Which treatment is best suited for my skin issues, with little to no down time afterwards? Do they affect facial fillers?

Question

I'm in my mid 20's and starting to notice dull skin, sun damaged (freckles) large pores and redness/broken capillaries around cheeks and nose area. I'm not sure that fraxel treatment is right for me, I'm leaning towards microdermabrasion, photo facial, or some kind of chemical peel.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

I think clear and brilliant or fraxel are the best antiaging preventative skin care treatments for younger patients.  They not only help the texture of the skin but also improve lines and wrinkles and prevent skin cancers.  This can be combined with microneedling and/or PRP for even better results.  I suggest seeing a cosmetic expertise with particular attention to laser and skin care specialty.  Best, Dr. Emer.

Tom J. Pousti, MD · Answer

Thank you for your question. All of the treatments you are interested in will not disturb fillers but that is a great question. Since you are young and don't have significant photoaging I would recommend the Vi peel over any laser treatments. It is a mid-depth chemical peel that addresses all of the concerns you have. It is safe on all skin types with a few days of peeling. Best wishes.

Joshua L. Fox, MD · Answer

Fraxel laser would give you the best value for your dollar and if done 2-3 months after your fillers should not affect them.

Which treatment is best suited for my skin issues, with little to no down time afterwards? Do they affect facial fillers?

Answers (4)

Answer: Fraxel for sun damaged skin

Answer: Fraxel for sun damaged skin

Recommended reading

Everything you need to know about Chemical Peel

Our mission is to create a world where every investment in modern beauty is Worth It.

Which treatment is best suited for my skin issues, with little to no down time afterwards? Do they affect facial fillers?

Answers (4)

Answer: Fraxel for sun damaged skin

Answer: Fraxel for sun damaged skin

Browse related questions

Recommended reading

Everything you need to know about Chemical Peel

Our mission is to create a world where every investment in modern beauty is Worth It.