Laser Skin Resurfacing Before and After: Understanding the Procedure, Recovery and Results

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Understanding Laser Skin Resurfacing

Laser skin resurfacing is a popular cosmetic procedure that uses a concentrated beam of light to improve the appearance of skin. It can reduce signs of sun damage, wrinkles, acne scars, age spots and other skin imperfections to reveal fresher, clearer skin.

When researching laser resurfacing, you may come across dramatic before and after photos showcasing remarkable transformations. However, it's important to understand what this treatment can realistically achieve for different skin types and conditions.

This article provides an overview of laser skin resurfacing, including how it works, what to expect during recovery and tips for achieving the best possible results.

How Laser Resurfacing Improves Skin

Laser skin resurfacing works by directing pulsating beams of light at the skin's surface that essentially vaporize thin outer layers. This removes damaged cells and stimulates new collagen growth beneath.

Different techniques like fractional lasers target specific depths, allowing damaged skin to be removed layer by layer. This promotes regeneration of smoother, healthier looking skin.

Laser resurfacing can improve overall skin tone and texture, reduce wrinkles, shrink enlarged pores, fade dark spots and smooth scars. Multiple treatments are usually needed for optimal results.

Types of Laser Resurfacing

There are three main classifications of lasers used:

Ablative lasers - Remove thicker layers of skin more aggressively.
Non-ablative lasers - Target deeper layers more gently keeping surface intact.
Fractional lasers - Treat small columns of skin at a time.

Your dermatologist will determine which type is most suitable for your goals and skin type. The most dramatic results often come from ablative lasers.

What to Expect During Recovery

Laser skin resurfacing does involve downtime for healing. Understanding what to expect can help you plan accordingly.

Immediately After Treatment

Your skin will be red and swollen right after laser resurfacing. Your doctor will apply ointment and cover the area with bandages.

You may feel a sunburn-like sensation for a few hours. Your provider may recommend taking ibuprofen or applying ice packs to relieve discomfort.

Within the First Week

During the first 5-7 days, significant swelling, bruising and discoloration are common. Your skin may weep fluid and be very sensitive.

Cleanse skin gently, apply ointment as directed and avoid picking at scabs. Pain medication can help manage discomfort.

After the First Week

After about one week, swelling and discoloration start to diminish. Your provider will likely have you return to remove bandages and assess healing.

Your skin may feel tight and itchy as it regenerates. Avoid scratching and continue using moisturizers and sun protection.

After 2-4 Weeks

Within 2-4 weeks, most of the redness should resolve but your skin may remain darker for several weeks. Gentle exfoliation can help.

Moisturize frequently since your skin will be drier than normal initially. Avoid direct sun exposure which can cause pigmentation changes.

Results start becoming visible within a few weeks but maximum improvements emerge over three to six months as collagen regenerates.

Choosing the Right Laser Provider

Since laser skin resurfacing uses powerful beams, it's critical your treatments are performed by a qualified, experienced professional. Options include:

Board Certified Dermatologist

A dermatologist specializes in skin health and has extensive knowledge of skin disorders, types, colors and sensitivities. They can best assess your individual suitability.

Licensed Esthetician

Estheticians with training in laser technology can legally provide some laser treatments. However, their knowledge may not be as comprehensive as a dermatologist.

Plastic Surgeon

For resurfacing procedures combined with surgery like facelifts or eyelid lifts, a board certified plastic surgeon may perform the laser treatment.

When possible, choose a medical doctor like a dermatologist or plastic surgeon who can address complications if they arise.

Questions to Ask Your Laser Provider

To select the right laser skin resurfacing provider for you, consider asking them:

What is your training and experience with laser technology?
How many laser resurfacing procedures have you performed?
What systems and wavelengths do you use?
Do you adjust settings based on skin type and condition?
What results can I reasonably expect?
How do you handle any pain or discomfort during treatments?
What is required for aftercare?
How accessible are you if complications arise?

Reputable, skilled providers will provide detailed answers and not overpromise unrealistic improvements.

Maximizing Your Laser Resurfacing Results

How your skin looks and feels after laser resurfacing depends on multiple factors. Here are tips for achieving the best possible outcome:

Realistic Expectations

Understand that while laser resurfacing enhances skin, it cannot erase all signs of aging or damage completely. Have realistic expectations about improvements based on your skin's condition.

Sun Protection

Diligent sunscreen use before and after treatments is vital. UV exposure can worsen discoloration and skin damage that resurfacing aims to correct.

Healthy Lifestyle

Stick to a regimen of proper skincare, hydration, nutrition and sleep. This supports your skin's vitality for optimal results.

Multiple Sessions

Most people require a series of 4-6 laser resurfacing treatments spaced 3-6 weeks apart for cumulative improvements. One session alone yields minimal change.

Professional Skincare

Using clinical grade skincare with active ingredients recommended by your provider enhances and maintains laser resurfacing results.

Avoid Pickling and Scratching

Picking at scabs or scratching during the healing process can lead to infection and scarring which impair results.

Schedule Downtime

Account for the recovery time needed after treatments for optimum healing by clearing your schedule. Proper rest supports the best outcome.

What to Expect with Fractional Laser Resurfacing

A popular subtype of laser treatment is fractional laser skin resurfacing. This technique divides the laser beam into tiny columns that treat small sections of skin at a time.

Benefits of fractional lasers include:

More targeted treatment of uneven pigment and scarring
Shorter recovery time than fully ablative lasers
Fewer risks of scarring or pigment changes

Fractional laser resurfacing is well suited for delicately treating specific areas of concern on the face, neck, chest and hands.

