I just had CO2 done today and you gave me more information than my doctor did. He didn’t tell me anything about the cold compresses or vinegar soaks. This is my third time having this done over the past 25 years and the results are always amazing. Thank you for this valuable information.
@@heatherr1141 Im in Tn and it was $4800 and that was for the doctor, and the hospital fees. I was fully sedated. I’ve had it done before with just topical numbing and it was about half the cost but they weren’t able to go as deep and the results weren’t as good.
I just had an aggressive laser treatment for skin resurfacing and my doctor left me with no aftercare advice whatsoever. I would have never imagined beforehand how intense the procedure would be. Thank you so much for providing this information!
He must be speaking about me without giving out my name! LOL I am that one who would add more vinegar to the water …use aloe vera…try red wine on the face …you have been great Doc! I am doing my research now. I have an appointment in June for consultation. She is so booked -I have to wait for June and I made the appointment end of March! Thx for your time Doc!
Day 3 TRL laser - whew - vinegar soaks wow makes sense!! I’m gonna start today. Thank u for sharing very informative. Disappointed my dr wasn’t informative and expected me to ask all the questions. My procedure was very painful as numbing wore off ! So painful my dr could only go one swipe in a couple areas as I just couldn’t take it. Honestly only God got me through this !! Thank you again!
Thank you so much for this video and making the time to create the post procedure paper. Great video, great information. I just had this done and used your tips, really appreciate that you've done this yourself.
I am red and raw but no oozing and the n 4th day. hope that isn’t a bad sign. Definitely seeing grid marks now. This is the best two videos out here. Thanks Doc
I am having the full deep Erbium laser procedure in two weeks. I have already had my pre-op. I was given one page of instructions. This video is so helpful. Thank you. This was not explained to me as fully as you just did. I have all my medications and the Aquaphor and the Cetaphil. I need to get the sunscreen. I will be returning to work (work from home) 12 days after my procedure. I am hoping I will be "presentable" by then -- you know, Zoom meetings. Thank you for the thorough discussion. I felt like you were talking to me!
Dr. Joe, your videos have been so helpful! On Day 3 of using Vaniply, my face and neck erupted with oil-filled boils and raw areas. My Drs office instructed me to discontinue the ointment, up the vinegar soaks, and I've taken Benadryl and Tylenol for pain and itch. They did not feel I was infected or need antibiotics, and said they've seen a few cases with severe reactions like mine. After the boils cleared, I tried the ointment again on Day 6, and my skin developed red bumps everywhere. I discontinued the ointment again, even though I'm very dry. It's now Day 8 and most of my peeling is over except the neck which had a light laser but is the slowest to heal and has very raw patches. Have you had patients with skin too sensitive for ointment?
@@jniamtuiii Hi Dr. Joe. I had a CO2RE touch up 10 days ago and once again used Vaniply products. The same thing happened where both the ointment and cleanser seemed to be too thick and locked in the heat, causing pain and blisters by day 3. At Day 5, the nurse recommended I switch to Cetaphil cleanser and Aquaphor ointment and I healed up quickly. I’m the rare case of skin not tolerating Vaniply. Thank you posting such helpful videos!
I love how patient you are and clearly giving full instructions. Your the best!!! I wandered if this could be enough for some people. No facelift just this laser. In your before and after pictures you showed on the part one video is the only thing they had done is laser or did they have facelift too?
Great videos, part 1 and 2! Thank you for being so detailed and informative! That is very useful and important information but also very hard to find in most cases. I have been searching for after care for many days now and your videos were the first that answered all of my questions! So now I have a concern. My Derm, who is GREAT, does need to update his post-op instructions he admitted. We were emailing afterwards with a few questions and one was about washing-when 24 or 48 hours after- because one thing was said and another was typed out on the instructions. It was determined to do this after 48 hours and keep the aquaphor on. I was also told I could move to a Cetaphil/CeraVe type moisturizer by day 3 or 4 and I did. I emailed about that however because I felt like my face drank up the moisturizer and would be dry almost 15 minutes later. It was an exhausting process. I have moved to alternating (aquaphr and CeraVe Moisturizer) to give my pores a break but to also keep my face hydrated as much as I possibly can. I am also washing 2-3X a day. I am concerned though during the 1 and 3/4 of the day (this includes two nighttimes) that I had taken a total break from the aquaphor and the periods where my face was dry as a bone for times up to an hour at a time...way longer when sleeping---only because I would moisturize and then it would evaporate into my skin quickly and with 5 year old twins sometimes I just did not have that second to reapply 15-30 minutes later. Now I am using a sample that my Derm gave me, Resurfix. It is pretty much a nicer version of aquaphor, I guess? I see what you are saying with keeping it "greasy" for the first week. But do you think I may have jeopardized the optimal results with having those couple of days without "grease" a.k.a. aquaphor?
