As an advanced medical aesthetician, your content and delivery are great! I like your straightforward yet thorough explanation of skin rejuvenating devices. Please let's see more!
@carloss1313 are you saying you experienced fat loss yourself but then were able to fix the issue with a different laser treatment? If so what laser treatment fixed it. I'm looking into getting laser treatment done for my severe acne scars and I was leaning towards ablative but not after learning of it's potential of fat loss.
Had full face TRL laser 2 months ago, this is not for the faint of heart. Similar to Co2, this is a serious procedure (2 hours + of probably 100 painkilling injections plus demerol, ativan) and brutal 1st week caring for a full face oozing wound. Week 2-3, worst is over over but crazy flaky skin so although I could use concealer, it turned into oatmeal haha. Fast forward to now, i'm still cautious about exertion, minor roughness, bent over positions which all cause pin prick blood spots, redness, delayed healing but wow, amazing results! Glad i did it, i honestly can't remember when my skin looked so smooth, taught, spot & wrinkle free but from here on, plan to maintain with more frequent/less downtime procedures.
Oh my goodness, what you went through! I'm so happy that you feel it was worth it. May I ask what age your skin was considered when you did this? Odd question in some ways, but one's chronological age is not always synchronous with one's skin age (sun damage, smoking, etc). i.e. I'm 55, skin age 48 (thanks to a lot of IPL treatments in my late 30s/early 40s. I'm wondering because you say your results were excellent (which is AWESOME to hear, since you went through quite a lot of suffering for a few weeks, it seems). Thanks in advance, and no worries if you'd rather not say. : )
@@le_th_ I'm 58, healthy and otherwise age defying but my face was looking tired. I'd done a few laser treatments & botox over the years but nothing aggressive. It was time for an overhaul & time to commit to regular maintenance procedures at a great comprehensive clinic.
That sounds horrible ! Thanks for the feedback, I'm super active and I'd rather exercise and be active without worrying about what position I'm in since I have sensitive skin as is 😅
I did laser skin resurfacing (lasemd) and RF microneedling,LaseMD was okay but the RF microneedling was horrific!!I developed loose skin under my neck and deep smile lines! My skin was immaculate prior to use, I’m 49 and wanted to try it for anti-aging purposes! I regret it each day! Not sure what to do at this point?
I'm really sorry to hear about your experience. It's frustrating when treatments meant to help with anti-aging lead to unexpected results. RF microneedling can sometimes cause adverse effects, especially when skin laxity is a concern. At this point, I would recommend scheduling a consultation with a plastic surgeon or dermatologist experienced in treating post-procedure issues. There are options, like targeted skin tightening treatments or even subtle surgical interventions, that can help address the loose skin and smile lines. Don’t lose hope-there are ways to improve your situation, and I’d be happy to guide you through potential next steps if you’d like on a virtual appointment. You can book a session with me here drkopelman.com.
Great video, thank you so much for explaining everything in straightforward but with enough detail. You really connected some knowledge dots and dispelled a few myths. I would greatly appreciate if you did a video going into detail about treating acne scars. Thanks again, subscribed.
Thank you Dr. for this amazing information. I am a licensed cosmetologist getting ready to get my advanced esthetics license. I think this information. Will help me tremendously in my theory studies!!!
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long... Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session. One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long... Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session. One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Lasers facial resurfacing results in common complications, they are, raised lines that come and go varying with temperature changes, dermal thickening, scarring and there is little that can be done when these complications occur. A relative suffered all of these and was informed by the plastic surgeon who carried out the procedure he didn't have a magic wand to wave over her. She was left devastated and the only laser expert that she sought help from who was willing to help her, was a laser expert in Belgium, who stated that due to the common complications that she had and he was aware of, his practice no longer carries out laser resurfacing instead he uses the Tel Aviv chemical peel face mask as it has shown to have fewer complications and has a better outcome. His practice had found that mega doses of vitamin B complex lessens the lines and improved the overall damage done by the laser procedure. Unfortunately doctors don't always mention complications of the procedures they recommend. Best wishes from Europe ❤
Really well, thanks! My doctor use a somewhat low setting all over n a stronger setting on a few spots so I healed pretty fast. I did breakout in a rash due to the aquaphor after a few days of using it so I switched to the moisturizers I usually use which my doctor said was ok. I’ve noticed the pores on my nose r smaller, the fine lines around my eyes have diminished, n a few of my dark spots were already lighter.
Dear Dr, Good info, useful, thanx. I've been reading that any treatment to the face involving heat, e.g. radiofrequency, lasers, more, will result in--sooner or later--a melting (so to speak) of facial fat. If true that's certainly a concern. What's your observation?
Which one is better for remove acne scar? 1. Co2 laser+ prp 2. Microniddle + prp Is Co2 laser safe?? Please help...I'm worried about side effects of these type of treatment
This is good! Thank you! I’ll be 44 this year and I think I’m ok so far. My area of concern is the eye area with hollowing and the jowls. I’m not bad yet but the skin there is extremely thin and I want to keep it up! Also, does any of this affect the fat in the face? I want to keep as much of it as possible! 😂
Same! Preserving fat is super important, on the face! Hooded eyes are my problem area. I'm considering Nira or EvenSkin has tool around the eyes. Not sure yet what to choose. Blepharoplasty is too early, i think, I'm entering my 40th this year.
