Can the MiXto laser make rosacea worse?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...

Traditional CO2 laser resurfacing works almost like blow torch where the entire epidermis and part of dermis (the level beneath top layers of the skin) get ablated and wound healing can last couple months; therefore the risk of hypopigmentation would be nontrivial. On the other hand, Fractional...

Post op itching after Fractional CO2 laser such as Mixto is to be expected. This is due to intended inflammatory response to the CO2 energy delivered in a pixelated fashion via the laser resurfacing. It may be mild or could be significant. Take Bendaryl 25mg 1-2 tabs at night, or if...

Mixto involves typically 20% ablation of skin at a time. Active Fx, in its most conservative setting involves approximately 56% ablation. Most experienced laser surgeon would agree that downtime and pain associated with Mixto may be slightly less, given the same parameters.

I am speaking as someone who has performed more than 150 cases of Fractional CO2 laser resurfacing for ethnic skin, e.g. Hispanic and Asian skin. My anectodal clinical experience tells me that Mixto is a better consideration for ethnic skin vs. Fraxel Repair or Total Fx as Mixto technology...