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More on fractional CO2 laser: http://prasadcosmeticsurgery.com/lase... For more on chemical peels, and microdermabrasion, please go to: http://prasadcosmeticsurgery.com/medi... To learn more about Dr. Prasad's background and training, please go to: http://prasadcosmeticsurgery.com/dr-a... A 44-year-old lady is asking about CO2 laser treatment versus a series microdermabrasion/ chemical peel treatments to treat wrinkles and tighten skin. She wants the less invasive treatment, even it involves more sessions, because she is wary of laser treatments after a previous aggressive IPL (intense pulsed light) treatment caused facial fat loss due to too much heat applied. New York Oculofacial plastic surgeon Amiya Prasad, MD reviews her concerns in this video, explaining the similarities and differences of chemical peels and laser treatment, and how to avoid losing fat in laser treatments: 1:40 - Dr. Prasad’s background training and experience with different laser devices and chemical peels over the last 20 years 2:26 - How chemical peels are the gold standard, and lasers’ effectiveness are still measured against chemical peels 2:50 - How the big difference of chemical peels, from light to aggressive, is about ablating a layer of skin so the body can generate new skin and more collagen than there was previously in its place, with better skin texture, quality, and color 3:17 - How lasers can also tighten skin through thermal energy, which is something that chemical peels cannot do 3:29 - How the tightening effect of thermal energy resulted in many lasers becoming available in the cosmetic market, which has been overwhelming for consumers 3:59 - How Dr. Prasad has seen patients who received treatment from a very popular radiofrequency device which turned out to be extremely painful, and also caused fat loss 4:25 - How Dr. Prasad helped these patients get some tissue volume back after aggressive treatments by using PRP (platelet-rich plasma) 4:35 - How light chemical peels and microdermabrasion only go so deep, so they don’t get the same collagen response as deeper laser treatments 4:52 - How the fractional version of the CO2 laser has advanced significantly since the 1990s, and the redness and prolonged healing is considerably less than older models 5:22 - How Dr. Prasad now uses a Fotona Dynamis laser in his practice which used erbium and ND Yag laser, which is close to the effectiveness of CO2 laser, but with less downtime for the patient, and manages the amount of thermal energy 6:00 - How the Fotona Dynamis is used for wrinkle treatment, and skin resurfacing, but also in non-surgical fat reduction where the heat is applied in a specific way and still protect the skin 6:19 - How getting the benefit of thermal energy like a fractional CO2 laser can be accomplished, without having the heat transferred to the fat layer, with results that are better than microdermabrasion and light chemical peels 6:48 - How Dr. Prasad does this laser treatment with a patient coming in for the first treatment, and heal in 24-48 hours, and come back for another treatment in 2 weeks to a month 7:01 - How cosmetic laser treatment is about treatment, then observe for results 7:13 - How it is important to ask a doctor about options and what to expect realistically 7:20 - How Dr. Prasad dials back fractional CO2 laser treatment for his patients with deeper lines so they have the opportunity to heal faster 7:36 - How collagen remodeling goes on for months to year, so skin improvement is continuous 7:51 - Why it is important to find a doctor who can be trusted, and with the assurance that fat volume loss is not likely during treatment 8:09 - How doctors may advocate lasers they own with the best intentions, but offering options from minimally invasive to aggressive technologies is better for patients CONNECT WITH US! Facebook ▸▸▸ www.facebook.com/DrAmiyaPrasad Twitter ▸▸▸ twitter.com/@AmiyaPrasadMD Tumblr ▸▸▸ dramiyaprasad.tumblr.com Pinterest ▸▸▸ www.pinterest.com/amiyaprasadmd Prasad Cosmetic Surgery ▸▸▸ www.prasadcosmeticsurgery.com Eye Lifts ▸▸▸ www.eyelifts.com Real Facelift ▸▸▸ www.realfacelift.com