Hi Dr. Kopelman! This is the most detailed explanation of lasers I’ve encountered. You’re informative, detailed, and give a very good impression. I subscribed and would love to be treated by you. I have 2 questions. Since my teens I have had undereye depressions and dark circles. To remedy some of this, nine months ago I had undereye silicone implants placed in the area. It turned out that they are much too large for my face, so those areas are now bulky, convex, and look odd. Also, the implants make my eyes look a little smaller, one more than the other (definitely not something I was counting on). In addition, the bulkiness creates a shadow under the implants which makes it look like I have very dark circles under the bulkiness, at an area much lower than where my original dark circles were. My hope is to be able to have the silicone implants removed, but I’m afraid of doing so because I fear damage being caused to nerves or another area under the eyes. The questions I have are as follows: 1. Have you ever heard of undereye silicone implants being removed successfully?
2. If I can get them removed without mishap, what’s my best bet for treating my depressed and dark undereye area? Undereye lift? Mid-face lift that treats the area around the undereye? Lasers? Microneedling? Something else? Thank you!
Yes I have heard of patients who have had lower eyelid implants. These implants can be removed and hyaluronic acid gels like Restylane can be used to restore volume or your own fat can be a source for fat grating the lower eyelids to restore volume
I had the IPL lazer 15 years ago and loved the results. Just now needing it again. No age spots still, (I do peels bi-monthly), but am starting to see very little fine-lines around my outer part of my mouth where the marionette lines end. At 62, not bad. I think I might try the micro needling on them.. if it does not help I will go with the lazer. Thanks Dr.
I’m in Anatomy and Physiology in college right now and we are actually studying the integumentary system right now. It’s so great that you are including this medical information in your discussion of skin procedures.
I went to PA school and I honestly think A and P undergrad was more difficult haha. It took a lot of memorizing. Taking one and 2 with labs was a definite grind
thank you Doctor for the excellent explaination not many professionals educate and inform people thoroughly as you have. patients' needs differ,and understanding the effect of these devices and their limitations is critical in order to seek the correct treatment
Can laser skin treatments (IPL?) lighten small moles/birthmarks or is it only for aging spots? What's the best way to blend in moles/birthmarks? thanks.
Radio frequency micro needling needs to avoid depths significantly beyond 2 mm in most parts to avoid burning fat. It should also be used with topical exosomes (avoid injections for safety) and all quality exosomes must be scrubbed for diseases AND be added during the micro needling session and up to 3 hours after it since pores are still open (and sensitive to germs as well so hygiene is a must). At least 3 sessions a month apart each will be required for very major improvements (it takes over 5 months to get final results). Diet, rest, chemical peels (3-4 sessions), and considering hydrolyzed collagen (all peptides ideally) and hyaluronic acid at safe and conservative doses will also build up collagen during periods of micro needling for at least 100 days.
Thank you so very much for taking the time to give all this valuable info - I’ve had facelift years ago, Chemical Peek( boy that was painful) Erbium Laser, and Alma - I’m fighting it all the way
Great video, Doc! I have a Philips Reaura laser which is no longer available. I’ve found it to be very effective over the years. It’s to be used twice a week on each area for 8 weeks. Question: If I use it like this, can I use Retin A in the between nights? Or, can I use the Reaura every night?
I just took Morpheus 8 + Fraxel Dual + PRP Treatment and am really amazed with the result. I feel my face is tightened much and can even see the change on the mirror. I took several other treatments similar to it before (one of them was also micro-needling with RF just as Morpheus 8) , but I couldn't feel much change somehow. I was thinking of taking a facelift surgery if laser treatment didn't work, but now I guess I don't need to take a surgery for a while (thanks to Morpheus 8)
Be very careful with these heated lasers as they cause fat loss, dermatologists will say they don’t cause facial fat loss as it doesn’t penetrate that deep I have first hand experience……. Don’t do it
This was incredibly thorough and helpful. I am in my 40s and have freckles that are lightening with age and retinol/sunscreen use. I would like to start either laser or micro needling treatments to firm skin… and I’d like to actually make my freckles darker. They are one of my favorite features! Would heat increase the pigment of freckles? Thanks again for your insight!
Quite useful information thank you! I have a question though, since you mentioned CO2 or Erbium Yag aren’t recommended, this means we can’t use these treatments to patients with Melasma? Thank you kindly! Subscribed now. 😊
I just finished using accutane Used differen the night after, Woke up in the morning. Applied checmichal sunscreen and my skin was hyper reacting to the sunscreen and I got box scars from it. Can u imagine? This happened last week. And now I am trying to choose what kind of procedure should I get to treat the box scarring that happened on my cheeks. But watching ur video made me realize that I should steer clear from all procedures and acids, for a year at least to restore my skin’s strength back first. Thank you for the warning at the end of your video!!! I am grateful, you helped prevent a big accident 😢 thank you sir
Thanks for explaining the science behind this. The fibroblast forming a latticework make absolute sense. I never wanted to have an ablative laser until understanding how this therapy can truly work.
I'm considering a CO2 laser treatment but have a fair amount of sun damage and freckles. (Caucasian who tans easily.) When you mention ablated lasers lightening skin with dark spots does this mean it will just remove the freckles or will it leave them lighter than my natural skin tone creating white spots? 🤔
I wish I could afford to get this treatment this done. Years ago drs were always looking for models to experiment the treatments on, does this still take place in some businesses Pick me pick me please
Thank you for the explanation. I’d like to know which would be best for taking down small bumps in the skin to smooth it out? I know the microneedling does well to improve indents but I’m more interesting in taking down some bumps. Thanks!
Dr. You recommended a series of fractional lasers for people that do not have alot of recovery time. How many sessions would you recommend for this? Also,
I want to look youthful when i die and not look my real age Its well worth spending money on. Lol. Actually i enjoy life as i am. Growing old is natural.. we should embrace it, and teach our children how to embrace aging...not dislike it. Workout yes.... cosmetic? ...no. go for a walk.
