There are several ways to achieve scar revision. Scar revision can be performed with a CO2 laser to reveal new skin. This is most common to improve deep acne scars. This procedure has a low risk of scarring and no bleeding. It can improve the appearance of scars on the face to give a fresh youthful appearance. Scar revision can also be performed surgically whereby the existing scar is revised through excision and repair. Some scars may also benefit with the use of skin rejuvenating lasers.
Procedure: The CO2 laser uses a beam of light that vaporizes the upper layers of skin. The laser produces a mild, controlled burn. New skin cells will develop and a fresh layer of skin grows. The time the procedure takes depends on the area of the skin being resurfaced. It may take anywhere from 30 minutes to 2 hours. Most cases are performed with a local anesthetic in the office.
Post-op: You should wait 7-10 days after the surgery to resume your normal daily activities. Complications with this procedure are rare but do include; burns, scarring, change in coloring of skin. Laser skin resurfacing can activate herpes (cold sores) and other infections. A prophylactic antiviral medication may be prescribed if the patient has any history of cold sores. After the procedure, it is common to having flaking and swelling. Ice can be used to reduce the swelling and the doctor can recommend an ointment for the flaking skin.