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

Question

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

Brian K. Machida, MD, FACS · Answer

It would be nice to have pictures, especially of your complexion.  For certain complexions, the fractional treatment is relatively safer if there is any concern about PIH.  However, if you are a candidate for laser with little concern about PIH (which I can't determine) and no concern about downtime, fully ablative would be the most aggressive.  Out of all this, I have concerns about your complaint of discoloration.  If you don't wish to post pictures, ask your doctors if there is any concern about worsening of discoloration with treatment, specifically PIH.

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

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