Laser Treatment for Facial Skin

Parent Q&A

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  • Whatever happened to Diablo Laser?

    (4 replies)

    Hello, I saw several posts from a few years ago highly recommending Janet Leary of Diablo Laser in Walnut Creek for laser treatments. I tried to contact the clinic and it looks like it closed recently. Does anyone know if Janet is still practicing, maybe at another location? Or does anyone recommend anyone else for laser treatments? (I am looking for laser to treat "11 lines" in the brow area.) Thanks in advance for any recommendations!  

    I went to her and loved her but she has since retired. 

    Dr.Kim in SF offers excellent laser. I used to go to Janet as well. The staff and options are awesome !

    good luck 

    Suzanne at Kaiser Walnut Creek Cosmetic Dermatology is excellent, and you don’t have to be a Kaiser member to go to her. 

    I've had laser treatments done by Sandra (RN) at Aycock MD in Walnut Creek and been really happy both with the treatments and the way they run their practice. 

  • Cosmetic dermatologist for laser treatments

    (2 replies)

    Mid 30s and looking for a derm who performs laser treatments. Not looking for Botox or fillers, but just want my face zapped to get a smooth clean slate. Yes, I wear sunscreen everyday and that helps :)

    Any recommendations?

    Hi - I have experience from a personal and professional perspective.  I have had laser treatments done by a private dermatologist and plastic surgeon and I am also a trained and licensed advance practice clinician who has provider laser treatments in the past.  I have found the best rates to be at reputable medi-spas.  I have had a good experience at Skin Spirit.  They have many Bay Area locations -- but I drive from Berkeley to the Walnut Creek location because I trust their providers.  I have also never been pressured to buy products or treatments I wasn't interested in.  Happy skin care!

    I go to AllSkin Dermatology in Berkeley and I love Dr. Dunn. I've not had any cosmetic treatments, but I know they offer them.

  • Fraxel for Crepey neck skin

    (2 replies)

    I went to the dermatologist recently to ask about my neck which has become super itchy over the last few years...I thought it was an allergy. He indicated that the itching could be due to the changing characteristics of my neck skin (looks like crepe paper) and suggested Fraxel which will boost collagen production.  Was wondering if anyone had had Fraxel in the last few years and (a) whether you were pleased with the changes in your skin's texture and (b) if anyone had gotten multiple quotes and found some doctor's offices to be less expensive than others (and if so who were the less expensive docs/clinics)?  East Bay locations preferred. Thanks! 

    I love Fraxel. I have had multiple Fraxel treatments on the face. One thing to be aware of, there are several Fraxel lasers and I don't know which one your doctor is referring to. The one that I have had must be Restore. Repair is a single, aggressive treatment with recovery time of up to 10 day. The first time I did Restore I had a lot of swelling and my face looked distorted. Then there is a phase of rough skin and peeling. On the last few treatments I didn't swell nearly as much and have gone to work the next day (I look weird). I've done it on the neck / chest area once. For my issues in that area, which are more sun damage related, I felt IPL (intense pulsed light) was more beneficial. I don't have your crepe paper like skin issue so I can't specifically comment as to how Fraxel works on that. I've used California Hair Clinic run by Dr. Sara Wasserbauer. She offers a discount for multiple treatments. I have been very happy with the care that I have received there over the years.

    1299 Newell Hill Pl
    Ste 200
    Walnut Creek, CA 94596

    Fraxel re:pair™ is composed of a single, aggressive treatment. As Fraxel re:store,™ is gentler, multiple treatments are usually required for optimal results. Most patients require at least 3 to 5 treatments.

    My neck began looking very "crepey" and blotchy.  I went to Kiehl's and got several creams they recommended and  6 months later there are no signs of the "crepey" blotchy skin.

  • Sagging face could benefit from Thermage?

    (2 replies)

    Yes, it's a gift to grow old.  But my face is going south at an alarming rate.  I've been thinking about Thermage to help tighten my cheeks, jawline, and mouth area.  Any recommendations about providers, good experiences/horror stories would be welcome.  

