Board Certified in Dermatology
Recommended for: Board Certified in Dermatology Dermatologic Surgeon +0
Patient trust score
3 skill endorsements
2200 Opitz Blvd., Ste. 100, Woodbridge, Virginia
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1359 Beverly Rd., 2nd Fl., McLean, Virginia
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Fractional CO2 laser technologies (Fraxel, MiXto, Quadralase, etc.) are efficacious at reducing the appearance of surgical scars in the majority of individuals. These lasers work best when the texture of the scar is not overly raised. Generally, when treating indented scars such as yours with fractional lasers the results vary and may not be enough in achieving optimal results. These types of scars may also need additional treatments, such as hyaluronic acid filler agents (Restylane, Juvederm) or permanent fillers (Silikon 1000), if they do not fill in naturally over a 12 - 18 month period. The most common risks of fractional lasers include pigment changes such as hyperpigmentation or hypopigmentation (darker or lighter spots, respectively). Meticulous sun protection after the procedure is crucial to minimize the risk of pigmentary changes.
Lasers can be tricky in treating melasma and post-inflammatory hyperpigmentation (PIH) and in some cases can worsen the appearance of melasma. When choosing lasers to treat melasma, PicoWay Resolve is one of the safer options and it can be used in conjunction with treatments such as UltraMelanage (a superficial chemical peel designed to improve the texture and appearance of skin) to provide significant relief. Melasma is a chronic condition that can return with even minimal sun exposure so it is crucial to maintain sun protection before and after treatments.
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