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
"I Couldn't Be Happier! - Dr. Holden is a very talented physician. Not only is he exceptional at facial plastic surgery, he is kind, compassionate and caring. I am extremely pleased with my eye lift and face lift, I couldn't be happier. He makes you feel comfortable every step of the way explaining the surgery and recovery in detail. He has the best bed-side manner of any physician I've encountered!"- S. / RealSelf / Nov 28, 2018
"Dr. Holden for Rhinoplasty! - I had a rhinoplasty procedure yesterday, after years of wanting to have one, but not actively pursuing to do so. I wanted a small refinement to my profile. I chose Dr. Holden because of his warm and caring nature, and his close attention to detail. In the initial consultation and meeting with Dr. Holden, I knew I had chosen the right doc for the job. Not only is he a fantastic plastic surgeon..."- A. / RealSelf / Oct 18, 2018
"Dr. Paul Holden is a Very Gifted Plastic Surgeon. - Dr. Paul Holden is a fantastic plastic surgeon. I would highly recommend that anyone needing facial plastic surgery use him. My results were outstanding. Arizona is very fortunate to have him as a resource in our area."- D. / RealSelf / Sep 19, 2018
"Walking through the fear! - I initially went to talk to Dr. Holden in May of 2016 about straightening my septum and removing a bump on my nose from when it was broken when I was young. I got nervous and opted not to do it. A friend of mine went to see him for a similar surgery and went through with it. After seeing the results and the success that my friend had I opted to go through with it in March of 2017. Tonight I..."- B. / RealSelf / Sep 16, 2018
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.