What is laser skin resurfacing?
Laser skin resurfacing directs short, concentrated pulsating beams of light at superficial facial skin irregularities and fine wrinkles to smooth them out. It is most commonly used to treat facial wrinkles caused by sun exposure. Other skin resurfacing techniques such as dermabrasion and chemical peels are similar, but many physicians feel that the laser technique is more precise.
What are the differences between laser resurfacing and the more traditional techniques of chemical peel and dermabrasion?
Laser skin resurfacing is a relatively new procedure, so long-term data comparing the effectiveness of these three treatments is not available yet. However, many physicians feel that the laser offers superior results because it allows them to remove skin in a more controlled fashion, layer by layer. The surgeon is also able to vary the amount of treatment to different areas of the face. This is easier to do with a laser than it is with dermabrasion or chemical peel techniques. As a result, if done properly by a well-trained physician, patients experience fewer problems with hypopigmentation, the medical term for lightening of the skin.
Who is a candidate for laser skin resurfacing?
The procedure is used for the treatment of fine lines or wrinkles around or under the eyes, the forehead, the mouth or for the treatment of acne scarring. People who have had a facelift are also excellent candidates for this treatment because it can enhance the skin in areas that have not responded to the facelift. It is important to note that patients with active acne are not candidates for this procedure and should consult a dermatologist. Likewise, laser skin resurfacing is not recommended as a treatment for stretchmarks. To explore treatment options for stretchmarks, consult a board-certified plastic surgeon or dermatologist.
Are people with dark skin candidates for laser skin resurfacing?
People with darker skin can benefit from the procedure. However, because there is a slightly higher risk of hyperpigmentation or darkening of the skin, their skin may be treated with a bleaching agent before and after the procedure.
How long does this procedure take?
Laser skin resurfacing directed at specific areas such as the lip or eye area can take as little as 45 minutes. When the laser is applied to the entire face, the procedure can last up to 1 1/2 hours.
What are the side effects?
Unexpected side effects are few, but can include bacterial infections, cold sores, darkening of the skin (particularly if exposed to the sun after surgery), and milia (small white elevated cysts of superficial skin) or cysts.
What can I expect as I recover?
Many people plan to stay home for a few days after laser treatment to decrease the chance of infection and to promote proper healing. After surgery, the area of the face that has been treated will weep much as an open blister would. Typically, within five to seven days the weeping will subside and the area treated will appear as if it were sunburned. The treated area will remain red for one to eight weeks. After one week, however, many people apply camouflage makeup and return to their normal activities. Redness will fade over 6 weeks to 2 months.
Will I still be able to tan after this procedure?
Sun exposure is not recommended whether you have had laser skin resurfacing or not. Sun prematurely ages your skin and puts you at risk for skin cancer. Proper precautions should always be taken, such as wearing a hat and sunblock. Anyone who undergoes resurfacing treatment should avoid sun exposure for at least three months to avoid problems with darkening of the skin.
Will I ever have to have this procedure again?
Some people with deep facial irregularities or deep facial lines may have to return for a subsequent procedure.
Will I have to stay in the hospital?
No. Laser skin resurfacing is done on an outpatient basis, which allows you to go home after the procedure without staying overnight in the hospital. The treatment can be performed under local anesthesia alone or under local anesthesia with sedation, depending on the advice of your physician.
How do I select a physician to perform this procedure?
Laser skin resurfacing should be performed by a physician who is board-certified and trained in laser technology specifically for these techniques.
What does laser skin resurfacing cost?
Costs range from $1,000 to $3,000, depending on complexity. A consultation with a physician at the Cleveland Clinic Cole Eye Institute will be necessary to determine the exact cost.
Click here to make an appointment now. Or call 216/444-2020 or 1/800-223-2273 Ext. 42020 to schedule an appointment with a Cole Eye Institute ophthalmologist.