    From what you describe -- okay, are you sitting down? Take a deep breath.

    I think you won't get the results you want without a face lift.

    --I know, I know. Your mental image is of Marlene Dietrich, with her 80 year old face pulled impossibly tight, looking like a Halloween mask.


    Face lifts have come a long way. Done by the right person, they are minimally invasive, they tighten the muscles underneath the skin, so you don't get that "pulled" look. I'm going anonymous on this one because I've never admitted to anyone that I've had one. And no one can tell!

    If you sleep with your head elevated, you look pretty damn good in a week. And there is no pain.

    Unfortunately, the doctor I used was in Beverly Hills, where I was living at the time, so my rec won't help you. But a little internet research should find you a good surgeon.

    Skin treatments do nothing to tighten up muscles. However, if you still have fine lines anywhere after it's over you can get Restalyne, or an aggressive lazer treatment, which zaps the top layer of your skin and stimulates collagen growth.

    Good luck!

    Been There, Done That

    Age gracefully. Make the most of what you've got. You are your harshest critic. Artificial modifications are just that--fake. You may fool yourself, but everyone else will know you altered your real self.

  • IPL skin treatment

    (0 replies)

    Wondering if anyone has any advice about IPL or other treatments for aging skin. I'm 39 and have very fair skin--with some redness (very small/minor broken capillaries), but not roscea (I think.) As many do at this age, I've been considering getting expensive (to me) skin treatment--possibly through a provider who is offering a discount coupon--so maybe not the best provider.

    I got scared looking at reviews of IPL. Have you had IPL? Do you have words of wisdom/experience to share? Do you have any recommendations about providers who offer these kinds of services? Did you do something else that worked better? 

    I'm not sure I need an expensive provider. I had one experience with a discount/coupon treatment with a laser for a very minor procedure and was impressed by the instant/positive result--but the lady giving me the treatment was also surprised, which is not the most heartening sign about her experience.  

    I've ruled out Obagi. It seems very expensive and you have to keep using it. We're on a budget. 


    No responses received.

Archived Q&A and Reviews



Nurse for laser treatment of face?

Jan 2012

Hi. I was in touch with cosmetic services at Kaiser Walnut Creek about treatment of persistent facial redness and broken capillaries. I learned that they use a nurse for their laser treatments. I wanted to see if anyone has advice or thoughts about using someone other than an MD for laser treatments of the face? Has anyone had this treatment at Kaiser Walnut Creek, and how did things go? Or are there other medical centers/doctors that you can recommend for this type of work? Thanks for your help. anon

I am liking American Laser on Telegraph, across from Whole Foods. I was able to get a very good rate, with some negotiating. Ask for Kyndra....

I had my varicose veins in my legs treated at WC Kaiser 2 years ago by probably the same nurse....Suzanne something? She had a British accent. I can't speak for laser, or facial work, but she was extremely competant w/ my legs. It wasn't a party, but it was tolerable, and worked. I hope this is a little helpful. no more v veins.

A well trained nurse can absolutely provide excellent laser services. MD's can too. Competency is often an issue of interest, training and experience, not just related to an earned degree. I have a nurse providing laser services in my office, because she is skilled, with good judgement and a great sense of artistry and of how the skin works. I also use the laser because I want to be able to follow a patient's results and tailor their treatment as things progress. If you are comfortable with the nurse you meet, the clinic has a good reputation and your friends have been successfully treated there, do not be concerned about getting treatment just because it is by a nurse. She may have more experience doing this than the average doctor. Elizabeth Lee, MD

Laser for rosacea broken blood vessels on face

Dec 2011

Hi. I am looking for a great but affordable doctor or laser center in the east bay or Walnut Creek to have my rosacea on my face treated. Thank you! anon

I hate giving this out because then I can;t get an appointment when I need one, but Janet at Diablo Laser. There is no one else I trust. I have to tell you that it was extremely painful for me to have this treatment. I only had one and I need 12-16 to clear up all of my issues, but Janet is THE WOMAN. Leslie