Hi. Very informative video. Could you tell me if it is possible to have co2 laser performed safely over areas of the skin that have had filler? Thankyou
Doc I am taking saw palmetto for hair growth, it really does work, but I’m about to get fractionated co2 around my eyes and temporal area and wondering if I should stop taking it. I will ask my surgeon but value your opinion as well.
Thank you for your video very much informative. I have a CO2 laser in couple of weeks and I really appreciate if you write me what exactly cream brand you were talking about in the video…
Dr Joe I had the tetra co2 fractional laser 9 days ago . I’m already seeing subtle results How long do you recommend waiting if you want to do another treatment? Just curious in case I want better results 😊
Wow just six weeks. I just asked my docs office manager she told me a year And a little birdie told me you know my doctor. Soheila Rostami. They said you two wrote a book together ❤
This is a Godsend for those that went to Groupon laser spas. 🙋♀️ I am day 5 crusting gone but underneath is burns on those places. Red burn skin then my healthy skin beside it- fraxel didn’t go there Are these burn scars or will they get better and maybe crust or peel again Yikes
How soon can I go Surfing after the procedure ? I wear sunscreen and a hat but live in Costa Rica where it's really intense Sun . Super thanks for a reply !
Great question. I would say yes, in the winter months, but we do a lot of school teachers etc in the summer. If you live in Miami, there is not winter, so sometimes you have to do it when you have the time.
@@jniamtuiii laser skin resurfacing would this help with the double chin? I am planning on knowledge before I do this. 56 yrs old the skin looks ok I dont wear makeup only for occasion . Seeing how time has slowly caught up . I would love to stay 20 for a lifetime lol unfortunately sometimes we have to give in a tad. Thank you for answering my question regards to winter/ summer I reside in Ohio
I shouldn’t be telling a doctor this but here goes. I am a recently retired cop and my last homicide was just something else to say the least. I had quit smoking for 20 years and I fell off the wagon after that incident. Good news is I weaned over to vaping recently and trying to wean off that too but my eyes can not unsee stuff! I don’t do much, I do have it down to a dull roar and I am wanting to get co2 done in March. I can absolutely do my very best to stop but if I can’t go cold turkey is this going to make my skin die off like it could with a face lift? Or just slow down the healing process? I count every time I vape and I have it down to an equivalent of about 5 traditional cigarettes a day. I’m doing my best to stop. Thank you sir for your time
Unless you have lung disease you can continue to smoke or vape that amount. No surgeon will ever tell you it is good and all surgeons should tell you to stop. Having said that we do operate on smokers unless they have pulmonary problems.
@@jniamtuiii thank God no lung issues yet I actually just had a lung X-ray. Thank you for your honest answer doc. My surgeon is reevaluating saying since my skin is clear with no issues maybe co2 is not a good option for me. My goal was to lift the cheeks and face as they are beginning to slightly fall south with normal aging. I was under the impression this could lift the skin and apparently it does not. We are going to do morph8 lower face (which I don’t think that is the best machinery out there) and ETwo under the eyes, cheek filler touch up and call it a day. Unless you can recommend a better option for skin rejuvenation. Lifting is a surgical procedure and I’m not quite ready for that.
@@jniamtuiii thank you for confirming. No wrinkles, well maybe some fine ones on this over 60 skin but I do use Retin A and have a very good dedicated skin care routine. You are in Richmond and I’m in Fairfax. Think I’m going to have to come see you in the future when I’m ready for something drastic, if ever. After 26 years of service out there I can honestly say waking up alive every day is a blessing! I just want to be in my best skin for as long as I can. So any and all skin rejuvenation treatments is always welcome 🤗. And might I add your skin looks AMAZING 🤩
Doc I have an interesting question and since you are all about skin care and co2 laser I thought you might know what is going on with my skin I am 12 weeks out from fractional co2, second time, after waiting six months in between. My skin was amazing until this 12 week period I have a circular red spot on my face and it kinda look like ring worm 🤦♀️. I sent my doc a pic and she thinks it might be fungus so I’m applying lotrimin cream today. It kinda looks like a chemical burn. Her esthetician seems to think it’s not fungal and to stop niacidimide and cereve pm and Trent for a week. Have any of your patients experienced this?
@ she didn’t culture told me to go to a dermatologist 🤦♀️ I didn’t, i listened to her esthetician and cut back on niaicidmide and Trent and it worked like a charm. Apparently it was irritation. Can you tell me is it normal at 3 months to see no crinkles under my eyes when smiling and other days they appear?? It’s driving me crazy. 🤪 one day look great next day not so good. I did ask if we can do another co2 after my six month wait period, it would be my third and she said no I have to wait a year She did do two six months apart. So why can’t I do another?
