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I think it is great that you are being proactive about finding your own answers. The three most important questions I would recommend asking is: 1. The credentials, background and experience of your practitioner. Does he or she have case studies and/or pictures of patients similar to you. 2. How the technology works to treat your forehead scars and wrinkles. Make sure you have a good sense of the logic behind the procedure. 3. How many treatments will be needed to get the results you want.
I purchased and have been using the Fraxel technology in my office since 2006. I have also been a consultant & teacher for Fraxel. The three most important questions are: Who is performing my treatment and what is his/her background & training? What is my pre-treatment preparation, including whether I am a good candidate for this treatment? What is my after-care regimen(What will I look like after and how do I care for myself)? In listening to patients who have not had a good experience with Fraxel, most of the discontent was the not knowing what to expect in the stages of healing. I recommend a thorough discussion about pain control, before and after skin care, and what to expect both early on and later after the Fraxel treatment. A good study shows that Botox delivered before forehead scar treatment improves the results with Fraxel.
I think the best question you could consider asking are: Do you think Fraxel will improve my forehead scars? If so, by how much? How many treatments do you think I will need to achieve X% improvement? What will be the downtime and the wound care that you recommend? I think that will be a good start.
Unless your laser surgeon accidentally burned the eyelashes, it is exceedingly rare to lose eyelashes after Fractional CO2 laser resurfacing with Fraxel Repair, Total Fx, or Mixto. This is something that I have never come across with several hundred cases of Fractional CO2 laser resurfacing...
Keloids can occur anywhere on the body as a result of skin inflammation or injury. In my practice, I usually opt for nonsurgical treatments first followed by surgery if necessary. Our patients benefit from multi-modality protocols that include scar modulation, application of Plato's Scar Serum...
It is hard to say why you are losing pigment. I would recommend that you make an appointment with a dermatologist to evaluate your pigment loss.