Should You Get Microneedling or Laser Resurfacing? | Plastic Surgeon's Advice
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- čas přidán 7. 06. 2024
- It can be confusing to figure out whether to get microneedling or a laser treatment. There are so many different skin laser treatments on the marketplace so any normal person would be overwhelmed. Dr. Kopelman shares his 3 decades of experience and gives you guidance on whether you should get a treatment with an ablative lasers (CO2 or Erbium Yag), non ablative lasers (Fraxel), or with microneedling combined with radiofrequency. After watching this video you will be super knowledgeable about laser treatments, you will know which is best for you and you will be to ask the questions you need to when going for a skin treatment.
To learn more about Microneedling Treatments: drkopelman.com/microneedling-rf/
To learn more about Laser Resurfacing: drkopelman.com/fraxel/
To Book an Online Appointment with Dr. Kopelman: bit.ly/3KpcRYS
Follow Dr. Joel Kopelman on Social Media:
Instagram: / doctorkopelman
Facebook: / kopelmanaesthetic
Dr. Joel Kopelman (Facial Plastic Surgeon)
1112 Park Ave 1a
New York, NY 10128
(212) 831-8333
drkopelman.com
0:00 Intro to Microneedling and Laser Treatments
0:52 Facial Anatomy
1:36 Importance of Collagen Matrix
2:52 How Laser Resurfacing Works
3:59 Ablative Lasers
4:11 Non Ablative Lasers
4:28 Benefits of Laser Treatments
6:29 Examples of Ablative Lasers
7:25 Examples of Non Ablative Lasers
7:34 Advancements in cosmetic lasers
9:05 Which Laser is Best for You?
9:22 Deep Wrinkles use Ablative Lasers
9:47 Mild Wrinkles and Sun Damage use Non Ablative Lasers
10:18 Microneedling Benefits
10:56 How Microneedling Works
11:12 Microneedling with Radiofrequency
11:49 How Many Microneedling Treatments Needed?
12:06 Limitations of Microneedling and Laser Treatments
13:35 Dark Skin Tone and Laser Treatments
#microneedling #laserresurfacing
The content of this channel is for entertainment and educational purposes only. This content is not meant to provide any medical advice or treat any medical conditions. - Jak na to + styl
As an advanced medical aesthetician, your content and delivery are great! I like your straightforward yet thorough explanation of skin rejuvenating devices. Please let's see more!
Jjjjķjj
Well explained, only very few people deliver info that clearly. Very useful, ty!
I have learned so much in this video. Great work! Keep it up.
Thanks for explaining the science behind this. The fibroblast forming a latticework make absolute sense. I never wanted to have an ablative laser until understanding how this therapy can truly work.
Thanks for explaining the pos and cons on choosing laser and micro needling among different skin tone clients in a very easy understanding way. 👍🏻
This is the best description I’ve ever heard regarding skin rejuvenation… Thank-you!
Thank you so very much for taking the time to give all this valuable info - I’ve had facelift years ago, Chemical Peek( boy that was painful) Erbium Laser, and Alma - I’m fighting it all the way
Glad it was helpful!
Perfect video - the type that I have to watch a few times to really get . Thx
Thank you for sharing your knowledge 💙
Interesting and valuable information. Thank you for sharing.💯
thank you Doctor for the excellent explaination not many professionals educate and inform people thoroughly as you have. patients' needs differ,and understanding the effect of these devices and their limitations is critical in order to seek the correct treatment
So informative.....love your straight forward approach!!!!
I hope I was helpful! And hope you continue to learn more from me about the proper approach when going for cosmetic or plastic surgery procedures.
Very informative. Thank you
Very informative and I wish I could go to your practice.
Great video! Tried both ablative and non ablative lasers...I am going to admit that I was sceptical at first but the results are beyond amazing!
what worked best for under eyes and jawline?
I actually understand! Ty for such a great explanation
Really enjoy and appreciate the information in your videos. Thank you!
