The Different Treatment Depths of ProFractional (Erbium) Laser and Fractional CO2 Laser

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Someone asks if getting ProFractional laser (erbium laser) on their full face will affect the fat transfer they had previously done with a facelift.

New York oculofacial plastic surgeon Amiya Prasad, MD reviews this question in this video, and describes the differences of laser devices:

1:13 - Dr. Prasad’s experience and samples of his work with the original CO2 laser, erbium laser (like ProFractional) and now fractional CO2 laser.
1:36 - Why the term “fractional” is getting confusing for consumers with term due to its overuse
2:03 - How the erbium laser the like ProFractional ablates the skin layer and tightens skin through the dermis without generating too much heat, and also does not affect the fat layer
2:36 - How the fractional CO2 laser penetrates deeper into the fat layer, and also delivers more heat than the erbium laser or ProFractional which is not a fractional CO2 laser
3:13 - How fat grafting is done below the skin, and is not likely to affected by ProFractional laser once it is healed, depending on the area it was done and the amount of healing time
4:00 - The importance of telling your doctor the time since a facelift was done before any thermal treatment
4:28 - How Dr. Prasad uses regenerative medicine treatments like platelet-rich plasma (PRP) and extracellular matrix to rejuvenate skin without using too much heat treatment, as overdoing lasers can affect the skin long-term
4:59 - Why the fat that was transferred under the skin should not be a problem with erbium laser, and its benefits

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Видео The Different Treatment Depths of ProFractional (Erbium) Laser and Fractional CO2 Laser канала Amiya Prasad, M.D.