Skin Resurfacing Surgery
(Laser, Chemical Peel and Dermabrasion)

It is possible to treat wrinkles associated with age and exposure to the sun, reverse sun damage and correct pigment problems with resurfacing techniques. These include laser surgery, Dermabrasion and Chemical peel. Each of these methods removes some of the outer surface of skin forcing new skin to grow. This brings with it new collagen and elastic fibers. The skin becomes smoother and tighter with generally improved complexion.

Advances in carbon dioxide laser technology have made skin rejuvenation with the CO₂ laser a practical reality. Laser resurfacing treatment is safe and effective, and the healing process extends over a course of approximately 10 to 14 days during which there is some scabbing on the face and after which patients usually can resume most normal activities. There may remain some redness or pigmentary change for a few more months while the skin continues to improve but this is easily covered with makeup. The total healing process for this laser may be the longest but the results are often outstanding and better than with any other method. Laser treatment may be performed on the whole face or designated facial areas such as around the eyes or the mouth. It can be carried out under local or general anesthesia, depending on the specific needs of each individual.

Dermabrasion removes the outer layer of skin by a rotary sanding tool. It is often best used for scars and fine lines of the upper lip. It is usually used in segments of the face rather than doing the entire face as we often do with the laser. The healing process is usually faster than with laser and the crusting of the face is usually gone within less than one week. Again, makeup may need to be used for an extended period of time. Microdermabrasion is a milder form of Dermabrasion where crystals are blown against the skin and then suctioned away. It can be compared to a mild “sand-blasting” effect. Multiple treatments are usually needed but there is no downtime for the healing process.

There are many types of chemical peels that can be utilized to improve the face. These are excellent for resolving pigment changes in the skin with a 3 to 5 day healing process. This is a TCA or trichloracetic acid treatment which can be combined with other chemicals as needed depending on the needs of the patient. Even this peel may be used in different strengths to accurately respond to the individual patient’s needs. We generally perform a 20% or 35% peel. Stronger peels may be performed with a “Baker’s” formula of phenol and Croton oil but this is used much less frequently now because of the risks associated with it. Milder glycolic acid peels may be performed with minimal healing but do not go as deeply or give as dramatic an effect as the deeper peels or other resurfacing techniques.

These techniques are all individualized to the patient and should be used in conjunction with a good home skin care program such as “Synergistic Skin Care Program” utilized at Accurate Aesthetics Plastic Surgery.

Visit our plastic / cosmetic surgery office located in Wellesley, Massachusetts (MA) conveniently near from the Boston, MA area.

Specializing in facial, body cosmetic and plastic surgery in Wellesley, Newton and Waltham, Massachusetts
and surrounding areas such as Boston.

Skin Resurfacing Surgery (Laser, Chemical Peel and Dermabrasion)

Skin Resurfacing Surgery
(Laser, Chemical Peel and Dermabrasion)