a week. We are seeing incredible results with this approach and patients are extremely happy.
The most important thing is that you trust your provider. Finding someone with multiple choices and devices can ensure that they are tailoring a treatment to your specific needs. Best of luck with your treatment.