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The Lowdown on All Things Laser: Making Skin Sense With Dr. Obagi

by StyleList Staff (Subscribe to StyleList Staff's posts)
Posted Jan 11th 2011 at 3:00PM  
32 Comments
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Celebrity dermatologist Dr. Zein Obagi helps us make sense of our skin, tackling all the issues lying between us and complexion perfection. This week, Dr. Obagi breaks down laser treatments.

laser treatment

Re-evaluate your perspective on laser treatments as a quick fix with tips from Dr. Obagi. Photo: Andreas Rentz/Getty Images

With the holidays behind us, your skin might be showing the signs of a season's worth of eating, drinking and merriment, but you'll want to think twice before looking to lasers for a fast fix.

While laser treatment is one of the most effective skin-repairing methods, your complexion may in fact appear worse before it looks better, post laser session. When it comes to laser resurfacing, remember it's not just the type of laser you choose that counts, but the timing as well.

I always advise my patients to laser-treat skin during what I call "hibernation months," when sunlight is scarce and clothing is plentiful. If you're planning a vacation during this time, however, all bets are off. There's no worse candidate for lasers than someone with suntanned skin, so always book your sessions at least four weeks before or after time spent in the sun.

While your dermatologist or skin-care specialist will determine which type of laser is best suited to your needs, I recommend that patients do some pre-consultation research as well. The most common procedures are on the face or neck, but lasers are also suitable for rejuvenating the hands, removing acne scars from the shoulders, zapping blood vessels, removing sunspots, neutralizing birthmarks and making unsightly moles disappear. Most laser procedures are performed right in your dermatologist's or plastic surgeon's office using a topical anesthesia, local anesthesia or light sedative, but not all lasers are created equal. Lasers work by removing aging or damaged layers of skin so that new, healthier skin can emerge.

Ablative lasers are most effective for diminishing wrinkles, acne scars and other surface imperfections, as well as, improving overall skin tone and texture in light-skinned patients. But these potent skin savers aren't without their drawbacks. Ablative lasers often yield dark, unsightly scabs that may require four to six weeks to fully heal and can call for up to a year of sun-exposure abstinence.

Like ablative lasers, non-ablative lasers are most effective for treatment of fair-skinned patients. This more gentle variety of laser is typically used for resurfacing skin tone and refining texture, as well as, permanent hair removal. I often recommend some pretreatment prep in the form of microdermabrasion. While there's little to no downtime and minimal discomfort, real results may take multiple treatments and even then the outcome can be inconsistent.

As with any medical procedure, look for board-certified dermatologists or plastic surgeons, and make sure that they perform the treatment, not a technician. Always ask your skin care professional which treatments he or she recommends, and compare the potential costs, results, discomfort and downtime.

To ask the good doctor a question or suggest a topic to tackle in a future column, leave a comment below. And check out his Web site, ZoSkinHealth.com for more skin-care information.

Laser hair removal can seem like an easy solution for unwanted leg, bikini, facial and underarm hair, but this is one treatment that was anything but easy for Miami resident, Monica Jimenez, who suffered second- and third-degree burns after a recent procedure.
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Filed under: Beauty, Skin & Body
Tags: Ablative Lasers, Dermatology, Dr. Obagi, Dr. Zein Obagi, Dr.Obagi, healthy beautiful you, HealthyBeautifulYou, Laser Resurfacing, Lasers, Microdermabrasion, Plastic Surgery, Skin Care
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READER COMMENTS

(32)Add A Comment

teri, 1-13-2011, 8:11PM

3 stars vote downvote upReport
teri

i had laser surgery done. it got rid of some wrinkles but what the doctor neglected to tell me was that you look like a halloween mask for a month afterwards. there is no way you can work and do this. the 3 days of looking weird is a bunch of crap. consider a month recovery

