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Women considering breast augmentation in Baltimore might prefer a Mommy Makeover instead – but what does that involve? This popular cosmetic surgery option is actually a customized combination of procedures that help women regain their pre-baby bodies. If you meet with Dr. Schreiber, your Mommy Makeover will typically include a breast lift and augmentation, liposuction on the hips or thighs, and a tummy tuck in Baltimore MD. There are certain body changes that most women tend to experience after pregnancy, childbirth, and breastfeeding; the Mommy Makeover helps a mom feel like herself again!

Reasons for Considering a Mommy Makeover:

• Extra fat in the stomach, hips, and thighs after pregnancy
• Extra abdominal skin and/or stretchmarks following childbirth
• Loose or sagging breasts caused by breastfeeding
• Asymmetrical or misshapen breasts due to hormonal changes and breastfeeding

Overall Procedure

A Mommy Makeover deals with these particular problems by performing the various procedures simultaneously. It all depends on the preferences of the patient. Some women, for example, may not be concerned about bigger hips and thighs. But they might want their breasts lifted and reduced instead having the breast augmentation in Baltimore that Dr. Schreiber would normally perform. Others may be fine with their breasts, but plagued by stretch marks and a misshapen belly button after carrying a large baby. Each procedure can be performed individually, but doing them as a combination saves the patient money, anesthesia exposure, and recuperation time.
Baltimore plastic surgeon Dr. Schreiber will do a breast lift, with or without breast implants, to elevate the breasts’ volume and raise the areola and nipple to the best position. It is important to note that most plastic surgeons recommend that women wait until they are done breastfeeding their last child before having a lift, augmentation, or reduction. Next, Dr. Schreiber will do the tummy tuck. This typically entails taking away the extra skin of the lower abdomen in addition to making the abdominal wall muscles tighter. Any stretch marks below the belly button are also normally eliminated.

Recuperation Process after a Mommy Makeover

Post-operative instructions normally require lots of rest and restricted movement. Bandages are used following surgery to help the healing process, and lessen movement of the breasts and abdomen. When the bandages are taken off, a specialized surgical bra must be worn for several weeks. Occasionally, patients report slight pain connected to the surgery. This pain can be taken care of efficiently with oral medication. Dr. Schreiber will also give you an abdominal binder to assist with healing and comfort. Other important post-operative care instructions include taking all prescribed medication, resting and relaxing, and attending all post-op appointments for up to a year after the procedure. Dr. Schreiber will monitor the patient closely and clear them for certain activity levels depending on their progress.

Are you considering having a tummy tuck done? Dr. Jeffrey Schreiber, plastic surgeon in Baltimore, reveals what you can expect after the procedure is complete. Learn more about what to expect, the healing process, and the general recovery timeline.

When you awaken from your tummy tuck, you will probably feel sore and a little disoriented. If you are fortune enough to have a tummy tuck in Baltimore MD, by Dr. Schreiber, he will be there to greet you when you wake up. Next you will need someone to give you a ride home, and help you get comfortable in bed or on the couch. You will have a series of post-op appointments that you must attend so that the doctor can evaluate your progress, re-position any drains or bandages as needed, and check for signs of complication like bleeding or infection. These are rare, but it is important that your doctor do regular, thorough post-op exams to confirm that all is well. A sample timeline for these appointments would be at one week, one month, three months, six months, nine months, and one year.

Your initial recovery period lasts about 7-10 days. Some doctors will leave you with the number of an on-call nurse or physician’s assistant, but Dr. Schreiber gives his patients his personal cell phone number. He encourages every patient to contact him any time, day or night, with questions or concerns. He will also have provided you with pain medication prescriptions in advance, and details on the specific items you will need to have a comfortable recuperation. This may include over the counter pain relievers, laxatives, and stool softeners, as well as comfort items like pillows, lip balm, and hand lotion. You should also have light, easy to digest foods and drinks available.

After about a week, your doctor will give you the go-ahead to drive. At two weeks you can do light, very low-impact exercise, and at six weeks you can resume more rigorous exercise. It is around the six to eight week mark when the swelling will be significantly reduced and you will really have a good feel for your new flat stomach! Be prepared for compliments, increased self esteem, and a better degree of comfort.

