More on fractional CO2 laser: http://prasadcosmeticsurgery/laser-light-treatments/

For more about PRP: http://prasadcosmeticsurgery/platelet-rich-plasma/

To learn more about Dr. Prasad’s background and training, please go to: http://prasadcosmeticsurgery/dr-amiya-prasad/

A lady with Latina background asks if it is true that darker skinned people should get a lighter dose of CO2 matrix laser. She had the treatment done for facial scars, but by day 2, she says she looked like she just had a little too much sun. Comparatively, she saw others online with red and raw faces the by day 2 after treatment. She asks if she got ripped off or not.

New York Oculofacial plastic surgeon Amiya Prasad reviews her question and photos in this video, explaining that darker skin does have more potential for pigmentation issues after laser treatment, and how he limits exposure to lasers without sacrificing skin rejuvenation results:

1:54 – Dr. Prasad’s background training, and experience with CO2 laser and the fractional CO2 laser, as well as samples of his work with it
2:33 – Why people should think about the issues they want to solve, and how lasers are often abused as a high-tech device to erase what is undesirable
2:56 – How a laser is basically a conversion of light energy to heat
3:06 – The three targets of lasers: water, blood/red, and pigment/brown
3:15 – How the CO2 laser originated in the mid 1990s as a fully ablative laser for the top layers of skin to make new skine in smoother
3:32 – Why people who tanned easily were not treated with the fully ablative laser because of risk of pigmentation
3:45 – How fractional CO2 laser came later, which had the depth and intensity of a fully ablative CO2 laser, but with less downtime because of fractional delivery
4:12 – How Dr. Prasad asks patients before choosing laser treatment if they want to address pigmentation, fine lines, refresh their skin, or treat acne scars
4:35 – How Dr. Prasad approaches people with darker skin more conservatively where he doesn’t use lasers first, but starts with platelet-rich plasma (PRP)
4:55 – How platelet-rich plasma is a concentration of growth and healing factors from your own blood, and can help pigmentation in people at risk of hyperpigmentation from thermal devices
5:25 – How skin treatments are rarely a one-time treatment, and normally follow a plan and strategy
5:43 – Why conservative laser treatment is understandable for darker skin because of risks of hyperpigmentation (too much pigment) and hypopigmentation (too little pigment)
6:04 – How conservative treatment on darker skin may also have been done to test the reaction of skin to the treatment
6:33 – How fractional CO2 laser delivers energy to the deeper levels of the skin, with benefits lasting from months to a year, especially the ongoing collagen remodeling
7:02 – How Dr. Prasad uses PRP treatment first, and then lighter laser treatment for the top layers of skin, especially for darker skinned people
7:15 – How Dr. Prasad is much more conservative with darker skinned people with acne scars and fine lines, and how many of his darker skinned patientse to him after being frustrated with changing devices, treatments, and doctors
7:31 – Even if the fractional CO2 is considered safe for dark skin, it is not free fromplications and undesirable results due to pigmentation
7:56 – How full healing of the skin should be done, and then speak to the doctor with clear goals
8:09 – How a doctor may rmend just a single treatment for acne scars, when in fact it isplicated series of treatments needed for best results
8:35 – Why it is important to define to your doctor what you want treated, so your doctor can formulate a plan of treatment
8:53 – How Dr. Prasad tells patients if they don’t follow the plan, then it is best to start it at all as a single treatment will not aplish enough
9:18 – Why it is important to find a doctor you trust, and stick to the doctor instead of bouncing from one doctor to another
9:27 – Why every procedure has risks, benefits, and options, which are what make up informed consent

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