I highly recommend Janet Leary of Diablo Regional Laser Center in Walnut Creek. I have been her patient for close to 20 years. I used to be embarrassed about my red face, but it's no longer something that I worry about. I go back for touch ups occasionally. Be sure to schedule some downtime for right after your treatment. You will have ''bruising'', and if you are working near the eyes there will be swelling. I go to work after my touch up sessions but there will be more of a reaction if it's your first time. By the way I have gone to other laser practitioners and they were a waste of time. Most of them are afraid to treat you with a strength that bruises and then you get no results. Along with my recommendation for Janet, I recommend that you never walk out of your house without sunscreen. If you have rosacea you need to be protected from the sun. I do have a friend that takes Coumadin (a blood thinner)and she wasn't a candidate for laser. She experienced good results with Metrogel. I didn't, but that is a medication often prescribed for rosacea. You could always try that. happy skin

Laser treatment for aging skin

April 2011

Does this service exist? I'm looking for someone to help me manage my aging skin, which seemed to take a turn for the worse the day I turned 40. Mild rosacea. Uneven tone. Dryness. Freckles. Ruddiness. Ick. I made the mistake of booking a consultation last week with a dermatologist who specializes in photo facials. This turned into a hard sell for thousands of dollars in laser treatments, which apparently I must undergo or else I will look like one of those people in her photo album with the bulbous noses and scarlet, blotchy faces. Really, I don't think it's that bad. I'm hoping to manage this with skincare and makeup tips, although I would like to work with someone trustworthy who will direct me to appropriate treatment (laser or otherwise) if it would be beneficial. I'd love to find someone in Walnut Creek or nearby if possible. Thank you! Don't want to look like W.C. Fields

Well I think it's clear from the tone of your posting, that you should not do laser at this time. It's important to do what feels right to you, and what you are ready for. Remember that just because you make a decision now not to do laser photofacials, doesn't mean is this is for life. If in 3 or 5 (or more) years you change your mind, you can always do it then.

As someone with Rosacea, I can tell you for sure that a 'skin guru' is not a reality. While facials are helpful for some skin types, they are very irritating to rosacea/aging skin types, and actually make you even more red.

For now, my advice is to take a deep breath, and then buy the best sunscreen you can find. You should get this from a dermatologist, not Walgreens. I'm sure you could get it from the doctor you already saw without having to make another appt. Then get some mineral make-up (I like Bare Essentials on 4th street) which will do a nice job of covering up the red. It won't help your skin, but will cover things up nicely until you are ready to take the next step. good luck

Laser treatment for dark sun spots?

March 2010

Hi, I'm 36 and I have had sun spots start to appear on my face since my 20's. They are not *really* bad, but I would like to lighten, and even remove them completely. I had a consultation with Dr. Tomi Wall and she recommended laser. She said that my spots weren't so severe that it wouldn't take more than 2-3 treatments to see results. My questions are: 1 - has anyone had this type of treatment done and what was your overall experience? how severe were your spots? 2 - how much did your treatment cost? 3 - did your sun spots come back? how soon? 4 - any experience with Dr. Tomi Wall? She's in the same practice as Katie Rodan (of proactiv) Thanks

Most definitely get this done. I'm a veteran of several types of lasers. I've had freckles removed, which I believe is the same laser. I had excellent results. Basically, you will look like someone put out a cigarette on your face for a couple of days. Then the scabby residue will fall off. As far as the spots coming back - you will need to be religious about protection from sun exposure. Always wear sunblock. That is the only way. I'm so lucky to have this technology available to me, otherwise I would be a blotchy mess. frecklefree

Cosmetic Surgeon who does fraxel treatments

Nov 2008

I am looking for a highly skilled, dependable, reliable, trustworthy, affordable cosmetic surgeon who does fraxil treatments. I want to get rid of acne scars, sun damage and fine lines and wrinkles. Looking as young as I feel

