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Ablative laser resurfacing

How it works

Skin Resurfscing can be used to treat scars, smooth out wrinkles, or simply rejuvenate your skin giving you a refreshed rested and naturally glowing look. The CO2 laser is considered the gold standard for that purpose. It is one of the many tools that in the hands of a fellowship trained, board certified dermatologist or plastic surgeon can help achieve phenomenal results. Depending on the treatment settings there can be minimal redness and scaling lasting one day or more significant peeling and redness lasting one to more weeks. It’s important to analyze the skin and it’s health to select the proper parameters as well as choose the best after care for maximal & safe results

Treatments

This laser can be used for:

full or partial face wrinkle resurfacing
upper and lower blepharoplasty
surgical removal of keloids
actinic chelitis (precancer of the lip, often appearing as a whitish film over the lower lip)
epidermal nevi
rhinophyma (enlarged and bulbous nose, often miss-associated with alcohol abuse)
resistant warts on hands and feet
acne scarring

What to expect after the laser resurfacing of the face for acne or wrinkles

After the resurfacing procedure the face often appears slightly red as if after a light sunburn. The patient has to avoid the sun for 10 days and apply a thick layer of a Vaseline ointment for that period. Afterwards this patient needs to be protected for about another 2 months. Depending on the skin color of the individual, the redness may last from 3 to 6 months. In 30% of patients darkening of some of the treated areas may occur and usually presents itself within first 3 weeks. Usually this is seen in dark haired and dark eyed individuals, especially if they do not follow the strict sun protection instructions. If caught early it often can be resolved. While Dr. Levit has had no cases of permanent hyperpigmentation, the literature reports about 1% of the cases may become permanent.
The improvement in acne scarring is about 40%. The improvement in facial wrinkling is about 60% and depends on the number of passes.

Potential Contraindications

The presence of keloids/hypertrophic scars
Previous x-ray treatment or scleroderma
The use of Accutane (isotretinoin)
History of vitiligo or psoriasis as they may develop in that area due to the trauma (Koebner’s phenomena)