Dr. Joe, what's your opinion on Fraxel Laser for fine lines on upper lip , under eyes and brown spots on the skin in general (mostly on the upper cheek area). If you have any type of flesh colored permanent make up on your face will all lasers turn the area black? I had a scar revision 13 months ago after trying to camouflage the original scar with a light tattoo pigment (specifically made for use as permanent makeup...NOT regular tattoo ink). Well that does not work. The scar has lightened significantly but there is just a bit of an edge to it that makes it more noticeable. My dilemma is that I wanted to try some kind of laser perhaps fraxel but I believe I have some residual flesh colored pigment on one side of the scar and I'm afraid to do a laser procedure for fear of it turning the pigment black, hence giving me a worse problem....Please help......
I just had a CO2 Laser on Tuesday, I was told it was Ablative...and I think it was the smart skin machine? Maybe? IS this as ablative as your "old school" CO2's that you perform? Your patients pic look amazing!!!!!!
Dr. Joe, I'm having CO2RE on face and neck next week. Are your instructions and timetable the same or different for the CO2RE (Syneron CORE) laser? I will take an anti-viral and have 30 min. of numbing cream before the procedure. Thank you.
I personally don't do much fractional resurfacing because I don't think it makes a big difference unless you are doing multiple treatments. Having said that it can be effective for superficial skin problems
@@jniamtuiii Seems like a big recovery for no results. My skin is good just need a little skin tightening. What would you recommend. Seems like the cheek lifting fillers need a little assistance 😂. No wrinkles on this old ass over 60 face just want more tight skin. Laxity is not enough for a upper face lift yet
I just had a co2 laser treatment with no after care from my doctor. I’m using all Cetaphil products, cleanser and moisturizer. I’m fair skinned and would like to use a timed moisturizer with SPF. CeraVe has one with 30 spf. Is it ok to use a tinted moisturizer spf with my fair skin, I’m 14 days post op.
You really can't shave for about 10 days, then I recommend a floating head (Norelco) type electric razor and shave in the shower after really wetting the facial hair. You can put shaving cream on 10 minutes before shower.
Hello Dr. Niamtu, I had CO2 fractional laser done on Dec 15. It is Day 17 and my skin is still red in some areas and has turned reddish brown in other areas. Is this normal? If so, how much longer do I expect to wait to get a skin with a uniform tone?
Thank you for your immediate reply. I don't know the settings used but what I know is that it was deep rather than superficial energy setting. Today, its Day 18. On Day 7, I was so happy with what the results may be; skin was pink and peeling and I thought the skin would blend in the next couple of days. On Day 18, skin is still red with patches of reddish brown.
This is scary....did you heal correct or did you stay with red brown skin I JUST HAD MINE DONE I am red and I am afraid. ..itt won't go away. Pink is not as red as I am...
Doc you made this video 8 years ago. Has your opinions or suggestions changed ? I’m supposed to get this done in March. I’m scared after reading reviews on RealSelf 🤦♀️. I only have some very minor skin laxity under the eyes mature eyes but I figure why not the entire face!!
@@jniamtuiii thank you so much for the quick reply. I have had Profound a couple times. Is it going to be similar as for the recovery? That was not a walk in the park but doable! I want to talk to my surgeon about settings and the laser itself, such as is it Dot or fractional What are some good questions to ask her if you don’t mind.
@@pnevlud so many variables that I can't answer. Laser recovery depends on depth of treatment. My patients are alseep,so I go deep. I think deep laser is more demanding than profound. Your doc needs to recommend treatment based on the condition of your skin damage.
@@jniamtuiii one last question and I promise not to bother you Is Eclipse Equinox Surgical Fractional CO2 Laser an antiquated laser. I think this is what my surgeons office has according to the website
After my CO2 I sat in front of a fan till the heat went, did some cold washing, and the next 2 days I put loads of coconut oil on to keep the skin moisturised and went through a jar lol
Dear Dr Niamtu, I am treating 10 week old scarring that resulted from an aggressive fully ablative erbium and fractional co2 to the eye area. The skin is thickened from the eyelid crease to below the brow and has a very obvious demarcation line before it drops down to the normal skin level. Can this demarcation line be blended in now with a fractional laser or do I really have to wait a full year for it to maybe flatten on its own? I have recieved 3 lots of vbeam and cortisone / 5fu injections which have helped mostly the tiny scattered scars under the eye. But this thick area remains and I'd like to make it less obvious now if possible. Thank you
I HAVE EXTENSIVE SEBACEOUS HYPERPLASIA ON MY CHEEKS AND CHIN, HAD A FRACTIONATED CO2 LASER, PAIN BEYOND BELIEF, CREAM DOES NOT NUMB FACE. CAN AEROLASE 650 MICOSEND LASER WORK TO GET RID OF THIS HYPERPLASA ?
I did co2 fraxel laser ,fotona face laser 4 times, peeling,microneedling but nothing really changes...so frustrated😔 I'm in my mid 40s ,quite big pores and hyperpigmentation. I so wish you were here in Europe.
Joe Niamtu it makes me scared that it will turn brown permanently after the peeling. and how long it takes to heal? Does the power they’ve used were too aggressive? Thanks for ur immediate reply, it means alot to me.
