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Laser Resurfacing

General Description Laser Skin Resurfacing of the Eyelids and Face

Aging of the skin is one of the most obvious and cosmetically apparent changes that happens as we grow older. The process of skin ageing is accelerated by excessive exposure to sunlight, hereditary and lifestyle factors such as nutrition, alcohol consumption and smoking. These, along with other conditions like pregnancy and birth control pills lead to in wrinkles or pigmentary lesions of the skin such as scars, blotches, brown spots or even precancerous skin lesions. Ageing of skin may possibly be aptly dealt with Laser Skin Resurfacing, which is a very safe and effective technique to improve your skin by reducing the amount and severity of facial and eyelid wrinkles, while also correcting minor skin flaws with precision and surety.

Skin Resurfacing

Laser Skin Resurfacing offered by Dr. Boerner is considered one of the finest developments in skin health and rejuvenation techniques. It has found various takers because of its safety, low risk profile, consistency, shorter recovery period and exceptional cosmetic results. It has been effectively used in treating wrinkles, blotchiness or age spots, and scars from pimples or precancerous lesions of the skin.

Laser Skin Resurfacing involves injuring layers of your skin using laser beams in such a way that subsequent healing of the microscopic burns produces scarring within underlying collagen tissues, thereby resulting in skin tightening, changes in skin colour and texture. It is usually done under anaesthesia.

In January 2019, I had a a combination surgery at Idaho Eyelid and Facial Plastic Surgery. Dr. Boerner recommended a trilogy of laser resurfacing, face/neck lift, and lower lid blepharoplasty with a fat transfer. The result after the healing process was just amazing. People noticed the smoothness of my skin and also the brightness of my eyes. I no longer looked sleep deprived. It made a huge difference in my appearance.

I am an outdoorsy person who really isn’t vain. But I am so glad I elected to do this surgery! It makes me feel better about myself… when I look in the mirror, I feel 27 but my appearance made me feel older. I thought to myself ‘when did this happen?’ I want to remain relevant as long as I can, and Idaho Eyelid and Facial Plastic Surgery helped me achieve this goal.

Dr. Boerner was straightforward and nice, and the office staff were pleasant and helpful. Overall, I am very pleased with the results and have sent many people to see Dr. Boerner!

by Vida Ober

Who are the best candidates for Laser Skin Resurfacing?

Laser Skin Resurfacing is not for everyone! Some of the best candidates for Laser Skin Resurfacing of the eyelids or face include those with:

  • Facial skin wrinkled due to age or other cause
  • Liver spots or age spots (solar lentigines)
  • Facial skin damaged by excessive exposure to sunlight
  • Awkwardly placed wrinkles around the mouth
  • “Crow’s feet” lines around the eyes
  • Fine lines around the mouth or forehead
  • Laxity of skin around lower eyelids
  • Fine wrinkles around upper eyelids
  • Blemishes, brown spots or blotchiness of skin
  • Shallow pimple or chicken pox scars
  • Injury-induced superficial scars
  • Some precancerous skin lesions

Laser Skin Resurfacing is best avoided for treatment of stretch marks or if you are prone to acne, suffering from acne, or have a very dark skin.

Difference between Types of Lasers, Results and Ideal Patients

Laser Skin Resurfacing is usually done with a 2940 nm Er:YAG laser or a 10,600 nm CO2 laser, which vaporize skin cells causing it to heal by controlled scar formation.

CO2 Laser Resurfacing Laser Skin Resurfacing of the Eyelids and Face

The initially complete laser resurfacing was done using CO2 laser in the 1990’s. Since then, it has been used to manage various skin conditions, such as wrinkles, scars, warts, enlarged sebaceous glands of the face and nose, lentigo simplex, seborrheic keratitis, small syringomas, epidermal melisma and dermatochalasis.

Fractional resurfacing using CO2 laser is the latest incarnation of this popular laser treatment technique and uses ultra-short laser beams in a scanning pattern that helps skin remodelling with very little damage. It has a short recovery period and shows excellent results within two to three weeks.

Er:YAG Laser Resurfacing Laser Skin Resurfacing of the Eyelids and Face

Erbium laser resurfacing helps in removing surface-level and moderately deep lines and wrinkles on the face, hands, neck, or chest. It is also associated with minimal burning of surrounding tissues. With fewer side effects and a quicker recovery period, it is preferred for those seeking faster results for superficial lesions. It can also be used for darker-skinned individuals.

Skin Anatomy

The skin offers protection to all the body organs making it prone to damage from the sun, dirt, chemicals in the atmosphere and strong wind.

Overtime, the skin changes and there is a reduction of collagen which then leads to formation of deep lines and wrinkles moderately around the eyes and mouth.

Laser resurfacing treatment takes advantage of the ability of the human skin to rejuvenate and grow new skin.

