I Have Psoriasis - Can I Still Get Laser Tx for Acne Scars?

Question

I have mild plaque psoriasis (on elbows and back of calfs primarily). I also have old acne scars from cystic acne on my cheeks. I would like to get Deepfx treatment but am concerned about psoriasis flare-up on my face. Do you recommend laser treatment if I also have psoriasis? If not, is there another treatment recommended for scar reduction/removal? Thank you Jenni

Vivek Bansal, MD · Answer

Thank you for your question. You will first need a clearance from your Dermatologist managing the psoriasis, then you can have the treatment. I hope this helps.

Michael H. Gold, MD · Answer

We have been using
these types of procedures for many years and I am not aware of any reports of a
facial flare of psoriasis with mild plaque disease on the elbows and knees. For
this reason, I would recommend that you do this type of procedure in a board-certified
dermatologist’s office if you are concerned, and to make sure that they know in
advance that you have psoriasis, but this would not stop me from treating your
acne scars with the DeepFX.

Lawrence Osman, MD · Answer

Hi,

	Localized psoriasis is very common, and it is well known that trauma to the skin such as a sunburn can trigger a flare.  However, I am not aware of any reports of fractional laser resurfacing triggering a flare on the face.  However, you can always treat just a small test area with a few pulses with the Deep FX to see how you respond to be safe.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Dr Osman is correct, you will need a test patch first. Our laser dermatologists always conduct test patches on conditions that may worsen with laser- examples include psoriasis, vitiligo, and lichen planus. Koebner is the name when trauma (whether  it be a burn, graze, scratch, or laser ) worsens the condition. Hence a test patch is needed. I have performed fractional laser, including CO2 and Fraxel on many patients with controlled psoriasis with no problems, however I consent all patients that Koebner may occur. I hope this helps you.RegardsDr Davin S. Lim Laser and cosmetic dermatologist Brisbane and Gold Coast, Australia

I Have Psoriasis - Can I Still Get Laser Tx for Acne Scars?

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