Chattanooga, Tennessee Laser Skin Resurfacing
The Plastic Surgery Group, P.C., in Chattanooga, Tennessee offers the latest skin care procedures, including laser skin resurfacing. For more information on the body contouring procedures we offer, visit our plastic surgery procedures page or call our plastic surgery staff at (423) 756-7134 or (800) 634-3334. You can also e-mail us your questions and we will be in touch with you shortly.
1. What is Laser Skin Resurfacing?
The best way to describe laser resurfacing
is as a controlled burn of the skin. Today's laser surgery is
performed principally with a carbon dioxide laser. This instrument has
been designed to permit surgeons to remove the top layer of your skin
with microscopic accuracy. Contained in this top layer are the blemishes
which typify the aging face. These would include sun damage, age spots,
fine wrinkling around the eyes and cheeks and vertical lines around
the mouth. After the laser evaporates the top layer, it then grows back
as new skin which appears more
youthful, smoother and tighter both to the eye and the microscope.
2. How do I know if I'm a candidate for Laser Skin Resurfacing?
If you have healthy, lightly pigmented,
non-oily skin and have any of the following changes in the quality of
your skin, you may benefit from laser resurfacing. Fine lines around
the eyes, acne scars, age spots, scars from an accident or injury, vertical
"lip lines" or other facial imperfections are problems resurfacing will
improve or eliminate. If, however, you have darker-colored skin that
has scarred poorly in the past, an active skin infection or you are
on medication such as Accutane, your surgeon will most likely advise
you to consider a different means of helping your problem.
3. How effective is the laser in
treatment of acne scars?
Acne typically leaves several different
patterns of scarring in its wake. Ice pick scarring is not amenable
to laser treatment. However, in our practice, acne patients can be well
served by surgical removal of the deep scarring. Once these areas have
healed, the uneven "orange skin" scarring typical of acne can be smoothed
using the Laser. Acne scar treatment is often multi-modal. This means
that other techniques such as the injection of dermal substitutes might
be combined with excision of scars in addition to using the laser.
4. What are the risks of Laser Skin Resurfacing?
Laser skin resurfacing is remarkably safe
in the hands of plastic surgeons experienced with the
technique. The anesthetic technique is also very safe. Significant complications
such as scarring from the procedure
are rare or virtually unheard of in the hands of experienced surgeons.
Postoperative pinkness can annoy some patients. This is treated with
a steroid ointment. Minor pigmentation changes are also easily managed.
Your skin will feel tight and somewhat dry, but moisturizers resolve
this minor change. People who have a strong history of cold sores may
suffer an outbreak after surgery. Antibiotics and antiviral medications
are used to limit or prevent this occurrence.
5. Will I be red for a long time?
After surgery, a mask or dressing ointment
is placed. During the week after surgery, your body then works to replace
the old skin that was removed. At the end of a week, healing is nearing
completion, though there may be some scabs remaining. Soon these resolve,
and a smooth layer of skin develops. This layer, being new, is somewhat
pinker than your former skin. This pinkness resolves over two or three
weeks and leaves the skin with a healthy glow. The degree of pinkness
is very individualized. If you and your surgeon feel that you are too
pink, a steroid cream can be prescribed to hurry its resolution along.
6. Will my skin color stay the same?
In the appropriately chosen patient,
skin color will be better, with yellow undertones replaced by a rosy
glow. However, laser surgery is not for everyone and works best in lightly
skinned people. Those with deeper
pigmentation could develop some staining of the treated areas that can
be managed with depigmenting creams.
Darkly pigmented patients are not candidates for treatment. As time
passes, the treated area may be slightly lighter
in color than untreated skin.
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