If you go for a tummy tuck in Baltimore MD, you will meeting with the best of the best. Dr. Jeffrey Schreiber, now a plastic surgeon in Baltimore, is initially from St. Louis, Missouri. For six years, he attended a medical program at University of Missouri-Kansas City Medical School, where he earned both a B.A. degree in Biology and his M.D. degree. Dr. Schreiber then moved to Baltimore, Maryland to finish a general surgery internship at the Johns Hopkins Hospital. Later, he did his residency in integrated general and plastic surgery at the Johns Hopkins/University of Maryland plastic surgery program. Afterwards, Dr. Schreiber became a Clinical Instructor at the Johns Hopkins Hospital. He was even named in Baltimore Magazine as Top Doc. Dr. Schreiber has previously served as President of the Maryland Plastic Surgery Society. He is also the recipient of the RealSelf.com 100 Award and a member of the American Society for Aesthetic Plastic Surgery.

Baltimore plastic surgeon Dr. Schreiber performs many procedures for women – Baltimore breast augmentation in particular – but plastic surgery isn’t just for the ladies. Men are becoming more comfortable with modifying their bodies, and Dr. Schreiber has a host of services available for them. Read on to discover his top anti-aging procedures for men, including a hair transplant, Botox injection, male breast reduction, or tummy tuck in Baltimore MD.

Hair transplants are a common procedure, and those seeking a Baltimore plastic surgeon for them should book an appointment with Dr. Schreiber. He performs the procedure using the most up-to-date hair restoration techniques, and the results are remarkable. The hairs are individually grafted, for a natural appearance that uses your real hair. He applies them at an angle, so they look just like the rest of your hair, and don’t have that “plug” appearance that so many men worry about. This is the ideal solution for anyone that is balding or concerned with a receding hairline. It will instantly take years off of your appearance!

The tummy tuck in Baltimore, MD is another popular procedure for both men and women. If you book with Dr. Schreiber, he will remove excess skin from your abdominal area, and tighten the muscles. This is particularly effective for stubborn tummy fat and loose skin after weight loss. Some guys love their “beer belly” or “dad bod”, but many just want their high school body back! Opt for a tummy tuck Baltimore to restore your waistline and feel more comfortable going shirtless. This procedure can also help to show off muscles that you have developed, but which are currently hidden under your excess skin or fat.

As mentioned earlier, breast augmentations in Baltimore are a favorite choice among patients. Most men, though, opt for a breast reduction instead. Dr. Schreiber is skilled in the process of male breast reduction for gynecomastia. Sometimes men develop breast tissue at puberty, or later in life due to hormonal fluctuations. Others become concerned with their excess breast tissue or fat after losing large amounts of weight. He can also help men who are self conscious about the size or protrusion of their nipples or areola.

Botox is probably the most well-known of anti-aging cosmetic enhancement options, and for good reason. It is safe and effective for the treatment of wrinkles on the forehead, between the eyes, and on either side of each eye (crow’s feet). Dr. Schreiber is a Botox specialist, and you can trust that he will apply his expert knowledge to every case. Botox treatments tend to take under 20 minutes or so, and can even be done on your lunch break! The results last for a few months, and there’s virtually no recovery time afterwards. It’s the quickest and easiest way to blast away wrinkles that might be making you appear older.

Schedule a consultation with Dr. Schreiber to learn more about his anti-aging and body shaping procedures for men, including the popular hair transplant or tummy tuck in Baltimore, MD.

Are you scheduled for a tummy tuck soon? Dr. Schreiber, plastic surgeon in Baltimore, shares his advice on how to best prepare for your abdominoplasty surgery. Read on for tips and suggestions on preparing for your tummy tuck in Baltimore, MD, or anywhere else!

The tummy tuck process begins with a consultation appointment, where you will meet with your doctor and determine what changes you would like. The surgeon will evaluate your overall health, discuss your end result goals, and ultimately schedule you for abdominoplasty surgery. If you’re in the area, get a tummy tuck in Baltimore from Dr. Schreiber. He’s a board certified plastic surgeon, a member of of ASAPS (American Society for Aesthetic Plastic Surgery), and has years of education and experience. He’s the best choice in Baltimore, and his positive reviews from patients speak to this.

For your tummy tuck in Baltimore, the preparation will really begin about two weeks prior to surgery. You will need to get a physical and blood work done around this time, and then provide your plastic surgeon with the results. You will also be advised to stop taking aspirin, and begin taking a multivitamin. If you smoke, it is imperative that you stop now, and do not resume until well after your surgery (if you must). This is also the time to make plans for someone to drop you off at your surgery, and pick you up afterwards.