I had the c02 laser treatment What do I do if the ointment is stuck in my face It won't wash off and it's like a white paste on my face should I do vinegar soaks ? I need help it's also itching
I have very fair skin. I had mine done a couple of weeks ago and I’m all peeled and have pink skin. It’s also extremely dry, especially under the eyes and I already know makeup will not look normal at this point. I’m using a growth factor moisturizer and vanicream moisturizer and face wash. I’m wondering if anyone else experiences this super dry skin and how long to expect this? I’m starting to get nervous about when my skin will start to feel soft again and look normal with makeup.
Can anyone recommend a spf for after co2 laser full face. I’m 12 days out. I don’t wear foundation so it can’t leave a white cast. Thanks ❤ I have never used spf but now I’m protecting my investment 😂
We are a manufacturer specialized in the research .If you have any question please contract me！i will offer you the latest details about this product. That is my mail adress:Jasmine.chen@huafeilaser.net
Had a fractional co2 laser done with tech. At my dermatologists office. Day three. Still miserable no shedding. Very pink. And under chin left side hurts like crazy. I have calcinosis caused from trauma of an accident. And scarring. Getting really scared and freaked out this red brown waffle face is a burn that will scar. Wish I knew how to up load a pic.
This is the best video on the internet on post laser resurfacing .
Thanks so much
I just had CO2 done today and you gave me more information than my doctor did. He didn’t tell me anything about the cold compresses or vinegar soaks. This is my third time having this done over the past 25 years and the results are always amazing. Thank you for this valuable information.
Glad I could help!
I'm having co2 done next week, how long does the recovery take? Will I be able to go back to work after 7 days? X
@@libragirl1991 of course you’ll still be red, but you should be good to return to work. Be sure to wear a good sunscreen.
@Bev about how much is the average price for full face Co2
@@heatherr1141 Im in Tn and it was $4800 and that was for the doctor, and the hospital fees. I was fully sedated. I’ve had it done before with just topical numbing and it was about half the cost but they weren’t able to go as deep and the results weren’t as good.
I love that you have had some of these procedures yourself, so you have experienced the after effects.
First hand :)
I just had an aggressive laser treatment for skin resurfacing and my doctor left me with no aftercare advice whatsoever. I would have never imagined beforehand how intense the procedure would be. Thank you so much for providing this information!
Glad it helped, laser is tough, but when you heal it is worth it. Hang in there
The best before and aftercare ever for laser treated skin!
Thanks for watching
He must be speaking about me without giving out my name! LOL I am that one who would add more vinegar to the water …use aloe vera…try red wine on the face …you have been great Doc! I am doing my research now. I have an appointment in June for consultation. She is so booked -I have to wait for June and I made the appointment end of March! Thx for your time Doc!
Thanks so much :)
Day 3 TRL laser - whew - vinegar soaks wow makes sense!! I’m gonna start today. Thank u for sharing very informative. Disappointed my dr wasn’t informative and expected me to ask all the questions. My procedure was very painful as numbing wore off ! So painful my dr could only go one swipe in a couple areas as I just couldn’t take it. Honestly only God got me through this !! Thank you again!
Communicate with your doc, you will get through it.
Thank you so much for this video and making the time to create the post procedure paper. Great video, great information. I just had this done and used your tips, really appreciate that you've done this yourself.
So glad it helped. Thanks for watching.
Great info on expected annoyances after the procedure. Better to know ahead of time what you are signing up for. Thanks!
Thanks so much
Love that you shared your own photos with us! Very clear and informative videos.
Glad it was helpful!
I am red and raw but no oozing and the n 4th day. hope that isn’t a bad sign. Definitely seeing grid marks now. This is the best two videos out here. Thanks Doc
It is a hobby for the first week, have a good recovery
This has helped me tremendously! THANK YOU!!
Thanks so much
So helpful!! I want to try the laser so much but am dreading the long down time. Thanks so much Dr. Joe for this incredibly helpful video.
You are so welcome!
Love this so helpful, I just got it done 4days ago;) thank you
thanks
love the natural remedies for the healing process !!
:)
Thank you again Dr Niamtu for your very thorough explanation.
Glad it was helpful!
I am having the full deep Erbium laser procedure in two weeks. I have already had my pre-op. I was given one page of instructions. This video is so helpful. Thank you. This was not explained to me as fully as you just did. I have all my medications and the Aquaphor and the Cetaphil. I need to get the sunscreen. I will be returning to work (work from home) 12 days after my procedure. I am hoping I will be "presentable" by then -- you know, Zoom meetings. Thank you for the thorough discussion. I felt like you were talking to me!
I was talking to you :) Glad it helped.
Thank u I was going insane my confidence plummeted and I succumbed to the thought of hiding in my room with my pih thank u gave me hope !!!!
PIH is usually temporary in my experience and will respond to various treatments.
