How you prepare

Before you have laser resurfacing, your doctor will likely:

  • Review your medical history. Be prepared to answer questions about current and past medical conditions and any medications you're taking or you've taken recently, as well as any cosmetic procedures you've had in the past.
  • Do a physical exam. Your doctor will inspect your skin and the area that will be treated. This will help him or her determine what changes can be made and how your physical features — for example, the tone and thickness of your skin — might affect your results.
  • Discuss your expectations. Talk with your doctor about your motivations and expectations, as well as the potential risks. Make sure you understand how long it'll take to heal and what your results might be.

Before laser resurfacing, you might also need to:

  • Take medication to prevent complications. If you're having ablative laser resurfacing — or nonablative laser resurfacing and you have a history of herpes infections around your mouth — your doctor will prescribe an antiviral medication before and after treatment to prevent a viral infection. Your doctor might recommend taking an oral antibiotic medication around the time of the procedure to help prevent a bacterial infection. In addition, your doctor might recommend using a topical retinoid on your skin for four weeks before having ablative laser resurfacing.
  • Avoid unprotected sun exposure. Too much sun up to two months before the procedure can cause permanent irregular pigmentation in treated areas. Discuss sun protection and acceptable sun exposure with your doctor.
  • Arrange for a ride home. If you're going to be sedated during laser resurfacing, you'll need help getting home after the procedure.
June 27, 2017
References
  1. Goldsmith LA, et al., eds. Ablative lasers, chemical peels, and dermabrasion. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed Dec. 20, 2016.
  2. Laser therapy. American Society for Dermatologic Surgery. http://www.asds.net/LaserResurfacingInformation.aspx. Accessed Dec. 20, 2016.
  3. Flint PW, et al. Management of aging skin. In: Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed Jan. 30, 2017.
  4. Skin rejuvenation and resurfacing. American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/skin-rejuvenation-and-resurfacing. Accessed Dec. 20, 2016.
  5. Goldsmith LA, et al., eds. Cosmetic applications of nonablative lasers and other light devices. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed Dec. 20, 2016.
  6. Brown AY. Allscripts EPSi and RRIS. Mayo Clinic, Rochester, Minn. Nov. 17, 2016.
  7. Casey WJ (expert opinion). Mayo Clinic, Rochester, Minn. March 8, 2017.