Doctor insights on:
Will Laser Resurfacing Remove Age Spots
How does co2 laser resurfacing get rid of wrinkles and dark spots? I understand that the co2 laser damages the skin and forces it to heal itself. But I don't understand exactly how that gets rid of wrinkles and spots..
This is a good question. Total fx laser resurfacing (co2 laser) vaporizes the soft tissues of the face to eliminate/reduce sun spots, decrease and remove lines and wrinkles as well as reducing pore size. This is through the production of a controlled injury to the papillary dermis (upper dermis), after which replacement of damaged tissues with new healthy, compact collagen takes place. One also sees a more homogenous complexion of the skin tone (color) and the reduction of telangiectasias (small red capillaries) due to this injury and tissue replacement. Optimal results are seen over a 90 â€“ 120 day timeline.
Be healthy and be well,
james m. Ridgway, md. ...Read more
Age or liver spots typically refer to a skin lesion known as a solar lentigo. Typically this is flat, larger than normal freckles and contains darker pigmentation. Other age spots may refer to seborrheic keratoses that are dark, slightly elevated and are described as looking like grease paint. Both of these lesions are generally benign but evaluation by a ...Read more
What is the best (reasonably priced) way to fade age spots on my face. Tried laser and some creams. Spots, veins and ruddiness remain. I'm only 41! : (?
Best spot treatment: Rather than shopping by price, you should look for someone who will give you some insight as to why these therapies have not met your expectations. Some expectations are simply unreasonable. Improvement is always the goal, not perfection. A good place to start is the dermatologist (i hope) who did your laser treatment. ...Read more
Are there any laser skin treatments for age spots? I'm looking for a way to get rid of the dark spots on my face for good. I stay out of the sun and exfoliate regularly, but nothing seems to help. I don't want a temporary solution. Would laser skin treatm
Yes: Intense pulsed light (ipl) is a quick and effective way to fade unwanted skin pigment with little downtime. Permanent removal of unwanted skin pigment is much more difficult without permanently affecting the rest of your skin's natural skin color. Ipl followed by good skin care, sun protection and use of hydroquinone can extend the results of treatment but periodic touch-ups will be necessary. ...Read more
I am 61 years old and noticed age spots on my face. What is the best approach to get rid of them. Creams? Laser? Retin-a?
Yes but be careful: It helps to remove pigment but there are many side-effects that an experienced doctor needs to warn you about. It causes increased sensitivity to the sun so if you're not careful about sun protection afterwards you can actually get worse pigmentation in the long run. Noninvasive lasers may be a safer bet especially for ethnic skin because they do not have as many side-effects. ...Read more
Probably, but...: Unfortunately, many doctors are performing procedures for which they are not adequately trained. These are almost always cosmetic procedures not covered by insurance that require payment in advance. Your best bet is to see a board-certified plastic surgeon, facial plastic surgeon or dermatologist with experience in laser treatment and the ability to handle any complications. ...Read more
Indications to treat:
You are a candidate for laser resurfacing if you have fine lines, deep wrinkles, uneven skin texture, significant sun damage with actinic keratoses and uneven skin discoloration, acne scarring. It is also beneficial for the improvement of burn and surgical scars.
Your skin color, medical history, lifestyle are also taken into consideration in recommending the procedure. ...Read more
Depth of treatment: There are several types of chemical peels (some deeper than others) and laser peels/resurfacing. They both are removing the top layers of skin. The deeper you peel the more effective at removing pigment, fine lines, and some tightening. The downside is that the deeper peels take longer to heal and have more downtime. Hope that helps! ...Read more
Varies by doctor: The offer of a free consultation fee will vary by surgeon and procedure. ...Read more
What is the best laser resurfacing tx for very sensitive skin? And who should perform the procedure?
Derm: See a board-certified dermatologist. Laser resurfacing treatment probably should not be done on very sensitive skin. Talk to the dermatologist about options. ...Read more
Fractional CO2: Ice pick scars are notoriously resistant to treatment. Co2 laser or fractional co2 with deepfx seems to work the best. ...Read more
Not at first: I would first recommend you stop the face cream, and switch to an acne-control regimen. Retin-a, or other retinoids, are very helpful for this. Then, you can better assess what the next step should be. ...Read more
Numerous: Laser resurfacing has made some major advances in the last few years. Fractional laser resurfacing with a co2 or erbium laser can effectively reduce fine lines and wrinkles, reduce pore size, remove pigmented spots, improve skin texture and even tighten loose skin. The fractional technology has reduced the down time to about a week. ...Read more
Several thousand: Cost depends on the type of laser used, skill and experience level of the doctor, and geographic location. Experience is the most important criteria in your search. If you call around your area and find that most doctors are charging within a certain range but one doctor is much lower, I would be very leery. Laser resurfacing requires a lot of skill and experience to perform well--do not go cheap! ...Read more
IPL vs. Topicals: At times, a gentle ipl treatment can help to expedite the resolution of post treatment redness and blend any areas of hyperpigmentation. I would combine this with topical therapy with hydroquinone +/- Retin-A or other available herbal skin lighteners. There are a variety of mineral based make-ups that can serve as cover-up in the short term as well. ...Read more
Effective, yes. But: Laser resurfacing can cause lightening and a mottled colored pattern creating light and dark areas and not a smooth colored pattern. This especially true in dark skinned people. Be careful. ...Read more
May be risky: This may be risky and result in an increased rate of variable pigmentation. ...Read more
Yes: Laser resurfacing can help, I especially like fraxel for this type of problem. You will need several treatments and I would recommend using plasma at the same time. ...Read more
Is a procedure used to smooth the skin and remove pigmentation irregularities. Co2 and erbium lasers are the most common modalities. If you are considering laser skin resurfacing, you should also research chemical peels and dermabrasion. Sometime these alternatives ...Read more
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