Skin Clinic MD

Fractional CO2 laser ablation has become increasingly popular as an alternative to traditional plastic surgery. So, What do Cosmetic Dermatologists & Plastic Surgeons say about C02 fractional treatments?

Treating Specific Skin Conditions with Fractional Laser Resurfacing: Reliant Ultrapulse DeepFX and ActiveFX

1. Reliant Ultrapulse DeepFx is best for vertical lip (smokers) lines, deep wrinkles, acne scars. The fractional laser treats deep and stimulates more collagen and ablates more tissue for more tightening.

2. ActiveFx is better for pigment and more superficial textural problems

3. Stretch Marks (Stria): Use ActiveFx: 80-100 mj, density 1-2 (use Density 2 for thicker Stria). Do NOT use DeepFx for Stria.

4. Melasma: Experts are not sure it will work. They do not recommend at this time. They are doing test spots and experimenting with it. Melasma is a whole topic unto itself. Look for a specific article about this in the future.

5. Tattoos: DeepFx might be good for resistant Tattoos that have resisted other treatments.

Fractional C02 Laser Treatments: Pre-Post Treatment Tips For Skin Clinic Patients;

1. Mild moisturizers avoid acne flare-ups
2. You don’t have to use aquaphor or Vasoline. Mild moisturizers are good enough (personal communication from company reps).
3. Be aware of the Lanolin in the Aquaphor.
4. Using Aveeno Water Gel gets you one less day of Downtime! (From Dr. Weiss). What is Aveeno Water Gel? How do we get it?
5. Post TotalFx Care: Use “Soaks” every 3-4 hours. (What type of soaks? Saline Soaks (saline and gauze)? How long do you soak every 3-4 hours?)
6. Post Care: Use Cold ice packs or chilled air cooler for 30-45 min after treatment for patient comfort.
7. Valtrex for everyone. One case of disseminated herpes on the face is not good. Can we use Acyclovir? It costs less, much less (Four Dollars at Walmart!).
8. Use Pliaglis mixed with Cetaphil cleanser or moisturizer. 90% Pliaglis and 10% cleanser or moisturizer in the mix.
9. Experts worry about Lidocaine toxicity. Compounded Lidocaine works as well or better than Pliaglis. Pliaglis costs $60 per treatment. Compounded Lidocaine usually costs only about $6 per treatment.
10. Experts do NOT routinely prescribe oral antibiotics unless indicated for acne outbreak: Keflex 500 mg TID, Doxycycline 100 mg BID, Erythromycin can be used to prevent most acne outbreaks.
11. Sunscreens: Use everyday after skin is healed up. Wear hat and stay out of sun until healed.
12. Use a good UVA blocker as further protection.

Fractional C02 lasers can produce great results if used correctly like any medical technology, it’s not perfect.

Skin Clinic MD offers current information about med spa and laser clinic treatments like Fractional C02 Laser treatments. This is not medical advice! Consult with your Plastic Surgeon, Cosmetic Dermatologist or Aesthetic Physician for all medical advice.

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