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Laser surfacing|Wrinkle care treatments

Wrinkle care treatments

Prior to laser resurfacing the regular use of topical creams containing tretinoin and/or glycolic acid for 6 weeks or more is recommended by some surgeons to prepare the skin for the surgery.  It is also common for patients who have a history of herpes cold sores to begin taking an anti-viral medication such as Valtrex to prevent the eruption and spread of a cold sore in response to the resurfacing.

Laser surfacing and A local anesthetic or nerve block is administered so no pain is experienced during the procedure.  For more extensive areas, such as a full face laser resurfacing for wrinkles and scars, an intravenous or general anesthetic may be recommended in Skin care treatments.

The eyes are protected from the bright laser beam with special goggles. If the surgeon plans to go in close proximity to the eye then a protective shield is placed over the eye.  The eye is anesthetized with drops and the shield is covered with a lubricant

prior to putting it in place in Laser surfacing.  

The best results are achieved when a combination of free hand and computerized controlled delivery are used.  Free hand places the power and duration of the laser light into the hands of the surgeon, allowing precise removal of irregularities and contour deformities in the skin.  The surgeon outlines a surgical plan in permanent ink on the scars or wrinkles to be resurfaced.  Using the freehand modality the targeted irregularities in the skin are removed in Skin care treatments. 

The computerized controlled delivery is then employed to blend the edges of the areas treated with the free hand modality and to resurface more uniform skin.  This also evens out irregularities in pigmentation.

The free hand approach allows the surgeon control over the results but also required that the surgeon is highly skilled.  If a surgeon simply uses the computerized controlled delivery

unnecessary tissue is lost and the time required for healing takes longer. However, if a surgeon does not understand how the tissue responds to the laser and does not recognize the subtle changes in the tissue when the skin, then they are better off using the computerized controlled delivery alone in Skin care treatments.

After the resurfacing is complete the treated area may be covered with dressings of left open at the discretion of the surgeon.  The use of a dressing hides the raw, oozing skin any may help to reduce post-operative discomfort.  Flexan or Silon II are the most commonly used dressings.  Flexan does not allow for careful visual observation of the skin for potential infection and other complications because it is opaque.  Silon II is clear.  If dressings are used they are left in place for 1 to 7 days.

Does the procedure hurt?

Anesthetic is used to avoid any discomfort during the procedure.  The amount of pain experienced after the procedure depends on the extent of the procedure.  Any discomfort may be controlled with painkillers such as Tylenol.  Acetylsalicylic acid (Aspirin) is not recommended as bruising may be encouraged.

How should the face look after laser resurfacing?

The treated skin is dry and blanched (white) immediately after the application of the laser light.  The surgeon wipes this debris away the underlying skin is very red.

The first few days after surgery can be quite alarming to the patient, if a full face laser resurfacing is performed, especially if the face is not covered with semi-occlusive dressings.  The face often becomes very swollen and gooey (Appendix: Patient Diary).

The skin passes through three phases of healing over the course of 1o to 14 days

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