Dr. Joe, your videos have been so helpful! On Day 3 of using Vaniply, my face and neck erupted with oil-filled boils and raw areas. My Drs office instructed me to discontinue the ointment, up the vinegar soaks, and I've taken Benadryl and Tylenol for pain and itch. They did not feel I was infected or need antibiotics, and said they've seen a few cases with severe reactions like mine. After the boils cleared, I tried the ointment again on Day 6, and my skin developed red bumps everywhere. I discontinued the ointment again, even though I'm very dry. It's now Day 8 and most of my peeling is over except the neck which had a light laser but is the slowest to heal and has very raw patches. Have you had patients with skin too sensitive for ointment?
I have not seen that problem with Vaniply, but some people can't tolerate ointments, sounds like you are better now.
@@jniamtuiii Hi Dr. Joe. I had a CO2RE touch up 10 days ago and once again used Vaniply products. The same thing happened where both the ointment and cleanser seemed to be too thick and locked in the heat, causing pain and blisters by day 3. At Day 5, the nurse recommended I switch to Cetaphil cleanser and Aquaphor ointment and I healed up quickly. I’m the rare case of skin not tolerating Vaniply. Thank you posting such helpful videos!
Thanks so much. It is amazing how a given topical can affect different people. Glad you did well
I love how patient you are and clearly giving full instructions. Your the best!!! I wandered if this could be enough for some people. No facelift just this laser. In your before and after pictures you showed on the part one video is the only thing they had done is laser or did they have facelift too?
If their necks were better, then they had facelift and laser, thanks for watching.
Great videos, part 1 and 2! Thank you for being so detailed and informative! That is very useful and important information but also very hard to find in most cases. I have been searching for after care for many days now and your videos were the first that answered all of my questions!
So now I have a concern. My Derm, who is GREAT, does need to update his post-op instructions he admitted. We were emailing afterwards with a few questions and one was about washing-when 24 or 48 hours after- because one thing was said and another was typed out on the instructions. It was determined to do this after 48 hours and keep the aquaphor on. I was also told I could move to a Cetaphil/CeraVe type moisturizer by day 3 or 4 and I did. I emailed about that however because I felt like my face drank up the moisturizer and would be dry almost 15 minutes later. It was an exhausting process. I have moved to alternating (aquaphr and CeraVe Moisturizer) to give my pores a break but to also keep my face hydrated as much as I possibly can. I am also washing 2-3X a day. I am concerned though during the 1 and 3/4 of the day (this includes two nighttimes) that I had taken a total break from the aquaphor and the periods where my face was dry as a bone for times up to an hour at a time...way longer when sleeping---only because I would moisturize and then it would evaporate into my skin quickly and with 5 year old twins sometimes I just did not have that second to reapply 15-30 minutes later. Now I am using a sample that my Derm gave me, Resurfix. It is pretty much a nicer version of aquaphor, I guess?
I see what you are saying with keeping it "greasy" for the first week. But do you think I may have jeopardized the optimal results with having those couple of days without "grease" a.k.a. aquaphor?
Awesome, thank you!
T
Hi. Very informative video. Could you tell me if it is possible to have co2 laser performed safely over areas of the skin that have had filler? Thankyou
Yes, no problem at all, we do it all the time.
Dr. Joe :)
Joe Niamtu Thankyou so much
Thank you so much for this and the products. The doctor I went to told me nothing about after care therefore first two days were hell.
That is why I make these videos.
Most helpful…thanks Doctor
Most welcome!
I use many of the Vanicream products daily and love them.
They are great!
I live in Indiana close to Indianapolis could you recommend a good plastic surgeon to me Around here I sure would like to have you do my face lift
Doc I am taking saw palmetto for hair growth, it really does work, but I’m about to get fractionated co2 around my eyes and temporal area and wondering if I should stop taking it. I will ask my surgeon but value your opinion as well.
I'm sorry I can't give you official medical device I think you need to follow what your surgeon says.
Doctor Joe when can I start incorporating tretinion back into my skin care routine I’m four weeks out ❤
I would let my patients do it at 1 month with smaller amounts and work up
Thank you I’ll start back ❤
Love Vanicream! Been using it for years
It is great
HA!!!! 14:36
Was just about to ask about this because I have olive skin and tan easily
Hope it helped
Thank you for your video very much informative.
I have a CO2 laser in couple of weeks and I really appreciate if you write me what exactly cream brand you were talking about in the video…
Vanicream, Vaniply
@@jniamtuiii thank you 🙏
Dr Joe I had the tetra co2 fractional laser 9 days ago . I’m already seeing subtle results
How long do you recommend waiting if you want to do another treatment? Just curious in case I want better results 😊
For deep laser I have my patients wait 90 days, for fractional stuff, about 6 weeks.
