Men and women seeing sun damaged, acne scarring or discolorations in the facial skin often consider laser resurfacing. Sun damage can appear as fine and coarse wrinkles of the cheeks, upper lips and forehead or as dark areas of pigmentation. Other patients considering laser resurfacing are unhappy with excess eyelid skin.
Patients with fair skin and fine lines are the best candidates for laser resurfacing. Patients who have recently used Accutane are not candidates for resurfacing.
Laser resurfacing is the precise removal of damaged skin layers to minimize wrinkles, scars and uneven pigmentation. The laser can also tighten the skin. A laser, specific to skin tissue, is used in a controlled and precise fashion to treat damage in areas of thicker (lips, cheeks, forehead) or thinner (eyelids) skin. While the laser has many advantages over other resurfacing options, laser resurfacing isn’t for everyone. Be sure to discuss your goals during consultation, because on occasion other treatments are more appropriate to your goals, expectations and available down time.

Patients are sent home with medicated ointment on the skin to prevent crusting and aid healing. Early swelling and discomfort is treated with ice packs and prescription medication. The skin is generally healed within 5-7 days and make-up can be used at this point. The early red color of the new skin softens within 1-3 weeks and the resultant pink fades over 1-6 months. Sun block is extremely important as long as the new skin remains pink. Patients are generally back to work in 2-3 weeks.
Smoother and more youthful appearing skin with a more even color is the usual result. There should be fewer fine and coarse wrinkles and less excess skin of the upper and lower eyelids as well.
All surgery carries some risk, although complications following laser skin resurfacing are rare. Carefully following directions after resurfacing, not allowing the skin to dry out or to pick any crusts and being very careful to avoid sun exposure following resurfacing can minimize many of the possible negative outcomes. The most common concerns are residual lines and wrinkles or areas of over/ under pigmentation. All of these and other, more rare but significant problems can be reviewed on the ASPS link below.
Copy adapted from the joint ASPS and PSEF website.