Your next step for your tummy tuck should occur about a week to a few days prior to surgery. You should stock up on all of the essential postoperative care items, as well as any comfort foods or accessories that will help you as you recover. This will likely include light foods that are easy on your digestive system, like clear broths, bread and toast, soup, applesauce, and bananas. You will also need to buy a mild laxative and a stool softener. Finally, your plastic surgeon in Baltimore will prescribe you antibiotics and pain medication for after your surgery. Fill these prescriptions now so you have them ready. For comfort items, consider heating pads, some new books or apps for your phone, chapstick, a back scratcher, pillows, and the like.

The day before your tummy tuck in Baltimore, MD, you should only consume clear liquids. Follow your doctor’s instructions about which medication to take in advance, and be sure to get a good night’s sleep. The day of the surgery is when all the preparation comes together! Wear loose fitting, button up clothing that can be easily removed. Leave any jewelry, wigs, hair accessories, etc. at home. Your ride should be there to take you to the appointment, and then your plastic surgeon in Baltimore will take care of you from there.
Are you interested in plastic surgery procedures, like a tummy tuck in Baltimore, MD? If so, be sure to contact the 5 star rated plastic surgeon in Baltimore, Dr. Jeffrey E. Schreiber.

Breast augmentation in Baltimore is a popular procedure, but many are confused by contradictory information. Famous Baltimore plastic surgeon Dr. Jeffrey Schreiber separates reality from myths and reveals the top 5 misconceptions he often encounters.

• Silicone Breast Implants Can Burst

  Many people believe that silicone breast implants can “burst” when put under pressure. They also believe that travelling in an airplane might be dangerous, because the cabin pressure could cause the implants to break apart. Silicone implants are not balloons, and do not ‘blow up’ during a flight, as some people believe.

• All Implants Must Be Replaced After 10 Years

  Another common misconception regarding breast augmentation in Baltimore is that all implants will have to be replaced after ten years. The truth is that breast implants only need to be replaced if the patient is not happy with their shape, or if they get rupture. Otherwise, there is no need to change the implant after every ten years. Silicone implants can occasionally rupture, but the silicone does not leak or spread into the body. It stays within the implant, so they are not dangerous they way they were when they first came out.
  

• Women With Implants Can’t Breastfeed

  Many women fear that breast implants will prevent them from breastfeeding their children. Any qualified Baltimore plastic surgeon will confirm that breast augmentation does not affect the ability to breastfeed. Breast implants actually have nothing to do with mammary secretions, and a woman with implants is just as capable of breastfeeding as someone without.
  

• Implants Increase the Risk of Cancer

  Many women believe that breast enhancements will make them more prone to cancer. However, accredited Baltimore breast augmentation institutions have stated that there is no definitive link between breast augmentation and breast cancer. Baltimore plastic surgeons encourage women to continue with monthly self breast exams, and to visit their doctor every 3-6 months for a more comprehensive exam. This is true for women with or without breast implants, because regular checkups can ease concerns and catch warning signs early enough for treatment.
  

• Breast Augmentation Requires 6 Weeks Bed Rest

  Some people have the misconception that breast augmentation surgery must be followed by six weeks of complete physical inactivity, which includes leave from work. In reality, breast augmentation is not that complicated. Patients with strenuous jobs, or jobs that require heavy lifting, may need to take a few weeks off. Patients with desk jobs, though, rarely require much leave. They can often get back to work within a few days after their breast augmentation surgery.

More information on breast augmentation can be found at: www.baltimoreplasticsurgery.com. Dr. Jeffrey Schreiber is a member of ASAPS (American Society for Aesthetic Plastic Surgery), and is always willing to provide patients with advice. More information on cosmetic surgery is available at: www.surgery.org.

Recovering From a Tummy Tuck

Abdominoplasty is a surgical procedure for those who want to perfect the shape and proportion of their belly. If you’re seeking a tummy tuck in Baltimore, MD, you need to find an experienced plastic surgeon in Baltimore. This procedure is very popular among women who have had multiple children and want to restore their pre-baby shape. It’s also a common option for people who have lost significant amounts of weight, and now have excess skin in their abdominal area.

If you’re recovering from a tummy tuck in Baltimore, Dr. Jeffrey Schreiber will guide you through the recovery process. He has also provided a general overview here for those seeking tummy tuck surgeries out of the area. It is very important that patients follow the advice of their doctor and stick to the post-surgical regime. This will ensure the quickest and least painful recovery time possible, and limit the risk of any complications. Patients should remember that abdominal surgery requires both external and internal healing; proper time and care must be given for full recovery.