Hello Dr. Kopelman, thank you so much for posting this very informative video. I’m a fair skinned, Caucasian, 55 year old woman who has struggled with the appearance of chicken pox and acne scarring on my face since I was a teenager. I finally decided to give Co2 resurfacing a try just recently. I’ve had two Co2 Resurfacing procedures done so far. Although I have seen some positive results with firmness and texture of my skin, I still don’t feel that the Co2 is making quite a substantial difference to help eliminate my facial scars. My question to you is, should I continue with the Co2 or try Microneedling or is there another treatment you can suggest? Will I eventually need surgery? I have had scarring on my face since I was a teenager before the Chicken Pox vaccine was available and I’m hoping there is help for me to be able to finally feel more confident about myself and to obtain a more permanent solution to improving the scarring on my face. Thank you in advance for your advice.
Hi. I am a 62 year old fair skinned female with very old burn scars on the right side of my face. I was burned when I was 4 years old. My skin on the normal side of my face is quite good with very little wrinkling, except for fine lines over my lips. I have booked an apointment to do microneedling with radio frequency on the 18th of april. Is this something that you would recommend to improve my burn scars. The picture that you see of me on my google account is a bit airbrushed. I would appreciate your input.
Hi doc, i just did c02 laser but my face is still swelling after 6 days and is very red, warm and flaky. I was told to apply 0.2 hydrocortisone. Is that it? Or shiuld i add a moisturiser?
Thank you for your excellent information! I had a lower facelift and I'm not thrilled with it. I can't afford to do it again. I am looking into these proceedures in order to improve my appearance where ever I can.
Anything can...I had non ablative fraxel done and it causes more scaring and textural irregularities, so I'm going to try to fix the damage with microneedling rf.
I'm a new subscriber. Love your topics. I am a 66 yr. old Caucasian female. I don't have wrinkles or brown pigmentation, as I have used tretinoin, VC and daily used of sunscreen for 3 decades. I have been micro needling every 4 to 6 weeks for a few years with a .05 derma roller. I am never extremely aggressive to where I draw blood. There is so many controversies over this. If it builds collagen, I want to continue. If not, am I wasting my time? Going for in office treatments is not an option for me. Your opinion would be greatly appreciated. Thank you!
There are limitations with derma rollers. If you want to see collagen production I would recommend microneedling with PRP that has shown to help with collagen production because you are spinning down your blood to get stem cells to help stimulate collage growth during your Microneedling procedure.
First of all, thank you for this valuable information. Regarding microneedling, I would like you to explain to the viewers the difference between the products sold for home use and what we have in clinics, and that to benefit from the process to stimulate collagen, the length of the needles must be more than 1.5 ml and it varies according to the thickness of the area (I think). It is something that many people ignore, and we will not find someone better than you to explain this to us and the public. Thank you
Thank you very much for the video. I am at my seccond session of laser co2, the third one will be in a month. I am thinking for maintaining the results to do once a year only microneedling ( 3 sessions). You think will be enough? I am 42, white skin and not damaged by sun.
Hi please dr I used steroid creams and it thin out my face making my capillaries to show can I do Microneedliing cause no way for lasers in where I’m 😢
hi dr. kopelman...i am booked for co2 lazer treatment. the first of 3 is april 6/24. i have always moisturized & cared for my skin. i am 74, but have very few wrinkles and probably look 60 now. i am nervous. i am freightened of scarring...should i do it ? i have R/Aand inject .6 cc. mtx. weekly...does that matter...slightly photo sensitive.
Any laser treatment comes with some risks. If the medical practitioner uses conservative settings you should be OK but overly aggressive treatment can lead to scarring.Also make sure you take anti-viral prior to the procedure and a week following the procedure to prevent cold sores from occurring
Very informative video! I know this is an older video, but can you please tell me what type of laser the Tetra CoolPeel is? Ablative or Non-ablative? I've recently had 2 treatments but haven't noticed any improvements. I'm wondering if there are things going on behind the scenes that will improve my skin (like collagen building) that I will notice months from now. I'm not sure if i should get another 1 or 2 more treatments. Thank you.
I had the secret rf with co2...my skin looks very dry and actually more red and dull then before 😢...its been 1 week....should this improve?? I'm rather disappointed
Thank you for the fantastic advise, I couldn't hear your podcast very well it was on the soft side is there any way you can turn up the volume on your microphone. Thank you. I will be having my laser next week. 🙋♀
Am I to understand this correctly. If I have micro needling done for acne scarring, the results won’t last and the scarring will return??? Not much point in spending large amounts of money for temporary results.
I have rather spanish skin color and got severe hyperpigmentation after having CO2 on my face. Today after 8 months of constantly using sunblock and weak peeling on weekly base, they have faded out but still visible on my cheeks. However my skin texture and pores have improved noticeably.
I am a Caucasian woman age 70 who has developed vitiligo in the past few years. It has not affected my face. My dermatologist recommended a CO2 laser for wrinkles. My question is will this treatment affect my vitiligo and spread to me face due to damage of the skin.
Vitiligo is an autoimmune disease that can be treated with a topical JAK inhibitor named Opzelura cream I believe if the vitiligo is not on your face it is probably ok to have a laser treatment I would prefer erbium laser rather than CO2 because it delivers less heat to the dermis
I have melasma - once had laser and yes it got way worst! Then I have micronedeling but after two sessions and several peels no results . This is the end for me? Anything else I can try
How are you dr. Joel... Thank you for your informations that really make me more understand what is suitable for my skin problem, however my pigmentation still in progress to reach the gold. But really Thank GOD getting lesser now. Hopefully gain back my yout soon 😂😍
This is the first time I fully understand all the types of lasers! I noticed an accomplished Doctor used laser over the whole face except he used Ultrasound on both sides of the jaw; subsequently I read that ultrasound can remove fat so one might want to use it at the sort of hanging area at the sides of the chin. Could you elaborate?
