Micro laser peel is a procedure designed to remove the superficial layers of the skin from the face and neck while tightening the underlying deeper dermis. This skin rejuvenating procedure is tailored to the individual needs of each patient. It can be utilized to treat wrinkles, scars, acne scars, and areas of abnormal pigmentation.
You will need to schedule a free consultation with Dr. Myers to discuss the individual benefits of laser resurfacing.
It is important that prior to undergoing any invasive procedure that you develop a comfortable working doctor-patient relationship with your surgeon. During your consultation with Dr. Myers, be prepared to discuss the reasons why you are interested in undergoing a laser resurfacing, what you expect to gain from the procedure, and your final desired outcome.
It is important to bring a list of all of your medical conditions, past surgeries, drug allergies, and any physicians that you are currently seeing for medical care.
It is important to let Dr. Myers know if you have any problems with wound healing, immunodeficient disorders, collagen vascular disease, anemia, poor diet, history of keloid formation, history of herpes or cold sores, psoriasis, vitiligo, lupus erythematosus, and any recent Accutane (Isotretinoin) usage.
Make sure to make a list of all current medications, vitamins, and herbal supplements that you are taking and bring this list with you to your appointment.
Be prepared to discuss alcohol, tobacco, and drug use.
The examination includes a general evaluation of your overall health as well as an examination of your face and neck.
Photographs will be taken for the medical record.
Dr. Myers will discuss with you the individual benefits of laser resurfacing.
Dr. Myers will discuss with you the likely outcomes based on your individualized exam and the possible risk or potential complications.
Most health insurance companies exclude coverage for cosmetic procedures such as micro laser peel or any complications that might occur from procedure. Please carefully review your health insurance subscriber-information pamphlet.
Every invasive procedure involves a certain amount of risk and it is important that you understand the risks involved with micro laser peel. An individual’s choice to undergo an invasive procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following complications, you should discuss each of them with your plastic surgeon to make sure you understand the risks, potential complications, and consequences of micro laser peel.
Infection – Infection is unusual after a micro laser peel. Bacterial, fungal, and viral infections can occur. Herpes simplex virus infections around the mouth or other areas of the face can occur following a laser micro peel. Herpes infections can occur in both individuals with a past history of Herpes simplex virus infections and individuals with no known history of Herpes simplex virus infections in the mouth area. Anti-viral medications may be prescribed. This medication is to be taken both prior to and following the laser micro peel in order to suppress an infection from this virus. Should an infection occur, additional treatment including antibiotics or surgery may be necessary.
Scarring – Although good wound healing after a micro laser peel is expected, abnormal scars may occur within the skin and deeper tissues. Scars may be unattractive and of different color than the surrounding skin. In rare cases, keloid scars may result. Additional treatments may be needed to treat scarring.
Delayed healing – Wound disruption or delayed wound healing is possible. Some areas of the face may not heal normally or may take a long time to heal. Areas of skin may die. Frequent dressing changes or surgery may be required to remove the non-healed tissue. Smokers have a greater risk of skin loss and wound healing complications.
Long term effects – Subsequent alterations in facial appearances may occur as the result of aging, weight loss or gain, sun exposure, or other circumstances not related to micro laser peel. Micro laser peel does not arrest the aging process or produce permanent tightening of the face and neck. Future laser treatments may be necessary to maintain the results of the procedure.
Color Change – Laser treatments may potentially change the natural color of your skin. There is the possibility of irregular color variations within the skin including areas that are both lighter and darker. A line of demarcation between normal skin and skin treated with lasers can occur. If such color changes in the skin occur they may require further procedures or treatments.
Accutane (Isotretinoin) – Accutane is a prescription medication used to treat certain skin diseases. This drug may impair the ability of skin to heal following treatments or surgery for a variable amount of time even after the patient has ceased taking it. Individuals who have taken the drug are advised to allow their skin adequate time to recover from Accutane before undergoing laser skin treatment procedures.
Skin disorders/skin cancer – A micro laser peel is a procedure for the tightening of skin and deeper structures of the face. Skin disorders and skin cancer may occur independently of a micro laser peel.
