Laser Skin Resurfacing: Everything You Need to Know

Laser skin resurfacing is one of the most effective ways to achieve smoother, younger-looking skin. Whether you're looking to treat wrinkles, acne scars, or sun damage, this cosmetic procedure can help rejuvenate your complexion with minimal downtime. But with so many types of laser treatments available, how do you know which one is right for you?

In this guide, we'll break down the benefits, risks, and what to expect from laser skin resurfacing.

What Is Laser Skin Resurfacing?

Laser skin resurfacing is a cosmetic procedure that uses focused laser energy to remove damaged skin layers and stimulate new collagen production. This helps improve skin texture, tone, and elasticity while treating various concerns like:

• Fine lines and wrinkles
• Acne scars
• Uneven skin tone and hyperpigmentation
• Sun damage and age spots
• Enlarged pores and rough texture

By using different laser technologies—ablative lasers, non-ablative lasers, and fractional lasers—dermatologists can customize treatments based on your skin type and concerns.

Types of Laser Resurfacing Treatments

Not all lasers work the same way. Some treat the surface layer of skin, while others penetrate deeper to stimulate collagen growth. Here’s how they compare:

Ablative Lasers

Ablative laser resurfacing removes the outer layer of skin (epidermis) while heating the underlying layer to stimulate collagen. These are best for treating fine lines, acne scars, and sun damage, but they require longer recovery times.

• CO2 Laser Resurfacing: Best for deep wrinkles, acne scars, and severe sun damage.
• Erbium Laser Resurfacing: Gentler than CO2, making it a better option for darker skin tones and treating moderately deep lines.

Non-Ablative Lasers

Non-ablative laser treatments work beneath the skin’s surface without removing layers. This means less downtime, but more sessions may be needed for optimal results.

• Fractional Lasers (e.g., Fraxel): Treats small sections of the skin, reducing recovery time while boosting collagen production.
• Nd:YAG Lasers: Effective for acne scars, hyperpigmentation, and vascular lesions.
• Pulsed Dye Lasers: Best for redness, rosacea, and broken capillaries.

Fractional Laser Treatment

Fractional lasers treat only a fraction of the skin at a time, creating controlled micro-injuries that stimulate new skin cell growth while allowing for faster healing. These work well for skin rejuvenation, acne scars, and sun damage with less downtime than fully ablative lasers.

How Laser Skin Resurfacing Works

During a laser procedure, short pulsed light energy is delivered to the treatment area, precisely removing damaged skin cells while stimulating the production of new collagen fibers.

What to Expect During Treatment

1. Prepping the Skin: Your provider may apply a numbing cream or use local anesthesia for comfort.
2. Laser Application: The laser delivers continuous light beams or pulses, targeting the specific skin concern.
3. Cooling and Recovery: The treated skin may feel warm, similar to a sunburn, and will gradually heal over the following days to weeks.

Results & Recovery

• Ablative laser treatments: 7–14 days of recovery with visible skin peeling and redness lasting weeks.
• Non-ablative laser treatments: Minimal downtime with mild redness for 1–3 days.
• Fractional lasers: Faster recovery than ablative lasers, with noticeable skin rejuvenation over 4–6 weeks.

Benefits of Laser Skin Resurfacing

This popular cosmetic procedure offers a range of benefits, including:

• Smoother, firmer skin by removing damaged layers and stimulating new collagen fibers
• Reduction in acne scars, wrinkles, and sun damage for a more youthful complexion
• Minimally invasive alternative to cosmetic surgery, with effective results
• Customizable treatments for different skin types and concerns

Preparing for Your Laser Treatment

A successful laser resurfacing treatment starts with the right preparation. Here’s how to get ready:

Before Treatment:

• Consult a board-certified provider to review your medical history and skin concerns.
• Avoid sun exposure for at least two weeks before your session.
• Discontinue strong skincare products (like retinoids or exfoliants) one week before treatment.
• Take antiviral medication if you have a history of cold sores, as lasers can trigger outbreaks.

Post-Treatment Care & Recovery

Proper aftercare is crucial to achieving the best results.

Immediate Aftercare:

• Keep the treated skin clean and moisturized.
• Apply a cold compress to reduce swelling.
• Use antibiotic ointments as directed to prevent infection.
• Avoid sun exposure, and always use a sun protection factor (SPF) of 30+.

Long-Term Recovery:

• Ablative lasers require 7–14 days of healing, with redness lasting longer.
• Non-ablative lasers heal within a few days, with gradual improvements over months.
• Protecting your skin from sun damage ensures long-lasting results.

Is Laser Skin Resurfacing Right for You?

While laser resurfacing is effective, it’s not for everyone. Ideal candidates:

• Have moderate to severe skin concerns (wrinkles, acne scars, sun damage).
• Are in good health with no active skin infections.
• Are not currently using strong acne medications like Accutane.

Considerations for Darker Skin Tones

People with darker skin tones need to be cautious, as some lasers can cause hyperpigmentation or scarring. Erbium lasers and fractional non-ablative lasers are typically safer options for brown skin and very dark skin tones.

Potential Risks & Side Effects

Like any cosmetic procedure, laser resurfacing has potential risks.

Common Side Effects:

• Redness, swelling, and peeling (temporary)
• Sensitivity, similar to a sunburn
• Mild hyperpigmentation (more common in darker skin tones)

Rare but Serious Risks:

• Infections if aftercare isn’t followed properly
• Scarring, especially for those prone to keloids
• Persistent redness or pigment changes

Choosing an experienced provider reduces these risks.

Choosing the Right Provider

The success of your laser treatment depends on who performs it. When selecting a provider:

• Look for a board-certified dermatologist or plastic surgeon specializing in laser resurfacing.
• Check patient reviews and before-and-after photos.
• Ask about their experience with your skin type and concerns.

According to recent surveys, 87% of patients report satisfaction with their laser resurfacing results when treated by an experienced professional.