Jul 16, 2009
Hi. Laser treatment is supposed to trigger collagen production. Do you consider it a feasible alternative to fillers? If yes, should it be a fractional laser treatment or the fullblown treatment. Thanks for your always helpful advice.
Response from Dr. Pierone
Hello, and thanks for posting.
I don't think that laser treatment will take the place of fillers for HIV lipoatrophy because of the need to restore significant volume in this situation.
However, there is no question that laser treatment provides very a useful adjunct benefit to rejuvenate skin and improve facial appearance. Fractional laser treatment appears to be the best standard of care based on my conversations with experts in this field. Multiple treatments are often necessary and cost is an issue, as with any of these aesthetic interventions.
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