Our board-certified surgeons, Dr. Holden and Dr. Tsujimura often recommend laser skin resurfacing(LSR) to their patients to improve the health and appearance of the skin. This nonsurgical procedure uses laser beams of light and heat to target localized trouble areas on the face, and LSR is an advanced skin rejuvenation treatment that treats sun damaged skin, improves fine lines and lightens skin pigmentations and blotchiness. With controlled precision, layer-by-layer the skin will be stripped of sun damage and skin lesions. In our Scottsdale office, we customized a treatment plan for your particular skin type to minimize complications and obtain the best result.
"Rhinoplasty - Scottsdale, AZ - I couldn't be happier with my new nose.I hated my nose for as long as I can remember, when I looked in the mirror or at pictures of myself that's all I saw. The first time I met with Dr.Holden he pin pointed my exact issues with my nose with out my having to tell him. He was very kind and patient and answered all of my questions. While talking to him it was obvious he knew what he was talking about and was an expert in his field. I felt so comfortable and confident with him that I canceled my other consultes (with another surgon I used in the past) and scheduled by surgery for the next week. Dr.Holden also saw me at every one of my follow up appointments, not some nurse, which was very important to me and helped with my post surgery anxiety. With being 34 years old and a mother of 3 it was very important to me for my new nose to look natural. It does. I am thrilled when I look in the mirror and the people close to me have all remarked how wonderful it looks. While people that I haven't shared my surgery haven't noticed or at least not enough to say "oh my gosh you got a nose job!" I still look like me. :)"- S. / RealSelf / Jul 30, 2015
"Restylane Lyft Gave Me the Lift I Needed. - Dr. Holden was very knowledgeable and he took time to discuss all options available to me."- L. / RealSelf / Dec 04, 2016
"After many consultations with several surgeons I'm happy to say I found Dr. Holden. He is hands down the best of the best when it comes to trusting someone for facial plastic surgery. Dr. Holden performed a revision rhinoplasty and chin augmentation on me. After doing extensive research, Dr. Holden was more than qualified for the job. He had the same vision I had when it came to creating the masterpiece that he did. He turned my imperfection into perfection. I'm a person who worries about every little thing, and not only did Dr. Holden answer all my questions but he never rushed me and always made me feel comfortable. Behind every phenomenal doctor is great staff. Everyone was positive, smiled and was happy to assist. Andrea provided me with step by step instructions and explained everything to me. The customer service was beyond my expectations. Dr. Holden will be the only doctor to perform any future facial plastic surgery that I may need as I age."- K.A. / Yelp / Oct 28, 2016
"Chin Implant, Lower Facelift, Fat Grafting- 42 Year Old Female- Best Decision - Scottsdale, AZ - Dr Holden was amazing- start to finish. He was very honest with me, and we discussed the best plan for my multiple issues. This was not a quick conversation and I was so impressed with the way he explained everything to me. He spent considerable time going over what the surgery itself would entail, what to expect after surgery, and my questions about recovery. He understands that this is both exciting and a bit terrifying as well- because it is my face after all. I wanted to look like myself, but with a better profile and jawline. He explained that a lower facelift, custom chin implant, as well as a touch of fat grafting under the eyes, at the temples, and at the lips would give me the results I desired.Interestingly enough, I was planning on having a different surgery for this problem, where my jaw would be broken and moved forward (orthagnathic surgery) and we spent considerable time weighing the pros and cons of both. Since my braces had largely corrected my teeth crowding and overbite, there would only be a few millimeters added with orthagnathic surgery. This would not be enough to change my profile in a noticeable way, and I would still need soft tissue reconstruction to get my desired effect. Not to mention, I would NOT need my jaw wired shut for 6 weeks with a facelift, and the pain would be remarkably less as well.Dr Holden made me feel very confident in my decision, and his advice was so valuable to me. His expertise was obvious as well. Not once did he pressure me or rush my decision, and we decided to proceed.After surgery, he was just as interested in my recovery and had frequent follow up visits. I felt he genuinely cared about my well being and outcome. I really could not be happier! I feel so grateful to Dr Holden for all the time he spent walking me through this complicated decision, and the results speak for themselves. When my friends see me now a week out, even though I'm still a little bruised and swollen, the typical reaction is tears of joy. I have several friends who are plastic surgeons, and they were impressed with my results right away as well. I am so grateful that Dr Holden was my surgeon- I have never felt so beautiful."- S. / RealSelf / Sep 11, 2016