Glad you like them Anne! I hope you keep watching my new ones 🙂
This was wonderful. Thank you
I’ve learned so much, thank you! I’m not a dermatology student, but someone considering micro needling and lasering.
That’s why I am here! To educate.
I’m in Anatomy and Physiology in college right now and we are actually studying the integumentary system right now. It’s so great that you are including this medical information in your discussion of skin procedures.
I am so happy to hear that my videos are helping you to learn anatomy!
I went to PA school and I honestly think A and P undergrad was more difficult haha. It took a lot of memorizing. Taking one and 2 with labs was a definite grind
Awesome video with great information thank you so much
Very thorough explanations! Thanks. Any experience with mitigating malar mounds?
I love the way you explain things. Thank You!
I am sooo happy you are enjoying and learning from my videos. I hope you continue to watch my CZcams channel!
I've done both, with great results. 1999 was the laser and around 2015 the needling.
I can say you are amazing you give many great tips
Excellent medically oriented presentation
Glad it was helpful!
This is amazing 🤩 thank you
Wow thanks for explaining Doc! New subscriber here!!!
Very educational.
Great video, thank you!
I just subscribed to your channel & I I am so excited I found you!!!! I just had a chemical peel & 4 weeks I will start 3 treatments of Laser. Then I will see if I can get also the PDP Threads. Thank you for your detail explanation.....
So happy you found my CZcams channel! I hope I am being helpful educating about plastic surgery procedures.
Great video!!
Great explanations , easy to understand! Thank you.
Glad you enjoyed the video
Glad you enjoyed the video
I love listening to your videos after work. I just sit back in my sofa with my cup of tea and just enjoying. 🍪🫖☕️
I am glad I can make the end of your day relaxing with my plastic surgery CZcams videos 😀
Great video, thank you so much for explaining everything in straightforward but with enough detail. You really connected some knowledge dots and dispelled a few myths.
I would greatly appreciate if you did a video going into detail about treating acne scars.
Thanks again, subscribed.
Thank you Dr. for this amazing information. I am a licensed cosmetologist getting ready to get my advanced esthetics license. I think this information. Will help me tremendously in my theory studies!!!
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long...
Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session.
One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Thank you Dr for making me clear for all the anatomy n physiology plus med terminology that has been confusing me so long...
Can you plz educate me what needle depth is appropriate for East Asian skin type to reach deep into dermis for fibroblasts n collagen synthesis stimulation. I also wanna get know about microneedling sessions / week n minutes/session.
One more thing which I learnt ,while going through skin stuff ,is it true that RF or simp micro needling causes fat loss n wrinkling?
Lasers facial resurfacing results in common complications, they are, raised lines that come and go varying with temperature changes, dermal thickening, scarring and there is little that can be done when these complications occur. A relative suffered all of these and was informed by the plastic surgeon who carried out the procedure he didn't have a magic wand to wave over her. She was left devastated and the only laser expert that she sought help from who was willing to help her, was a laser expert in Belgium, who stated that due to the common complications that she had and he was aware of, his practice no longer carries out laser resurfacing instead he uses the Tel Aviv chemical peel face mask as it has shown to have fewer complications and has a better outcome. His practice had found that mega doses of vitamin B complex lessens the lines and improved the overall damage done by the laser procedure. Unfortunately doctors don't always mention complications of the procedures they recommend. Best wishes from Europe ❤
absolutely brilliant explanation
Glad you think so!
Really interesting- thank you
Very thorough and understandable
Glad it was helpful !
Excellent explanation
Glad it was helpful!
Quite useful information thank you! I have a question though, since you mentioned CO2 or Erbium Yag aren’t recommended, this means we can’t use these treatments to patients with Melasma? Thank you kindly! Subscribed now. 😊
I do both microneedling and skin resurfacing in one session
.amazing result!!
May I ask what type of re-surfacing?
You made in one session!?
Wow! Thank you!❤ Finally, I understand the difference between these lasers😅
Merci 🙏🏼 tellement intéressant xxx
Thanks DR info were very helpful.
