Laser Skin Resurfacing
Laser skin resurfacing is widely considered the gold standard for nonsurgical skin rejuvenation because it combines precision with deep collagen remodeling. Unlike topical products that only affect the surface, laser resurfacing reaches the deeper layers of the skin to produce long-lasting structural improvements.
The benefits are particularly pronounced for patients with fine lines, acne scars, or significant sun damage. By removing damaged layers and encouraging new collagen production, the skin becomes visibly smoother, firmer, and more even in tone.
This advanced dermatologic treatment helps improve the appearance of aging and damaged skin and rejuvenate the appearance. Dr. Brian Hibler, a board-certified and Harvard fellowship-trained cosmetic dermatologist, offers customized laser skin resurfacing to address each patient’s unique concerns and skin type, helping restore smoother, firmer, and more even-toned skin.
Fractional laser resurfacing uses precise, microscopic beams of thermal energy to target a “fraction” of the skin’s surface at a time and heats the underlying skin to stimulate new collagen. By treating only the tiny treatment zones surrounded by intact skin, this allows for faster healing. The untreated areas help to accelerate recovery by supporting natural tissue repair. Over time, this process softens fine lines, improves skin tone and texture, and reduces discoloration and scarring.
Fractional laser resurfacing is effective for improving a wide range of skin concerns on the face, neck, chest, arms, and hands. It is an anti-aging procedure. Common conditions treated include:
- Fine lines and deeper wrinkles
- Sun damage and discoloration
- Age spots, freckles, and brown spots (solar lentigines)
- Uneven skin tone and blotchiness
- Dull or rough skin texture
- Crepey skin and skin laxity
- Acne scars, surgical scars, and other traumatic scars
- Enlarged pores
- Precancerous lesions (such as actinic keratoses)
- Upper eyelid wrinkles and crow’s feet
- Fine lines around the mouth
- Frown lines
- Stretch marks
A comprehensive consultation with Dr. Hibler is a key step in achieving safe, effective results. During your evaluation, factors such as skin type, medical history, and prior cosmetic procedures will be discussed to determine if you are a good candidate. A personalized treatment plan is developed to match your skin type, lifestyle, and desired results.
Patients with active acne, certain skin infections, or a history of poor wound healing may need alternative treatments or additional preparation.
Realistic expectations are also important. While many patients see dramatic improvements after a single session, some may benefit from a series of treatments.
Ideal candidates for fractional laser resurfacing are individuals with mild to moderate signs of aging, sun damage, or scarring who are in good overall health and have realistic expectations about the procedure.
On the day of the procedure, the skin is cleansed, and a topical anesthetic or numbing cream is applied to ensure comfort. In some cases, local anesthesia or mild sedation may be recommended for deeper resurfacing. The laser is then passed over the treatment area in a precise, targeted manner.
Depending on the extent of the procedure, the session may last between 30 minutes and two hours. After treatment, the skin will appear red, swollen, and possibly feel sunburned. A cooling ointment or dressing is applied to soothe the skin, and detailed post-care instructions will be provided.
With fractional lasers, most patients experience 3 to 7 days of redness, swelling, and peeling, much like a sunburn. Mild crusting or flaking is common as the outer skin cells slough off. Post-treatment care includes gentle cleansing, moisturization, and sun protection. Patients should avoid direct sun exposure and follow Dr. Hibler’s aftercare instructions closely. Makeup can usually be worn again within a week.
Many patients begin to see improvements in skin tone and texture within a week of treatment. Collagen production continues for several months creating smoother and tighter skin. The full benefits of laser resurfacing gradually develop over time, often peaking at around 6 months after treatment. Results can last for years, especially with proper skin care and sun protection.
Some patients achieve significant results with a single session, particularly with more aggressive fractional laser treatments. However, a series of 2 to 3 treatments spaced several weeks apart may be recommended for optimal outcomes, especially for more extensive sun damage or scarring. Dr. Hibler will personalize the treatment plan based on your goals and the condition of your skin.
Dr. Brian Hibler offers expert guidance, cutting-edge technology, and a personalized approach to laser skin resurfacing. With his extensive training and commitment to cosmetic excellence, patients can feel confident they are receiving the highest level of care in a comfortable, professional setting. Whether you are looking to refresh your appearance or correct years of sun damage, laser resurfacing offers a powerful, clinically proven solution.
At a Glance
Dr. Brian Hibler
- Board-certified dermatologist
- Fellowship-trained dermatologist
- Ivy League educated at Cornell and Harvard Medical School
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