Cookies on the Bupa website

We use cookies to help us understand ease of use and relevance of content. This ensures that we can give you the best experience on our website. If you continue, we'll assume that you are happy to receive cookies for this purpose. Find out more about cookies

Continue

Navigation

Laser resurfacing

Laser skin resurfacing is a procedure to remove the outer layers of the skin on your face and encourage new skin to grow. People usually have it for cosmetic reasons – it may be able to remove wrinkles and tighten your skin.

An image showing the structures and layers of the skin

Details

  • About What is laser resurfacing?

    In laser resurfacing, an intense beam of light radiation is directed on to your skin. Depending on the type of laser used, the laser therapy may be able to:

    • remove fine wrinkles
    • tighten your skin
    • even out your pigmentation (colouring)
    • smooth rough skin
    • improve the look of scars, including shallow acne scars
    • treat certain early skin cancers

    Your surgeon can direct the laser on particular problem areas, such as wrinkles around your eyes, mouth or nose. Or they can treat the whole surface of your face. You can have laser resurfacing treatment on other areas too, such as on the skin on your neck, chest, and hands. This topic just describes laser resurfacing on your face.

    Bupa On Demand

    Want to talk to a Bupa consultant? We’ll aim to get you seen the next day. Prices from £250.

  • Types Types of laser resurfacing

    There are two main types of laser resurfacing – ablative and non-ablative.

    • Ablative laser resurfacing destroys the surface layer of your skin, which is called the epidermis. It does this in a controlled way, and exposes the deeper layer that’s called the dermis. The laser power heats this dermis layer, which stimulates new fibres of collagen to grow. Collagen is a long fibrous protein that supports tissues and cells. As the wound heals, you’ll form new skin that’s softer and less wrinkled or scarred than before.
    • Non-ablative laser resurfacing doesn’t destroy the epidermis but targets the dermis. It heats up the dermis to encourage new skin to grow, working beneath your epidermis to stimulate collagen growth.

    Ablative laser resurfacing works best in people with white skin that doesn’t tan well. The non-ablative type is usually better for people with darker skin.

    This topic mainly describes ablative laser resurfacing. See our section belowon non-ablative laser resurfacing to learn more about this type.

    Bupa On Demand

    Want to talk to a Bupa consultant? We’ll aim to get you seen the next day. Prices from £250.

  • Preparation Preparing for laser resurfacing

    Your surgeon will explain how to prepare for laser resurfacing. Your care may not be quite as we describe here as it will be designed to meet your individual needs. But you’ll meet the surgeon carrying out your procedure beforehand to discuss what will be involved. If you smoke, it’s a good idea to quit because smoking can affect how well the procedure works.

    Your surgeon can do laser resurfacing in their clinic, or in an operating theatre in a hospital.

    Laser resurfacing is usually done as a day-case procedure where you have the procedure and go home the same day. You’ll usually have a local anaesthetic, which completely blocks pain from your face and you stay awake during the procedure. Your surgeon may offer you a sedative too – this helps you to relax and stop feeling anxious. Or you can have laser resurfacing done under general anaesthesia and be asleep during the procedure.

    If you have a general anaesthetic, it’s important that you don’t eat or drink anything for several hours before your procedure. Follow your anaesthetist’s advice. If you have any questions, just ask.

    Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand exactly what will happen. You might find it helpful to prepare some questions to ask about the risks, benefits and alternatives to the procedure. This will help you to inform yourself about the procedure so you can give your consent for it to go ahead. You will be asked to sign a consent form.

    Bupa On Demand

    Want to talk to a Bupa consultant? We’ll aim to get you seen the next day. Prices from £250.

  • Alternatives What are the alternatives to laser resurfacing?

    Alternative treatments to resurface your skin include the following.

    • Chemical peels – these use acid to remove layers of your skin.
    • Dermabrasion – in this procedure, your surgeon will remove the outer layer of your skin using a rotating surgical instrument.

    If you have very deep wrinkles or sagging skin, surgery such as a facelift may be a better option for you. A plastic surgeon will discuss the different options with you.

  • The procedure What happens during laser resurfacing?

    How long your procedure takes will depend on how much of your face you’re having treated and the type of laser your surgeon uses.

