Definition

Skin resurfacing is a cosmetic procedure that improves the appearance of the skin by removing damaged outer layers and encouraging new skin growth. It can help reduce wrinkles, scars, uneven skin tone and other skin concerns. It can also address skin damage caused by aging, acne, sun damage and certain skin conditions. Skin resurfacing is commonly used on the face but can also be performed on other areas of the body.

Many skin resurfacing treatments work by stimulating collagen production. Collagen is a protein that helps keep the skin firm and smooth. As new collagen forms, the skin may appear healthier and have improved texture.

Alternative names

Facial resurfacing; Laser peel; Laser resurfacing; Laser resurfacing treatment; Laser skin resurfacing; Laser skin resurfacing treatment; Skin rejuvenation; Skin renewal treatment

Treatment

Laser skin resurfacing uses focused beams of light to remove damaged skin cells and stimulate collagen production. As the treated area heals, new skin develops that may appear smoother and more even.

Several types of laser treatment may be used, including:

• Ablative lasers, which remove thin layers of skin
• CO2 laser resurfacing, which is often used for deeper wrinkles, acne scars and more significant skin imperfections
• Nonablative lasers, which heat deeper layers of skin without removing the surface

Skin resurfacing is one of several treatments used to improve skin concerns. Related treatments include:

• Chemical peel
• Cosmetic surgery procedures
• Dermabrasion
• Eyelid surgery when loose skin around the eyes is a concern
• Injectable fillers
• Microneedling
• Skin care programs designed to improve skin health
• Skin tightening treatments

Skin resurfacing may help treat:

• Acne scars
• Acne scar discoloration
• Certain benign skin conditions
• Deep wrinkles
• Pigmentation concerns
• Sun damage
• Uneven skin texture
• Uneven skin tone
• Wrinkles

Skin resurfacing is not a treatment for skin cancer. A healthcare provider should evaluate any suspicious skin growths before cosmetic treatment.

Before the procedure

Before skin resurfacing, your healthcare provider will review your medical history and examine your skin. They will discuss your goals, skin type and the best treatment option for your needs. You may be asked to:

• Avoid certain medications that increase bleeding risk
• Avoid excessive sun exposure
• Follow a recommended skin care routine before treatment
• Stop smoking if you smoke
• Use prescribed skin products before the procedure

Your provider may also discuss realistic expectations and explain how many treatments you may need to achieve the desired results.

After the procedure

After skin resurfacing, the treated area may appear red, swollen or sensitive. Healing time depends on the type of treatment performed.

You may notice:

• Dryness
• Increased sensitivity to sunlight
• Mild swelling
• Peeling or flaking skin
• Redness

As healing occurs, new skin forms and collagen production continues. Improvements in skin texture and skin tone may develop over several weeks or months. After treatment, it is important to:

• Avoid direct sun exposure
• Attend follow-up appointments if recommended
• Follow all skin care instructions
• Keep the treated area clean
• Use sunscreen daily

Most patients can return to normal activities within a few days to a few weeks, depending on the type of resurfacing.

Potential side effects

Possible side effects include:

• Acne flare-ups
• Changes in skin pigmentation
• Dry skin
• Increased sensitivity to sunlight
• Infection
• Itching
• Prolonged redness
• Scarring
• Swelling
• Temporary discomfort

People with certain skin conditions or darker skin types may have a higher risk of pigmentation changes. Your provider can discuss ways to reduce these risks.

Outlook

The outlook is positive for most patients. Skin resurfacing can improve skin texture, reduce wrinkles, soften scars and create a more even skin tone.

Results vary based on the type of treatment, the skin condition and the individual’s healing response. Many patients notice smoother skin and a more refreshed appearance after treatment. Continued skin care and sun protection can help maintain results.

For people with acne scars, uneven skin texture or signs of aging, laser skin resurfacing and other resurfacing treatments can provide meaningful improvement. A qualified dermatologist or plastic surgeon can determine the best treatment for your skin and cosmetic goals.

This entry was written by Jennifer Cruz-Urbano, marketing specialist, and reviewed for accuracy by Bruce Mast, MD, FACS. Generative AI was leveraged as part of the content creation process.