Laser skin resurfacing can be a daunting procedure, especially if you’ve never had it done before. I get so many questions about this and one of the top concerns is how intense the lasers are. While it may seem scary, it’s a game-changer for those looking to boost collagen, smooth out fine lines, and get that subtle but noticeable “snatched” effect without having to go under the knife. Whether you're starting to notice a bit of sagging, loose skin, deeper lines, or just want to maintain your skin quality, the right prep along with the right treatment can make all the difference. Let’s dive into everything you need to know about laser skin resurfacing.

What is laser skin resurfacing?

Laser skin resurfacing is a non-surgical and minimally invasive way to firm the skin on the face and body. Lasers use the power of light whereas other technologies use Radiofrequency (RF) or ultrasound to elevate skin temperatures. This heating process stimulates the natural production of collagen and elastin, vital proteins responsible for firmness and elasticity, resulting in a rejuvenated and firmer skin tone.  There’s an immediate effect of the heat which is contraction of collagen fibers, and a long term effect of new collagen formation and maturation over time as the skin continues to tighten and improve in texture and tone.

 RF devices emit energy that penetrates the skin and generates heat in the dermal layers. The heat typically ranges between 38°C to 42°C (100.4°F to 107.6°F).

What are the benefits of laser skin resurfacing? 

Skin resurfacing treatments offer the benefit of improving skin tone and texture by stimulating new healthy skin. They can help improve skin quality and treat precancerous lesions. Recent studies show these treatments help reduce the development of skin cancers such as basal cell carcinoma and squamous cell carcinoma, which are currently the most common skin cancers in the United States. 

How do you prepare for laser skin resurfacing? 

Preparing your skin for your laser resurfacing treatment is extremely important. It ensures you receive the best results and minimize potential side effects. Here are the top things I tell my patients:

• Avoid tanning or heavy sun exposure and use a broad-spectrum sunscreen.

• Avoid deep facial peel procedures for four weeks before treatment (chemical peels, laser resurfacing, dermabrasion).

• If you have a history of herpes (oral or genital sore) or shingles in the treatment area, let your provider know and start your antiviral medication (valacyclovir, acyclovir) as directed (usually two days before treatment and continue for three days after treatment).

• To prepare your skin for laser resurfacing, it is helpful to apply a topical retinoid on your skin for about four weeks before your procedure.

What does a step by step process for laser skin resurfacing look like?

• Step 1: Consult - As with other cosmetic procedures, it’s best to have a cosmetic consultation with an experienced provider to determine if it's the right treatment for you. During this visit, your doctor will review your medical history, assess your overall health, discuss the pros and cons, and address your expectations to determine if you’re a good candidate for laser skin resurfacing. Some treatments may have more downtime than others, so it's essential to understand your options. Don’t be afraid to ask questions during this time. 

• Step 2: Treatment Day - Laser skin resurfacing is an outpatient procedure that takes me anywhere from 30 minutes to 2 hours, depending on the technique I’m using, the depth, and the density of the area we’re treating. Here’s an overview of what to expect during treatment: 

Following a quick facial cleansing, you will be asked to wear special eye shields or goggles to protect your eyes from the laser beams.

You will have the option to use a topical cream that will numb the skin one hour prior to your treatment. In some cases, doctors may use an injection anesthetic or offer pain medication or nitrous oxide gas to help you be comfortable during your treatment. 

After identifying the specific treatment areas, the treatment will start by using a wand-like laser handpiece that may vary depending on the type of machine. This laser light energy produces controlled damage to the epidermis or the targeted layers of the skin. At the same time, it’s also going to heat the dermis or the inner layer of the skin, promoting collagen production and continuously improving skin tone and texture even years after treatment.

If an ablative laser skin resurfacing procedure is performed, a thick ointment would be applied to the treatment site, and it will need to be used during the recovery while the new skin is coming in.

• Step 3: Post Op - After completing the treatment, your doctor should check back in on you to evaluate the treatment site. If ablative laser resurfacing is performed, you may be asked to do wet soaks on the treatment site. There are often specific products your doctor will want you to use as your skin heals over the course of the week. 

You will be advised to recover at home and scheduled for a follow-up appointment. 

• Step 4: Recovery - After 24 hours, you may cleanse with a gentle cleanser.  My patients use Soothe Cleanser. You should be provided with post-treatment instructions before you leave the clinic.

During the recovery period, you may be advised to:

• Refrain from using any makeup or skincare products that can irritate the skin. 

• Never go outdoors and risk sun exposure without covering the treatment site or wearing broad-spectrum sunscreen to avoid side effects. Laser skin resurfacing is a photosensitive type of treatment. Going to tanning salons is also strongly discouraged.

• Postpone any plans to go swimming, workout in the gym, or relax in saunas, which are hotbeds for infection. 

Once the skin has healed and your doctor approves you to resume your normal beauty routine, go for green-based makeup or tinted sunscreen that can neutralize the redness.

Once the skin is fully healed, you’ll start noticing significant improvements in your skin’s overall quality, looking smoother and more refreshed. Your pores may also be finer and less visible. Fine lines and wrinkles fade more and more as the natural collagen boost from the laser treatment kicks in. The final results of laser skin resurfacing may take up to 3 months and can last for years with a proper skincare routine.

Tune into my Youtube channel for more information on laser skin treatments. I discuss a variety of topics including lasers for darker skin types, laser myths, and many, many more.