Great video, Doc! I have a Philips Reaura laser which is no longer available. I’ve found it to be very effective over the years. It’s to be used twice a week on each area for 8 weeks. Question: If I use it like this, can I use Retin A in the between nights? Or, can I use the Reaura every night?
Thanks Doctor for this extremely informative yet understandable video. I am a new subscriber.
Welcome!
Ver clear and helpful Dr. Love it! Thank you🫶🏼
Glad it was helpful!
Thank you for your excellent information! I had a lower facelift and I'm not thrilled with it. I can't afford to do it again. I am looking into these proceedures in order to improve my appearance where ever I can.
I am so happy you enjoyed
Am a new subscriber and looking forward to all your videos. What would be good to get rid of wrinkles around eyes
I’m getting a CO2 laser treatment next week so I’ve been binge watching videos about it. U give the best breakdown so far💜
Really well, thanks! My doctor use a somewhat low setting all over n a stronger setting on a few spots so I healed pretty fast. I did breakout in a rash due to the aquaphor after a few days of using it so I switched to the moisturizers I usually use which my doctor said was ok.
I’ve noticed the pores on my nose r smaller, the fine lines around my eyes have diminished, n a few of my dark spots were already lighter.
Hey did you have deep scars ?
@@madhurima4937 sry, no I don’t have any scaring
Make sure you take numbing cream. I nearly died it is so fkn painful. Also sooooo itchy after!
Hi, Was your CO2 lazer treatment Ablative or Non-Ablative?
Thank you for the fantastic advise, I couldn't hear your podcast very well it was on the soft side is there any way you can turn up the volume on your microphone. Thank you. I will be having my laser next week. 🙋♀
You explained this how I've been looking for it to be explained.
Had full face TRL laser 2 months ago, this is not for the faint of heart. Similar to Co2, this is a serious procedure (2 hours + of probably 100 painkilling injections plus demerol, ativan) and brutal 1st week caring for a full face oozing wound. Week 2-3, worst is over over but crazy flaky skin so although I could use concealer, it turned into oatmeal haha. Fast forward to now, i'm still cautious about exertion, minor roughness, bent over positions which all cause pin prick blood spots, redness, delayed healing but wow, amazing results! Glad i did it, i honestly can't remember when my skin looked so smooth, taught, spot & wrinkle free but from here on, plan to maintain with more frequent/less downtime procedures.
Oh my goodness, what you went through! I'm so happy that you feel it was worth it.
May I ask what age your skin was considered when you did this? Odd question in some ways, but one's chronological age is not always synchronous with one's skin age (sun damage, smoking, etc).
i.e. I'm 55, skin age 48 (thanks to a lot of IPL treatments in my late 30s/early 40s. I'm wondering because you say your results were excellent (which is AWESOME to hear, since you went through quite a lot of suffering for a few weeks, it seems).
Thanks in advance, and no worries if you'd rather not say. : )
@@le_th_ I'm 58, healthy and otherwise age defying but my face was looking tired. I'd done a few laser treatments & botox over the years but nothing aggressive. It was time for an overhaul & time to commit to regular maintenance procedures at a great comprehensive clinic.
That sounds horrible ! Thanks for the feedback, I'm super active and I'd rather exercise and be active without worrying about what position I'm in since I have sensitive skin as is 😅
I just finished using accutane
Used differen the night after,
Woke up in the morning. Applied checmichal sunscreen and my skin was hyper reacting to the sunscreen and I got box scars from it.
Can u imagine? This happened last week.
And now I am trying to choose what kind of procedure should I get to treat the box scarring that happened on my cheeks.
But watching ur video made me realize that I should steer clear from all procedures and acids, for a year at least to restore my skin’s strength back first.
Thank you for the warning at the end of your video!!!
I am grateful, you helped prevent a big accident 😢 thank you sir
Is micro-needling appropriate for the neck and chest? I really appreciate this informative video
I had the IPL lazer 15 years ago and loved the results. Just now needing it again. No age spots still, (I do peels bi-monthly), but am starting to see very little fine-lines around my outer part of my mouth where the marionette lines end. At 62, not bad. I think I might try the micro needling on them.. if it does not help I will go with the lazer. Thanks Dr.
