What should you know about full ablative laser resurfacing?

A laser removes the surface of the skin over the planned area rather than leaving untreated bridges between treatment zones. This can address selected texture changes, fine lines, and sun-damaged skin, but the depth and settings must match the body site, skin type, and concern. CO2 laser is one technology used for ablative resurfacing; the device and settings should be specified during consultation.

The treated skin becomes tender, red, swollen, and moist as it heals. New surface skin forms over time, followed by gradual colour settling and collagen remodelling. The treatment is more involved than a superficial peel, and it is not suitable to schedule casually before sun exposure or an event.

Tell the clinician about cold-sore history, active acne or dermatitis, medicines, allergies, scarring tendency, and recent tanning. Discuss antiviral or other preventive treatment when clinically indicated. Arrange time away from work, clean bedding, prescribed ointment, and help if the treated area is extensive.

After treatment, cleanse and dress the skin exactly as directed. Do not peel flakes, use unapproved acids or retinoids, swim, or expose the healing surface to heat and sun. Once the surface has closed, use the recommended broad-spectrum sun protection and attend review visits. Pigment changes can be more noticeable in some skin tones.

Contact the clinic for increasing pain, worsening swelling, spreading redness, pus, fever, a foul smell, blisters outside the treated area, or delayed healing. Seek urgent help for eye pain or vision change after treatment near the eyes, facial swelling with breathing difficulty, or signs of a severe allergic reaction. Do not conceal a suspected infection under makeup or an occlusive product.

Which laser and settings are planned, and why? How deep will treatment go, how will my skin tone and medical history affect the plan, what wound-care products are needed, and when can I return to work, exercise, makeup, and sun exposure? Ask about alternatives such as fractional resurfacing or a chemical peel when appropriate.