Discuss Everything With Your Surgeon

During the postoperative period, patients should be prepared to discuss every aspect of their healing process, in detail. A qualified and experienced plastic surgeon in Baltimore, or anywhere else, will ask patients about their medical history, diet, daily routine, and family life. The surgeon will also ask the patient to inform them immediately in the case of any complication, including excessive bleeding, pain, or infection. Patients should always discuss their medication in detail with the surgeon, and inform them of any side effects experienced. Bleeding and pain might signify a potential danger. Some patients develop blood clots, which have to be treated immediately.

Limit Physical Activities

It is important to understand that a tummy tuck is medical procedure, plastic surgery can be just as serious as any other type of surgery. As such, it must be treated with the same respect and care. It is important for patients to follow their doctor’s orders, and create a plan to get through their recovery phase. Patients should know that they need to make a few significant changes to their normal routine.

For the first two weeks after the surgery, patients need to limit their physical exertions. Cycling, jogging, swimming and all other sports must be avoided. House chores should be restricted, and only the most important tasks can be performed. Patients must take care to put no extra strain on their incisions or stitches.

Dr. Jeffrey Schreiber is one of the most experienced and qualified cosmetic surgeons you can see for a tummy tuck in Baltimore MD. He is a member of ASAPS (American Society for Aesthetic Plastic Surgery). More information on tummy tucks can be found at: www.baltimoreplasticsurgery.com. Another great source for additional details on cosmetic surgery is: www.surgery.org.

Getting a facelift can remove many years of wrinkles and aging. Although various other methods and procedures are available to pause facial aging, such as injectables and fillers, the most long-lasting technique that Baltimore Plastic Surgeon Dr. Jeffrey Schreiber suggests is a facelift. Its impact will last at least ten years. It may be a long procedure, and it can take some time to heal, but it is the best way to get rid of sagging and aging facial skin.

Facelift Preps

Once the patient has decided to get a facelift done, they must decide on a certified surgeon who can guide them to what would be best for their face. Baltimore Plastic Surgeon, Dr. Jeffrey Schreiber is more than qualified when it comes to working on facelifts and tummy tuck in Baltimore, MD. He has years of experience and was also trained at John Hopkins University. He advises that every facelift begins with an understanding of the patient’s medical history, and evaluation of their face. This is done to analyze skin elasticity, wrinkles, dark circles, hairline and bone structure. The initial consultation should normally conclude with photos for the ‘Before’ and ‘After’ comparison.

Two weeks prior to the facelift, the doctor will advise the patient to stop taking any and all medications that could cause complications during or after surgery. It is recommended that the patient schedule an appointment with their doctor and show him or all the medications they are using, in case of any serious health concerns. It may be that the surgeon himself will provide the patient with certain medications before the facelift.

Plastic Surgeon Baltimore, Dr. Schreiber suggests that it is crucial for patients who smoke to quit doing so before and after their facelift surgery. Smoking reduces the blood flow into the face, and patients who do not quit smoking usually end up with dead skin, which is also known as necrosis.

Steps of a Facelift

There are three steps to a facelift procedure.

• Anesthesia. Depending on the complexity of the facelift surgery, the doctor will provide the patient with either local anesthesia or general anesthesia.
• Incisions. Incisions usually start from behind the ears, in front of the ears, or from the scalp area. They are made in such areas where they are neither prominent, nor leave scars on the face.
• The facelift itself. Once the surgeon has made incisions in all the necessary areas, the facelift begins from the deeper layers of the face and the skin is lifted. Excess skin is removed in the process, and liposuction gets rid of any excess fat. Face muscles are reshaped and tightened and the face is then stapled or sutured to stay in place.

Some surgeons recommend that female patients should grow their hair long, so that the scars won’t show during the recovery period. For male patients, the incisions are made along the beard lines.

This summer, look your best with one, two, or all of the summer sizzlin’ procedures that Baltimore plastic surgery expert, Dr. Jeffrey Schreiber, can do for you! When it comes to cosmetic surgery and the summer, many people do not want a long recovery. Certain cosmetic surgery procedures can give you great results without a long recovery and downtime. Here is a list of the most common cosmetic surgery procedures that you can do over the summer and still be able to enjoy the sunshine and pool every day:

1. Coolsculpting – this is a great non-surgical way to remove unwanted fat. It’s great for diet and exercise resistant fat of the arms, back, flanks, love handles, belly, and thighs. No surgery, no scars, no downtime, no recovery, and almost no pain! Baltimore Coolsculpting patients come in to the office and get the procedure done over one hour or several hours with breaks in between. Then, they go home and they can even workout that night! Results are typically seen over 1-3 months as your body removes the excess fat that was treated with the Coolsculpting device.