Ty for this amazing video! Can you do these lasers or microneedling if you are prone to Melasma?
First of all, thank you for this valuable information. Regarding microneedling, I would like you to explain to the viewers the difference between the products sold for home use and what we have in clinics, and that to benefit from the process to stimulate collagen, the length of the needles must be more than 1.5 ml and it varies according to the thickness of the area (I think). It is something that many people ignore, and we will not find someone better than you to explain this to us and the public. Thank you
Thank you 🙏🏼
The best description I have heard and seen. Thank you so much. It was just what I searched for and needed.
Glad it helped!
Very informative video! I know this is an older video, but can you please tell me what type of laser the Tetra CoolPeel is? Ablative or Non-ablative? I've recently had 2 treatments but haven't noticed any improvements. I'm wondering if there are things going on behind the scenes that will improve my skin (like collagen building) that I will notice months from now. I'm not sure if i should get another 1 or 2 more treatments.
Thank you.
Hi Dr. Kopelman! This is the most detailed explanation of lasers I’ve encountered. You’re informative, detailed, and give a very good impression. I subscribed and would love to be treated by you.
I have 2 questions.
Since my teens I have had undereye depressions and dark circles. To remedy some of this, nine months ago I had undereye silicone implants placed in the area. It turned out that they are much too large for my face, so those areas are now bulky, convex, and look odd. Also, the implants make my eyes look a little smaller, one more than the other (definitely not something I was counting on). In addition, the bulkiness creates a shadow under the implants which makes it look like I have very dark circles under the bulkiness, at an area much lower than where my original dark circles were.
My hope is to be able to have the silicone implants removed, but I’m afraid of doing so because I fear damage being caused to nerves or another area under the eyes. The questions I have are as follows:
1. Have you ever heard of undereye silicone implants being removed successfully?
2. If I can get them removed without mishap, what’s my best bet for treating my depressed and dark undereye area? Undereye lift? Mid-face lift that treats the area around the undereye? Lasers? Microneedling? Something else?
Thank you!
Yes I have heard of patients who have had lower eyelid implants. These implants can be removed and hyaluronic acid gels like Restylane can be used to restore volume or your own fat can be a source for fat grating the lower eyelids to restore volume
Laser or micro needling are not ideal choices in this setting
@@DrJoelEKopelmanMDRidgewood Thank you!
@@DrJoelEKopelmanMDRidgewood I'm going to look up your website and call for an appointment.
Doctor Kopelman thanks 😊 for all of this videos I really appreciated, it had help me understand all of this.
It would be nice that as you are speaking and explaining, you could put some images and videos for a better understanding!!
Hello Dr. Kopelman, thank you so much for posting this very informative video. I’m a fair skinned, Caucasian, 55 year old woman who has struggled with the appearance of chicken pox and acne scarring on my face since I was a teenager. I finally decided to give Co2 resurfacing a try just recently. I’ve had two Co2 Resurfacing procedures done so far. Although I have seen some positive results with firmness and texture of my skin, I still don’t feel that the Co2 is making quite a substantial difference to help eliminate my facial scars. My question to you is, should I continue with the Co2 or try Microneedling or is there another treatment you can suggest? Will I eventually need surgery? I have had scarring on my face since I was a teenager before the Chicken Pox vaccine was available and I’m hoping there is help for me to be able to finally feel more confident about myself and to obtain a more permanent solution to improving the scarring on my face. Thank you in advance for your advice.
This was incredibly thorough and helpful. I am in my 40s and have freckles that are lightening with age and retinol/sunscreen use. I would like to start either laser or micro needling treatments to firm skin… and I’d like to actually make my freckles darker. They are one of my favorite features! Would heat increase the pigment of freckles?
Thanks again for your insight!
