Laser wrinkle removers remove wrinkles by stimulating the production of collagen. Depending on your skin condition, your doctor may recommend that you go for ablative laser resurfacing. Ablative resurfacing procedures are done on an outpatient basis, and typically take between 30 minutes and two hours, depending on the technique used and the size of the area treated.
Ablative laser resurfacing results in wounding of the skin and complications may arise.
Complications of ablative laser resurfacing can include:
Hyperpigmentation or hypopigmentation - skin tone that turns darker or lighter than normal three to four weeks after surgery and can last several months. You are more likely to develop hyperpigmentation if you have a darker skin tone. Avoid direct sun exposure and apply adequate sunscreen for up to two months before and a year after the procedure to avoid permanent irregular coloration in your facial skin. Seek advice about sun protection, allowable sun exposure and other protective measures from your doctor.
Herpes virus infection - the virus that causes cold sores. This happens when the herpes virus is already present but dormant in the skin. Laser resurfacing may activate the virus. If you have a history of frequent or severe cold sores, shingles in or near the area of treatment, or a recent outbreak of herpes, your doctor can prescribe acyclovir (Zovirax) or valacyclovir (Valtrex) to prevent these infections after laser surgery.
Bacterial infection - your doctor may prescribe antibiotics such as azithromycin (Zithromax), before and after laser resurfacing to help prevent a bacterial infection.
Acne flares - keep your skin clean and avoid the use of makeup for the first two weeks to prevent the clogging of pores.
Scarring - talk to your doctor if you have had problems with scarring, or if you have a history of keloids which are ridged areas caused by an overgrowth of scar tissue. Talk to your doctor if you are on medication such as isotretinoin (Accutane) as this can increase your risk of scarring after laser resurfacing.
Small white bumps (milia), inflammation of the dermatitis, prolonged redness - your skin may be raw, oozing and blister. The yellowish liquid that oozes from treated areas may form crusts. Avoid picking crusts or pieces of skin to prevent scarring.
Tingling, burning and itching sensations - your doctor may ask you to take acetaminophen (Tylenol, others) to relieve your symptoms. Your doctor will also apply an ointment, dressing and a bandage.
You are likely to experience pain during your laser resurfacing procedure and your doctor will prescribe the use of local anesthesia. For the first 24 hours after sedation, you may have lapses of memory, slowed reaction time and impaired judgment. Arrange for someone to drive you home if you're having an outpatient procedure that involves sedation.
While recovering, keep your skin moist by using protective creams containing aloe vera and Vitamin E. Remain at home and limit your activity level. Your skin will be sensitive to sunlight and may stay red or pink for up to several months following laser resurfacing. Once new skin has completely covered the treated area after about two weeks, you may use cosmetics to conceal any lingering redness. Use a sunscreen and minimize sun exposure.
By following the above recommended steps, you will be able to enjoy the results of using laser wrinkle removers complication-free.
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