Electrosurgical Skin Resurfacing Questions and Answers Archive

Dec
2001

Q&A: What is the easiest and least painful way to get rid of bags under the eyes and the cost?

Question:

I think I am getting bags under my eyes. What is the easiest and least painful way of getting rid of it. And how much is all of that going to cost me?

- Elizabeth

Answer:

 Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Elizabeth, Lower eyelid blepharoplasties with or without the use of laser resurfacing to help the skin texture is your best option for improving bags. This surgery costs $2000 to $3000 depending upon where you are in the coutry and what needs to be done. Your down-time should be about one week.

-- Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Nov
2001

Q&A: Is there a treatment I should do pre- and post- laser skin resurfacing of my face?

Question:

Is there any product that you recomend to use to prep the face before having it lazered? Also, following the surgery?

- Janet

Answer 1:

David M. Metzner, MD - LocateADoc.com

There are many different ways to prepare your skin for laser resurfacing, and many others for post-op care. If you are consultating with an experenced laser surgeon, you should go along with the routine he or she suggests. David M. Metzner, M.D. 504.885.9555 985.892.4675 866.298.5249 toll free

--David M. Metzner, MD
Metairie, Louisiana

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Janet, Your physician should review this with you. I use a combination of a bleaching cream (containing hydroquinone) and Retin-A for two to three weeks prior to facial resurfacing and then, after a new top layer of skin has grown back, I use the bleaching cream again for as long as the skin is red. I use a special Silon face mask for the first 3 to 5 days after resurfacing to help the healing and essentially make the procedure painless.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Sep
2001

Q&A: What should I expect from dermabrasion on a scar from surgery under my left eye?

Question:

On july 10th I had moh's surgery under my left eye, it was quite extensive and I've been left w/ a diagonal scar under my left eye beginning 1/4 of an inch under my tear duct and going towards my left ear. The scar is approximately 2 inches in length and I am having dermabrasion on the 19 of Sept. I would like to know what to expect, will I be in any discomfort, will it swell, and how long does it generally take to heal. Thank you for your time. I have visited a website on dermabraision and did get some information but I guess I feel I just need a little more positive thoughts. Thanks again.

- margaret

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Margaret, I understand that you will be having dermabrasion on this scar. If the scar is narrow and not too depressed, this may help a little. In that area, dermabrasion is not the best treatment since the lower eyelid skin is very thin and fragile and does not lend itself well to mechanical abrasion. I would suggest that you visit with a plastic surgeon in order to explore the possibility of either scar revision if the scar is wide or thick and, if optimal from that viewpoint, laser resurfacing so that an adequate depth of resurfacing can be performed without danger to this very thin skin or your eye.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



May
2001

Q&A: How do you remove bags beneath the eyes?

Question:

how do you remove bags beneath the eyes

- paul

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Paul, The bags are removed through a procedure called lower eyelid blepharoplasty where the fat that is spilling over the rim of the orbit (where your eye sits) is removed, the ligaments holding the lower eyelid in place are tightened and the excess skin is removed either directly or tightened with laser resurfacing.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Mar
2001

Q&A: How do I get stretch marks around the butt area removed?

Question:

I have stretch marks around my butt area, what would be the procedure to get those removed. I have tried the coco butter and that didn't work?

- natasha

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Natasha, Although many practitioners state that lasers can help stretch marks, in my opinion and after performing many studies with many different lasers, I feel they help only marginally and only those stretch marks that are red. The thin white stretch marks are not helped by any current treatment. There is a new laser which rejuvenates the skin without resurfacing it. I will be performing trials using this laser and it may prove helpful but we don't know yet.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Mar
2001

Q&A: Will laser skin resurfacing irritate and cause my psoriasia to spread?

Question:

I have psoriasis and I am considering laser resurfacing. Will this irritate the skin to the point of spreading this condition?

- Denise

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Psoriasis is not a condition that is either improved or worsened through laser resurfacing.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Mar
2001

Q&A: Is it true, according to the insurance adjuster, that I can have a scar from a 2nd degree burn removed by dermabrasion for $1,000?

Question:

I have a scar on my forearm (between elbow and wrist) as a result of a 2nd degree burn from an airbag - results of an auto accident. Everyone says that it shouldn't have scared at all, but it did and is quite noticable. The insurance adjuster is trying to tell me that I can have it removed with dermabrasion for about $1000. Is this true? Are there any side effects, pain, etc.? Thanks for your help!

- Gina

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dermabrasion and laser resurfacing can help the contour of scars but do little to the true scar tissue. If it is indeed a widespread scar with altered skin texture and appendages, often, other procedures such as scar excision or tissue expansion followed by scar excision need to be considered for optimal scar improvement. These procedures would be somewhat more costly than the sum that you mention.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jan
2001

Q&A: What can I do for very severe cellulite all over my thighs and I am relatively slender?

Question:

Hi, Ever since I hit puberty (I'm 30 now) I have had very severe cellulite all over my thighs (top to bottom). It is very noticable and no amount of dieting or excercise affects it at all. I have always been relatively slender and I have never seen cellulite this bad on anyone, regardless of size. Is there something that can be done besides just liposuction (although I know that will be the best place to start)? It really seems to be part of my skin make up.

- Christine

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Christine, Cellulite is actually small amounts of fat that herniate into the skin's deeper layers from the fat layer. It is rarely helped even by superficial liposuction. There are a lot of products ranging from "thigh creams" to vacuum-rolling massage machines to help. All large studies that have been done have shown these to be no use whatever in the improvement of cellulite. I am sorry but we have no good cure as yet for your problem. There is a non-resurfacing skin rejuvenating laser which is undergoing its last few months of clinical trials which may penetrate deeply enough into the skin to help but I am not certain that it will.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii