Don't put too much emphasis on the technology. Evaluate the operator.

Dr. Graham makes periodic contributions to online patient information websites. RealSelf.com is one such site where many people write questions for panels of cosmetic physicians.

One of the most frequently misunderstood topics concerns patients choosing the right laser or other device for a skin condition such as wrinkles. "Should I chose Brand X or Brand Z for my laser treatments?"

Our humorous response to this question for a long time has been, "you need to consider more carefully the witch or the warlock, than which brand of wand they use." You will obtain the best results with the best diagnosis and proper treatment(s) regardless of the brand of laser your surgeon uses. It matters how the device is used and the selection of the appropriate devices. Of course, sometimes the answer from an experienced surgeon may be that lasers won't give you the results you expect, but that facelift or other surgery is your best answer.

Laser Resurfacing: How to Smooth Rough Skin

Medical lasers do a wide variety of things, depending on wavelength, power delivery, etc. We have a number of lasers available to treat conditions ranging from acne, roseacea, unwanted hair, to skin looseness. One impressive thing they accomplish is to smooth the surface of rough, coarse, wrinkled skin. http://www.expertplasticsurgeon.com/html/laser.html#laser-skin-resurfacing

Dr. Graham and our certified nurse practitioner (Janice Sasser, RN, NP-C) both offer laser treatments, from minor to extensive, under safe conditions and appropriate anesthesia.

More superficial lines will be treated with an anesthetic cream and surface cooling devices. Eye protection is always used. The recovery time is a few days. These treatments are good for mild-to-moderate lines, short recovery times, and patients considering staged treatments. Deep lines will be treated with local or general anesthesia. Recovery time is several days to two weeks. These treatments give more effects and have more recovery.

We will often suggest that laser skin resurfacing be done in conjunction with other helpful procedures. Active muscles contracting skin in areas like the "crow's feet" should be diminished by neurotoxin (Botox, Dysport) to enhance your laser wrinkle treatment. Lines around the mouth can also benefit from hyaluronic acid fillers (Perlane, Juvederm) or fat grafts, (and maybe a little neurotoxin). Chin lines can also benefit from HA filler. Lines beyond the corners of the mouth may benefit, if other indications exist, from a facelift. Finally old, deep acne scarring in some adults can be helped by both laser and facelift. These options are discussed during your consultation. We are always happy to inform.

If you have more questions, call us at 864-676-1707
Or E-mail through our web site or at info@expertplasticsurgeon.com

Magic Wand Analogy (laser or injection): Check out the Witch or Wizard (plastic surgeon) using that thing! (copyright)

Wrinkle treatments, newest lasers, latest filler injections. We regularly get calls and we welcome questions about new developments. We are constantly looking at the many offerings of companies to find the best to offer our patients. Each new "Botox-alternative," "non-surgical facelift," "minilift" or "new laser wavelength" is a potential benefit, but quality studies are often lacking.

The "magic wand" analogy occurred to me recently. Potential patients need to ask the question posed by Glinda in the Wizard of Oz, "are you a good witch or a bad witch?" You don't need to know so much about the wand as the one waving it. The witch or wizard using the magic wand is the person who will determine the quality of your outcome.

Expert surgeons can obtain similarly excellent facelift results using a variety of techniques (SMASectomy, SMAS plication, MACS lift for example). Quality "injectors" using Botox at different concentrations or Juvaderm Ultra Plus versus Perlane can obtain superior results. The most important questions are questions about the doctor or nurse's skill, training and experience. You are not just buying a uniform product (25 units of magic neurotoxin). You are buying their medical experience.

So, my advice is don't worry so much about the wand, seek quality witches and wizards; you want the good ones.