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Laser Resurfacing As a Preventative Cosmetic Procedure?

Does laser (CO2) resurfacing have any benefit in the removal of sun damage that is not yet apparent? It obviously has great potential in improving evident pigmentation problems, but what about deeper spots that have not yet manifested themselves on the skin's surface?

Asked 31 months ago by labminion in Chicago, Illinois
Sort 7 expert answers by:
+3

Don't take laser resurfacing too lightly

It would not be appropriate to use a laser prophylactically to treat sun damage that has not yet become visible. Lasers are commonly used in aesthetic medicine but there are risks to any procedure and the benefits need to outweigh the risks to be reasonable proceeding. The main risks of a laser resurfacing procedure are burn scars that are caused from going too deep and hypopigmentation where the color of the skin is permanently pale. There are much less invasive ways to improve your... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+3

Any exfoliative procedure can treat sun damage

LAser resurfacing is one method of exfoliation that removes top layers of the skin that have been damaged. Actinic damage however can affect all layers of the skin and even penetrate into the dermis. If any resurfacing procedure treats to deeply, scarring can result. To some degree, this has generated greater enthusiasm for fractionated therapy where the energy is delivered as a column and removing tissue in a vertical pattern rather than a horizontal pattern with resurfacing techniques.... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Laser resurfacing as a preventative treatment for sun damage

This is an excellent question. Any deep resurfacing procedure would be effective as a preventative cosmetic procedure. Superficial peels which only exfoliate the outer skin layers would not be effective in this regard.
Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
+1

Fractional Ablative 2940 Erbium laser resurfacing safer preventative treatment

The newer fractional ablative 2940 Erbium laser resurfacing is very effective at removing sun damage and building new collagen, without the risks and painful recovery of CO2 laser resurfacing. Down time and recovery is minimal with the fractional 2940 Erbium. The CO2 ablative flat beam resurfacing removes skin, thins the skin and can cause hypopigmentation, The newer fractional ablative 2940 Erbium actually build new collagen and plumps the skin and improves skin texture. The newer... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

Treatment of sun damage with laser

It very well might help in this regard but the risk of Carbon dioxide laser treatment (not fractional CO2) may not be warranted if there is not enough sun damage to see clearly. The risks include scarring and long term redness and thinning and whitening of the skin. Fractional laser resurfacing such as Fraxel Re:store and Re:pair have less risk than the older CO2 laser resurfacing and also may help reduce photodamage. Keep in mind that any laser resurfacing has a risk of post inflammatory... more
Ronald Shelton, MD
Manhattan Dermatologist
+1

Laser resurfacing can absolutely be done as preventative measure

Laser resurfacing along with chemical peels, dermabrasion, dermasanding, can all remove cells that have accumulated sun damage over the years. The removed cells are then replaced with cells that are new from deep within the hair follicle which "resurfaces" the skin that has been treated. There are many scientific studies out there and most of them are related to chemical peels which show the benefits of removing precancerous cells in the skin. Many of these studies have shown... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

Sun spot prevention

The best preventative measure to keep healthy skin is to avoid th sun and wear sun block. You should also not smoke.  Other than that, I would not use lasers prophylactically.
Steven Wallach, MD
Manhattan Plastic Surgeon
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