Is it true that for Asian skin CO2 laser is a bad choice? Should I choose Fotona instead for big pores and age marks? (photos)

It is possible to use a CO2 laser safely on Asian skin. However, I recommend working with a board-certified dermatologist with expertise treating this skin type to ensure an optimal outcome with minimal risk. There are other devices that also work well treating brown spots on Asian skin, and I might recommend one of these first. Pico second lasers feature rapid pulse technology that shatters the pigment without damaging surrounding skin and tissue. RF microneedling combines microneedling with radiofrequency heating to stimulate collagen production, creating smoother, clearer skin from the inside out. Schedule a consultation with a board-certified dermatologist who works with these various devices to see more of your options.

Thank you for your question. A CO2 laser can be safely performed on Asian skin with the right pre and post-treatment topical skin care regimen. There can be more post-inflammatory hyperpigmentation, or temporary brown spots, after the co2 laser, but this resolves with time.  Other options for Asian skin include RF microneedling to help reduce your pores and a picosecond laser for your brown spots. RF microneedling combines traditional microneedling with gentle radiofrequency heating, boosting collagen levels to smooth skin from the inside out. Picosecond lasers like the PicoSure and PicoWay deliver rapid pulses of laser energy into the skin that break up the melanin that causes age spots. Make sure you work with a board-certified dermatologist with expertise in working with Asian skin to ensure an optimal result from whatever treatment or treatments you choose. 

Asian skin tones require an extra dose of TLC to produce an optimal outcome without causing issues like hyperpigmentation. The Pico lasers are a good choice for Asian skin but not the only ones. I also use the Clear and Brilliant laser and RF microneedling on Asian skin tones with excellent results. I encourage you to schedule a consultation with an experienced, board-certified dermatologist with expertise in treating Asian skin. With a qualified physician and personalized treatment plan, you should see very good results. 

yes lasers on asian skintype is safe if done well, we often pre treat with cosmelan or enlighten peels (see link to emeragecosmetics.com where we do free virtual skincare consults daily).  but in office halo, fraxel, clear and brillaiant and even co2 are safe when done with the right settings and skincare.  Best, Dr. Emer.