Laser skin resurfacing can minimize fine lines and wrinkles, sun damage and acne scarring. The method involves applying high-energy light waves that vaporize the top layer of skin. Laser treatment can be applied in small specific areas, such as to wrinkles around the mouth or on the forehead, or it can rejuvenate the entire face. Results generally last about 10 years, according to physician Thomas S. Taylor of the Taylor Plastic Surgery Center. Your age, skin type and color, and your ethnic background are important factors in determining possible side effects and complications, as explained by the American Academy of Facial Plastic and Reconstructive Surgery.
Common Early Effects
Immediately after laser skin resurfacing, the treated area will likely feel like you have a mild sunburn. Itching and stinging are common for up to 72 hours, and your skin may ooze and become covered with a light crust. Taylor explains that your laser surgeon may recommend keeping your skin moist with protective creams, ointments or surgical bandages for up to 10 days.
Swelling
Slight swelling of the treated area also is very common after laser skin resurfacing, according to the Cleveland Clinic. Your physician may prescribe a steroid medication to lessen this swelling, and advise you to sleep with an extra pillow. Ice packs also can help.
Reddened Skin
New skin revealed after laser skin resurfacing is typically red or pink. This sunburn-like color usually fades within three months, but may last up to six months, according to the Cleveland Clinic. Blonds and redheads usually have longer-lasting skin redness after laser skin resurfacing than other people. Small white keratin-filled cysts called milia may develop in the laser-treated areas during healing, but you can easily remove them by gentle cleansing with a washcloth.
Viral and Bacterial Effects
Laser skin resurfacing can reactivate an existing herpes simplex virus, leading to a cold sore, as noted by the Cleveland Clinic. Your doctor can prescribe an antiviral medication to prevent this if you are prone to cold sores. Additionally, some doctors may prescribe an antibiotic to prevent bacterial infection, although infections are uncommon.
Pigmentation Effects
Darker pigmentation, called hyperpigmentation, and more rarely lighter pigmentation, known as hypopigmentation, can develop in laser-treated skin and last for several months, as noted by the Elizabeth Roche, M.D. MedSpa. Hyperpigmentation is more common in clients with darker skin and may be resolved with bleaching cream.
Serious Side Effects
More significant complications are very rare and the procedure is generally safe when performed by a board-certified cosmetic surgeon, according to Roche. Burns or other injuries from the laser, as well as abnormal healing and scarring, are possible but unlikely.