Very helpful video! What would be the best way to treat the chest of age spots? Like where a v-neck shirt exposes the skin? Is there any reason a co2 laser would not be effective in this area?
An erbium fractionated treatment of your "décolleté"is a good option . CO2 lasers deliver too much heat and have the potential to cause scarring on the chest therefore avoid them
I just subscribed to your channel & I I am so excited I found you!!!! I just had a chemical peel & 4 weeks I will start 3 treatments of Laser. Then I will see if I can get also the PDP Threads. Thank you for your detail explanation.....
Ablative lasers may be used for example over grotesque scars that are large (reconstructive)..vs non ablative a flat scar where you'd like to improve the esthetics of the scar to make it appear like normal skin.
Hi Doctor! I recently had a TRL laser treatment (erbium yag) I am three weeks post laser. The skin is now healed , all scabbing, oozing etc is now resolved but my the skin continues to have erythema with some areas where he went deeper somewhat more red. I’m wondering how long this uneven weird red blotchy look will persist. Although I have not really been out of the house that much, (and when I have have worn sunscreen ) I’m not sure if the red areas are turning brown. Would the use of hydroquinone at this point be prudent? Thanks
Resolving redness from a laser treatment can take six to eight weeks even from an erbium -yag laser .It depends on how deep the treatment was- the deeper the wrinkle -the deeper the treatment--the longer the recovery. no hydroquinone at this point
Unfortunately some patients developed serpiginous facial scars while taking Accutane therefore I would not recommend anyone to have lasers , peels etc. for at least one year following the discontinuation of Accutane
I had a full face and neck lift 5 months ago and now have raised scars behind my ears and at the bottom of my hairline on the back of my neck. Will a fractionated CO2 laser or micro-needling at home with a micro-needling pen help to minimize these scars? I am using Bio-Oil and Scar gel now.
My doctor said I have mild scars and he said he will be doing a less intense co2. During the process it did priced me, but post that I didn't have any pain, swelling or scabs. I don't even know if it was so mild that it didn't even worked or my doctor made money for another session by deliberately doing a mild session? Pls advise has anyone ever got a mild Co2 session. All I got was just swelling post treatment
As an advanced medical aesthetician, your content and delivery are great! I like your straightforward yet thorough explanation of skin rejuvenating devices. Please let's see more!
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Microneedling with radio frequency can cause fat loss. Be very careful with this treatment. Personally I’d prefer microneedling without RF.
I have been doing microneedling I have been loving the results
Most definitely 👍
Depending of Genetics & Skin Types-Subcision created loss of
Adipose for me, then 3 Laser Treatments gradually increased Collagen and Adipose Tissue.
@carloss1313 are you saying you experienced fat loss yourself but then were able to fix the issue with a different laser treatment? If so what laser treatment fixed it. I'm looking into getting laser treatment done for my severe acne scars and I was leaning towards ablative but not after learning of it's potential of fat loss.
@@livingthedream3259
I went with 2 Treatments non Ablative
Not too deep
1 Treatment Ablative medium depth
Had full face TRL laser 2 months ago, this is not for the faint of heart. Similar to Co2, this is a serious procedure (2 hours + of probably 100 painkilling injections plus demerol, ativan) and brutal 1st week caring for a full face oozing wound. Week 2-3, worst is over over but crazy flaky skin so although I could use concealer, it turned into oatmeal haha. Fast forward to now, i'm still cautious about exertion, minor roughness, bent over positions which all cause pin prick blood spots, redness, delayed healing but wow, amazing results! Glad i did it, i honestly can't remember when my skin looked so smooth, taught, spot & wrinkle free but from here on, plan to maintain with more frequent/less downtime procedures.
Oh my goodness, what you went through! I'm so happy that you feel it was worth it.
May I ask what age your skin was considered when you did this? Odd question in some ways, but one's chronological age is not always synchronous with one's skin age (sun damage, smoking, etc).
i.e. I'm 55, skin age 48 (thanks to a lot of IPL treatments in my late 30s/early 40s. I'm wondering because you say your results were excellent (which is AWESOME to hear, since you went through quite a lot of suffering for a few weeks, it seems).
Thanks in advance, and no worries if you'd rather not say. : )
@@le_th_ I'm 58, healthy and otherwise age defying but my face was looking tired. I'd done a few laser treatments & botox over the years but nothing aggressive. It was time for an overhaul & time to commit to regular maintenance procedures at a great comprehensive clinic.
That sounds horrible ! Thanks for the feedback, I'm super active and I'd rather exercise and be active without worrying about what position I'm in since I have sensitive skin as is 😅
I did laser skin resurfacing (lasemd) and RF microneedling,LaseMD was okay but the RF microneedling was horrific!!I developed loose skin under my neck and deep smile lines! My skin was immaculate prior to use, I’m 49 and wanted to try it for anti-aging purposes! I regret it each day! Not sure what to do at this point?
I'm really sorry to hear about your experience. It's frustrating when treatments meant to help with anti-aging lead to unexpected results. RF microneedling can sometimes cause adverse effects, especially when skin laxity is a concern. At this point, I would recommend scheduling a consultation with a plastic surgeon or dermatologist experienced in treating post-procedure issues. There are options, like targeted skin tightening treatments or even subtle surgical interventions, that can help address the loose skin and smile lines. Don’t lose hope-there are ways to improve your situation, and I’d be happy to guide you through potential next steps if you’d like on a virtual appointment. You can book a session with me here drkopelman.com.