Reply »

flower, 1-14-2011, 9:16AM

3 stars vote downvote upReport
flower

Ouch! Had pdl for vascular issues and purpurea was only half the battle. Was left with a persistent erythema, leaving me feeling as if I had rosacea. The stinging and redness have persisted for 4 wks now with no sign of improvement. Was not warned about this potentiality. For anyone considering laser treatment, request a test first, on an inconspicuous body area that has the same type of skin you want treated (inner forearm is similar to facial skin in many people, etc) See hoe your skin will react first before having a facial treatment! Really, everyone is different and you cant expect your md, no matter how skillled, to know exactly how YOUR skin will respond to laser treatment

Reply »

Anne Winter, 1-13-2011, 8:31PM

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Anne Winter

Dear Doctor: I read with great interest your take on the Laser Treatment. A week or so ago, I too, went to see a Certified Doctor for the removal of age spots. I am a very YOUNG 68 years of age. The Doctor was so kind as to explain different mediums which I might have. We decided on the Chemical Face Peal. I understand that after having the gook put on ones face, there would be pealing in 2 - 3 days. Well, I am still waiting. I do have another appointment next week for number 2 peal, and then 4 more sessions after that. Did I do the correct method? Thank you for any help you may afford me.

Reply »

terrie, 1-14-2011, 1:43PM

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terrie

I had erbium c02 laser resurfacing done almost 4 years ago and ended up with hyperpigmentation and waffling and redness all over my forhead the it has never gone away what can be done about this i am 59 years old now thank you Terrie

»

Linda, 1-13-2011, 8:38PM

2.5 stars vote downvote upReport
Linda

I had fractional laser resurfacing done to my face and hands in Dec 2009. You can't believe how much improvememt in my skin from this one treatment. Yes, it was extremely painful.....especially my hands but I have been a sun worshipper all my life and now I am paying the price. I am 58 and my legs and arms have many actinic keratosis marks so tomorrow I am having my legs, arms and chest done. I go to New Hope Laser Center in PA and Dr. Schrager did the procedure, my hands and face are on their web site, I hope I have as much success tomorrow! It takes a good 7-10 days until you feel human so don't believe the 3 day stuff. My arms and legs can be covered so I am hoping to go back to work Tuesday. I will keep you posted as to pain and how things turn out.

Reply »

Beatrice, 1-13-2011, 8:49PM

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Beatrice

It makes sense to treat wrinkles Http://www.wrinklescaresite.info in the winter months.

Reply »

MM, 1-13-2011, 9:18PM

2.5 stars vote downvote upReport
MM

I had laser of my entire face and neck on December 31. A topical numbing mask was applied to my face and neck. After 15 minutes the doctor came and began the laser process. There was very little discomfort throughout the procedure. I had been given a stress ball to hold and didn't need to squeeze it at all! I had hoped to go shopping after the procedure but decided against that when I saw my face in a mirror. I looked like I had horrible acne over my entire face and neck. I went out that night and was able to use some cover-up which didn't cover too well. By the third day cover-up covered almost everything. By day 7 there were absolutely no marks. I am now at day 14 post-laser and my skin is smoother and most of my sun spots are totally gone. My face has just begun pealing but it is well managed with lotion. I use SPF50 sunscreen daily and was advised to do so for at least 4 weeks. I have absolutely no regrets at having this done. I might go back for a second treatment to zap away the few spots that are still present. For me it was well worth the money and the temporary acne look.

Reply »

lisa, 1-13-2011, 9:43PM

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lisa

Hi
What kind of laser did u have?
Thanks

»

eloise, 1-14-2011, 12:45PM

2 stars vote downvote upReport
eloise

I am 67 1/2 would like to treat the area under my eyes & "doggy yowls" would like to treat with lazer..do you recomend it & approx $$$

»

diane, 4-01-2011, 8:16PM

2 stars vote downvote upReport
diane

does anyone know about how much a procedure would cost, say, having my face lazered to get rid of many age spots and some wrinkles ??

