Hi Dr. Irwin,
I am 48-year-old white female with a lot of lines and wrinkles all over my face with some acne scaring on both cheeks. I have been doing a lot of research on the DOT CO2 laser and went and had a consultation today with a dermatologist in Dallas,Texas. We discussed it and he stated that because I was most likely a type 3 skin I might have a problem with hyperpigmentation after the procedure. I have some brown spots now on my right cheek from sun exposure. I was really disappointed to hear this as I had decided that this procedure was exactly what would give me the best result. The doctor suggested I start using a hydroquinone cream before the procedure (which is in about a month) and, then, would "have to take my chances" afterward.
Can you offer your opinion on this problem?
In general, with plastic surgery or any major laser work, it’s good to plan on getting 2-3 consultations. You will hear several different opinions, get a chance to see how different offices function, find good staff who can answer questions, etc. I would recommend several more consultations until you find the right doctor and office for you. Here are my tips to finding a good doctor.
Unless you have an outdoor job, there should be a way to manage this laser in Dallas if you are a skin type III. The bottom line though is that he isn’t comfortable, so finding an experienced doctor who is, is key. Hope this helps. Dr. I