Wow just six weeks. I just asked my docs office manager she told me a year
And a little birdie told me you know my doctor. Soheila Rostami. They said you two wrote a book together ❤
This is a Godsend for those that went to Groupon laser spas. 🙋♀️
I am day 5 crusting gone but underneath is burns on those places. Red burn skin then my healthy skin beside it- fraxel didn’t go there
Are these burn scars or will they get better and maybe crust or peel again
Yikes
very helpful info
Glad it was helpful!
How soon can I go Surfing after the procedure ? I wear sunscreen and a hat but live in Costa Rica where it's really intense Sun . Super thanks for a reply !
I recommend my patients stay out of direct sunlight for at least a month, then use a phyiscal sun block
When is a good time to get the procedure? Winter months? Or
Great question. I would say yes, in the winter months, but we do a lot of school teachers etc in the summer. If you live in Miami, there is not winter, so sometimes you have to do it when you have the time.
@@jniamtuiii laser skin resurfacing would this help with the double chin?
I am planning on knowledge before I do this. 56 yrs old the skin looks ok I dont wear makeup only for occasion . Seeing how time has slowly caught up . I would love to stay 20 for a lifetime lol unfortunately sometimes we have to give in a tad. Thank you for answering my question regards to winter/ summer I reside in Ohio
@@sherrytreats laser resurfacing won't do anything significant for a double chin.
@@jniamtuiii so more than likely a chin implant?
I THINK I NEED IT TOO NEXT YEAR, DR. DO YOU SPEAK SPANISH ?
+Stefano Bianchi
no hable espanol but I have friends that do.
J
OK DR.
I shouldn’t be telling a doctor this but here goes. I am a recently retired cop and my last homicide was just something else to say the least. I had quit smoking for 20 years and I fell off the wagon after that incident. Good news is I weaned over to vaping recently and trying to wean off that too but my eyes can not unsee stuff! I don’t do much, I do have it down to a dull roar and I am wanting to get co2 done in March. I can absolutely do my very best to stop but if I can’t go cold turkey is this going to make my skin die off like it could with a face lift? Or just slow down the healing process? I count every time I vape and I have it down to an equivalent of about 5 traditional cigarettes a day. I’m doing my best to stop. Thank you sir for your time
Unless you have lung disease you can continue to smoke or vape that amount. No surgeon will ever tell you it is good and all surgeons should tell you to stop. Having said that we do operate on smokers unless they have pulmonary problems.
@@jniamtuiii thank God no lung issues yet I actually just had a lung X-ray. Thank you for your honest answer doc.
My surgeon is reevaluating saying since my skin is clear with no issues maybe co2 is not a good option for me. My goal was to lift the cheeks and face as they are beginning to slightly fall south with normal aging. I was under the impression this could lift the skin and apparently it does not. We are going to do morph8 lower face (which I don’t think that is the best machinery out there) and ETwo under the eyes, cheek filler touch up and call it a day.
Unless you can recommend a better option for skin rejuvenation. Lifting is a surgical procedure and I’m not quite ready for that.
@@pnevlud Laser is for wrinkles, not lifting
@@jniamtuiii thank you for confirming. No wrinkles, well maybe some fine ones on this over 60 skin but I do use Retin A and have a very good dedicated skin care routine.
You are in Richmond and I’m in Fairfax. Think I’m going to have to come see you in the future when I’m ready for something drastic, if ever.
After 26 years of service out there I can honestly say waking up alive every day is a blessing! I just want to be in my best skin for as long as I can. So any and all skin rejuvenation treatments is always welcome 🤗. And might I add your skin looks AMAZING 🤩
I had scarfx treatment. wondering if I could use retinol after 2 weeks or wait further
I can't give med advice, I have my patients wait 3-4 weeks
Doc I have an interesting question and since you are all about skin care and co2 laser I thought you might know what is going on with my skin
I am 12 weeks out from fractional co2, second time, after waiting six months in between. My skin was amazing until this 12 week period I have a circular red spot on my face and it kinda look like ring worm 🤦♀️. I sent my doc a pic and she thinks it might be fungus so I’m applying lotrimin cream today. It kinda looks like a chemical burn. Her esthetician seems to think it’s not fungal and to stop niacidimide and cereve pm and Trent for a week.
Have any of your patients experienced this?
Hard to say, on my patient I would culture first, maybe steroid cream, maybe biopsy, you doc should know what to do.
@ she didn’t culture told me to go to a dermatologist 🤦♀️ I didn’t, i listened to her esthetician and cut back on niaicidmide and Trent and it worked like a charm. Apparently it was irritation.
Can you tell me is it normal at 3 months to see no crinkles under my eyes when smiling and other days they appear?? It’s driving me crazy. 🤪 one day look great next day not so good.
I did ask if we can do another co2 after my six month wait period, it would be my third and she said no I have to wait a year She did do two six months apart. So why can’t I do another?
