Laser Skin Resurfacing

What is Laser Skin Resurfacing?

This procedure uses a laser to remove layers of damaged skin. This procedure is usually done to improve skin texture and appearance, minimizing the appearance of fine lines, especially around the mouth and eyes. These lines can appear because of aging, sun damage or other environmental pollutants. Laser technology can also be used to treat a variety skin conditions, ranging from scarring and port wine stains (also called capillary hemangiomas), to removing tattoos and unwanted hair. Laser surgery greatly minimizes scarring, bleeding, and bruising. You may also see a significant improvement in the tightness and firmness of the skin, depending on the type of laser and amount of surface skin removed.

Who is a good candidate for Laser Skin Resurfacing?

Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. Generally, candidates for laser surgery want to look younger and more refreshed and are unhappy with the appearance of wrinkles or brown spots. Candidates need to be free of active skin infections, including acne and must possess the appropriate skin tone for the type of laser used. You must not have taken Accutane for at least 18 months. Candidates should not have any unusual scar formations, such as keloids.

NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body's tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed. Click here for more information related to smoking.

How is the procedure performed?

Laser resurfacing uses brief, high intensity emissions of light to precisely remove layers of damaged or wrinkled skin. A variety of lasers of varying wavelength and duration may be used. Your surgeon will determine what type of laser is best for your combination of skin type, the condition being treated and your desired result.

Options to enhance the procedure

During the initial consultation, your surgeon may recommend alternatives to laser treatment. Alternatives include a chemical peel or dermabrasion, and may be more effective in helping to achieve your desired result. These procedures, including laser skin resurfacing, are often done in conjunction with a facial or forehead lift.

List of Physicians Who Perform Laser Resurfacing

For details about education, experience, and specialty in this clinical area, please visit these physician profile pages:

• Paul Cederna, M.D.
• Steven Kasten, M.D.

Planning for Your Surgery

First, schedule a personal consultation with your plastic surgeon. Communication is vital in reaching your goals. You will have the opportunity to discuss your goals and the results you'd like to achieve. Your surgeon will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience.

Every patient is different, and your surgeon will determine if laser resurfacing - or another form of skin resurfacing - is right for you. This decision may depend largely on your skin type and pigmentation, since laser resurfacing can cause uneven skin tone formation on people with darker skin tones.

During the initial consultation:

• Provide a complete medical history, including information about previous surgical procedures; past and present medical conditions; and any medications or herbal supplements you are taking.
• Expect your surgeon to conduct a complete physical examination of your face, both the skin and underlying bone.
• Be prepared to discuss possible risks and complications of the procedure.

Preparing for Your Surgery

You will be given specific instructions on how to prepare for your procedure. A pre-operative information packet will be provided that explains everything you should do and know before your surgery date. Your surgeon will instruct you on how to prepare for surgery, including guidelines on eating and drinking, smoking, and which vitamins and medications should be taken or avoided. You should arrange for someone to drive you home after your surgery, whether your surgery is done on an outpatient or inpatient basis. You may also want to make arrangements for someone to help you out for a day or two after you leave the hospital.

Where Your Surgery Will Be Performed

Your procedure will take place in the University of Michigan Hospitals' state-of-the-art surgical suites and recovery areas. The majority of these procedures are completed on an out-patient basis.

Types of Anesthesia

You'll remain comfortable throughout the entire procedure. Laser surgery may be performed under local, sedation anesthesia, or multiple anesthesia depending on the area to be treated and patient preference. Intravenous sedation is an option, especially if it is used to treat localized areas of the face.

After Your Surgery

Click here for information about how to care for yourself after the surgery and what to expect during your recovery. It is very important that you follow your surgeon's instructions. This will promote healing and improve progress towards your new physical appearance. Also, it is important that you attend all scheduled follow-up appointments so that your surgeon can assess your long-term results and answer any questions or concerns you may have.