eMatrix vs Fraxel vs CO2 for improving sun spots, texture, and reducing pores for olive latin skin? (Photos)

Question

I am 34 years old with Spanish / Latin background. I have olive skin. I would like recommendations for improving the hyperpigmentation and sunspots on my skin as well as reducing large pores. I have done Nu-Derm + Tretinoin consistently for the past 6 months with small improvements. I have read that a combination of laser or radiofrequency with other methods may give the best results and I would appreciate some insight from Drs.

Jason Emer, MD · Answer

Sun spots will need life-long maintenance. A combination approach will give the most improvement long term with lasers (Fraxel, Tattoo lasers, Excel V, Pulsed Dye) and microneedling/prp. It may take a few treatments to get improvement and will need life-long treatments to maintain. See an expert. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Hratch Karamanoukian, MD, FACS · Answer

eMatrix is sublative and can be used as part of a mulitimodality approach to relieve scarring along with chemical peels, PRP, fractional lasers. Before that, try Melarase AM and PM creams and Spectrase wide spectrum sun block to prevent ongoing damage and inflammation to the skin. An oral supplement called Scler-X is also helpful as a PIH Relief Complex.
Best, H Karamanoukian MD FACS

Davin Lim, MBBS, FACD - Account Suspended · Answer

Your ethnic skin type will be great for Picosure, otherwise a combination of Clear and Brilliant or 1927 Fraxel, or even RF micro needling with PRP, but my choice would be off label pico by a specialist. Dr Davin Lim. Brisbane, Australia.

eMatrix vs Fraxel vs CO2 for improving sun spots, texture, and reducing pores for olive latin skin? (Photos)

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