I highly recommend Dr. Robert Aycock and his staff, on San Miguel Road in Walnut Creek. I have had laser work done, restylene, as well as plastic surgery. I am very satisfied with all of his work. His number is 925-937-8377. kl

I highly recommend Dr. Robert Aycock in Walnut Creek (925-937-8377, website is I had some work done this past June and continue to see him for office procedures. He is low key, laid back and HIGHLY professional. The people in his office are friendly as can be and there is PLENTY OF PARKING! His surgery center is in Greenbrae. I am an ICU RN and work very closely with doctors so believe me when I tell you, he's a good 'un. Susan

Hi I've had some procedures done by Dr. Michael Cedars in Oakland, including Fraxel and have been very pleased. He is very honest and dependable. In addition to Fraxel he also used a laser machine on me called the MiXto laser to remove aging spots and the V-Beam laser to remove red spots. I really liked him and he never gave me a hard sell or tried to sell me anything he didn't think would work. Patty

Please call Dr. Elizabeth Slass Lee in Berkeley (on Regent St) She is a terrific, caring, knowledgable M.D. who has a terrific bedside manner and is truly dedicated. Her number is (510) 704-2170. I guarantee you will love her. A former patient.

Dr. David Hicks in Concord does not do Fraxel treatments exactly- he uses a ''light based therapy'' system from a company called Sciton, and it is much, much better than Fraxel's machine.There are many differences, but in general, the Sciton system is more versatile, can do many more types of treatments, and is more effective in fewer treatments. The Fraxel is a laser system; the Sciton is a laser system along with a type of intense pulsed light system. So,the Sciton can do an excellent job on acne scars, sun damage, and fine lines. His contact info is: 1333 Willow Pass Road, Suite 202 Concord, CA 94520 925-695-0123 rachel

Laser treatment for facial rejeuvenation

April 2008

I've seen lots of ads lately for laser treatments to rejuvenate the facial skin ... supposedly they can boost collagen production, minimize redness and brown age spots, etc. Do they really work? I've seen ads for something called Laser 360 and Genesis Skin Rejuvenation ... I'm sure there are lots of options. Has anyone had success with these? If so, which practice did you go to and what kind of laser do they use? Was there downtime, redness, peeling, etc.? And how much does this cost? It seems everyone requires a consultation before quoting a figure but I don't want to spend time going to a place for a consultation if the treatment isn't effective. Thanks! Anon

Hi, The procedure I recommend is TITAN, is no abrasive, no peeling, no redness. Is laser and works strictly on your collagen, google it and look for pictures before and after, I did do it a year ago, and I am very pleased, I am schedule for another one this next week, sometimes you need more than once, depends on your age and your wrinkles too. I lost over 60 pounds and my skin was sagging back then, now needs a little around the lips (smiling lines I call them). The doctor I recommend is Dr. Matsuoka, from Kaiser Union City, Cosmetic Surgery Department, their phone number is 510-675-4454 they do botox, restyline, etc. etc. you name it. I am very happy with the results, you can only do your cheeks, or your cheeks and neck or your neck and forehead, or wherever. About the price, could start from $1,200 and up I believe, not to sure about the prices, depending what are u going for. They also have an easy plan payment, and is good for a year I think, or even 18 months? Good Luck Susana

Laser therapy to reduce redness

April 2007

I have long been embarrassed by my red nose & upper chest. I thought they were simply byproducts of my Irish heritage, but upon a recommendation from a facialist, I consulted with a laser therapy office. Apparently this redness is built-up sun damage (despite my near- obssessive use of sunblock) and can be corrected with laser therapy. I would appreciate hearing from anyone who has had laser treatment for a similar problem. Did the treatments work? Are you pleased with the result? How bad was the swelling/bruising and did you really have to hide for a week? Would you recommend your practitioner? a whiter shade of pale

I've had laser treatments for facial, neck and upper chest redness from sun exposure (I have light, not really pale skin, but work outside), and they helped quite a bit. They're expensive, and it usually takes more than one treatment, so I didn't have enough to really eliminate the red, but went far enough to significantly reduce it, and I'm very happy that I did.

