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February 10, 2012

Laser Resurfacing (cont.)

What Are the Possible Complications of Laser Resurfacing?

  • Milia, which are small white bumps, may appear in the laser-treated areas during healing. These may be removed by gentle cleansing with a washcloth.
  • Hyperpigmentation (increased pigmentation), and more rarely hypopigmentation (decreased skin pigmentation), may result in the laser-treated areas. In general, the hyperpigmented areas may be treated with bleaching cream to speed fading of the pigment.
  • Reappearance of a cold sore may occur, especially after laser skin resurfacing around the mouth. You can prevent this by asking your doctor for an antiviral medication, which you can begin taking before your surgery and continue taking seven to 10 days after laser resurfacing.
  • You can also prevent bacterial infections by taking an antibiotic prior to the surgery and continuing for seven to 10 days afterwards.
  • You should expect swelling after laser skin resurfacing. Ask your doctor about steroids injected into the muscles, which can lessen this effect.
  • Patients are encouraged to sleep on an extra pillow at night to help reduce the swelling after laser resurfacing. Ice pack application is also helpful in the first 24-48 hours.
  • Scarring after laser skin resurfacing, although very rare, may occur in laser-treated areas.
  • Cessation of smoking is highly recommended because smoking is known to have harmful effects on the healing process.

How Should I Take Care of My Skin After Laser Resurfacing?

It's important to remember that skin treated with laser resurfacing may react in different ways.

Most commonly, you may feel like you have mild sunburn. There will be slight swelling and redness of the skin. You may experience 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.

New skin will form after the treated area has been peeled. This skin will at first appear pink. It should begin to gradually lighten for up to a year after treatment. Your doctor will not consider retreating the area until the area is completely healed.

Daily sunscreen application is necessary after healing to protect the newly laser-resurfaced skin. A "broad-spectrum" sunscreen, which screens both ultraviolet B and ultraviolet A rays, is recommended. A sunscreen specifically formulated for use on the face should be chosen, with at least a sun protection factor (SPF) of 15.

Liberal moisturizer application is also recommended after healing. Patients may resume application of Retin-A and/or glycolic acid products around six weeks after laser resurfacing or as directed by their physician.



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