My daughter had freckles dr. Usedthis light on her face 3x in 3 weeks there gone
What light got rid of the freckles?
Ablative lasers may be used for example over grotesque scars that are large (reconstructive)..vs non ablative a flat scar where you'd like to improve the esthetics of the scar to make it appear like normal skin.
Thanks! 😉 👍
Thank you ..
This is the first time I fully understand all the types of lasers! I noticed an accomplished Doctor used laser over the whole face except he used Ultrasound on both sides of the jaw; subsequently I read that ultrasound can remove fat so one might want to use it at the sort of hanging area at the sides of the chin. Could you elaborate?
May I ask what needle length would you recommend for nail marks from picking acne on face? and for hair growth stimulation on a woman? Thank You.
Thank you for the explanation. I’d like to know which would be best for taking down small bumps in the skin to smooth it out? I know the microneedling does well to improve indents but I’m more interesting in taking down some bumps. Thanks!
Such a good informative video but only 2-3 comments???
My channel is still in growth phase! I agree with you. More comments about these cosmetic procedures are encouraged!
Hi. I am a 62 year old fair skinned female with very old burn scars on the right side of my face. I was burned when I was 4 years old. My skin on the normal side of my face is quite good with very little wrinkling, except for fine lines over my lips. I have booked an apointment to do microneedling with radio frequency on the 18th of april. Is this something that you would recommend to improve my burn scars. The picture that you see of me on my google account is a bit airbrushed. I would appreciate your input.
Which one do you recommend for women over 50 and with brown skin and melasma?
Thank you
What is your opinion of utilizing a micro needling pen at home? Will it help topical treatments penetrate the skin OR a waste of time and money?
I just took Morpheus 8 + Fraxel Dual + PRP Treatment and am really amazed with the result. I feel my face is tightened much and can even see the change on the mirror.
I took several other treatments similar to it before (one of them was also micro-needling with RF just as Morpheus 8) , but I couldn't feel much change somehow. I was thinking of taking a facelift surgery if laser treatment didn't work, but now I guess I don't need to take a surgery for a while (thanks to Morpheus 8)
Did you took CO2 laser treatment
@@rajgoogly3633 co2 laser and fractional laser is very bad it thins your skin and sags it
Be very careful with these heated lasers as they cause fat loss, dermatologists will say they don’t cause facial fat loss as it doesn’t penetrate that deep I have first hand experience……. Don’t do it
@@hannahb3854 So laser is effective to eliminate fats then, which laser did you use?
Dr. You recommended a series of fractional lasers for people that do not have alot of recovery time. How many sessions would you recommend for this? Also,
I saw someone that had a series of laser treatments and i felt that their skin looked super lifted. I know it won't last but is there initially a lifting appearance that can last several months? Great video Dr. Thank you for your helpful information. 😊
Hi Doc what about CO2 laser facial treatment? How is it different from other CO2 lasers you have mentioned?
I'm considering a CO2 laser treatment but have a fair amount of sun damage and freckles. (Caucasian who tans easily.) When you mention ablated lasers lightening skin with dark spots does this mean it will just remove the freckles or will it leave them lighter than my natural skin tone creating white spots? 🤔
Can't you do both? I have a kind of significant hockey scar above my eye. I was planning on doing both at an aesthetic associate center in Buffalo.
What would be most effective for festoons?
Any news on poikiladerma and the yellow laser? I’ve had many failed treatments
Radio frequency micro needling needs to avoid depths significantly beyond 2 mm in most parts to avoid burning fat. It should also be used with topical exosomes (avoid injections for safety) and all quality exosomes must be scrubbed for diseases AND be added during the micro needling session and up to 3 hours after it since pores are still open (and sensitive to germs as well so hygiene is a must). At least 3 sessions a month apart each will be required for very major improvements (it takes over 5 months to get final results). Diet, rest, chemical peels (3-4 sessions), and considering hydrolyzed collagen (all peptides ideally) and hyaluronic acid at safe and conservative doses will also build up collagen during periods of micro needling for at least 100 days.
