Laser resurfacing treats a number of different conditions, including wrinkles, lines, scars (acne and other types), facial discoloration, and severe sun damage.
Technically, laser resurfacing works by using light energy to produce a controlled burn of the skin. The energy effectively strips away the surface of the skin layer by layer. As the skin heals, the previous photoaged cells are replaced with younger, healthier ones. The type of laser we use will depend on your skin's condition and the severity of your needs.
During your laser resurfacing consultation at our Baltimore, Maryland area cosmetic surgery practice, Dr. Ronald Schuster can determine the best treatment option for you. The two main lasers used today are the CO2 and Erbium lasers. There is also a laser that combines the use of both types. There is simply no better nonsurgical treatment to achieve the smooth, clear appearance of the skin that lasers can provide.*
Call 410-902-9800 to schedule a consultation with Dr. Schuster and learn more!
LASER RESURFACING EXPLAINED
						
					LASER RESURFACING RECOVERY INFORMATION
While laser resurfacing works exceptionally well, there is a significant recovery period of five to 10 days, depending on the severity of the problem and the type of laser used.
One of the biggest issues with laser resurfacing is the potential lightening of the treated skin, such that without makeup, one can see the difference between the treated and untreated skin.
In most cases, this “trade-off” is well worth it. Laser resurfacing should only be performed by a board-certified and properly trained physician, as there are significant risks if it is not performed properly. Laser resurfacing candidates also undergo an extensive preoperative consultation to determine if this treatment is appropriate for them.
LASER RESURFACING TOOLS AND TECHNIQUES:
CARBON DIOXIDE (CO2) LASER
PURPOSE
- To treat surface wrinkles – laugh lines, crow's feet, lip lines
 - To tighten skin a bit but not like a facelift – laser resurfacing treatment “tightens the bed sheets but doesn’t change the mattress”
 - Excellent for sun-damaged or weathered skin. Architecture is actually improved, more orderly, and rejuvenated
 - Can complement other facial procedures to achieve optimal results
 - Very good for scars from acne, chicken pox, and injuries
 
RECUPERATION
- You’ll experience moderate pain, limited to one to two days.
 - Your skin heals in about 10 days. After healing is complete, the skin remains a deep red color for two to three weeks, then gradually turns pink over the next two to three months. You can typically wear makeup in seven to 10 days after laser resurfacing treatment with the CO2 laser.
 - It’s recommended to take 10-14 days off from school/work.
 - You can get back to full activity in two weeks.
 - The effects will continue to improve for three months.
 
ERBIUM: YAG LASER
PURPOSE
- Treats fine lines and wrinkles
 - Often used on younger patients
 - Not as much “tightening” effect as CO2 laser resurfacing
 
RECUPERATION
- Overall, recuperation is slightly faster than the CO2 laser in all phases of healing/redness.
 - Your skin heals in about seven days. Redness is milder than the Carbon Dioxide laser resurfacing treatment and gradually fades over four to six weeks. You can wear makeup to cover the pink color.
 - It’s recommended to take 10-14 days off from school/work, depending on your type of employment.
 - You can get back to full activity in two weeks.
 
