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SKIN RESURFACING

Skin resurfacing is a procedure that employs a carbon dioxide (CO2)
laser to remove areas of damaged or wrinkled skin. Resurfacing is
often used to minimize the appearance of wrinkles around the mouth
and eyes, but it is also very effective in treating facial scars,
age spots or areas of uneven pigmentation.
Good candidates for laser skin resurfacing are:
- People with wrinkled or sun damaged skin on the face
- Brown spots or blotchy skin coloring
- Fine wrinkles on your upper eyelid
- Acne or other facial scars
- Certain skin growths
- Vertical wrinkles around your mouth
- Crows feet
- Superficial facial scars
Skin resurfacing treatments can cover a whole area or focus on a specific
region of skin. These treatments are often used in conjunction with
other procedures such as facelift or eyelid surgery. Although this
is a relatively new procedure, laser resurfacing has been shown to
produce less bleeding bruising or post-procedure discomfort than other
resurfacing methods.
The procedure is relatively quick, and the length of the procedure
can range anywhere from a few minutes to 1 1/2 hours, depending on
the area being covered. Patients are given a local anesthetic and
put under sedation, meaning they are awake but relaxed. However, for
extensive treatment, the physician may prefer to use a general anesthesia,
which will allow you to sleep through the procedure.

Pre-operative Instructions
- Take Famvir or Valtrex
- No sun exposure prior to peel for one week
- Wash your face well before coming to the operating
room, apply no makeup
- Aspirin or Motrin before & after surgery if
no other procedure is being performed will help with healing
Post-operative Instructions
- No exposure to the sun, wear a hat
- Keep your head elevated higher than your heart for three days
after surgery
- Use a cool compress over your face for the first 24 hours after
the procedure
- Use a sunscreen SPF 30 or greater after healing, apply 30 minutes
prior to exposure and frequently
- Drink a lot of fluids
- Keep A&D ointment on your face 24 hours a day for 14 days
after surgery
- Do not pick the crust; it will peel itself in approximately
one week
- Chemical peels may be repeated in the future if desired
- Use Benedryl for itching
- Wash your face with a mild soap at least 3 times a day for
the next week
- Let tepid shower water run over your face
- Replacement hormones may be continued; however, oral contraceptive
pills (birth control pills) should be discontinued for one month
to prevent discoloration of the skin

Laser treatment will create a superficial injury.
An ointment will be applied immediately after resurfacing. It
is essential that you keep your lasered areas lubricated with A&D
Ointment, or some other comparable product. Do nothing for the first
24 hours except apply the ointment and cold compresses.
After the initial 24-hour period begin cleansing
your lasered areas with a mild cleanser and cold water by gently
massaging it onto the areas with your fingertips, do not
use a washcloth or any abrasive material. This may cause
skin damage. After cleansing, gently pat dry, and then apply a generous
amount of ointment. Repeat this process at least three times a day.
Please refrain from using any product on the lasered areas other
than recommended by Dr Daube for the first month, unless instructed
otherwise by Dr. Daube.
You may observe white scabs forming on or about the
second or third day after resurfacing. This is normal. Do
not pick or pull at the scabs as this is your body’s own method
of protecting an injured area. They will fall off later,
depending upon how quickly your skin heals. You will also experience
a “weeping” of your skin along with some swelling, this
is also normal.
Your lasered areas will be pink or red, depending
on the depth of your laser treatment. Loss of skin pigment is normal.
Complete healing usually occurs in six to eight weeks; however,
please do not use any facial products or makeup for one month or
until instructed by Dr. Daube.
Avoid sun exposure until healed, and then
wear sunscreen of SPF 30 or higher for the next six months. Do
not use Retin A, or any alpha hydroxy acids for one month after
surgery. Please call the office to make an appointment to begin
a skin care program after your treatment. It is recommended at that
time to maintain a healthy complexion.
If you experience any unusual discomfort or
develop a fever call our office.

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