What is laser resurfacing

Laser skin resurfacing is a noninvasive procedure performed in a medical office that uses heat to target the outer or deeper layers of the skin. By creating controlled microdamage, it stimulates the body’s natural healing process, leading to skin renewal. The more intensive forms of this treatment remove the top layer of skin entirely, allowing fresh, regenerated skin to emerge with improved tone and texture.

This technique is often used to address concerns such as fine lines, wrinkles, uneven pigmentation, acne scars, dark circles, crepey skin, and dullness. Certain laser treatments can also provide a mild skin-tightening effect, helping to restore a more youthful look.

How much does laser resurfacing cost

The cost of laser resurfacing in Australia varies significantly, ranging from around $500AUD to $5,000AUD per treatment. Factors like the specific laser type (CO2, fractional, IPL etc) the size of the treatment area, and the clinic's location can all impact the price. For instance, a full-face CO2 laser treatment might cost $2,195AUD, while a smaller area like the neck or chest could be significantly less. 

The cost of laser skin resurfacing in the USA is also varied but generally ranges from $500USD to $3,000USD per session. The average cost for ablative laser resurfacing is around $2,509USD, while non-ablative treatments average around $1,445USD. The average cost for laser skin resurfacing in Mexico is around $1,028USD. The cost can range from a minimum of $250USD to a maximum of $3,000USD.

Laser skin resurfacing in Turkey typically costs between $1,000USD and $3,000USD, with CO2 laser resurfacing potentially ranging from $1,500USD to $3,000USD. Fractional laser resurfacing, which requires less downtime, is estimated to cost between $1,000USD and $2,500USD.

Different types of laser resurfacing

Laser skin resurfacing treatments fall into two main categories: ablative and non-ablative.

Ablative lasers, such as CO2 and Erbium, remove the top layer of skin while heating deeper layers to stimulate the body’s natural healing response. CO2 lasers are particularly effective for treating scars and loose skin, but fully ablative treatments can be quite aggressive, requiring general anesthesia and up to two weeks of recovery as new skin forms. Erbium lasers, while still powerful, are gentler and typically involve less downtime, often performed with local anesthesia. These treatments are best suited for individuals with fair skin tones (Fitzpatrick types I–III). Ablative lasers can significantly improve deep wrinkles, sun damage, and skin laxity in a single session.

Non-ablative lasers, including Clear + Brilliant, Laser Genesis, and the Neo Elite Aerolase, heat the deeper layers of skin while leaving the surface intact. These treatments are safe for all skin tones, pose minimal risk of complications, and require little to no recovery time. However, achieving noticeable results typically requires multiple sessions.

Fractionated lasers, such as Fraxel and Halo, break up their energy into thousands of microscopic beams to treat a small percentage of the skin at a time, reducing trauma and accelerating healing. These lasers can be ablative, non-ablative, or a hybrid, like Halo. Fraxel, one of the most well-known fractional lasers, can be used in an ablative form with the Fraxel Repair CO2 laser or as a non-ablative treatment with the Fraxel Dual/Restore laser. Ablative fractional lasers may still leave the skin red and raw, but downtime is significantly shorter than traditional CO2 resurfacing, typically ranging from a few days to a week, depending on the intensity of the treatment.

How is laser resurfacing performed

The specifics of your laser skin resurfacing treatment will depend on the type of laser used by your provider.

For an ablative laser treatment, preparation may include taking an antiviral medication if you’re prone to cold sores and an antibiotic to reduce the risk of infection. Some doctors recommend using a topical retinoid or hydroquinone for about a month beforehand to promote skin renewal and prevent pigmentation issues. Sun exposure should also be minimized for several weeks before and after the procedure to prevent complications.

Ablative resurfacing is typically performed in a medical office or surgical setting. Depending on the intensity of the treatment, your provider may administer local anesthesia with sedation or, in rare cases, general anesthesia. The laser works by removing the outer layer of skin while heating the deeper layers, stimulating collagen production and tightening existing fibers to improve texture and firmness. The procedure can take anywhere from 30 minutes to two hours, depending on the treatment area. Afterward, a protective ointment and dressing may be applied, and you’ll need someone to drive you home.

For non-ablative laser resurfacing, your dermatologist may apply a numbing cream and allow it to take effect for about an hour. Some patients choose to take pain relievers or anti-anxiety medication for additional comfort. Once the skin is numbed, the laser is passed over the treatment area, gently heating the deeper layers to encourage collagen production and improve skin elasticity. Depending on the specific laser and the size of the area being treated, the session may last between 15 minutes and two hours.

How to prepare for a laser resurfacing treatment

To prepare for laser resurfacing, minimize sun exposure, avoid harsh skincare products, and inform your doctor about any medications or medical conditions. You may also need to take antiviral medications to prevent complications, like herpes outbreaks.

What are the risks and possible side effects of laser resurfacing

Laser skin resurfacing is generally a safe procedure when performed by a board-certified dermatologist or plastic surgeon, though complications such as infections, acne flare-ups, or other healing issues can occasionally occur, especially with ablative treatments.

Individuals with medium to deep skin tones may be at greater risk of developing hyperpigmentation following ablative laser procedures. Similarly, those with lighter skin that has been tanned or patients prone to melasma may experience worsening pigmentation concerns.

How long do results from a laser treatment last

The effects of laser skin resurfacing can last for several years, though natural aging will continue over time. Ablative treatments can provide noticeable improvements for up to a decade, while non-ablative treatments typically require a touch-up within two to five years.

Regardless of the treatment type, consistent sun protection is crucial for preserving results. It's also recommended to pair laser resurfacing with IPL photofacials to help manage sun damage and age spots. Additionally, regular pulsed dye laser sessions can enhance the skin’s appearance by reducing redness.

How long is recovery from a laser resurfacing treatment

Recovery after laser skin resurfacing depends on the type of treatment received.

Following an ablative procedure, expect up to two weeks of downtime as your skin heals. Initially, the skin may appear severely sunburned, with redness, swelling, itching, and possible blistering. Oozing may occur in the first few days, followed by crusting and peeling. It’s important to resist touching or scratching the treated area, as this can lead to scarring. During the early stages of healing, meticulous skincare is necessary. Cleansing the skin multiple times daily with a saline or vinegar solution and applying a moisturizer, as instructed by your doctor, can support recovery. It's also important to keep the skin hydrated with Vaseline or Aquaphor, which are well-tolerated options. In cases where infection risk is higher, vinegar soaks may be advised.

Mild swelling is expected, but sleeping with an extra pillow and using ice packs may help reduce it. If inflammation is more pronounced, a doctor may prescribe steroids to calm the reaction. Once peeling subsides—typically after 10 to 14 days—oil-free makeup can be used to cover lingering redness. For fair-skinned individuals, a pinkish tone may persist for several months. To protect new skin, applying a high-SPF (50 or higher) sunscreen daily, wearing a wide-brimmed hat, and minimizing sun exposure is essential. Many patients opt for laser treatments in the cooler months to reduce UV exposure, though strong sun protection remains necessary year-round.

Non-ablative laser resurfacing requires little to no downtime, allowing most people to return to daily activities immediately. Temporary redness and swelling may last a few hours or days, and treated areas may darken and flake. Relief can be found through ibuprofen, frequent moisturization, and ice pack application. Regardless of the type of laser treatment, diligent sun protection is a vital part of post-care to preserve results and prevent complications.