How Modern Fractional CO2 and Erbium Lasers Deliver Similar Results, and Skincare Alternatives

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Someone wants to know which modality — CO2 Fraxel or Erbium Fraxel laser — is more beneficial in the treatment of deep pores and under eye wrinkling, and for the stimulation of collagen. They also want to know the ideal laser depth and number of passes for each treatment.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews their concerns in this video, and explains how today’s lasers can give one comparable results, and how it is more important to have a consistent treatment plan rather than a device-focused one:

1:14 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience using lasers in his practice since the introduction of the original CO2 lasers in the mid-90s

2:28 — The over-commoditization of the various cosmetic lasers of today

3:19 — Dr. Prasad discusses the basic principles behind all types of lasers, regardless of whether it’s an Erbium laser or CO2 laser

3:47 — How advancement and sophistication in laser technology can allow one to receive comparable results between two different lasers

4:35 — The rule of laser treatment: the deeper you go, the more thermal energy is delivered, the longer it takes to heal

4:45 — How many people often expect laser treatment to give them results that they would normally get from a surgical treatment; and how this leads to jumping from one treatment to another

5:36 — Why having a treatment plan and maintenance strategy is important

6:12 — Treating pores with the Q-Switch laser

6:47 — The role of platelet-rich plasma in addressing wrinkling, and how using this modality can balance out the potential aggressiveness of a laser treatment

7:49 — Why focusing on choosing a device is not as important as sticking to consistent, long-term treatment plan with an experienced doctor

8:22 — Dr. Prasad’s recommendation; and understanding that one treatment will not likely solve your cosmetic concern right away

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