Photorejuvenation is used to treat color and texture issues. Treatments can include CO2 Fractional Resurfacing, Laser Skin Repair (LPR), tattoo removal, and treatment for telangiectasia (tiny red veins), rosacea, acne scarring, age spots, melasma, and more.

Laser photorejuvenation procedures fall into two categories: ablative and non-ablative.

An ablative process purposefully damages the outer layers of skin in a controlled manner. This forces the skin to rebuild and repair itself. These procedures typically require one or two sessions and require a few weeks to recover completely. Ablative procedures include the Erbium Yag laser and CO2 Fractional Resurfacing.

A non-ablative process affects change by heating the tissue without damaging the outer layers of skin. These procedures stimulate the growth of new collagen, tightening underlying skin and improving skin tone and appearance. Since the outermost tissue is not disturbed there is less downtime, but multiple sessions are typically necessary to achieve optimal results. Non-ablative procedures include LPR with Excel-V, GentleMax Pro, and Enlighten 3.

Ablative: CO2 Fractional Resurfacing

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CO2 Fractional Resurfacing uses a fractional approach: this leaves a portion of healthy cells around the lasered cells in a fine pattern, thus allowing quicker healing compared to a fully ablative laser. In addition to a topical anesthetic, the patient may be sedated for a CO2. Depending on how extensive the treatment plan is the procedure can take up to a few hours. CO2 Fractional Resurfacing is an ablative procedure, so expect a period of 3 to 5 days of avoiding social engagements. Results will develop with healing and collagen will continue to rebuild for several months. 

C02 Fractional Resurfacing is our go-to procedure for overall improvements. Often, a CO2 is combined with other procedures to achieve the best possible outcome. 

Non-ablative: Laser Photorejuvenation (LPR)

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LPR improves rosacea and can eliminate broken blood vessels, as well as red and blue facial veins. LPR is safe for the face, chest, neck, and hands — anywhere sun damage shows.

This procedure is relatively quick, typically only requiring topical anesthetic. Immediately after treatment, the skin will feel tight and turn slightly red. Blemishes that are treated in conjunction with the LPR will turn brown or gray then diminish. Social downtime is minimal since LPR does not disrupt the surface of the skin. It is recommended that the initial treatment consists of at least three sessions, each one month apart. 


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Outside of lasers, microneedling achieves photorejuvenation through controlled mechanical injury. Results are more broad, with improvement of many issues through skin turnover and collagen regeneration. At M.D. Laser Studio we use SkinPen and Infini for Microneedling.

Microneedling is often combined with PRP (platelet-rich plasma), which helps to boost results and healing time. This involves drawing the patient’s own blood and spinning it quickly to separate the red blood cells from the yellow plasma, which is full of platelets and growth factors. The plasma portion is applied to the skin during microneedling or injected directly into the treatment area.

PRP can be used with several procedures at M.D. Laser Studio!