Aging, sun exposure, heredity and lifestyle factors including nutrition, alcohol consumption and smoking all may contribute to facial wrinkling and damaged skin.
Pigmentary changes of the skin, such as blotchiness or brown spots, may also occur with age or as a result of birth control pills, pregnancy or genetic factors. Prior acne may have made the surface of your skin uneven. These problems, as well as certain other skin conditions, may be improved by skin resurfacing.
Skin resurfacing is a cosmetic procedure performed to remove the fine lines of the face. The skin is often prepared with Retin-A especially if there is sun damage. Skin resurfacing is also performed after scar revision to smooth or sand scars and make them appear more even.
The principle of resurfacing the skin is straightforward. Dermabrasion, chemical peeling and laser resurfacing work in similar ways. The top layer of the skin is removed and as the new skin grows there are changes in the remaining skin. Which of these procedures is best for you, depends on several factors and Board-Certified Dermatologist, Debra Jaliman, MD can discuss them with you. There is no incision. This procedure usually requires no anesthetic but may, upon request, be performed under local anesthetic (you are awake). You can choose. It depends a lot on the amount of skin to be resurfaced. Topical anesthetics, including ice and EMLA cream, have been used but except for small areas are not commonly used.