2. Botox and Dysport – Botox and Dysport have been around for many years and for good reason. They are very useful for treating wrikles and lines around the eyes called crow’s feet, foreahead, between the eyes, and even neck lines. The procedure takes only a few minutes with very minimal discomfort and no downtime. Many of Dr. Schreiber’s patients get Botox and Dysport during their lunch hour! Then, in about 3-5 days you see the nice effects of the Botox or Dysport and they can last up to 3 months.

3. Fillers – Fillers, like Restylane, Juvederm, and Voluma are great to fill in the lines and wrinkles around the mouth, to restore volume to the cheeks, and can very nicely restore shape and volume to the lips. Dr. Schreiber uses a numbing cream and can even do a dental block to help make the procedure as painless as possible. Fillers typically last around 6 months, but Voluma can last up to 2 years!

4. Viora Reaction Skin Tightening – Radiofrequency energy is one of the newer technologies to tighten the skin of the neck and jowls and to decrease the amount of cellulite on the legs, buttocks, and back. The Viora Reaction device is done right in the office with minimal pain. Effects are usually seen after 3-4 treatments spaced several weeks apart. For no surgery, Viora Reaction radiofrequency is one of the best ways to tighten the jowls and to treat cellulite!

5. Kybella – the double chin! Typically, liposuction was used to remove fat from the neck area and this involved a surgical procedure. Now, however, Kybella is a medicine that can be injected underneath the skin of the neck to slowly and safely dissolve the fat without surgery! Dr. Schreiber will numb the skin and then inject the Kybella with a tiny needle. It usually takes 3 treatments to see the effects, but they can be amazing!

So, if you have some time off this summer and you’re interested in toning your body of improving you looks, consider coming in to see Dr. Schreiber! You don’t always need surgery to achieve your aesthetic goals. Baltimore plastic surgery expert, Dr. Jeffrey Schreiber, can talk with you during your consultation to see what procedures are best for you! Fill out the form below or call (410) 205-1846 today to schedule your consultation!

In my office today, I use radiofrequency energy in order to perform nonsurgical face rejuvenation. This involves a laser that essentially heats the collagen in the skin without damaging the epidermis. The frequency is approximately 10 MHz compared to a microwave oven that is 400-900 MHz. The wonderful thing also about this laser is that it is safe for all skin types and colors. It does cause heat-induced tissue shrinkage and the amount of shrinkage depends upon the maximum temperature reached, the heat exposure time, tissue hydration, and tissue age. Skin tightening can be obtained by radiofrequency energy of the Viora Reaction laser. The skin tightening is caused by heating the collagen and triple helix and causing it to denature. The residual tension of the heat-stable intermolecular cross links causes the collagen shrinkage. Heating the fibroblasts also leads to new collagen synthesis, which leads to tissue remodeling. Therefore, tissue remodeling plus the collagen shrinkage leads to firmer skin, which we see with the Viora Reaction radiofrequency energy skin tightening laser. It is important to reach skin temperatures of 102-107 degrees Fahrenheit very safely in the office and the results can be amazing, especially on the stomach after liposuction to tighten the skin. Another good application of radiofrequency energy from the Viora Reaction laser is cellulite reduction. Radiofrequency energy can heat large volumes of subcutaneous adipose tissue. This does cause increased microcirculation, which can lead to more blood flow to the fat and increased metabolism of the adipose tissue. This causes homogenization of the subdermal fat and increasing skin elasticity. Then this leads to improved skin texture. Cellulite can be improved nicely. It is not going to make all of the cellulite go away, but there is commonly an improvement after several treatments of the Viora Reaction radiofrequency skin tightening laser. There are some contraindications to this procedure, pregnancy, implanted electronic devices, hip replacements, malignancies, blood coagulopathies, and it is not recommended to do the radiofrequency energy treatment over tattoos. This again can tighten skin all over the body, especially in the abdomen. It can significantly improve jowls and also fine lines and wrinkles of the cheeks with tightening.

