Facial Resurfacing Surgery

 692. Facial Resurfacing Surgery

Facial resurfacing is a procedure that removes the outer layers of skin to stimulate regeneration and reveal smoother, healthier skin beneath. There are three main types: chemical peeling, mechanical peeling, and laser resurfacing—with laser being the most commonly performed today.

Chemical peels use acids to dissolve and remove damaged skin:

• AHA (Alpha Hydroxy Acids) like glycolic acid target the epidermis, while lactic acid is gentler—great for sensitive skin.

• BHA (Beta Hydroxy Acid) such as salicylic acid is oil-soluble and effective for acne-prone skin.

• TCA (Trichloroacetic Acid) can reach deeper layers and is used for scar treatment depending on its concentration.

• Phenol peels go deepest, offering dramatic results but with higher risk and longer downtime.

Mechanical peeling involves physically sanding the skin using a high-speed rotating device. It’s often used for deep acne scars or raised moles, but comes with more bleeding, longer recovery, and high dependence on the practitioner's skill.

Laser resurfacing precisely removes skin using laser energy and promotes collagen regeneration:

• CO₂ lasers (10600nm wavelength) target water in tissues, reaching the upper dermis—ideal for deep wrinkles and acne scars.

• Er:YAG lasers are more water-absorbent, allowing gentler, more precise peeling for fine lines or mild scars with fewer pigment risks.

• Fractional lasers treat only tiny portions of the skin in columns, speeding recovery while improving scars, pigmentation, and fine lines.

• Non-ablative lasers don’t peel the skin but deliver heat to stimulate collagen. They’re safe for pigment issues and fine lines but require multiple sessions.

Since skin regeneration mainly occurs during sleep, proper sleep habits—especially before and after treatment—are essential. Late nights or insomnia can delay recovery.

Facial resurfacing is a form of skin rejuvenation where intentional exfoliation leads to purposeful renewal.

Facial resurfacing is a sculpted renewal through controlled exfoliation.
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