Great video, thank you so much for explaining everything in straightforward but with enough detail. You really connected some knowledge dots and dispelled a few myths.
I would greatly appreciate if you did a video going into detail about treating acne scars.
Thanks again, subscribed.
Thank you Dr. for this amazing information. I am a licensed cosmetologist getting ready to get my advanced esthetics license. I think this information. Will help me tremendously in my theory studies!!!
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long...
Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session.
One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long...
Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session.
One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Lasers facial resurfacing results in common complications, they are, raised lines that come and go varying with temperature changes, dermal thickening, scarring and there is little that can be done when these complications occur. A relative suffered all of these and was informed by the plastic surgeon who carried out the procedure he didn't have a magic wand to wave over her. She was left devastated and the only laser expert that she sought help from who was willing to help her, was a laser expert in Belgium, who stated that due to the common complications that she had and he was aware of, his practice no longer carries out laser resurfacing instead he uses the Tel Aviv chemical peel face mask as it has shown to have fewer complications and has a better outcome. His practice had found that mega doses of vitamin B complex lessens the lines and improved the overall damage done by the laser procedure. Unfortunately doctors don't always mention complications of the procedures they recommend. Best wishes from Europe ❤
I’m getting a CO2 laser treatment next week so I’ve been binge watching videos about it. U give the best breakdown so far💜
Really well, thanks! My doctor use a somewhat low setting all over n a stronger setting on a few spots so I healed pretty fast. I did breakout in a rash due to the aquaphor after a few days of using it so I switched to the moisturizers I usually use which my doctor said was ok.
I’ve noticed the pores on my nose r smaller, the fine lines around my eyes have diminished, n a few of my dark spots were already lighter.
Hey did you have deep scars ?
@@madhurima4937 sry, no I don’t have any scaring
Make sure you take numbing cream. I nearly died it is so fkn painful. Also sooooo itchy after!
Hi, Was your CO2 lazer treatment Ablative or Non-Ablative?
This is the best description I’ve ever heard regarding skin rejuvenation… Thank-you!
What is your opinion of utilizing a micro needling pen at home? Will it help topical treatments penetrate the skin OR a waste of time and money?
Great video! Tried both ablative and non ablative lasers...I am going to admit that I was sceptical at first but the results are beyond amazing!
what worked best for under eyes and jawline?
Dear Dr, Good info, useful, thanx. I've been reading that any treatment to the face involving heat, e.g. radiofrequency, lasers, more, will result in--sooner or later--a melting (so to speak) of facial fat. If true that's certainly a concern. What's your observation?
Which one is better for remove acne scar?
1. Co2 laser+ prp
2. Microniddle + prp
Is Co2 laser safe??
Please help...I'm worried about side effects of these type of treatment
I heard some lasers can cause fat loss.
This is good! Thank you! I’ll be 44 this year and I think I’m ok so far. My area of concern is the eye area with hollowing and the jowls. I’m not bad yet but the skin there is extremely thin and I want to keep it up!
Also, does any of this affect the fat in the face? I want to keep as much of it as possible! 😂
Same! Preserving fat is super important, on the face! Hooded eyes are my problem area. I'm considering Nira or EvenSkin has tool around the eyes. Not sure yet what to choose. Blepharoplasty is too early, i think, I'm entering my 40th this year.
Have u heard of adipeau cream?
@@margareto1600what’s that?
Thanks for explaining the pos and cons on choosing laser and micro needling among different skin tone clients in a very easy understanding way. 👍🏻
None of these melt facial fat? Cause I heard radio frequency does.
I have heard this too. I’d stay away from RF personally.
Hi Dr. Kopelman! This is the most detailed explanation of lasers I’ve encountered. You’re informative, detailed, and give a very good impression. I subscribed and would love to be treated by you.
I have 2 questions.
Since my teens I have had undereye depressions and dark circles. To remedy some of this, nine months ago I had undereye silicone implants placed in the area. It turned out that they are much too large for my face, so those areas are now bulky, convex, and look odd. Also, the implants make my eyes look a little smaller, one more than the other (definitely not something I was counting on). In addition, the bulkiness creates a shadow under the implants which makes it look like I have very dark circles under the bulkiness, at an area much lower than where my original dark circles were.
My hope is to be able to have the silicone implants removed, but I’m afraid of doing so because I fear damage being caused to nerves or another area under the eyes. The questions I have are as follows:
1. Have you ever heard of undereye silicone implants being removed successfully?
2. If I can get them removed without mishap, what’s my best bet for treating my depressed and dark undereye area? Undereye lift? Mid-face lift that treats the area around the undereye? Lasers? Microneedling? Something else?
Thank you!
Yes I have heard of patients who have had lower eyelid implants. These implants can be removed and hyaluronic acid gels like Restylane can be used to restore volume or your own fat can be a source for fat grating the lower eyelids to restore volume
Laser or micro needling are not ideal choices in this setting
@@DrKopelmanHindi Thank you!
@@DrKopelmanHindi I'm going to look up your website and call for an appointment.
It's all so sad, really, that we do so much.
So much except accepting natural life progression...
Well explained, only very few people deliver info that clearly. Very useful, ty!
I had the IPL lazer 15 years ago and loved the results. Just now needing it again. No age spots still, (I do peels bi-monthly), but am starting to see very little fine-lines around my outer part of my mouth where the marionette lines end. At 62, not bad. I think I might try the micro needling on them.. if it does not help I will go with the lazer. Thanks Dr.
I’m in Anatomy and Physiology in college right now and we are actually studying the integumentary system right now. It’s so great that you are including this medical information in your discussion of skin procedures.
I am so happy to hear that my videos are helping you to learn anatomy!
