Facial wrinkles, uneven pigmentation and certain scars such as those caused by acne can be improved by a variety of skin resurfacing techniques. Chemical peels, dermabrasion and laser skin resurfacing
are possible methods. Dr. Azouz will select the technique that he feels is best in your particular case. Aging, sun exposure, heredity and lifestyle factors including nutrition, alcohol consumption and smoking all may contribute to facial wrinkling. Pigmentary changes of the skin, such as blotchiness or brown spots, may also occur with age or as a result of birth control pills, pregnancy or genetic factors. Prior acne may have made the surface of your skin unweave. These problems, as well as certain other skin conditions, may be improved by skin resurfacing. Chemical peels, dermabrasion and laser skin resurfacing all achieve results in basically the same way. Layers of your skin are removed and, as the healing process progresses, a new, healthier-looking skin emerges. An AHA (alpha hydroxy acid) peel is performed in your plastic surgeon’s office. No anesthesia or sedation is needed, and you will only feel a tingling or mild stinging sensation when the solution is applied to your face. Immediately after the procedure, you generally will be able to wear makeup, and you can drive yourself home or back to work.
Dermabrasion is sometimes selected for the treatment of facial scars such as those caused by acne and often is performed on the cheeks and the entire face. Dermabrasion, like the deeper chemical peels, is very effective in reducing the appearance of vertical wrinkles around the mouth that often cause lipstick “bleed.”
Skin resurfacing using a carbon dioxide (CO²) laser is the most recently developed of the techniques. Its effects are similar to those of chemical peels and dermabrasion, except that the laser removes skin layers by vaporization rather than with chemicals or a sanding device. Some patients may benefit from the laser’s mild “tightening” effect on the skin, particularly in the lower eyelid area where the skin often becomes somewhat loose as a result of aging.