Realistic Expectations after Laser Skin Resurfacing

  • Laser resurfacing of the skin is not without risks! It is only rational to clarify the risks involved with your cosmetic surgeon or skin specialist before the procedure.
  • Resurfacing small, pin-pointed areas lasts about 30 to 45 minutes and might require just a local anaesthetic, while resurfacing larger areas of the face might require up to 2 hours under general anaesthesia. Although laser skin resurfacing is known to produce good results, it might be less than pleasant experience for some patients with itching, stinging, swelling, discoloured skin and the frequent application of gooey ointment or jelly for about 3 to 4 days. Redness of skin may possibly even last for up to 6 months after the procedure.
  • It is mandatory to wear a sunscreen with at least SPF 30+ to prevent further damage to your skin after the procedure.

Risks involved in Laser Skin Resurfacing

A perfect skin might not be the goal of a person undergoing skin resurfacing, but disfigurement or scarring is not the end lead to that he or she seeks. Laser skin resurfacing carries the following risks:

  • Burns or other thermal injuries
  • Excessive scarring and disfigurement
  • Alterations in skin pigmentation rendering random areas of darker or lighter skin
  • Herpes cold sores may possibly be reactivated
  • Bacterial infection is a potential risk that requires serious thought
  • Milia is commonly seen after laser treatment

Cost of Laser Skin Resurfacing of the Eyelids and Face

  • The cost of laser skin resurfacing varies widely depending on the type of procedure, the place of the surgery, and the surgeon handling the case.
  • The cost for laser skin resurfacing varies by geographic region and by the extent to lasering

Laser resurfacing procedure

  • Preparation for the procedure is essential for best results. Prior to laser resurfacing procedure, the doctor advises on medication and supplement which should not be taken which may possibly affect blood clotting at least for about 10 days before the procedure. Medication such as ibuprofen, Aspirin and vitamin E are among those to be avoided.
  • The doctor may possibly prescribe change of lifestyle such as to quit smoking prior to laser resurfacing procedure to facilitate quick healing. To prevent bacterial infection antibiotics are prescribed to create conducive environment for the procedure.
  • Laser resurfacing involves directing of short pulsating beams of light on the skin with damages. The top layer of the skin pees off leaving the lower pink surface. The treated area is bandaged and cleaned 4-5 times a day. The doctor may possibly give anesthesia or sedate you to ease the discomfort. A full face treatment may possibly be given or specific areas affected by fine lines which includes the area around the eyes and mouth and the forehead. There are two common technologies of laser resurfacing.

Laser Resurfacing Treatment Details

What are some examples of resurfacing?
The pulsed laser can also remove scars, blemishes, and growths.

Can anyone have CO2 Laser?
Good candidates for laser resurfacing include:

  • Fair to medium complexion
  • Good healing qualities (no keloid formers)
  • No use of acutane in the past year

Poor candidates for laser resurfacing include:

  • Dark complexions
  • Hyperpigmentation in scars
  • Acutane users in the past year
  • Cigarette smokers & heavy drinkers
  • Keloid formers (raised thick scars)

Before and After Photographs

The pulsed laser can also remove scars, blemishes, and growths.
The pulsed laser can also remove scars, blemishes, and growths.

How long is the recovery?

  • This depends upon the individual and upon the procedure performed.
  • It usually takes between seven and ten days for the skin to grow back.
  • During the initial few days, the face might possibly be covered by a bandage. The bandage helps with the oozing and might possibly encourage healing.
  • After resurfacing it is normal for the regenerating skin to weep and crust until the new skin has grown in. Dressings might possibly be applied to aid skin regeneration. This healing and regenerating process takes about 9 days. You will want to postpone social engagements and avoid public con tact during this period.
7 Day Post Operation
7 day Post Operation
Sun block should be applied when in the sun. Make-up can be worn after the originally week. Over the next few weeks, your fresh pink skin turns to a more natural tone, revealing a younger, smoother look.

In most cases patients are fully recovered and back to their normal activities within 7-10 days.

  • You can expect a marked wrinkle reduction. Complete elimination of all wrinkles in a single session is not a reasonable goal.
  • Most patients are very happy with the results and notice that most wrinkles are completely eliminated or markedly diminished.

Suggestions from patients:

  • Keep in mind that anything you use or wear for several days might be stained with the ointment; i.e. sheets, pillow cases, pajamas, towels, wash cloths, furniture, etc.
  • Have a good supply of clean towels and wash cloths on hand.
  • Straws are more comfortable when drinking while you have bandages. Also after the removal of bandages, straws help eliminate the transfer of ointment.
  • Purchase food that does not require you to open your mouth very wide. Same idea as straw above.
  • Q-tips are very helpful in applying the ointment around your eyes and mouth. Also, they are great for removing the ointment from the corners of yours eyes and off the eyelashes.
  • Stretch hair bands that go all the way around your head are helpful for keeping hair out of the ointment.
  • Have a good supply of small ice cubes or ice chips.
  • Keep all your supplies at a level that will allow you to reach without having to lean over-this can be uncomfortable.
  • It is not advisable to get close to a hot stove or oven for several days after your surgery as this might possibly cause a burning sensation (just like a sunburn).
  • You might want to wear tops that button as it is might possibly be uncomfortable to pull things over your head.
  • When planning your surgery, check your calendar for special events that might occur within 3 weeks after surgery.


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