Is It Safe to Apply Retin-A One Week After CO2 Fractional Laser?

Despite fractional laser being less destructive than non-fractional carbon dioxide laser resurfacing, both lasers create significant sensitivity, temporarily, but this can last for weeks.  The Retin A may not be tolreated and if it causes much irritation, then you might stimulate pigmentation. This is the double-edged sword of managing the possible complication of post laser hyperpigmentation. You should tell your doctor your concern and listen to the explanation. Your skin might not tolerate the Retin A for six weeks or more.

I would not recommend using Retin-A at all because it will cause irritation and burn to the face.

Every doctor will have a different protocol to treat the skin after your laser.  If you were comfortable enough to choose that doctor to do your laser then I would suggest that you follow their instructions.  However, in terms of the Retin-A, I advise my patients to avoid its use in the perioperative period because Retin-A can irritate the skin.  I like my patients to stop it at least a week before treatment and not to resume its use until the skin irritation/healing is complete from the laser treatment.

Postinflammatory hyperpigmentation (PIH) is a different issue.  This condition is most commonly treated with hydroquinone 4%, topically steroid cream, and sunscreen.

NO! I would NEVER recommend this therapy plan after CO 2 Laser to the face. Can cause burns and scarring. But check with your doctor first!

Regards from MIAMI DR. B