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What exactly to expect from Thulium laser & is it less aggressive than CO2 lasers?

Reserved6670Mar 22, 2024
I recently consulted with a derm and was recommended to get Thulium Laser alongside PRP injections. What exactly is thulium- is it similar to fraxel lasers? Is this less aggressive than CO2 lasers? He mentioned that it could reduce brown spots, which I'm interested in. However, I don't want to take any risks with fat loss!

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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Jan 14, 2025
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Raffy Karamanoukian, MD, FACS

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...

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Raffy Karamanoukian, MD, FACS

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Carey Nease, MD

Hello! I would recommend a combination of a fractional CO2 laser with PRP and either fat transfer to your cheeks and tear troughs or Sculptra injections. Your concerns stem from mildly thin skin and loss of facial volume. Since you have fair skin the CO2 laser works great and is very safe. Hope...

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Raffy Karamanoukian, MD, FACS

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...

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Raffy Karamanoukian, MD, FACS

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...

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Ryan Rebowe, MD

While you may notice softening of the scar following the laser treatment, you will not see a full effect of the scar softening from the Kenalog for 4-6 weeks. I would wait at least 6 weeks to treat the scar with any other modality.

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