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Laser Resurfacing

Laser resurfacing in Denver is one of the fundamental treatments in rejuvenation of the aging face.  Facial rejuvenation is defined as the improvement of the changes associated with aging, sun exposure, environmental factors, and genetics – especially increased skin pigmentation, redness and blood vessels, textural and laxity changes, and wrinkles.

Improvement in skin texture, laxity, wrinkling (especially those wrinkles when the face is at rest) is best accomplished with laser resurfacing.  Acne scarring and pigmentation are other conditions frequently treated with laser resurfacing.  During the procedure laser energy removes damaged skin layers to a defined depth, and your body then goes to work to deposit new, smoother, collagen-rich skin.

Fully ablative laser resurfacing by Dr. Cohen of AboutSkin

Laser resurfacing has evolved over the years to become safer and more effective.  Early laser technology had significantly more potential for scarring and pigment changes (many patients are familiar with the loss of pigment associated with the old CO2 laser that highlighted the junction between treated and untreated skin).  Today, laser technology can achieve a much better balance between results and risks.

Current laser technology can be finely tuned to address the specific changes for each unique patient while also factoring in acceptable downtime, cost, and goals.  We are fortunate to have several laser resurfacing platforms to choose from, which ensure that you receive the treatment best suited to you, not just the one laser somebody happens to have on hand.

Learn more about laser resurfacing using the Sciton platform (Erbium fractional or fully ablative, Halo Hybrid Fractional)

Dr. Cohen describes the use of laser resurfacing for wrinkles and fine lines around the mouth.

Dr. Cohen demonstrates Halo Hybrid Fractional laser resurfacing – November 2016

Laser Resurfacing Options at AboutSkin

  • 100% of the targeted area from the surface layer down is treated
  • Most effective laser resurfacing for moderate to deep etched in lines (e.g. “smoker’s lines”, crow’s feet) and lower eyelid wrinkles
  • Excellent results with much shorter duration of redness and much lower risk of pigment alteration compared to older CO2 fully ablative laser devices
  • Swelling, oozing, crusting, redness for up to 2 weeks and then pink color for up to several weeks
  • Low complication risk (scarring, pigment alteration), but pink color lasts longer than fractional treatments
  • Optimal treatments usually seen after one treatment, sometimes two

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  • Newest fractional resurfacing technology available

  • Laser of choice for skin rejuvenation when recovery time is limited
  • Effective correction at deep and superficial levels (Combines benefits of deep nonablative pulse immediately followed by more superficial ablative pulse delivered through the same column in the skin)
  • Reduced healing time compared to ablative fractional laser alone (average of 5 days). Mild oozing for 1-2 days and then mild redness, scabbing, and peeling.
  • Low complication risk (scarring, pigment alteration, prolonged redness)
  • Requires series of treatments (average of 3 treatments, usually 1 month apart)

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  • Columns of vaporized tissue created and replaced by new, healthier tissue from the nearby untreated skin
  • CO2 and Erbium laser systems available (CO2RE, Sciton Erbium ProFractional, Palomar Erbium)
  • Open wounds with redness, oozing, crusting, peeling up to 1 week depending on settings selected
  • Low complication risk (scarring, pigment alteration, prolonged redness)
  • Requires series of treatments (average of 3 treatments, usually 1 month apart)

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  • Columns of heat damaged tissue created and replaced by new, healthier tissue from the nearby untreated skin
  • No open wounds
  • Very low complication risk (scarring, pigment alteration, prolonged redness)
  • Requires a series of treatments (average of 5 treatments, usually 1 month apart)
  • Somewhat less overall improvement than Fractional or Fully Ablative resurfacing

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  • Erbium microlaser peel provides the effects of a moderate to deep chemical peel but with a more controlled, even, and consistent result.
  • Face, neck, chest and back of the hands are frequently treated areas
  • Addresses fine lines, pigment, and texture for smoother, brighter skin
  • Often combined with intense pulsed light (IPL) to address stubborn brown spots
  • Redness, mild oozing, crusting, peeling for 4 days up to 1 week depending on level of treatment
  • Low complication risk (scarring, pigment alteration)
  • 2-3 treatments for optimal results

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