Question:
I am interested in laser resurfacing…
Answer:
In the last twenty years, the growth in options for laser resurfacing has exploded. It can often be confusing for the consumer patient to know where to start. Asking which one is the best is understandable, but the real question is which one is right for you?
CO2 laser ablative resurfacing was the first laser system used for the improvement in facial skin. I believe today it still offers the ability to provide the most dramatic results possible. Even very deep wrinkles can be eliminated; complete rejuvenation of a patient’s skin with one session is possible.
That said, CO laser is not without its downsides. It typically is performed under anesthesia, can only be used for certain skin types, has a prolonged recovery and is not without risks. Because of this, researchers have produced a whole batch of new systems that limit theses downsides. They include non-Ablative lasers, Erbium and other wavelength systems, fractional non-Ablative lasers and now fractional CO2 laser systems. Each of these has different advantages including little to no downtime, ability to treat all skin types, minimal pain, and less risks. None, however, have demonstrated efficacy comparable to traditional CO2 laser.
Deciding which laser is right for you depends on your skin type, amount of sun damage, your lifestyle and your allowable downtime and expectations. Spending time in consultation with a board certified facial plastic surgeon can help you to select the right laser resurfacing procedure for you.
Posted by Mark M. Hamilton M.D. FACS