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A plastic surgeon with CO2 Candela CORE laser-full ablative or a dermatologist with CO2 Lumenis UltraPulse full deep fractioned?

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oceansoflorewiNov 6, 2019
I am 34 year old man. I am looking to get full laser C02 resurfacing on my face for *moderate* acne scaring, light wrinkles, discoloration, and overall rejuvenation. I want the absolute strongest, most effective, gold standard laser treatment on the market and downtime is of no concern as I get laid off in the winter. The problem I am having is the differences in Doctors, the technology offered, and their opinions about treatment. It's so bad I literally have *TWO* resurfacings scheduled next month

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From board-certified doctors and trusted medical professionals
Dr. Brian K. Machida, MD, FACS
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Dr. Brian K. Machida, MD, FACS
Board Certified Facial Plastic Surgeon
4.9 | 473 Reviews
Answered on Nov 7, 2019
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Kimberly Butterwick, MD

Thank you for your question and I’m sorry you did not achieve the results you hoped from your laser treatment. Sun avoidance is essential after these procedures, as the skin is particularly vulnerable to damage at this time and pigmentation issues are quite common. At this point, you will need a...

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Jeff Rapaport, MD

CO2  laser can be performed on red scars. Your physician may be trying to lift this scar before performing the procedure by utilizing radiofrequency micro-needling. Another option would be to perform subcision and use a vascular laser or IPL. CO2 can then be performed if needed.Jeff Rapaport M...

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Raffy Karamanoukian, MD, FACS

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...

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Jeff Rapaport, MD

There  is no contraindication to performing fractionated CO2 laser one day after subcision with PRP. Fully ablative, non fractionated, CO2 laser can be performed two to three weeks after subcision with PRP.Jeff Rapaport MD FAADRealself All-star

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Michael A. Zadeh, MD, FACS

Thank you for your question and pictures. Laser resurfacing can be combined with eyelid surgery, though it is not a must. Different surgeons will have different practices. These treatments can either be done simultaneously or in stages, but again it will depend on the preference of your...

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Douglas Wu, MD

Thank you for your question and your photos. I’m not sure microneedling would be the best solution for you at this point. CO2 laser treatments might offer positive results. However, you have numerous issues going on at once, and this will require a careful assessment by an experienced, b...

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