61 years old with light skin, which would be the best CO2 laser to address crepey skin with fine to moderate lines?

Question

Thanks in advance for your responses. I am a 61 year old female. I am 5'5" and 125 lbs with light skin. I want to address crepey skin with fine to moderate lines. I am considering CO2 lasers to address these concerns. I am considering the following lasers: Deep fx Fraxel re:pair Lumenis Ultrapulse CO2 laser Which of these would be best or would you recommend a different laser.. Thank you.

Jason Emer, MD · Answer

Juvederm Volite is currently unavailable in U.S. market. However, a popular alternative is Belotero. Belotero is used for fine lines and is used like volite for both plumping and rejuvenating the skin. Much like restylane skin boosters available outside the us.

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

Raffi Der Sarkissian, MD, FACS · Answer

I would recommend a moderately deep fractionated CO2 laser. The laser “brand”Is less important than the fluence or energy that is used. With light skin, you can have a more aggressive treatment with less risk of pigmentation problems. I personally like the Tetra CO2 laser which is considered the gold standard device in the market. Good luck

61 years old with light skin, which would be the best CO2 laser to address crepey skin with fine to moderate lines?

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