Microneedling with radio frequency can cause fat loss. Be very careful with this treatment. Personally I’d prefer microneedling without RF.
I have been doing microneedling I have been loving the results
Most definitely 👍
Depending of Genetics & Skin Types-Subcision created loss of
Adipose for me, then 3 Laser Treatments gradually increased Collagen and Adipose Tissue.
@carloss1313 are you saying you experienced fat loss yourself but then were able to fix the issue with a different laser treatment? If so what laser treatment fixed it. I'm looking into getting laser treatment done for my severe acne scars and I was leaning towards ablative but not after learning of it's potential of fat loss.
@@livingthedream3259
I went with 2 Treatments non Ablative
Not too deep
1 Treatment Ablative medium depth
What would you recommend halo morphius or morphius
Hi Doctor, thanks for the good info! Is CO2 cool peel laser suitable for Asian skin for acne scar removal. Thanks!
Don't do it co2 and fractional laser thin and sag your skin
Could you make one of acne scars?
Hi dr, hope u are doing good, one query here, how mm deep can we microneedle to reach dermis to stimulate collagen synthesis..
Plz reply.
This is good! Thank you! I’ll be 44 this year and I think I’m ok so far. My area of concern is the eye area with hollowing and the jowls. I’m not bad yet but the skin there is extremely thin and I want to keep it up!
Also, does any of this affect the fat in the face? I want to keep as much of it as possible! 😂
Same! Preserving fat is super important, on the face! Hooded eyes are my problem area. I'm considering Nira or EvenSkin has tool around the eyes. Not sure yet what to choose. Blepharoplasty is too early, i think, I'm entering my 40th this year.
Have u heard of adipeau cream?
@@margareto1600what’s that?
Dr. What kind of laser , or treatment would you advice me to treat skin redness? (not due to rosasea) I had years ago when i was i teenager "dermabrasion" cause i had acne. as you know this procedure is very harsh and as result the area treated (cheeks) years, years later i still have some redness of the skin. My skin looks patchy. i am hispanic and have olive skin. (a little bit dark). Thanks God i didnt develope hyperpigmentation which i understand it can happen if your skin is a little dark. the redness has improved over the years but i would like to be able to address this problem without making it worse. unfortunately i am located in california otherwise i was going to make an appointment with you. Any advice would be appreciated. Thanks
Subscribed ✔
Hi doc, i just did c02 laser but my face is still swelling after 6 days and is very red, warm and flaky. I was told to apply 0.2 hydrocortisone. Is that it? Or shiuld i add a moisturiser?
I'm a new subscriber. Love your topics. I am a 66 yr. old Caucasian female. I don't have wrinkles or brown pigmentation, as I have used tretinoin, VC and daily used of sunscreen for 3 decades. I have been micro needling every 4 to 6 weeks for a few years with a .05 derma roller. I am never extremely aggressive to where I draw blood. There is so many controversies over this. If it builds collagen, I want to continue. If not, am I wasting my time? Going for in office treatments is not an option for me. Your opinion would be greatly appreciated. Thank you!
There are limitations with derma rollers. If you want to see collagen production I would recommend microneedling with PRP that has shown to help with collagen production because you are spinning down your blood to get stem cells to help stimulate collage growth during your Microneedling procedure.
Thank you for your reply.
I do micro needling at home. 0.5 once a week. Face neck, chest and back of hands. Followed by a good serum. It’s not painful at all.
The hands? Have you noticed a difference? My hands are looking older
I’m very skeptical of needling. It sounds too much like aerating a lawn.
How are you dr. Joel...
Thank you for your informations that really make me more understand what is suitable for my skin problem, however my pigmentation still in progress to reach the gold.
But really Thank GOD getting lesser now. Hopefully gain back my yout soon 😂😍
Dr. What would be considered a non-ablated fractional laser?
Thank you for all the information. Can laser or microneedling help bags under the eyes? If so, which one? Thanks!
No microneedling should not be used to modify lower eyelid bags