Preparing for Laser Resurfacing
Start by consulting a plastic surgeon or dermatologist to find out if you're a good candidate. Be sure to choose a doctor who has documented training and experience in laser skin resurfacing. The doctor will determine which laser treatment is best for you after considering your medical history, current health, and desired results.
Tell the doctor if you get cold sores or fever blisters around your mouth. Laser skin resurfacing can trigger breakouts in people who are at risk.
If you decide to go ahead with laser skin resurfacing, your doctor will ask you to avoid taking any medications or supplements that can affect clotting -- such as aspirin, ibuprofen, or vitamin E -- for 10 days before surgery.
If you smoke, you should stop for two weeks before and after the procedure. Smoking can prolong healing.
Your doctor may prescribe an antibiotic beforehand to prevent bacterial infections and also an antiviral medication if you are prone to cold sores or fever blisters.
What to Expect
Generally, laser resurfacing is an outpatient procedure, meaning there is no overnight stay.
The doctor may treat individual wrinkles around your eyes, mouth, or forehead or treat your entire face. For small areas, the doctor will numb the areas to be treated with a local anesthetic. The doctor may also sedate you. You may get general anesthesia if your whole face is being treated.
If the doctor is just treating parts of your face, the procedure will take about 30 to 45 minutes. A full-face treatment takes up to two hours.
Following the laser procedure, the doctor will bandage the treated area. Starting 24 hours after treatment, you will need to clean the treated area four to five times a day. Then you'll need to apply an ointment, such as petroleum jelly, to prevent scabs from forming. This wound care is intended to prevent any scab formation. In general, the areas heal in 10 to 21 days, depending on the condition that was treated.
It's normal to have swelling after laser skin resurfacing. Your doctor may prescribe steroids to manage swelling around your eyes. Sleeping on an extra pillow at night can help ease swelling. Putting an ice pack on the treated area also helps in the first 24 to 48 hours after laser resurfacing.
You may feel itching or stinging for 12 to 72 hours after the procedure. Five to seven days after laser resurfacing, your skin will become dry and peel.
Once the skin heals, you can wear oil-free makeup to minimize redness, which usually fades in two to three months.
You will probably notice that your skin is lighter for a while after surgery. It is particularly important that you use a "broad-spectrum" sunscreen, which screens ultraviolet B and ultraviolet A rays, to protect your skin during that time. When selecting a sunscreen, look for one specially formulated for use on the face. It should have a sun protection factor (SPF) of 50 or higher.