Therefore, upon review, fine lines and wrinkles can be treated by carbon dioxide laser therapy or the collagen-induction therapy, photoaging can be treated by the CO2 laser, scars and acne scars can be treated by the CO2 laser as well as collagen induction therapy, tightening of the skin could be obtained by the collagen induction therapy, radiofrequency therapy with the Viora Reaction device or carbon dioxide laser, submental fat can be treated with liposuction, but also the Kybella with no surgery at all and finally cellulite reduction can be obtained with radiofrequency energy from the Viora Reaction device.

Here is some great information on noninvasive facial rejuvenation options. Noninvasive facial rejuvenation has many different modalities. There are many options to choose from, however, in my practice four procedures that I have really enjoyed doing include CO2 lasers, Kybella, which is deoxycholic acid for removal of the fat underneath the chin as well as percutaneous collagen induction therapy known as CIT and radiofrequency energy which we offer in the office in the form the Viora reaction laser. The CO2 laser started in the late 1980s. Before that mechanical dermabrasion and chemical peeling were done, but CO2 lasers were a more advanced form of ablation of the skin of the face resulting in tightening. The carbon dioxide laser wavelength is approximately 10,600 nanometers. This is strongly absorbed by water, which is abundant in the skin. The carbon dioxide lasers do have a narrow zone of thermal necrosis, which seals the dermal blood vessels and lymphatics and also results in minimal scarring. The carbon dioxide lasers completely remove the epidermis and part of the dermis just like chemical peels and dermabrasion. However, CO2 lasers can go deeper resulting in the better effects. However, this does require anesthesia in the form of sedation in the operating room; however, the results are much better than peels or dermabrasion. The treatment with the carbon dioxide laser does result in wound remodeling as well as new collagen and elastin fiber formation resulting in healthier, firmer, and tighter skin. The carbon dioxide lasers must be evaluated for each patient on individual basis. I used the Obagi skin classification system. The carbon dioxide laser is only for patients with lighter skin and skin that is not too thick or too thin and skin that is not too fragile. It is excellent to treat fine lines and wrinkles. It is not good for deep furrows. For deep furrows, you can get a face lift followed by the carbon dioxide laser, which does result in outstanding results. Carbon dioxide lasers are excellent for photoaging in order to treat actinic keratosis, solar elastosis, telangiectasias, or mottled hyperpigmentation. The carbon dioxide lasers are also good for acne scars, rhinophyma, sebaceous gland hyperplasia, and microcystic acne. If you do have a history of cold sores, you can still get carbon dioxide laser therapy, you just need to be on antiviral medications two days before the procedure and afterwards until reepithelialization takes place. You cannot get carbon dioxide laser if you have an active infection or unrealistic expectations. It is also important to make sure you tell your doctor if you have recently used Accutane or had a recent deep resurfacing procedure. It is also not recommended in patients that form keloids. Carbon dioxide lasers also require laser safety in the operating room. This involves turning off nasal canula oxygen using proper smoke evacuation.

It is also important when we use prep that we use antibacterial soap only, we do use metal eye shields to protect the eyes coated with eye ointments. The face is also surrounded with wet, sterile towels and the teeth and the endotracheal tube with foil to reduce the chance of any enamel damage. Again, with the carbon dioxide and lasers anesthesia is either general anesthesia or IV sedation. Several passes are used with the carbon dioxide laser. The first pass removes the entire epidermis. This can turn the skin white. I rehydrate the skin and wipe it dry. In the second pass the pattern is oriented 90 degrees and then you enter the papillary or the upper reticular or mid reticular dermis and this is the goal for carbon dioxide laser therapy. This can be then rehydrated and the third passes are for advanced photodamage or acne scars. The endpoint for carbon dioxide lasers include ablation of the wrinkles or you can get a 60-80% reduction possibly. The safety endpoint is a chamois yellow skin color that persists after wiping with a saline soaked gauze. It is important to avoid aggressive lower lid resurfacing to avoid scleral show and ectropion. I give oral antibiotics, antivirals, and pain meds after the carbon dioxide laser therapy. Oral steroids are okay, if you do have a lot of swelling. It is important not to pick the skin after this laser to avoid making any scars. I also recommend Aquaphor until re-epithelization, which takes one to two weeks and you can re-treat after six months; however, most patients require one treatment once every few years. The most common complications are scarring and hypopigmentation. You can do a carbon dioxide laser therapy with a facelift on the non-undermined skin, which is around the mouth and the nose. It is okay to do a superficial TCA chemical peel over the undermined skin to avoid any demarcation if you do carbon dioxide laser therapy with a facelift. The results can be fantastic. You can remove a significant amount of the wrinkling and get a much tighter appearance to the face.