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Laser Resurfacing
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Facial resurfacing is a collection of techniques including lasers, peels, and dermabrasion to remove variable surface layers of skin. Whichever technique is used, resurfacing is still a burn. Dr. Wigod’s eight years of formal surgical training included caring for critically ill major burn patients. Dr. Wigod uses CO2 Laser for resurfacing because it gives the most predictable (and therefore safest) result. In some cases such as acne or traumatic scars, Dr. Wigod prefers dermabrasion
The word "laser" is an acronym, which stands for Light Amplification by the Stimulated Emission of Radiation. A surgical laser, such as the CO2 laser, is a beam of light capable of removing unwanted tissue, such as scarred, lined, wrinkled, and otherwise imperfect skin. The laser vaporizes skin cells by emitting bursts of radiation that are absorbed by water in these cells. Laser light penetrates to a very precise, controlled depth, making the procedure safe and predictable, while reducing the risk of scarring or pigmentation problems. The laser is used to reduce tiny wrinkles, acne scars and other minor skin imperfections, especially around the mouth and eyes. It can improve sun-damaged and acne scarred skin, problems that often cause concern to both men and women. Patients with darker skin tones may not be appropriated candidates for laser resurfacing as they my have increased or decreased skin pigmentation or poor scarring.
The Procedure
A local and sometimes general anesthetic is given to ensure that you are comfortable throughout the procedure. The area is cleansed and draped. Dr. Wigod inputs the appropriate setting and then directs the laser beam toward your skin imperfections. The laser quickly and accurately vaporizes the outermost layers of skin just four or five cells in thickness. Multiple passes are performed and edges are feathered to blend in with untreated areas. An antibiotic ointment is then applied.
Post-Operative Information
Recovery after laser surgery may be difficult, but this period is justified by the end result. Pain is controlled initially with narcotics. The skin weeps and crusts like a burn or scrape. The face should be washed twice a day and antibiotic ointment applied frequently. Crusting usually ceases by one week and bright redness fades over the next few weeks. This can be concealed with makeup. More subtle discoloration usually resolves in one to three months. The goal of laser resurfacing is to enhance facial appearance. Expectations by the patient must be realistic, and results should be anticipated as improvements rather than total corrections. Results of the surgery depend on many factors such as the size, shape and location of the imperfection and the patient's heredity, age and general skin condition. Laser resurfacing is not a substitution for facelift, but may enhance the facelift result if performed several months after the lift.
