Laser Skin Resurfacing with the Erbium YAG laser is designed to significantly change the texture and appearance of skin.
It is a robust procedure with impressive results. We have developed our treatment over time in conjunction with Consultant Plastic Surgeon Andrew Williams and a team of supporting medical staff.
This is not a treatment that can be offered at every clinic up and down the country. The equipment is highly specialist and the person delivering the treatment must be highly qualified and experienced. That said, we are delighted to be able to offer this procedure to our patients, which supercedes the CO2RE Skin Resurfacing treatments that we have previously offered at Good Skin Days.
Laser Skin Resurfacing for wrinkles
With increasing age, so our skin becomes more vulnerable to wrinkles because it changes in three ways:
- The epidermis (upper layer of skin) becomes thinner and less robust.
- The dermis (the middle layer of skin) is changed at a cellular level with a decrease in the main support tissue, a loss of collagen and damage to essential elastin in the skin.
- On a deeper level, the tiny facial muscles that we use to create expressions are less able to bounce back.
All these three factors mean that over time, everyone will experience the effects of ageing on the skin. Some people’s skin will age more quickly than others, especially when family genetics or environmental influences come into play.
Laser skin resurfacing treatment changes the biology of the epidermis, firstly by increasing blood supply to the area. At the same time, increasing the collagen production in the dermis over a period of 8 to 10 months after treatment. The result is a significant improvement in skin texture, with wrinkles and the signs of ageing much improved. Mild wrinkles can often be completely removed, whilst significant long term wrinkles appear shallower and less noticeable.
Laser Skin Resurfacing for scarring or uneven skin texture
Laser skin resurfacing treatment works incredibly well on scarring of the skin’s surface. Even deep pitting of acne and the scars from skin trauma can be improved with this treatment. The Erbium YAG laser removes the outer layers of skin that have been affected by scarring and encourages new skin to grow in it’s place.
Laser Skin Resurfacing for pigmentation
The removal of deep dermal pigment remains difficult for any laser system. However, when the epidermis has an excess of pigment, the erbium laser can be extremely useful. As the top layers of skin tissue are peeled, so the pigment is carried away in the sloughing process. Depending on the depth of pigmentation, significant improvement or complete removal can be achieved.
Laser Skin Resurfacing Prices
|Consultation with Consultant Plastic Surgeon||£95|
|Pre-Treatment Package||from £450|
Areas for Laser Skin Resurfacing
|Upper Lip & Chin||£1400|
Call 01943 882010 or email firstname.lastname@example.org for an appointment
Before and After
Laser Skin Resurfacing Reviews
"Laser resurfacing is not for the faint-hearted but the results have been fantastic. Healing was fairly quick, about ten days before I could really face the world. I am really pleased with my new fresh skin. Everyone has been so kind and helpful throughout the whole process. The staff are knowledgable, supportive and respond with patience and kindness to moments of panic! I would recommend laser resurfacing at this clinic."
Treated - 12/5/16
"Now four months since treatment, but from day one felt it was very worthwhile. I had years of damage around my mouth and this is now much improved. The added benefit is also my skin is now much less dry and takes moisture more effectively.
The treatment itself is painful but all the staff at GSD were very clear about this and the support afterwards was excellent."
Treated - November 2015
Levels of treatment
The number of ‘passes’ over the skin with the laser directly affects the depth of treatment and thus, the results that will be achieved. For example, deeper ‘static’ lines (that exist even when the lips are not pursed) are most effectively treated with between 2 and 5 passes with the laser. Each pass thickens and tightens the skin, reducing even the most significant static lines.
If you would like to treat open pores, pigmentation and fine lines, however, the laser can be used in a far gentler way, with one pass over the skin.
If you are opting for a deeper treatment over certain ‘problem areas’ of the face, we will often recommend in addition, this gentler treatment over the remainder of the face. This is to ensure that once healed, the overall look is smooth and blended. Your Consultant will discuss their recommendations as part of the consultation process.
What parts of the body can be treated?
Laser skin resurfacing treatment is carried out most often on the face, but it may be done on skin in other areas of the body. The hands, neck, and chest are avoided because skin in these areas does not heal as well as it does in other areas. Your skin will be assessed in detail to ensure that the treatment is likely to be successful.
How does the technology work?
The Erbium laser’s 2940nm wavelength is strongly attracted to water. Water that makes up approximately 80% of the skin cells. The brief pulses of high-energy light change into heat energy within the targeted skin cells and in turn, instantaneously destruct them without damaging surrounding skin and tissue. As the laser light passes over the skin, a microscopic 30 millionth of an inch of tissue is removed at each pass.