Dr. Joe, what's your opinion on Fraxel Laser for fine lines on upper lip , under eyes and brown spots on the skin in general (mostly on the upper cheek area). If you have any type of flesh colored permanent make up on your face will all lasers turn the area black? I had a scar revision 13 months ago after trying to camouflage the original scar with a light tattoo pigment (specifically made for use as permanent makeup...NOT regular tattoo ink). Well that does not work. The scar has lightened significantly but there is just a bit of an edge to it that makes it more noticeable. My dilemma is that I wanted to try some kind of laser perhaps fraxel but I believe I have some residual flesh colored pigment on one side of the scar and I'm afraid to do a laser procedure for fear of it turning the pigment black, hence giving me a worse problem....Please help......
I just had a CO2 Laser on Tuesday, I was told it was Ablative...and I think it was the smart skin machine? Maybe? IS this as ablative as your "old school" CO2's that you perform? Your patients pic look amazing!!!!!!
Not if it was fractional. The laser I describe in this video is fully ablative and full coverage, not fractional.
Dr. Joe, I'm having CO2RE on face and neck next week. Are your instructions and timetable the same or different for the CO2RE (Syneron CORE) laser? I will take an anti-viral and have 30 min. of numbing cream before the procedure. Thank you.
If you are doing awake, then it is a lighter treatment, but the instructions are the same. Good luck.
I do have another question before CO2 laser how many days before I need to stop using Retin-A…?
Thank you for your help
My patients can use it up to the time of their surgery
@@jniamtuiii thank you
Dr Joe do you believe fractionated co2 laser will give any skin tightening effect at all??
I personally don't do much fractional resurfacing because I don't think it makes a big difference unless you are doing multiple treatments. Having said that it can be effective for superficial skin problems
@@jniamtuiii
Seems like a big recovery for no results. My skin is good just need a little skin tightening. What would you recommend. Seems like the cheek lifting fillers need a little assistance 😂. No wrinkles on this old ass over 60 face just want more tight skin. Laxity is not enough for a upper face lift yet
Will this help with large pores?
Sometimes, but large pores can be unpredictable
Hi sir, i just had mine done. Like yesterday can you use sunscreen on the first week if you need to go out?
better ask your doc
I just had a co2 laser treatment with no after care from my doctor. I’m using all Cetaphil products, cleanser and moisturizer. I’m fair skinned and would like to use a timed moisturizer with SPF. CeraVe has one with 30 spf. Is it ok to use a tinted moisturizer spf with my fair skin, I’m 14 days post op.
I can't provide medical advice, but my patients can use such products if they are healed and not raw and don't react to the cream
Yes better info than I got from my plastic surgeon
Thanks for watching
How do you shave. You look clean shaven post Co2
You really can't shave for about 10 days, then I recommend a floating head (Norelco) type electric razor and shave in the shower after really wetting the facial hair. You can put shaving cream on 10 minutes before shower.
Hello Dr. Niamtu, I had CO2 fractional laser done on Dec 15. It is Day 17 and my skin is still red in some areas and has turned reddish brown in other areas. Is this normal? If so, how much longer do I expect to wait to get a skin with a uniform tone?
Hard to say exactly as I don't know what settings you had, but usually it takes 5-7 days before things begin to blend
Thank you for your immediate reply. I don't know the settings used but what I know is that it was deep rather than superficial energy setting. Today, its Day 18. On Day 7, I was so happy with what the results may be; skin was pink and peeling and I thought the skin would blend in the next couple of days. On Day 18, skin is still red with patches of reddish brown.
Reem Nasr I m also suffering with the same issue I have done it 1 month ago and I m still having reddish skin how long it take to get normal
This is scary....did you heal correct or did you stay with red brown skin
I JUST HAD MINE DONE
I am red and I am afraid. ..itt won't go away.
Pink is not as red as I am...
@@spitfiresherry Hey how does your skin look like?
Doc you made this video 8 years ago. Has your opinions or suggestions changed ? I’m supposed to get this done in March. I’m scared after reading reviews on RealSelf 🤦♀️. I only have some very minor skin laxity under the eyes mature eyes but I figure why not the entire face!!
Still pretty much the same. When done correctly, demanding recovery and good results
@@jniamtuiii thank you so much for the quick reply. I have had Profound a couple times. Is it going to be similar as for the recovery? That was not a walk in the park but doable! I want to talk to my surgeon about settings and the laser itself, such as is it Dot or fractional What are some good questions to ask her if you don’t mind.
@@pnevlud so many variables that I can't answer. Laser recovery depends on depth of treatment. My patients are alseep,so I go deep. I think deep laser is more demanding than profound. Your doc needs to recommend treatment based on the condition of your skin damage.
@@jniamtuiii thank you
@@jniamtuiii one last question and I promise not to bother you
Is Eclipse Equinox Surgical Fractional CO2 Laser an antiquated laser. I think this is what my surgeons office has according to the website
Hello doctor after co2 my face are white scar what do i do sir
you need to speak with the treating doctor.
