53 years old and considering C02 Laser or Morpheus8. Which is better for my age? (photos)

Question

Am 53 years old woman. I did co2 laser almost 13 yrs ago n was very happy with the results. Now since am aging i would like to do it again. I dont have deep wrinkles but i do have light acne marks on my left cheek and i feel my jowls n neck are sagging n have thin facial skin. In 4 mths have a wedding to attend in my family. Please guide me which treatment should i go for. Would like to have clear skin with some glow. Thx

Nadir Qazi, DO · Answer

As you are considering a laser treatment for your skin, it's important to evaluate the benefits and drawbacks of each option to determine which one is best for you. In your case, the two options you are considering are CO2 Laser and Morpheus8.
CO2 Laser is a popular and effective treatment for improving skin texture, tone, and reducing fine lines and wrinkles. It works by targeting the top layer of skin, which removes damaged skin cells and stimulates collagen production to promote new skin growth. CO2 Laser is suitable for individuals who want to improve the overall appearance of their skin, reduce the signs of aging, and treat acne scars.
Morpheus8, on the other hand, is a fractional radiofrequency microneedling treatment that penetrates the skin's deeper layers to stimulate collagen production and improve skin texture, tone, and firmness. It can also reduce the appearance of fine lines and wrinkles, acne scars, and other skin imperfections. Morpheus8 is typically recommended for individuals who want to improve the quality and texture of their skin, but do not require as aggressive of a treatment as CO2 Laser.
When deciding between these two treatments, it's important to consider your specific concerns and goals. Based on your description, it sounds like CO2 Laser may be the better option for you since it can target your acne scars and also help with sagging and thinning skin. However, keep in mind that CO2 Laser has a longer recovery time and may require multiple sessions for optimal results.
As with any medical procedure, it's important to consult with a board-certified dermatologist to determine which treatment is best for you. They can evaluate your skin type, medical history, and other factors to create a customized treatment plan that addresses your concerns and helps you achieve your desired results.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Ryan Rebowe, MD · Answer

It really depends on what you are trying to treat. The Morpheus machine is meant to treat skin laxity and can help with the jowling and excess neck skin. It will not be as effective as a formal face and neck lift but can provide some effect. The CO2 laser will treat fine lines and wrinkles and will also treat mild dyschromia (or discoloration). In general, the CO2 laser can be though of as improving the quality of the skin, but the Morpheus machine can be thought of more as a skin tightening device.

Jason Emer, MD · Answer

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Michael I. Echavez, MD · Answer

I think CO2 laser resurfacing or Morpheus8 could both be beneficial to you.  A CO2 resurfacing procedure could be done on the face but not the neck area.  The immediate recovery time is about a week until the skin has healed, but there could still be some redness after this time.  Morpheus8 could be done on the face and the neck but usually, 3 treatment sessions spaced over time produce the best results.  The immediate recovery time is about 2 days.  I normally space the treatments at least 6 weeks apart.  Both CO2 laser and Morpeus8 can provide rejuvenation to the skin.

Amir Mortazavi, MD · Answer

Thank you for the question and pictures. I believe based on you age and skin quality (description and pictures) you would benefit from a combination treatment with both CO2 and microneedling RF which can be done one after another during the same treatment. This will yield the best result. I do this often at my practice and get amazing results for my clients. But if you dont wich to do both you can start with the Morpheus (microneedling RF) which will help with the skin laxity, scars and improvement of texture.

Luis Mario Salazar, MD · Answer

Hello. Thanks for sharing your case. In my experience morpheus8 will help to remove the lower face stubborn fat to make it more defined, also helps tightening the skin of all your face and neck. That will require sessions but in 3 months you probably have the best results possible. CO2 resurfacing laser will only work in the outside layers, so it smooths perfectly your skin to remove scarring and mild to deep wrinkles as well. My suggestion will be doing both. Don't forget to set a plan with your aesthetic physician and have a good after care plan. Good luck.

Dr Salazar
AestheticSolutions_

Dr Salazar 
AestheticSolutions_

53 years old and considering C02 Laser or Morpheus8. Which is better for my age? (photos)

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