"42 Yr Old - Amazing Breast Augmentation Experience - Scottsdale, AZ - Dr Tsujimura was the perfect choice for my breast augmentation. I trusted him immediately. He was kind, respectful, and gave me very honest feedback to my questions. I wanted silicone implants, somewhere in the 250-300cc range, under the muscle, with transaxillary placement. He discussed the pros and cons of implant types, incision location, implant placement, and implant size/profile. We agreed on a plan, and I couldn't be happier with the results. Even though I am only a week out from surgery, they look natural, symmetric, and appropriately sized for my small frame. I did not have any numbness on my inner arm or chest wall, which can happen with the transaxillary approach. I had almost no bruising either, just a little around the incisions. Pain was very minimal. He was very caring and involved during my postop visits as well, and made me feel very comfortable during my recovery. I am so grateful that Dr Tsujimura was my surgeon! I would recommend him to anyone!Also, his office staff and surgery staff are amazing- they make you feel appreciated, important, and they are all so kind and helpful! They made the experience even that much better!"- S. / RealSelf / Sep 11, 2016
Laser skin resurfacing removes the outer layer of skin and heats the underlying layer to stimulate growth of new collagen fibers. During this process, damaged skin cells on the outer layer are stripped away. The underlying dermis is stimulated to grow new skin cells revealing softer, brighter and healthy skin. If small sections of the face are being addressed, the procedure will typically take about 45 minutes. A full-face treatment, or larger areas of skin, can take up to 1 hour. Our surgeons require sedation for their LSR treatments because they are deeper treatments. LSR with our surgeons will provide more dramatic results than a technician or an esthetician can perform. One treatment is usually all that is required.
Ablation vs. Non-Ablation
Laser skin resurfacing is either ablative or non-ablative. During an ablative procedure, an intense beam of laser light energy is directed at the skin, removing the outer thin layers. This process generally results in a longer recovery. The results, however, can be a bit more dramatic. A non-ablative laser does not remove any layers of skin. Instead, it stimulates the growth of collagen, which helps tighten underlying skin. This process offers a lighter recovery. Results will not be immediate, but will appear over the course of multiple appointments.
Considered the gold standard among many practitioners is CO2 (carbon dioxide) laser resurfacing. This is an ablative method, which removes both the epidermis and some of the underlying dermis to promote collagen growth so new, healthy skin can thrive. Examples include the UltraPulse C02 laser, the Sciton Laser Skin Resurfacing System, and the Fraxel repair (fractional CO2) lasers. Our surgeons use the newer generation ablative laser. The UltraPulse CO2 laser provides the deepest reach with the minimum level of energy. This provides the greatest effects with the widest margin of safety and minimizes side effects better than any other C02 laser on the market. These are newer generation lasers that deliver short-pulse light energy as well as continuous light beams to produce customized results for each patient’s specific needs.
During/After the Procedure
Some mild swelling will occur after a laser resurfacing treatment. It is common for the face to have crust and scaling as it heals. The treated area may appear red or pink for several weeks. Normal activities can usually resume within a couple of weeks. Patients who have sensitive skin or who have had adverse reactions to facial products may have increased side effects. Laser skin resurfacing will leave the face exposed with a new layer of healthy, yet sensitive, skin. It’s advised to wear sunscreen every day and limit sun exposure as much as possible.
The cost for laser skin resurfacing varies according to the technology used and the number and size of areas treated. The average cost can range between $2,000-$6,300. Factors included are medications (including anesthesia if needed), practitioner’s fee and machine use costs.
Plan Your Procedure
- Procedure Recovery Location
Laser Skin Resurfacing FAQs
Can it Damage Your Skin?
This procedure was created to improve the appearance of the skin. However, an inexperienced individual can damage the skin unintentionally. It is important to find a laser skin resurfacing professional who understands how the various laser technologies interact with different skin types. If done correctly, the results can be effective and long-lasting.
While laser skin resurfacing does not stop the aging process, the results can still be long-lasting. As patients continue to age, they may consider additional treatments.
Ablative or Non-Ablative?
While one is not better than the other, they have varying degrees of intensity and recovery. Both techniques provide nice results. During your initial consultation, we will discuss which is best for you. Factors include the patient’s aesthetic goals, skin type and how much downtime can be tolerated.