I just ha co2 fractional laser day 4 swollen nose discoloration or red was it to light of a treatment
Impossible to say, too many variables. Ask you doc. Thanks for watching.
After my CO2 I sat in front of a fan till the heat went, did some cold washing, and the next 2 days I put loads of coconut oil on to keep the skin moisturised and went through a jar lol
Glad it worked, sounds like an interesting regimen
@@jniamtuiii Thanks, thinking of having another one done in the winter
Dear Dr Niamtu, I am treating 10 week old scarring that resulted from an aggressive fully ablative erbium and fractional co2 to the eye area. The skin is thickened from the eyelid crease to below the brow and has a very obvious demarcation line before it drops down to the normal skin level. Can this demarcation line be blended in now with a fractional laser or do I really have to wait a full year for it to maybe flatten on its own? I have recieved 3 lots of vbeam and cortisone / 5fu injections which have helped mostly the tiny scattered scars under the eye. But this thick area remains and I'd like to make it less obvious now if possible. Thank you
I HAVE EXTENSIVE SEBACEOUS HYPERPLASIA ON MY CHEEKS AND CHIN, HAD A FRACTIONATED CO2 LASER, PAIN BEYOND BELIEF, CREAM DOES NOT NUMB FACE. CAN AEROLASE 650 MICOSEND LASER WORK TO GET RID OF THIS HYPERPLASA ?
I do all of my laser with sedation. Generally I laser the the seb hyperplasia as single units for smaller cases .
I did co2 fraxel laser ,fotona face laser 4 times, peeling,microneedling but nothing really changes...so frustrated😔 I'm in my mid 40s ,quite big pores and hyperpigmentation. I so wish you were here in Europe.
I know it can be frustrading.
Watchthe skin resurfacing tutorial. The girl who demonstratesis great!!!
Oh thank you!
Dr i got burn 6 months ago on dorsum of my fingers now the area is hypopigmented is there cure like creams for enhancing melanin production or laser??
I only treat head and neck, but not that I am aware of. You can consult the doctor that treated your burn. Thanks for watching.
I had co2 fractional laser and it’s my day 4 today they’ve used high setting 20mj and still my face doesn’t peel😔
it probably will
Joe Niamtu it makes me scared that it will turn brown permanently after the peeling. and how long it takes to heal? Does the power they’ve used were too aggressive? Thanks for ur immediate reply, it means alot to me.
@@janettenarte550 Hi how is your skin now?
Amazing
Thanks
I had the c02 laser treatment What do I do if the ointment is stuck in my face It won't wash off and it's like a white paste on my face should I do vinegar soaks ? I need help it's also itching
Talk to your doctor, but I have my patients do white vinegar soaks
@@jniamtuiii Sir what are the white vinegar soaks for ? Thank You for your help 🙏
I have very fair skin. I had mine done a couple of weeks ago and I’m all peeled and have pink skin. It’s also extremely dry, especially under the eyes and I already know makeup will not look normal at this point. I’m using a growth factor moisturizer and vanicream moisturizer and face wash. I’m wondering if anyone else experiences this super dry skin and how long to expect this? I’m starting to get nervous about when my skin will start to feel soft again and look normal with makeup.
The laser is a true assult on skin and it can take months to hear. Keep in touch with you doc and their experience.
Doctor please help me😭😭 it’s been 19 days I have done it but all my face are dark spots is it possible to get better and disappear that dark spots?
Has it improved?
Skin resurfacing tutorial after care.
Is laser good for forehead wrinkles? I am 61 year old male.
It helps some, but won't eliminate them.
is this laser effective for neck and chest?
Yes, but to lesser extent.
How much ¡!!!!!,!!,??.
1 week in to it.
Then you are past the worse of it.
@@jniamtuiii amen 🙏❤️
Can anyone recommend a spf for after co2 laser full face. I’m 12 days out. I don’t wear foundation so it can’t leave a white cast. Thanks ❤
I have never used spf but now I’m protecting my investment 😂
Blue Lizard Physical Block is effective
Thanks doc ❤
Doctor how can l get the post care products
The Vaniply and related products are available online
i had fractional laser 4weeks ago for acne scar,but now there is hyerpigmentation on my face,if there is any cream for this hyperpigmention.
Hi Mai, I’m going through the same Just got my co2 laser for scar and my pores 2 weeks bk and now I can see pigmentation on my face . Plz help.
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Had a fractional co2 laser done with tech. At my dermatologists office. Day three. Still miserable no shedding. Very pink. And under chin left side hurts like crazy. I have calcinosis caused from trauma of an accident. And scarring. Getting really scared and freaked out this red brown waffle face is a burn that will scar. Wish I knew how to up load a pic.
Talk to your doctor, you will probably be fine, laser healing can be scary
Hate my dermatologist didn’t explain in detail what I need to really do
I hear that a lot
Hi
Hello
Hi dear doctor I used Co2 laser so I worry about my face can I share will the pictures.
Please if yes send me you email here.
Thanks