In laser skin resurfacing a laser is used to remove areas of damaged or wrinkled skin, layer by layer. The procedure is most commonly used to minimize the appearance of fine lines, especially around the mouth and the eyes. However, it is also effective in treating facial scars or areas of uneven pigmentation. Laser resurfacing may be performed on the whole face or in specific regions. Because Dermal Optical Thermolysis (DOT) Therapy delivers the desired outcome with minimal downtime, it is rapidly replacing traditional laser skin resurfacing as the treatment of choice for mild to moderate signs of photo damage. Unlike older laser technology, DOT Therapy leaves islands of healthy tissue surrounding the microscopic DOTs. This enables the skin to heal more rapidly. DOT therapy procedures are performed in the Medical Spa at PeaceHealth Medical Group for patients in the Portland metro area and Southwest Washington.
"After meeting 3 other surgeons, I began to get "cold feet" on having my breast defect addressed at all. Discovering Dr. Gabriel was my saving grace. He doesn't have the typical attitude of other surgeons & is very warm hearted, compassionate, & will help you understand the procedure & what is expected post-surgery. He's respectful & has an amazing spirit. He's also curated a staff that supports his standard of care. He actually made me laugh - huge given how nervous I was about surgery. :)"- E.J. / Healthgrades / Feb 28, 2018
"Dr. Gabriel and staff is the best around. From the moment you walk in you really feel well taken care of. I have always been extremely self conscious of my eyebrow because it makes me look like a grouch. I explained to Dr. Gabriel the problem area and I walked away feeling so much more confident. I also received fillers in my cheeks that really added to the dimension of my face. Dr. Gabriel is so good I travel from out of town to see him!"- K. / Healthgrades / Feb 20, 2018
"Five Stars - Dr. G is the best! So attentive and strives to make all treatments look natural and enhancing."- Anonymous / Vitals / Feb 19, 2018
"It has been several years since my surgeries by Dr. Gabriel, He and his staff are welcoming, warm and friendly. He had wonderful bedside manner throughout the whole process, with his staff calling regularly to check up on me. If you are looking for a doctor that treats you with dignity, respect with a side of humor, then look no further! Dr. Gabriel is it."- L. / Healthgrades / Feb 12, 2018
"Did an amazing job with my surgery. Highly recommend him."- Anonymous / RateMDs / Feb 12, 2018
Laser skin resurfacing uses controlled light beams with high intensity to vaporize and remove the upper layer of the skin. When the damaged, superficial skin is removed, it gives way for new skin to grow, which masks the face with a new layer of epidermis. Any pain during the procedure is managed with local anesthesia and/or sedatives to help the patient relax. The eyes will also be protected since lasers can be harmful to the patient’s vision. Laser skin resurfacing’s advanced technology allows accurate targeting of smaller areas so the surrounding skin is not affected. A session may take up to 2 hours depending on the patient’s skin conditions.
Ablation vs. Non-Ablation
Laser skin resurfacing may be aggressive, depending on the patient’s aesthetic goals. The more aggressive the treatment (which is referred to as an ablative procedure) the more it wears away the epidermis to let new skin regeneration begin. Recovery with this technique may take up to 3 weeks. The lighter treatment, or non-ablative laser, does not remove any skin. It stimulates deeper layers of the skin to initiate an increased growth of collagen. With this treatment, there will be no downtime for the patient. Both techniques help the skin regenerate. As new layers of skin are developed, skin problems such as wrinkles, mild scars and discoloration are minimized.
There are two types of laser skin resurfacing: the CO2 and Erbium lasers. CO2 is the most popular type in this procedure. It is an ablative method which wounds the epidermis to give way for new skin growth and improve collagen development. The intensity of the laser beams with CO2 is high. Erbium, on the other hand, is a more gentle procedure that only removes superficial skin layers so the recovery period is quicker. Depending on the patient’s skin condition and aesthetic goals, the doctor will recommend the laser that is more suitable for the patient to render better results.
During/After the Procedure
Laser resurfacing is an outpatient procedure. There may be pain during treatment, so local anesthesia can be used to minimize the patient’s discomfort. The doctor may also prescribe the patient a pain reliever after the procedure. The face may be bandaged after treatment. Since the epidermis is peeled away, the skin may appear red for several weeks. As it heals, crusting may be present. It is very important to follow the doctor’s advice on skin care to prevent any scarring. It may take a few days before the patient can resume normal activities. It may also be beneficial to use an extra pillow when sleeping to ease any discomfort.
Plan Your Procedure
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 30 Minutes
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Laser Skin Resurfacing FAQs
Negative Effects on Skin?
Although the procedure will wear the skin surface away, there is a minimal risk of scarring, especially when post-treatment care is implemented. It is critical to find a reputable doctor or technician with comprehensive experience with laser skin treatments. It’s important for the surgeon to understand different technologies affect different skin types. When done correctly, the result is a long-lasting healthy skin effective in combating signs of aging and skin damage.
Aside from the natural effects of aging, personal habits and environmental factors, results can be long lasting. Maintenance treatments may be considered as signs of aging get more and more significant over time.
Ablative or Non-Ablative?
It depends mainly on the patient’s skin condition and cosmetic goals. Another factor to consider is how quick the recovery period should be or if there should be no downtime for the patient. The doctor will discuss each treatment in detail and recommend the best approach that matches the patient’s circumstances.