WHY CHOOSE DR. RONALD SCHUSTER?
Ronald H. Schuster, MD, is a board-certified plastic surgeon serving patients in the Baltimore, Maryland, metro area. He is the immediate past Chief of the Plastic Surgery Division at Northwest Hospital Center in Baltimore County.
With extensive training that includes a medical degree from the University of Maryland School of Medicine, a five-year general surgery residency at Sinai Hospital in Baltimore, and a three-year plastic surgery residency and fellowship at Washington University’s Barnes Hospital, Dr. Schuster combines advanced skill with years of experience. He leads his own private practice dedicated to facial procedures, breast surgeries, liposuction, and abdominoplasty, as well as non-surgical treatments like laser resurfacing and BOTOX® therapy.
As a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the American Society for Laser Medicine and Surgery, Dr. Schuster is recognized for his contributions to research and advancements in cosmetic surgery techniques. Patients throughout Baltimore trust him for his commitment to safety and results that help them look as young as they feel.
COMMON QUESTIONS ABOUT LASER RESURFACING
Patients report seeing softer and smoother skin within just a few months of their laser resurfacing procedure. Results can last for several years afterward. Laser resurfacing is safe to repeat in the future if results begin to fade. Think in terms of results lasting decades not years.
Like other popular cosmetic treatments, you may experience mild discomfort during your laser resurfacing procedure. It is often performed with local anesthesia, in which the area being treated is numbed to minimize any pain. Some patients describe laser resurfacing as a pinching or stinging sensation.
Following the treatment, you might experience some swelling or irritation. Dr. Schuster will review the best steps to take after your appointment to minimize the discomfort.
Both laser resurfacing and microneedling are effective treatments for achieving smoother, more youthful-looking skin. However, the procedures work in very different ways, and choosing the best option for you depends largely on your desired outcomes.
Laser resurfacing can target fine lines, wrinkles, or scars and can even tighten skin, depending on the type of laser we use. The effects are vivid and long-lasting. However, laser skin treatment is typically more expensive and involves a longer recovery time than microneedling. Laser resurfacing is a more aggressive treatment that can address more severe issues and yield more dramatic results than microneedling.
Microneedling stimulates collagen production and improves the overall texture and health of the skin. It can soften surface irregularities, smooth out small depressions, and reduce mild discoloration for a more even complexion. Because it is less invasive than laser resurfacing, recovery is quicker and easier. However, microneedling cannot correct deeper wrinkles or sagging skin.
The best option for you will depend on your specific skin concerns, skin type, and the results you’re hoping for. During your consultation, Dr. Schuster can discuss both options based on your unique goals.
It depends on the areas we are treating. We can easily treat small areas such as the lower eyelids or around the mouth with just a local anesthetic (a numbing injection). Larger area and full face treatments are best done with either IV sedation or a light general anesthetic. Dr. Schuster will provide recommendations based on your personal needs.
They are completely different. BOTOX® weakens the muscles that create the wrinkles, but it doesn’t do anything to the surface texture or discoloration. BOTOX® results are temporary and typically need to be repeated every three to four months.
Laser resurfacing treats the wrinkles themselves, tightening and smoothing the skin. Laser resurfacing is much more aggressive and lasts many years.
Before treatment, we usually advise you to avoid tanning, sun exposure, and certain skin care products that may increase sensitivity.
Following the procedure, the skin will need special care to heal properly. This typically involves gentle cleansing, frequent moisturizing, and diligent use of sunscreen once healing is complete.
Yes, you can combine laser resurfacing with other skin rejuvenation procedures, but the timing and order are important.
For example, chemical peels and microneedling can complement results, but these treatments are usually performed at different stages to allow the skin to recover properly.
Laser resurfacing can be performed on a wide variety of skin types, but some patients may face a higher risk of pigmentation changes depending on their skin tone. Adjustments in technique and careful selection of the right type of laser help minimize these risks.
A thorough evaluation with Dr. Schuster ensures that the procedure is suited to your skin.
Certain habits can impact how well your skin heals and how long your results last. Smoking, excessive sun exposure, and inconsistent use of sunscreen can all shorten the benefits of treatment.
A healthy lifestyle that includes sun protection, proper hydration, and regular skin care will help maintain smoother skin after laser resurfacing.
Many patients see significant improvement after just one laser resurfacing session. However, the number of treatments required depends on the condition of your skin and the goals you wish to achieve.
Some patients with deeper wrinkles or extensive sun damage may benefit from additional sessions spaced out over time.
SCHEDULE A LASER SKIN RESURFACING CONSULT WITH DR. SCHUSTER!
Contact plastic surgeon Ronald Schuster, MD, by calling 410-902-9800 to schedule a laser resurfacing consultation at our Baltimore, Maryland, area center. Our talented team will help you arrange your meeting!
*Individual results may vary