What to Expect During and After Fractional Laser

Fractional laser therapy involves the following process:

Numbing cream applied before treatment
Laser applied to divided sections of skin
Pinpoint lesions form where beams contact skin
3-5 days of redness, swelling, and sensitivity
Lesions scab over and gradually shed within 7-10 days
Ointments used to support healing
Sunscreen worn religiously during recovery

Some peel off naturally while others are washed away. Results emerge within two weeks with continuing improvements over three months.

Ideal Candidates for Fractional Lasers

Good candidates for fractional laser skin resurfacing include those with:

Mild to moderate wrinkles and skin laxity
Surface irregularities like uneven pigment or texture
Acne scarring
Dull, rough complexion lacking vibrancy

People with severe skin damage, very dark complexions or active breakouts may not be suitable.

Risks and Side Effects of Laser Skin Resurfacing

Although laser resurfacing is highly effective for rejuvenation, some risks and side effects do exist. Being informed helps set proper expectations.

Discomfort

Laser treatments involve some discomfort during the procedure that dissipates shortly after. Topical anesthetics are used to minimize pain.

Redness and Swelling

All resurfacing lasers lead to a sunburn-like reaction for several days or weeks afterward. Swelling is also common.

Dryness and Itching

Your skin will likely feel dry, tight, flaky and itchy as it heals. Diligent moisturizing helps manage this.

Potential Infection

If wounds from ablative lasers become infected, antibiotics may be prescribed. Proper aftercare reduces this risk.

Pigment Changes

Darker pigmented skin has a higher likelihood of pigment changes like lightened or darkened patches after treatment.

Scarring

Ablative lasers carry a small risk of scarring, although fractional lasers minimize this. Avoiding sun and picking scabs reduces the chances.

Choosing an experienced provider attentive to your skin type minimizes potential side effects.

Types of Lasers Used for Skin Resurfacing

There are many different laser technologies available for skin rejuvenation. Some of the most common include:

CO2 Lasers

CO2 lasers are ablative fractional lasers considered the gold standard. The 10,600 nm wavelength can treat deeper layers of skin.

Erbium Lasers

Erbium lasers are also ablative but target more superficial layers with minimal heat damage to surrounding tissue.

Nd:YAG Lasers

The 1064 nm light from neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers penetrates deep into skin.

Alexandrite Lasers

The 755 nm alexandrite lasers work best for pigmentary issues like age spots and melasma.

Pulsed-Dye Lasers

Pulsed-dye lasers using 585-595 nm light are commonly used for scar and redness reduction.

Your practitioner will evaluate your skin's specific needs and recommend appropriate laser options.

Preparing for Your Laser Skin Resurfacing Treatment

Arriving prepared helps ensure a smooth treatment process and recovery. Useful tips include:

Avoid sun exposure - Recent tanning can increase laser side effects.
Stop using exfoliants - Discontinue scrubs, retinols and acids which thin the skin.
Stay hydrated - Drink plenty of water in the week beforehand.
Have ice packs ready - Reduce post-procedure swelling.
Buy lubricating eye drops - Prevent dry eyes from laser near the lids.
Pick up prescribed ointments - Have any medications ready.
Stock up on moisture-rich skincare - Gentle cleansers and thick creams soothe treated skin.
Plan downtime - Schedule time off work for optimal recovery.

A little planning goes a long way in optimizing your experience and outcome.

Caring for Skin After Laser Resurfacing

Proper aftercare during the healing phase is crucial for preventing problems and achieving the best cosmetic results from laser skin resurfacing. Tips include:

Use cool compresses and ice to reduce swelling.
Take prescription pain medication as directed by your doctor.
Gently cleanse skin twice daily and apply ointment as instructed.
Stay well hydrated and eat nutrient-rich foods to fuel healing.
Absolutely avoid sun exposure and tanning beds.
Don't pick scabs or scratch to avoid scarring.
Sleep on your back to minimise pressure on treated skin.
Wait one month before resuming retinoids, exfoliants or other acne products.

Closely follow your provider's recommendations for aftercare to achieve the best possible results.

Combining Lasers With Other Anti-Aging Treatments

While laser skin resurfacing effectively rejuvenates skin, combination treatments can maximize and prolong the effects.

Your dermatologist may recommend complementing fractional laser therapy with:

Chemical peels - Reduce pigmentation and smooth skin texture before lasers.
Dermal fillers - Restore lost volume after lasers tighten skin.
Botox - Relax wrinkles that lasers don't sufficiently improve.
Topical products - Prescription retinoids and growth factors maintain laser results.

A multi-pronged approach addresses all aspects of skin aging for complete rejuvenation.

How Much Laser Skin Resurfacing Costs

The cost per session for laser skin resurfacing typically ranges from $1,000-$5,000 depending on the areas treated, type of laser used and your provider's fees. Factors affecting overall costs include:

Size of treatment area - Smaller areas like around the eyes cost less than full face.
Number of treatments needed - Most require 3-5 over months for best results.
Type of laser technology - Ablative lasers tend to be more expensive.
Provider expertise - Board certified dermatologists often charge premium rates.
Use of anesthesia - This may add cost if required.
Combination with other procedures - Having other treatments in the same session typically adds cost.

Consult with your dermatologist to develop an individualized treatment plan with associated costs.

Finding the Right Laser Skin Resurfacing Provider

With the growing popularity of laser skin rejuvenation, many spas and clinics now offer it. However, the technology and required clinical knowledge make a proper medical provider essential.

Tips for finding a qualified laser skin resurfacing professional include: