What Results Can I Expect from Laser Skin Resurfacing?

Doctor Answers 10

Reverse the Aging Process with Laser Resurfacing

Laser resurfacing works on a wide variety of different issues often in just one treatment and can reverse the aging process in experienced hands. It improves:

1) fine lines and wrinkles

2) hyperpigmentation

3) sun spots 

4) texture

5) precancerous spots

6) acne scarring (which may require more sessions).

In our East Bay practice in San Francisco, where we are able to provide dermatology, laser, and plastic surgery services all under one roof,  we are fortunate to have several types of lasers to target superficial, medium, and deep lines and wrinkles and are able to treat a wide variety of different locations such as the face, neck, chest, and hands. Due to our expertise in ethnic skin, we can even treat some ethnic skin patients safely, but caution should be stressed in inexperienced hands. This is a very popular treatment and the prime cadidates are middle aged fair skinned individuals who grew up in the baby boomer generation who may have experienced sunburns, sun damage, and even precancers or skin cancers. Although there is some downtime with this procedure, patients are thrilled that laser resurfacing is both an effective treatment and preventative procedure to help skin look its best despite the years of sun damage.  

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Goals of fractional CO2 laser skin resurfacing

The fractional CO2 laser is used to reverse the effects of facial skin aging and sun damage to the skin. The laser will have the effect of skin tightening, filling in lines and wrinkles, improving discoloration of the skin (brown spots), and improving the tone/texture of the skin itself. It also improves the appearnce of large pores.

Results will vary based on the type of fractional CO2 laser used (they are NOT all the same), and based upon the physician performing the treatments. Be sure to use a physician with experience in the procedure and see before and after photos prior to proceeding.

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
5.0 out of 5 stars 33 reviews

Laser skin resurfacing results

Laser resurfacing helps remove aged or sun-damaged skin in order for younger healthier skin to grow in its place. Although there are a few risks such as infection or laser scarring, some possible benefits it can offer your skin includes new collagen production, removal of wrinkles and lines, and tighter, smoother skin. Skin rejuvenation would result in clearer skin with an even skin tone as well as reduction of poor sizes.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

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Laser resurfacing results

Laser Skin resurfacing, like a fine meal, will depend on what your hungry for and what's on the menu. Most resurfacing procedures are useful, to varying degrees, for such conditions as wrinkles, texture, color, lines, skin tightening, and acne scars.

Currently, most resurfacing can be divided into Ablative resurfacing procedures (what we think of classically as "resurfacing") and Non-Ablative procedures. Further, Ablative resurfacing is now divided into Traditional resurfacing versus Fractional resurfacing.

Traditional Ablative resurfacing, with the CO2 or Erbium lasers, are still our most powerful, and risky, procedures. Because of risks and downtime, they are performed much less commonly today.

Fractional Ablative resurfacing, again with the CO2 or Erbium lasers, has become the resurfacing procedure of choice for most experienced laser surgeons who wish to achieve significant results. The results approach those of Traditional Ablative procedures, but with much less risk and down time. Multiple treatments may increase results.

Non-Ablative resurfacing offers the benefits of little to no down time, minimal risk, but also significantly less results.

Be sure you and your physician properly discuss your goals, tolerance for downtime and risks, and costs. An experienced laser surgeon can guide you to the best procedure for the results you want.

Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Laser Resurfacing Results

Results will depend on the following: technology being used, physicians experience, and your skin type/texture. Definitely have a consultation with the physician prior to any laser treatment. At that time the physician can tell you what you can expect. The downtime can be discussed at the consultation, depends on how aggressive you want to go. Laser skin resurfacing targets tone, texture and tightening.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 15 reviews

Outcome of laser resurfacing depends on physician and patient skin type

For best results, you should learn about Fractional CO2 Laser resurfacing and seek out a board-certified dermatologist or plastic surgeon who has performed more than 50 cases of your skin type. Pre-op and post-op skin care routines are critical to achieve best results and minimize post-treatment pigmentation and thus must be customized according to your skin types and priorities.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

Results for Laser Resurfacing.

The short answer is that you could look like nothing was done or you could look 10-15 years younger. It all depends on which procedure you choose, how the procedure is performed, what the downtime is and how experienced the practitioner is. CO2 resurfacing is generally accepted to have the most dramatic results, but also the lengthiest and most difficult recovery. Second to CO2 is fractional and Erbium resurfacing procedures. Lesser still are non-ablative (no downtime) procedures. Generally speaking, the more pain involved (recovery time) the more potential gain.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Many types of resurfacing

The term "resurfacing" formerly had one definition: full carbon dioxide resurfacing. But this is no longer the case. While full-face carbon dioxide is still largely considered to be the "gold standard" by which other therapies are judged, the vast majority of current resurfacing treatments are not done this way. I personally still believe carbon dioxide is the most effective type of laser for tissue tightening, acne scars, and wrinkles.

However, ablative resurfacing can be done with erbium:YAG, plasma gas, even chemicals such as trichloroacetic acid. Fractionating the laser beams make down time shorter, sometimes with results very similar to full resurfacing. Basically fractionating means that a fraction of the skin is treated so that you can heal faster and with lower risk. There are also a myriad of non-ablative resurfacing methods which involve no down time at all.

Each patient has different needs, and multiple therapies may be appropriate for the same condition. I take into consideration the patient's presenting complaints, schedule and budget before deciding which treatment(s) I think the patient should pursue.

Sarah B. Sawyer, MD
Birmingham Dermatologist
4.5 out of 5 stars 6 reviews

Many different variables for laser resurfacing results

Expected results from laser resurfacing depends on many things: skin type, degree of wrinkling, physician approach, type of technology. You should visit with an experienced physician regarding approach, desired result, and expectations as they will vary widely.

You can count on some sort of down time and exfoliation, swelling, and persistent redness prior to any results in tone, texture, and tightening, as Co2 lasers vaporize tissue, and cause thermal contraction of skin.

I encourage you to seek out a board certified dermatologist with resurfacing experience in order to be better informed.

Dr. Malouf

Peter Malouf, DO
Dallas Dermatologist
4.5 out of 5 stars 81 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.