Where should I go for fully ablative laser treatment?

Doctor's Answers 1

Fully ablative laser treatment or conventional CO2 laser resurfacing, as it is termed by the medical community, is hardly practised these days. This is because the procedure is associated with a significant risk of a permanent colour mismatch from the irreversible destruction of pigment forming cells residing in the top layer of the skin as well as the risk of hypertrophic scarring.

Practically all laser surgeons have migrated to the fractional approach which gives equivalent results albeit with several treatment sessions rather than a single session.

It will be good that you see your preferred Aesthetic doctor for an assessment of your condition and a thorough discussion of which is the best procedure that balances results with safety.

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Melasma is a tricky condition to treat as there are many factors involved and the pigment can be situated superficially, deep in the skin or a combination of both superficial and deep. However, there are treatments available to treat this condition via different pathways. Personally, I use topical lightening creams, orals and different machine-driven therapies to target the pigment at different levels in the skin to get optimal results. Treatment of melasma is like a regime and requires patience as multiple sessions are required.

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Hi there, Thank you for your photos. From those photos, you have a combination of Box and Ice Pick scars. Treatments wise, I would advise a combination of the TCA CROSS technique and Fractional CO2 lasers. For the TCA CROSS technique, high concentration TCA Acid will be administered to the scars to "fill" them up and make them less deep. Multiple sessions will be required and downtime of a few days to a week is to be expected.

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