»

vrgnia tompsen, 1-13-2011, 9:36PM

2 stars vote downvote upReport
vrgnia tompsen

please comment about the life=style lift (advertised on tv all the time) that supposedly zaps away double chins and aged jowls. is this laser? is it safe, does it leave scarring, how long does it usually last?

Reply »

Lorraine, 1-14-2011, 12:04AM

2 stars vote downvote upReport
Lorraine

I have upper lip lines and now I'm noticing some lower lip lines.
Is laser treatment good for this or should I just have plastic surgery?

»

Susan, 1-18-2011, 1:04PM

2 stars vote downvote upReport
Susan

Please Google Life-Style lifts and look at the different web sites. I did and I found a lot of people unhappy with this procedure.

»

jackiesry, 1-13-2011, 9:37PM

2 stars vote downvote upReport
jackiesry

I have a question; I have a deep line (wrinkle)between my eyebrows. I have had botox injections which help to soften this line but it does not take the wrinkle away. I asked my physician about using a filler and he told me that he would not do it because it is against general recommendations to use a filler in this area. I am very self conscious about this line and would like it to be eleminated--not softened. What should I do?

Thank you

Reply »

Martha, 1-13-2011, 10:13PM

2 stars vote downvote upReport
Martha

you can definitely have fillers used for the line in between your eyes. I have a dr. who did mine a few years ago using Restylane. In conjunction with Botox this is a safe, easy way to eliminate your frown line(s). Just need to find the right dr.

»

Jack, 1-13-2011, 9:50PM

2 stars vote downvote upReport
Jack

I had fractional CO2 laser resurfacing done on December 28. The doctor gave me the most aggressive treatment so I had to be under sedation for about 90 minutes. My face looked like a cheese pizza for three days with blood and oozing liquid. I had to flush my face in water three times a day and apply this nasty, greasy ointment. I was in and out of bed for 4 to 5 days but the discomfort and ugliness improved every day. After ten days I returned to work. My skin has a reddish-pink glow which the doctor says will improve over the next couple of weeks. Im amazed at the results. The aging clock has been turned back at least ten years. Wrinkles are gone or very soft and my skin is now tight around my eyes and ears. It was alot to handle the for the first week but it was worth every bit of the effort. Ive had fillers and botox over the last 5 years and they all helped, but nothing gave me the vast, remarkable results of the CO2 fractional laser resurfacing. My results are truly amazing.

Reply »

lake, 1-13-2011, 10:49PM

2 stars vote downvote upReport
lake

who was your doctor and in what city/state is he? thank you for your time!

»

Barbara, 1-13-2011, 11:26PM

2 stars vote downvote upReport
Barbara

I had the same thing done about 5 years ago. When I was finished I looked really scary. Had the oozing and it was very tricky trying to clean the area daily. The worst part was the ichy stage. I was home for 2 weeks then bought a heavy coverup makeup to cover the red. The red lastest a long time. However, my face looked wonderful and I am so happy I went through the process. But you must be prepared to live differently. Always wear a 30 sunscreen on your face. I do both winter and summer. I have been caught a couple of times and the part of my face that had the laser still turns red. Although I have loved the results, I wouldn't go through it again. It was very scary and it did requir a lot for the healing process. Oh, and make sure you really trust your surgeon. Mine was the best. But you are essentially getting 3rd degree burns. When you see your face right after the process, you pray your surgeon knows what he'd doing. It is frightening!

»

Jack Glenn, 1-15-2011, 3:15PM

2 stars vote downvote upReport
Jack Glenn

Im in the Dallas area. The doctor is Anthony Caglia, MD. His website is www.dermlasercenter.net.

»

Jack, 1-15-2011, 3:15PM

2 stars vote downvote upReport
Jack

Barbara, youre correct. The itching was probably the worst part. It lasted about three days but then he gave me some low strength hydro-cortisone cream, formulated for post laser use. He said I could only use it a couple of days at the most. The itching was better after two applications of the cream and mostly gone after two days.

»

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