Unsatisfactory results – There is the possibility of a poor result from the micro laser peel. This would include such risks such as unacceptable visible deformities, wound healing problems, pigmentary changes, prolonged redness, and need for additional treatments. You may be disappointed with the results of micro laser peel. Infrequently, it is necessary to perform additional micro laser peels to improve your results.
Allergic reactions – In rare cases, local allergies to tape or topical preparations have been reported. Systemic reactions which are more serious may occur to drugs and prescription medications. Allergic reactions may require additional treatment.
Smokers have a greater risk of skin loss and wound healing complications.
Most healthy individuals do not need to undergo any test prior to micro laser peel. It is important to let Dr. Myers know about any health problems that you have, medications that you are currently taking, and any previous surgeries.
Smoking increases your risk of complications and wound healing problems. Dr. Myers recommends that you stop smoking 4 weeks prior to undergoing Micro Laser Peel.
Not every patient is a candidate for a Micro Laser Peel. Contraindications to micro laser peel include diabetes, wound healing disorders, excessive scarring, excessive cigarette smoking, pregnancy, immunodeficient disorders, collagen vascular disease, anemia, poor diet, history of keloid formation, history of herpes or cold sores, psoriasis, vitiligo, lupus erythematosus, and any recent Accutane (Isotretinoin) usage.
Dr. Myers will give you a detailed list of instructions regarding your recovery after your micro laser peel. You will be seen in the clinic the next day after your procedure.
Redness and swelling are normal responses after the micro laser peel.
A cold compress or crushed ice may be used to decrease swelling after the procedure.
As a precaution, you may want to sleep with your head slightly elevated the first night after the procedure.
The skin may be cleaned gently twice per day with plain lukewarm water and a lipid free cleanser (i.e. Cetaphil or Dove) beginning on the morning after your micro laser peel. Use your hands to gently apply the soap and water and finish by patting dry with a washcloth taking care not to rub the treated area.
When you shower, be sure to wash your hair behind you. This will help you to avoid getting shampoo directly on the treated areas.
After cleansing your face, reapply your post laser balm (i.e. Aquaphor, Polysporin) taking care to cover all treated areas. The balm is providing a protective barrier that will 1.) keep the skin moist and 2.)provide protection to your skin from damaging pollutants as your skin heals. The balm should be worn at all times while the face is healing. You may discontinue use of the balm once your face is no longer sensitive.
Peeling and flaking generally begins to occur 48 – 72 hours after your micro laser peel. Remember, do not pick at the skin or use any harsh scrubs to speed up the peeling process. Washing more frequently will help promote the peeling process.
Avoid direct sunlight following the procedure and during the healing process. However, if you must be in the sun for any length of time, you should wear a sunscreen with an SPF of at least 30. The proper application is to first apply your post laser balm followed by the sunscreen. Sunscreen contains harsh chemicals that will irritate the healing skin.
Once your face is no longer sensitive to the touch, you may discontinue your post laser balm. You should then begin using a good moisturizing cream to help re-hydrate your skin. Dr. Myers recommends Eucerin. A good skin care program will maximize the lasting benefits of this treatment. Your skin will be fully hydrated and look its best two weeks after the procedure.
Dr. Myers can perform a micro laser peel every 8 weeks until the desired effect is achieved.
The cost of micro laser peel starts at $600.
Dr. Myers is one of the best surgeons out there. Patient, caring, understanding, and always there to lend a hand. I would refer him all of my friends.T.W.
The hand reconstruction surgery you did was so fantastic that not only do I have full use of my hand, but you can’t even see where the skin graft was done. Thanks so much!B.B.
Excellent Surgeon, Great Bedside Manner, Very Concerned, Follows Through with Follow Up, Highly RecommendedT.B.
The service and professionalism that Dr. Myers gave to my husband, saved his, and my life.C.D.
The expedience and care you and your staff gave my family, is unparalleled, anywhere in the medical field.S.D.
After finding a melanoma on my shoulder, I was very fortunate to be sent to Dr. Myers. All the margins were clear and Dr. Myers did a fine job. I certainly recommend him and his staff for their thorough and personal care.S.W. | 09/02/10