Aging, sun exposure, heredity and lifestyle factors including nutrition, alcohol consumption and smoking all may contribute to facial wrinkling.
Pigmentary changes of the skin, such as blotchiness or brown spots, may also occur with age or as a result of birth control pills, pregnancy or genetic factors. Prior acne may have made the surface of your skin uneven. These problems, as well as certain other skin conditions, may be improved by skin resurfacing.
As you consider skin resurfacing, regardless of technique employed, skin resurfacing is a controlled injury to your skin. As your skin heals, the goal is form “good” scar tissue; the risk is forming “bad” scar tissue.
Am I a good candidate for skin resurfacing?
You may be a good candidate for skin resurfacing if you have one or more of the following conditions:
wrinkled or sun-damaged facial skin
vertical wrinkles around your mouth, such as those that cause lipstick "bleed"
"crow's feet" lines around your eyes and perhaps some skin laxity in your lower eyelid area
fine wrinkling of your upper eyelids
brown spots or blotchy skin coloring
certain precancerous skin growths
acne or chicken pox scars
superficial facial scars from a past injury
Laser resurfacing
There are two forms of laser resurfacing. In the first form, laser resurfacing creates a uniform injury to your skin, similar to deeper chemical peel or dermabrasion. In the second form, the laser “drills” tiny holes into deeper layers of your skin, or “fractional resurfacing.”
Many surgeons feel the first form of laser treatment gives greater control for the depth of injury than seen with dermabrasion or chemical peel. In fractional resurfacing, the majority of the skin surface is not injured. Your skin then tightens by “connecting the dots,” where your collagen contracts between the tiny laser holes. The benefit of fractional treatment is less surface injury. The risk is that there is a greater depth of injury. If there is a complication healing, there is a risk of undesirable scar.
Like the other resurfacing methods, the laser is effective in treating wrinkles, blotchiness or age spots, and scars from acne or other causes. It can be used on the entire face or specific areas. Certain other characteristics of your skin, such as its thickness and texture, may influence whether you are a good candidate for laser resurfacing. Some patients may benefit from the laser's mild "tightening" effect on the skin, particularly in the lower eyelid area where the skin often becomes somewhat loose as a result of aging.
How is laser resurfacing performed?
Laser resurfacing requires anesthesia. Depending on the laser treatment chosen and the area treated, local anesthesia may be adequate. For larger areas, sedation or general anesthesia may be recommended. Recovery will depend on the technique and depth of treatment you require.
Our mission is to work in close collaboration with our patients, clinicians and local hospitals to provide the highest quality services to meet our patients’ Oral, Maxillofacial Surgery, and Cosmetic needs.