LAM FACIAL PLASTICS

Dr. Lam
Your are awsome. Thanks for the response. The scar I have was the result of a dermabrasion with the wire brush by a highly reputable doctor. I had a little scar but he was too aggressive and it left a sort of linear laceration. I am a little gunshy about going through a full face procedure because it has taken almost 3 years to get my skin back to this level. Does a spot dermbrasion with the diamond fraze go deeper than the plasma resurfacing? Also I had previous dermabrasion with the diamond fraze and had no complications. However the wire brush seemed to leave some lacerations marks. Is that normal or is the wire brush just too aggressive on certain skin?

Thanks for your help

the wire brush is highly user dependent and is much more difficult to use. i am very comfortable with it since i have been doing it for years. the diamond fraise is much more forgiving but does not work as well on deeper problems. in general, both are good treatment methods. i think if you have a linear mark, you might want to go with a gentler diamond fraise technique but i would be worried since you would have to go deeper to fix something that sounds as if it is already deep. you would have to see someone in person to make that determination. even at that point, you might think about not doing anything further, i.e., not making it worse. (I don't mean to suggest that is the only outcome, just based on your comments.) Plasma resurfacing probably won't do too much to make it better. It is great for texture and tone from aging but to remodel a linear scar seems like a very tall order and a high chance for failure. I personally would refuse to do it for you since I would almost set you up for certain disappointment. Even those who say they don't mind paying for a chance at getting a good result can still be angry despite limited expectations when I am pretty certain beforehand that such a technology would probably fail.