I went to the Cosmetic and Laser Surgery Institute in Greenbrae, Dr. Diana Parnell, 415-461-1036. She is excellent, their fees are not the highest around, and I've found the atmosphere to be friendly and comfortable. I had treatments there (both from her and the highly trained and skilled nurses) for other things as well (laser removal of brown sun spots, laser treatment of thickened skin on my nose, and botox in my brow), and I never had bruising from anything- very brief redness at most (like one day). If you go for the complete laser facial resurfacing (way outside my budget), then apparently you are in recovery for a few days.

In case you're wondering, the laser stings, but it's very quick, and if you need to take a little break between zaps they're very nice and understanding.

Long ago, I went to a different doctor to try a laser treatment for my facial redness and I had hideous bruises for over a week- he obviously did not know how to calibrate his machines properly.

In case anyone's wondering about botox, I love it, it makes me look a lot friendlier and more relaxed to not have a chronically crumpled brow, and when done right you don't feel or look ''paralyzed''- I still have a very expressive face! Less red, spotted, and crumpled

Laser Treatment for Broken Bloodvessels on Face

May 2005

I have several broken blood vessels on my face, (mostly under my eyes) that seem to have worsened over time and after pregnancies and such. I have heard that laser treatments can remove these unsightly marks. Does anyone have any info on this? Or suggestions on different types of treatments? I would love recommendations for Doctors and/or specialists in this area. Also, how much does something like this cost? Julia

I saw Dr. Natalie Mar in Oakland in Nov. 2003 and she removed the red spider veins on my nose with a laser. It worked very well; however, after a year they have all come back. She tells you at the beginning there is no guarantee that they won't come back. It cost me $300. I would be interested to see if there are cheaper doctors out there. $300 every time seems very expensive. Short-term results

I've had treatments for several cosmetic dermatological conditions, including broken facial blood vessels, (also for brown sunspots on my face, thickened lumpy skin on my chin and nose, varicose and spider veins on my legs, and a large darkened and reddened area on my chest and neck (sun damage)). I had botox also. Geesh- this makes me sound like a cosmetic junky, but I'm really not- just getting older, have had way too much sun exposure, and am not quite ready to face ALL the consequences! Oh yeah- I'm also single and looking!

I went the Laser and Cosmetic Surgery Institute in Greenbrae, 415-461-1036 for all these processes, and have been extremely happy with them all the way around. The treatments for the facial spider veins were $300. each, the same as you paid. When I called around before choosing a doctor, it seemed that $300. was the going price for that particular laser. Some of the other treatments at the CLSI were less than at other places and I chose them partly by price, but also because I was very impressed by the level of experience and training of the (2 women) doctors there. They have something like 16 different lasers for treating different conditions.

My only previous experience with these things was a number of years ago- I went to one doctor for the face veins, and a different one for the leg veins. The first doctor was a brute, and left my face so bruised that I looked like I had been beaten up for over a week. In the second case, the treatments just didn't do much.

My facial spider veins are the result of Rosaecea combined with too much sun exposure which is a common cause- they were pretty bad, both superficial and deep (but not as bad as I've seen them on some people), and I needed 3 treatments to make a really significant difference because some were deep (my skin looks MUCH better now!).

I too was told that they would likely recur to a bothersome level in 1-3 years because of the underlying Rosaecea. But it turns out that Rosaecea is an auto- immune condition, and they are having some success in using a cream called Elidel, which is used for other auto-immune skin conditions, to calm down the Rosacea and thus slow the return of the broken veins. It's not a cure (there is no cure). And, of course, religious use of strong sunscreen is an absolute must.

So- if you got the results you wanted for your level of problem with a single treatment, for $300., I would say that you did well, and should keep it up to prevent them getting as bad as mine. You might ask your doctor about Elidel, or try out my place. anon