This incredibly precise control allows the consultant to treat only as deeply as needed, removing wrinkles, scarring and pigmentation, whilst refreshing your overall skin appearance. After the aged and damaged skin is removed, new skin grows in its place. Over the following weeks and months, new collagen is laid down, resulting in an overall firmer, brighter, rejuvenated skin.
The Erbium laser is also ideal for scarless removal of moles, milia and cholesterol deposits around eyes. Using very little lateral heat, it minimises injury and maximises healing, no stitches are required, and treatment is quick.
Is Laser Skin Resurfacing painful?
There is some discomfort associated with this treatment due to the robust nature of skin removal and rejuvenation. You should expect this to last for a short period of time after the procedure, whilst healing takes place, as we explain below.
Treatment with the Erbium YAG laser often only requires a local anaesthetic. This is injected into the areas that will be treated. Sometimes a ‘field block’ anaesthetic is used to freeze one of the main nerves to reduce discomfort. You can take your usual pain-relieving analgesic (eg. paracetamol) one hour before the procedure and regularly afterwards, which can be very helpful.
You will be given eye protection during the procedure to completely protect the eyes from the laser light.
After the procedure
Laser Skin Resurfacing involves removing the top layer of the skin (epidermis) and this means the underlying skin is exposed and vulnerable to infection. It is important that you follow the detailed aftercare advice that will be given to you after post treatment, to minimise the healing time and make it as comfortable for you as possible.
Your skin will look red and sore after the treatment and will excrete some fluid. This is a completely normal part of the healing process and should be expected. After 4-5 days your skin should feel far better. It may remain red and slightly sensitive for several weeks after the treatment. Again, this is completely normal. In fact, it is a positive sign that the treatment has been beneficial to your skin. We will recommend products that will aid the healing process and make your skin feel soothed as they do so.
Best results are seen six to ten months after the initial Laser Skin Resurfacing procedure. It is possible to repeat the procedure, to treat any remaining deep wrinkles on the face, but this should not be undertaken until at least six months has elapsed. Most patients are extremely satisfied with the results, so secondary treatments are rare.
Cautions after treatment
You should avoid skin peels and microdermabrasion for 6 months after treatment.
It is important that a factor 50 sunscreen (or a moisturiser containing this) becomes part of your daily routine for 6 months after this treatment. Protecting the precious new skin from harmful ultraviolet rays will ensure that your skin looks and feels healthy, helping to get the absolute best from this treatment.
One of our Nurses will ring you daily for 7 days after the procedure. They will check on your progress and give support and advice should you need it. You will be asked to come back into clinic 10 days post treatment for a short consultation with a Nurse. This is to ensure that your skin is healing nicely.
How long does laser skin resurfacing treatment take?
We will assess each patient individually. Treatment time will depend on the severity of the skin concern to be treated and how many laser passes that will be required. Treatment can take anywhere between 30 minutes to 2 hours.
Are there any possible complications of this treatment?
Swelling, itching, crusting, and tenderness. These are expected, temporary effects of laser resurfacing.
It is very rare to experience scarring after this procedure. There have been cases of minor scarring occurring. Should this happen, there are treatment options available, including steroid injections and laser treatment.
Hyper-pigmentation can occur post treatment and is much more common in those people that tan very easily. If you are prone to pigmentation, we may advise the use of a prescription skin lotion to suppress pigment 6 weeks prior to Laser Skin Resurfacing.
Hypo-pigmentation can also occur (almost always in darker skin types) which will cause the skin to appear paler than it were previously. This is usually mild and best treated with sun blocking creams (SPF 50 recommended). We may recommend against treatment if you have darker skin as we have safer and more appropriate treatments available for these skin types.
Skin irritation, including acne flare-ups in people who are prone to acne.
Infection is rare after treatment. We strongly advise strict adherence to our aftercare advice to minimise any risk. If any infection occurs, you may require a course of antibiotics.
If you have a history of cold sores, we may recommend that you take anti-viral medication for 7 days.
Is every patient suitable for laser skin resurfacing?
We may advise against treatment if you:
- Have had complications from previous treatment. (Including undesirable changes to the colour of thickness of your skin.)
- Have a skin condition or blood/immune disorder that would inhibit healing.
- Have a history of scarring (keloid or hypertrophic scars).
- Currently use the medication Isotretinoin (for acne) or have used it within the last year. (As the risk of scarring is increased.)
- Have any active skin infections.
Laser skin resurfacing is not suitable for darker skin tones due to the risk of pigment changes.
Before and After
Meet your Consultant
Andrew Williams is an experienced Consultant Plastic Surgeon. He works privately through our clinic and also for the NHS.
Call 01943 882010 or email email@example.com for an appointment