I went to PA school and I honestly think A and P undergrad was more difficult haha. It took a lot of memorizing. Taking one and 2 with labs was a definite grind
I’m very skeptical of needling. It sounds too much like aerating a lawn.
Perfect video - the type that I have to watch a few times to really get . Thx
thank you Doctor for the excellent explaination not many professionals educate and inform people thoroughly as you have. patients' needs differ,and understanding the effect of these devices and their limitations is critical in order to seek the correct treatment
I have learned so much in this video. Great work! Keep it up.
Can laser skin treatments (IPL?) lighten small moles/birthmarks or is it only for aging spots? What's the best way to blend in moles/birthmarks? thanks.
Radio frequency micro needling needs to avoid depths significantly beyond 2 mm in most parts to avoid burning fat. It should also be used with topical exosomes (avoid injections for safety) and all quality exosomes must be scrubbed for diseases AND be added during the micro needling session and up to 3 hours after it since pores are still open (and sensitive to germs as well so hygiene is a must). At least 3 sessions a month apart each will be required for very major improvements (it takes over 5 months to get final results). Diet, rest, chemical peels (3-4 sessions), and considering hydrolyzed collagen (all peptides ideally) and hyaluronic acid at safe and conservative doses will also build up collagen during periods of micro needling for at least 100 days.
Very informative and I wish I could go to your practice.
Thank you so very much for taking the time to give all this valuable info - I’ve had facelift years ago, Chemical Peek( boy that was painful) Erbium Laser, and Alma - I’m fighting it all the way
Glad it was helpful!
Great video, Doc! I have a Philips Reaura laser which is no longer available. I’ve found it to be very effective over the years. It’s to be used twice a week on each area for 8 weeks. Question: If I use it like this, can I use Retin A in the between nights? Or, can I use the Reaura every night?
I just took Morpheus 8 + Fraxel Dual + PRP Treatment and am really amazed with the result. I feel my face is tightened much and can even see the change on the mirror.
I took several other treatments similar to it before (one of them was also micro-needling with RF just as Morpheus 8) , but I couldn't feel much change somehow. I was thinking of taking a facelift surgery if laser treatment didn't work, but now I guess I don't need to take a surgery for a while (thanks to Morpheus 8)
Did you took CO2 laser treatment
@@rajgoogly3633 co2 laser and fractional laser is very bad it thins your skin and sags it
Be very careful with these heated lasers as they cause fat loss, dermatologists will say they don’t cause facial fat loss as it doesn’t penetrate that deep I have first hand experience……. Don’t do it
@@hannahb3854 So laser is effective to eliminate fats then, which laser did you use?
This was incredibly thorough and helpful. I am in my 40s and have freckles that are lightening with age and retinol/sunscreen use. I would like to start either laser or micro needling treatments to firm skin… and I’d like to actually make my freckles darker. They are one of my favorite features! Would heat increase the pigment of freckles?
Thanks again for your insight!
My daughter had freckles dr. Usedthis light on her face 3x in 3 weeks there gone
What light got rid of the freckles?
Quite useful information thank you! I have a question though, since you mentioned CO2 or Erbium Yag aren’t recommended, this means we can’t use these treatments to patients with Melasma? Thank you kindly! Subscribed now. 😊
I just finished using accutane
Used differen the night after,
Woke up in the morning. Applied checmichal sunscreen and my skin was hyper reacting to the sunscreen and I got box scars from it.
Can u imagine? This happened last week.
And now I am trying to choose what kind of procedure should I get to treat the box scarring that happened on my cheeks.
But watching ur video made me realize that I should steer clear from all procedures and acids, for a year at least to restore my skin’s strength back first.
Thank you for the warning at the end of your video!!!
I am grateful, you helped prevent a big accident 😢 thank you sir
Thanks for explaining the science behind this. The fibroblast forming a latticework make absolute sense. I never wanted to have an ablative laser until understanding how this therapy can truly work.
I'm considering a CO2 laser treatment but have a fair amount of sun damage and freckles. (Caucasian who tans easily.) When you mention ablated lasers lightening skin with dark spots does this mean it will just remove the freckles or will it leave them lighter than my natural skin tone creating white spots? 🤔
I wish I could afford to get this treatment this done. Years ago drs were always looking for models to experiment the treatments on, does this still take place in some businesses Pick me pick me please
Very thorough explanations! Thanks. Any experience with mitigating malar mounds?
Thank you for the explanation. I’d like to know which would be best for taking down small bumps in the skin to smooth it out? I know the microneedling does well to improve indents but I’m more interesting in taking down some bumps. Thanks!
Dr. You recommended a series of fractional lasers for people that do not have alot of recovery time. How many sessions would you recommend for this? Also,
I want to look youthful when i die and not look my real age
Its well worth spending money on. Lol.
Actually i enjoy life as i am.
Growing old is natural.. we should embrace it, and teach our children how to embrace aging...not dislike it.
Workout yes.... cosmetic? ...no. go for a walk.
Hello Dr. Kopelman, thank you so much for posting this very informative video. I’m a fair skinned, Caucasian, 55 year old woman who has struggled with the appearance of chicken pox and acne scarring on my face since I was a teenager. I finally decided to give Co2 resurfacing a try just recently. I’ve had two Co2 Resurfacing procedures done so far. Although I have seen some positive results with firmness and texture of my skin, I still don’t feel that the Co2 is making quite a substantial difference to help eliminate my facial scars. My question to you is, should I continue with the Co2 or try Microneedling or is there another treatment you can suggest? Will I eventually need surgery? I have had scarring on my face since I was a teenager before the Chicken Pox vaccine was available and I’m hoping there is help for me to be able to finally feel more confident about myself and to obtain a more permanent solution to improving the scarring on my face. Thank you in advance for your advice.
