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Thrilled With My Sciton Erbium Laser Treatment

UPDATED FROM AutumnLeaves
6 months post

Three Months Out From Second Procedure

AutumnLeaves
WORTH IT
It's now been three months since my second, deep Erbium laser resurfacing of my perioral area and under eyes. Recovery from this procedure has definitely been a lot longer and more intense than the original microlaser peel was. As I mentioned in my previous update, I had a complication (an HPV/fever blister outbreak) that really slowed down my healing and made me look much worse a week in than I had a few days in. Aggressive drug treatment cleared up the infection, but I now believe I have a small scar under my left eye, where the worst of the blisters was. It's not horrible, but obviously it's not something I would have wanted. Even so, I feel lucky that I only ended up with one tiny scar considering how serious the infection looked. My other, right eye seems to be healing slowly as well, and I still have a fair bit of redness and a bit of a raised "line" marking where the deep resurfacing left off. Coagulation was used under my eyes for skin tightening, and much like the Co2 laser this can cause a longer healing period. I wear concealer and foundation every day to even out the skin tone, and if I have an event or something I use a green concealer first to cancel out the redness. The red tone is gradually fading, but I think it will be six months or so total before I will see anything like the final result in this area. My perioral area, which was the area I was most concerned with, has healed much faster. I still have some pinkness, and if I get hot/active/etc. red patches appear but this is getting better week by week. I only use a bit of foundation in this area daily and it's enough to cover up the red. Results in this area have been dramatic, and ALL of the deep lip lines and wrinkles I had are now gone, taking years off my face. I do still have some minor texture issues on my upper lip from skin damage in my past, and I plan on having a second deep resurfacing done in this area within the next year, but overall I am very happy with my results in the mouth area. I am a little more ambivalent about the under eyes, since I did not have much wrinkling there to begin with and because of the complications I had. Having said that, we treated the eye/cheek area with Profractional and coagulation, and it really tightened my skin a lot and did away with some early eye bags and cheek sagging. I think I am more pleased with this than I am with the actual wrinkle reduction here. I would absolutely undergo the perioral resurfacing again and definitely recommend Dr. Kim for this procedure. I plan on going back to him for a lase peel of my neck and chest as well as a lip touch-up in the next six months or so.

AutumnLeaves's provider

Michael M. Kim, MD

Michael M. Kim, MD

Board Certified Facial Plastic Surgeon

AutumnLeaves rating for Dr. Kim:

Overall rating

Replies (5)

August 4, 2018
This is very helpful. Thank you for taking the time to write a thorough review of your experience. It definitely help those of us who are new to laser treatments
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August 7, 2018
Looks amazing!
August 20, 2018
Thank you for the update, and congrats on the great results!
September 3, 2018
Really amazing. I am surprised you would go back for more, though, since you are already looking perfect. I am not seeing the imperfections you are mentioning - they must be pretty subtle.
September 6, 2018
Yes, thanks for the update! You look wonderful, especially the upper lip/philtrum area. April 2017 I had Sciton ablative laser to help correct deep perioral lines (vertical upper lip lines) and slight/shallow ice pick type scarring from eczema years ago that I just covered with makeup, but always bothered me. And lastly marionette lines between lower mouth and chin (not upper). Also I am 66. My complexion on cheeks, forehead and elsewhere is actually really nice - I get compliments - so around the "muzzle" and chin were the problems. I mean, I had deep perioral lines! The deep ablative laser smoothed out these areas like magic. It was AMAZING. It was also really painful. snapping rubber bands, my butt! It was tolerable and in the end worth it, but unless you're out or have nerve blocks, it does hurt-no lie. I'm going back in October for a refresher of my upper lip, just in the center where I see the lines forming again. These months I've been so used to a smooth upper lip that I will go every year if need be for re-smoothers! My philtrum is longer than average, which may account for the lines, and I am having a lip lift surgery scheduled for 6 weeks after laser. So anybody reading these reviews, the Sciton laser resurfacing that I had is absolute magic - highly recommend!
UPDATED FROM AutumnLeaves
4 months post

Pics And Update

AutumnLeaves
It’s been 10 days since my deep laser resurfacing around my mouth and under my eyes. This time has been a much more challenging healing process than the first one. Due to an infection I still have some healing to do, and I have been breaking out from all of the heavy grease I have to wear every day. Even so, I am very please with the procedure. Every single lip line I had is gone, And my under eyes are no wrinkle free and smooth with no more bags. I would definitely do it again, though I feel I probably have another month or so before I really feel back to normal. I have a lot of redness around my mouth where he went to especially deep.

Replies (1)

July 14, 2018
Thank you for the posts and the pics! The recovery period looks so uncomfortable and painful, and the infection sounds so stressful! Do you feel back to normal yet? How long did it take for your skin to heal (not look raw or super dry and tight)? What kind of settings did you have for your second treatment--it looks like it was aggressive! I'm still contemplating the procedure, but not in a hurry, I think I'll really need to be mentally prepared to go through the recovery!
UPDATED FROM AutumnLeaves
4 months post

Round Two: More Challenges But More Results

AutumnLeaves
I went back for Round Two of my laser resurfacing journey a week ago today. This time, instead of doing a microlaser peel, we did full, deep resurfacing around my mouth and under my eyes along with a lighter laser peel and Profractional with coagulation to my cheeks. This was done under oral sedation and facial nerve blocks. I am not going to lie, some of the injections were pretty uncomfortable, and I needed a lot more of them this time with the much deeper procedure. I felt almost nothing of the actual laser, and I had little pain at home due to the oral pain meds and cold water soaks I used. The next day I looked a bit rough, but weirdly not as bad as I did during my first, less aggressive treatment. I developed some pretty bad bruising on my chin from one of the nerve blocks, but that is fading well. All seemed well, and the redness was fading, but then I unfortunately developed complications. I noticed some unusual crusting under my eyes and on my lip and say what appeared to be blisters, and I immediately called the doctor and went right in. Despite being given oral anti-virals after my treatment, I have developed fever blisters on my upper lip and under both my eyes. This can be a serious complication after laser resurfacing as it can lead to scarring. Dr. Kim immediately prescribed me large doses of anti-viral drugs I have to take three times a day for the next week. He also said he felt I would likely heal without scarring, though my healing would be delayed in the affected areas. After a few doses of the meds I noticed things were improving, and this morning I look much better with the exception of the areas around my left eye. I confess that I am concerned I may end up with scarring here because the infection seems the deepest and the skin most deteriorated in this area. I am especially sad about this because my results otherwise look amazing: ALL of my under eye wrinkles are gone, and using the coagulation mode on the laser allowed him to tighten up my skin and get rid of my minor eye bags without surgery. So far as I can tell the area around my mouth looks great, too, though it's hard to know due to the irritation from the fever blisters. Right now I can't really do much but watch and wait and hope things heal normally, though I am being very diligent about applying the ointment as instructed and babying my skin. Pics to come soon when I'm able to focus and am less nervous.

Replies (1)

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May 2, 2018

Hope you come through this without scars! Looking forward to pictures on the other side. I have similar lines on my upper lip, so I'm really interested in seeing your results.