Laser Skin Resurfacing
Laser
skin resurfacing is a surgical procedure to remove
wrinkles, discoloration, age spots, and treat sun
damaged skin. It also stimulates your body’s
fibroblasts to increase collagen production. Laser
resurfacing treatment is used when skin problems
are moderate to sever-wrinkles especially around
the eyes and mouth (crow’s feet and lipstick
lines), uneven pigmentation including port-wine
birthmarks, and skin blemished with scars from accidents
or acne.
Types
of Lasers
A laser is a high-energy beam of light that can
selectively transfer its energy into tissue to treat
the skin. Laser devices can be classified as ablative
and non-ablative. Ablative lasers literally remove
damaged upper layers of skin, allowing a fresh layer
to emerge. Lasers also act as thermescent fibroblast
stimulators. Non-ablative treatment does not involve
resurfacing but rather uses the laser’s heat
to stimulate fibroblast production, thereby thickening
the underlying collagen structure and treating a
wrinkle from the inside out rather than remove it.
Different types of lasers (CO2, Erbium: YAG, Nd:
YAG) are suited to treating specific problems.
Benefits
of laser skin resurfacing
Laser skin resurfacing has been shown to produce
less, if any, bleeding, bruising and post-operative
discomfort than is typically seen with other resurfacing
techniques. It cannot, however, smooth prominent
folds around the nose and mouth, jowls, eyelids,
or prominent frown lines on the forehead. These
require surgical procedures such as a facelift,
eyelid lift (Blepharoplasty), brow lift, or alternatively,
collagen or other fillers and/or Botox® injections.
Laser resurfacing is often done in conjunction with
these procedures, however.
How
the procedure is performed
The surgeon performs Laser Skin Resurfacing by passing
the laser over the area to be treated and literally
evaporating the targeted areas of skin, revealing
the lower layer of new, pink skin. The procedure
is performed in an outpatient surgical facility
under general anesthesia. Topical anesthetics are
also used to numb the skin in more superficial procedures.
Depending on the extent of the treatment, the procedure
can take anywhere from a few minutes to an hour
or more. If you are having another procedure, such
as a facelift at the same time, then overnight hospitalization
may be required.
What
to expect after the procedure
After the skin has been treated with the laser,
it will be covered with a film of Auquafor. Redness,
swelling and slight discomfort are all expected.
Your surgeon will give you instructions on the proper
care of your skin and will prescribe the necessary
antibiotics and pain medication to help alleviate
your discomfort. Applying small ice packs (or a
zip-lock bag of frozen peas) will reduce swelling
and relieve discomfort. Regular icing is the key
to relieving the swelling for the first 48 hours
but you must avoid getting the area wet.
Healing
time depends on the depth to which the laser penetrated.
It may take a week or more to recuperate after laser
sin resurfacing. Your skin will feel like you have
a bad sunburn and you may experience some crusting
to the site treated. However, the crusting usually
subsides in 7 10 days. Your skin will turn pink
and may take up to six months for it to completely
fade.
Resuming
work and other activities
The average time to return to work is one to two
weeks. You will need to avoid strenuous activities
and exercise for four to six weeks. Make-up may
be worn after your new skin has formed around one
to two weeks.