Laser Resurfacing: Evaluating the Procedure, Results and Finding a Dermatologist

Evaluating If Laser Resurfacing is Right For You

Laser resurfacing has become an increasingly popular option for reducing signs of aging and sun damage on the face. But it's important to educate yourself on the pros, cons and what to expect before undergoing any cosmetic dermatology procedure. As you research laser resurfacing, consider the following factors to determine if it aligns with your skin goals and comfort level.

The Benefits Laser Resurfacing Can Provide

Some key benefits of laser resurfacing include:

• Smoothing fine lines and wrinkles
• Tightening loose, sagging skin
• Reducing discoloration and age spots
• Improving skin tone and texture
• Decreasing pore size appearance
• Reducing acne scars

For patients troubled by moderate signs of facial aging, laser resurfacing can refresh and rejuvenate the skin in a relatively non-invasive manner compared to a face lift.

Risks and Side Effects to Consider

While considered safe when performed by a qualified dermatologist, laser resurfacing does come with some risks such as:

• Redness, swelling and irritation
• Increased skin sensitivity
• Skin discoloration
• Scarring
• Infection

Make sure to follow your dermatologist's at-home care instructions closely before and after treatment to minimize risks and support optimal healing.

What to Expect During Your Laser Resurfacing Treatment

The laser resurfacing procedure itself is actually quite quick, lasting approximately 30 minutes to an hour depending on the areas being treated. Here's an overview of the treatment process:

Numbing and Protecting the Skin

Your clinician will first apply an anesthetic cream to numb the treatment areas. They may also administer a nerve block. Eye shields or goggles will protect your eyes from the laser.

Targeting Problem Areas with Precision

Using a handheld laser wand, the clinician will move across your face, applying pulses to precisely target sun spots, fine lines, scars and other imperfections.

Repeating Passes Over the Skin

Most resurfacing treatments involve a couple of passes with the laser to achieve optimal results. Some gentle swelling and redness is normal immediately after.

Applying a Protective Ointment

Once the treatment is complete, the clinician will apply an ointment to soothe and protect the skin's surface. This helps manage discomfort and encourages healing.

Follow-Up Appointments

Your clinician will schedule follow-up visits to monitor your progress and results. Multiple treatments may be recommended, spaced weeks or months apart for complete renewal.

What to Expect During Recovery

Proper aftercare is crucial for healing safely with minimal side effects and the best possible results. Here's what to expect:

Redness, Irritation and Swelling

Your skin will likely be red, swollen and sensitive for the first few days. Cold compresses can provide relief. This is temporary.

Oozing and Crusting

In the first week, fluid and crusts may emerge on the treated areas. Keep moisturizing and avoid picking.

A Week of Healing

Expect significant redness and sensitivity for about 5-7 days. Swelling subsides and discomfort lessens over this initial week.

Avoiding Sun and Makeup

For at least two weeks, avoid sun exposure, tanning beds, swimming and makeup on treated areas. This allows proper healing.

Keeping Skin Moisturized

Dryness and peeling are common. Use gentle hydrating cleansers and thick moisturizers as recommended by your clinician.

No Harsh Treatments

Avoid other lasers, chemical peels, microdermabrasion and retinols on treated areas until healing fully completes.

Gradual Improvement Over Weeks

You should notice improvements within a week, but optimal results emerge over the following 8-12 weeks as swelling resolves and collagen rebuilds.

Types of Lasers Used in Resurfacing

There are a few main laser types your clinician may use, each with pros and cons:

Ablative Lasers (CO2 or Erbium)

Ablative lasers remove outer layers of damaged skin. This promotes collagen production and stronger results. It involves more intense recovery.

Non-Ablative Lasers

These penetrate below the skin's surface to stimulate collagen and tightening without removing the epidermis. There is less downtime.

Fractional Lasers

Fractional lasers deliver microscopic laser columns into the skin. This treats less surface area for shorter downtime and gentler results.

Combination Laser Resurfacing

Some clinicians perform a series of different laser treatments tailored to each patient for a balanced approach.

Pre-Procedure Preparation Tips

Properly preparing your skin can help maximize laser resurfacing results and minimize side effects. Try the following:

Avoid Sun Exposure

Sun damage will only worsen after treatment. Stay out of the sun in the weeks preceding your procedure.

Discontinue Retinoids and Exfoliants

Stop using retinoids, alpha hydroxy acids and other potentially irritating skin care 2 weeks pre-treatment.

Stock Up on Hydrating Products

Have gentle cleansers and thick moisturizers on hand before your treatment to support healing.

Prep With Antivirals If Needed

Patients prone to cold sore outbreaks may be prescribed antivirals prior to laser to prevent flare ups.

Arrange Help With Home and Kids

Make arrangements for household help and childcare while you recover after your procedure.

Cut Caffeine and Alcohol

Caffeine and alcohol can dry and dehydrate your skin. Avoid them in the weeks before treatment.

What to Look for in a Laser Resurfacing Clinician

The skill and experience of your clinician are critical for safe, effective laser resurfacing. Seek out:

Board Certified Dermatologists

Only board certified dermatologists have the specialized training and expertise to perform laser procedures safely. Avoid med spas.

Ample Experience With Lasers

Choose a dermatologist who has many years under their belt specifically performing laser resurfacing. This gives the best results.

A Customized Approach

Beware "one treatment fits all" mentalities. Your practitioner should tailor the right laser(s) for your unique skin and goals.

A Focus on Safety

Any reputable clinician will thoroughly review risks, emphasize proper aftercare, and avoid overtreatment. Prioritize safety.

Good Bedside Manner

The treatment should be as comfortable as possible. Choose a dermatologist who is patient, gentle and comforting through the process.

Laser Resurfacing Results and Overall Value

While no cosmetic treatment is a fountain of youth

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.