Very informative. Thank you
Hi. I am a 62 year old fair skinned female with very old burn scars on the right side of my face. I was burned when I was 4 years old. My skin on the normal side of my face is quite good with very little wrinkling, except for fine lines over my lips. I have booked an apointment to do microneedling with radio frequency on the 18th of april. Is this something that you would recommend to improve my burn scars. The picture that you see of me on my google account is a bit airbrushed. I would appreciate your input.
Contact Cornell burn center in NYC. They can tell you if it is okay or not.
Which one is best for acne scars treatments, CO2 laser or RF Micro-needling?
Don’t do microneedling with radio frequency. Can cause fat loss. Microneedling on it’s own better for acne.
Hi doc, i just did c02 laser but my face is still swelling after 6 days and is very red, warm and flaky. I was told to apply 0.2 hydrocortisone. Is that it? Or shiuld i add a moisturiser?
You should ask your own doctor who did it.
Thank you for your excellent information! I had a lower facelift and I'm not thrilled with it. I can't afford to do it again. I am looking into these proceedures in order to improve my appearance where ever I can.
I am so happy you enjoyed
I've done both, with great results. 1999 was the laser and around 2015 the needling.
I’ve heard microneedling can make skin texture worse, is this true?
Anything can...I had non ablative fraxel done and it causes more scaring and textural irregularities, so I'm going to try to fix the damage with microneedling rf.
Interesting and valuable information. Thank you for sharing.💯
Wow thanks for explaining Doc! New subscriber here!!!
May I ask what needle length would you recommend for nail marks from picking acne on face? and for hair growth stimulation on a woman? Thank You.
I'm a new subscriber. Love your topics. I am a 66 yr. old Caucasian female. I don't have wrinkles or brown pigmentation, as I have used tretinoin, VC and daily used of sunscreen for 3 decades. I have been micro needling every 4 to 6 weeks for a few years with a .05 derma roller. I am never extremely aggressive to where I draw blood. There is so many controversies over this. If it builds collagen, I want to continue. If not, am I wasting my time? Going for in office treatments is not an option for me. Your opinion would be greatly appreciated. Thank you!
There are limitations with derma rollers. If you want to see collagen production I would recommend microneedling with PRP that has shown to help with collagen production because you are spinning down your blood to get stem cells to help stimulate collage growth during your Microneedling procedure.
Thank you for your reply.
I’ve learned so much, thank you! I’m not a dermatology student, but someone considering micro needling and lasering.
That’s why I am here! To educate.
Awesome video with great information thank you so much
Thank you for sharing your knowledge 💙
Which one do you recommend for women over 50 and with brown skin and melasma?
First of all, thank you for this valuable information. Regarding microneedling, I would like you to explain to the viewers the difference between the products sold for home use and what we have in clinics, and that to benefit from the process to stimulate collagen, the length of the needles must be more than 1.5 ml and it varies according to the thickness of the area (I think). It is something that many people ignore, and we will not find someone better than you to explain this to us and the public. Thank you
Does LASER GENESIS lightens your skin? And is that a good laser product?
Lovely video! I appreciate all the insights!
"Single beam of light" proceeds to demonstrate with 2 fingers 😂. Thanks Doc, this was helpful.
Can you rank treatments by pain level? Can you rank them by effectiveness for anti-aging?
Hi dr, hope u are doing good, one query here, how mm deep can we microneedle to reach dermis to stimulate collagen synthesis..
Plz reply.
Thank you very much for the video.
I am at my seccond session of laser co2, the third one will be in a month.
I am thinking for maintaining the results to do once a year only microneedling ( 3 sessions).
You think will be enough?
I am 42, white skin and not damaged by sun.
Really tough for me to give you honest advice without seeing your skin to tell you if you need extra treatments. You may or may not be a candidate.
@@drkopelman Thank you
I do both microneedling and skin resurfacing in one session
.amazing result!!
May I ask what type of re-surfacing?
You made in one session!?
is it Potenza and Picosure on the same day?
Hi please dr I used steroid creams and it thin out my face making my capillaries to show can I do Microneedliing cause no way for lasers in where I’m 😢
Can't you do both? I have a kind of significant hockey scar above my eye. I was planning on doing both at an aesthetic associate center in Buffalo.
Long term ‘Micro-Needling’ or ‘Micro-Needling with RF’ (heating) 🤔
I can say you are amazing you give many great tips
When does the tightening effect take place for co2
Hi Doctor, thanks for the good info! Is CO2 cool peel laser suitable for Asian skin for acne scar removal. Thanks!
Don't do it co2 and fractional laser thin and sag your skin
hi dr. kopelman...i am booked for co2 lazer treatment. the first of 3 is april 6/24. i have always moisturized & cared for my skin. i am 74, but have very few wrinkles and probably look 60 now. i am nervous. i am freightened of scarring...should i do it ? i have R/Aand inject .6 cc. mtx. weekly...does that matter...slightly photo sensitive.
Any laser treatment comes with some risks. If the medical practitioner uses conservative settings you should be OK but overly aggressive treatment can lead to scarring.Also make sure you take anti-viral prior to the procedure and a week following the procedure to prevent cold sores from occurring
Really enjoy and appreciate the information in your videos. Thank you!
Glad you like them Anne! I hope you keep watching my new ones 🙂
This was wonderful. Thank you
OMG that clicking noise at the end of the video though....scratch that immediately. Otherwise, great content!! :D
Hi Doc what about CO2 laser facial treatment? How is it different from other CO2 lasers you have mentioned?
Very informative video! I know this is an older video, but can you please tell me what type of laser the Tetra CoolPeel is? Ablative or Non-ablative? I've recently had 2 treatments but haven't noticed any improvements. I'm wondering if there are things going on behind the scenes that will improve my skin (like collagen building) that I will notice months from now. I'm not sure if i should get another 1 or 2 more treatments.
Thank you.
I had the secret rf with co2...my skin looks very dry and actually more red and dull then before 😢...its been 1 week....should this improve?? I'm rather disappointed
Patience is important. It takes time for meaningful changes to occur.
Any news on poikiladerma and the yellow laser? I’ve had many failed treatments
Thank you for the fantastic advise, I couldn't hear your podcast very well it was on the soft side is there any way you can turn up the volume on your microphone. Thank you. I will be having my laser next week. 🙋♀
Am I to understand this correctly. If I have micro needling done for acne scarring, the results won’t last and the scarring will return???
Not much point in spending large amounts of money for temporary results.
I dont think microneedling can improve acne significantly
How many micro-needling treatments did the woman pictured have?
I have rather spanish skin color and got severe hyperpigmentation after having CO2 on my face. Today after 8 months of constantly using sunblock and weak peeling on weekly base, they have faded out but still visible on my cheeks. However my skin texture and pores have improved noticeably.
People of color are at significantly greater risk of hyperpigmentation following laser resurfacing therefore proceed with caution.Less is more!
Dr. Kopelman, what are your thoughts about HiFu laser treatments ?
I am a Caucasian woman age 70 who has developed vitiligo in the past few years. It has not affected my face. My dermatologist recommended a CO2 laser for wrinkles. My question is will this treatment affect my vitiligo and spread to me face due to damage of the skin.
Vitiligo is an autoimmune disease that can be treated with a topical JAK inhibitor named Opzelura cream
I believe if the vitiligo is not on your face it is probably ok to have a laser treatment
I would prefer erbium laser rather than CO2 because it delivers less heat to the dermis
So informative.....love your straight forward approach!!!!
I hope I was helpful! And hope you continue to learn more from me about the proper approach when going for cosmetic or plastic surgery procedures.
I've been told that CO2 lasers are used for removing flat moles.
I have melasma - once had laser and yes it got way worst! Then I have micronedeling but after two sessions and several peels no results . This is the end for me? Anything else I can try
I would recommend listing to my podcast about Melasma for further in depth advice
How are you dr. Joel...
Thank you for your informations that really make me more understand what is suitable for my skin problem, however my pigmentation still in progress to reach the gold.
But really Thank GOD getting lesser now. Hopefully gain back my yout soon 😂😍
Which one is best to tighten a double chin/neck sag?
This is the first time I fully understand all the types of lasers! I noticed an accomplished Doctor used laser over the whole face except he used Ultrasound on both sides of the jaw; subsequently I read that ultrasound can remove fat so one might want to use it at the sort of hanging area at the sides of the chin. Could you elaborate?
Am a new subscriber and looking forward to all your videos. What would be good to get rid of wrinkles around eyes
Very helpful video! What would be the best way to treat the chest of age spots? Like where a v-neck shirt exposes the skin?
Is there any reason a co2 laser would not be effective in this area?
An erbium fractionated treatment of your "décolleté"is a good option . CO2 lasers deliver too much heat and have the potential to cause scarring on the chest therefore avoid them
Thank you so much for taking the time to reply!@@drkopelman
I just subscribed to your channel & I I am so excited I found you!!!! I just had a chemical peel & 4 weeks I will start 3 treatments of Laser. Then I will see if I can get also the PDP Threads. Thank you for your detail explanation.....
So happy you found my RUclips channel! I hope I am being helpful educating about plastic surgery procedures.
Why would you get threads?
Ablative lasers may be used for example over grotesque scars that are large (reconstructive)..vs non ablative a flat scar where you'd like to improve the esthetics of the scar to make it appear like normal skin.
Ty for this amazing video! Can you do these lasers or microneedling if you are prone to Melasma?
Hi Doctor! I recently had a TRL laser treatment (erbium yag) I am three weeks post laser. The skin is now healed , all scabbing, oozing etc is now resolved but my the skin continues to have erythema with some areas where he went deeper somewhat more red. I’m wondering how long this uneven weird red blotchy look will persist. Although I have not really been out of the house that much, (and when I have have worn sunscreen ) I’m not sure if the red areas are turning brown. Would the use of hydroquinone at this point be prudent? Thanks
Resolving redness from a laser treatment can take six to eight weeks even from an erbium -yag laser .It depends on how deep the treatment was- the deeper the wrinkle -the deeper the treatment--the longer the recovery.
no hydroquinone at this point
@@drkopelman
Thank you sir for responding and so quickly.
Very educational.
Can you explain more on why we need to wait at least 6 months before going with microneedling is someone was treated with accutane?
Unfortunately some patients developed serpiginous facial scars while taking Accutane therefore I would not recommend anyone to have lasers , peels etc. for at least one year following the discontinuation of Accutane
I love the way you explain things. Thank You!
I am sooo happy you are enjoying and learning from my videos. I hope you continue to watch my RUclips channel!
I had a full face and neck lift 5 months ago and now have raised scars behind my ears and at the bottom of my hairline on the back of my neck. Will a fractionated CO2 laser or micro-needling at home with a micro-needling pen help to minimize these scars? I am using Bio-Oil and Scar gel now.
No just have the dr inject them. He'll know what I'm talking about.
My doctor said I have mild scars and he said he will be doing a less intense co2.
During the process it did priced me, but post that I didn't have any pain, swelling or scabs.
I don't even know if it was so mild that it didn't even worked or my doctor made money for another session by deliberately doing a mild session?
Pls advise has anyone ever got a mild Co2 session. All I got was just swelling post treatment