    You may need to wear an eye shield, depending on which areas of your face are to be treated.

    During laser resurfacing, your surgeon will pass a laser beam over your face. They will have precise control over where and how deep the laser penetrates. After the laser treatment, your surgeon may cover your face with an ointment or dressing.     

  • Aftercare What to expect afterwards

    After a local anaesthetic, it can sometimes take several hours before the feeling comes back into your face. Your skin will feel raw and you may need pain relief to help with any discomfort as the anaesthetic wears off.

    If you have a general anaesthetic, you’ll need to rest until the effects of the anaesthetic have passed. You’ll usually be able to go home when you feel ready. If you had a general anaesthetic or sedative, or your dressings obstruct your vision, ask a friend or relative to drive you home. And ask them to stay with you for the first 24 hours. Ask your surgeon or nurse for information on how to look after your skin during your recovery.

    Having a general anaesthetic can really take it out of you. You might find that you’re not so coordinated or that it’s difficult to think clearly. This should pass within 24 hours. In the meantime, don’t drive, drink alcohol, operate machinery or sign anything important.

  • Recovery Recovering from laser resurfacing

    It usually takes about a week to 10 days for your skin to heal, and two to six months for the redness to fade completely. This varies between people and also depends on the type of laser your surgeon uses, so they can tell you more.

    Your skin may be swollen for the first few days after the procedure. If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information leaflet that comes with your medicine and, if you have any questions, ask your pharmacist for advice.

    You might find it helpful to keep your head raised at night and to apply ice to your face – use a covered ice pack or wrap ice in a towel. Don’t apply ice or an ice pack directly to your skin.

    Your surgeon may give you a course of antibiotics to take after the procedure to prevent an infection. It’s important to follow your surgeon’s advice to help ensure your skin heals quickly and you get good cosmetic results. They may advise you to do the following.

    • Stay out of the sun until any redness has faded. This is because you may develop dark patches, particularly if you have olive, brown or black skin. If you need to go out, put some sunscreen on that’s at least factor 25 and has both ultraviolet A and B protection. It’s important to keep using sunscreen for a year after your treatment.
    • Wash your face gently and then moisturise your skin every day. This will keep your skin supple and help to prevent it drying out. Ask your surgeon what products to use.
  • Side-effects Side-effects of laser resurfacing

    As with every procedure, there are some risks associated with laser resurfacing. We haven’t included the chance of these happening as they’re specific to you and differ for every person. Ask your surgeon to explain how these risks apply to you.

    Side-effects are the unwanted but mostly temporary effects you may get after having the procedure. Side-effects of laser resurfacing include:

    • swelling, crusting, or weeping of your skin for the first week or so after the procedure
    • skin redness that may last for two to six months
  • Complications Complications of laser resurfacing

    Complications are when problems occur during or after the procedure. Complications of laser resurfacing include the following.

    • Developing an infection.
    • Changes to your skin colour – this is more likely if you have dark skin.
    • Scarring – this is rare but your risk increases if you have recently had radiotherapy in the same area. It’s also more likely to happen if you’re prone to keloid scars (overgrown scar tissue) or have recently taken an acne medicine called isotretinoin.
    • Cold sores – your surgeon may suggest you take a preventive medicine called aciclovir to stop this happening.
  • FAQ: Treating acne Can laser resurfacing treat my acne?

    No, laser resurfacing can’t treat active acne but it can be used to reduce shallow acne scars (not deep acne scars).

    More information

    If you’re currently taking the acne medicine isotretinoin, or have used it in the past two years you won’t be able to have laser resurfacing. This is because it increases your chances of getting scars after having the procedure.

    If you think you have acne, talk to your pharmacist or GP who will give you advice and recommend the best treatment for you. Acne can’t be cured, but there are treatments that can control any infection and prevent new spots forming, and stop scarring.

  • FAQ: Will laser resurfacing hurt? Will laser resurfacing hurt?

    You will have an anaesthetic to stop you feeling any pain during the procedure. This may be a local or general anaesthetic, depending on how much of your face you’re having treated and the laser your surgeon uses.

    More information

    Laser resurfacing works by destroying the top layer of your skin and heating the lower layers. This would, of course, be painful but you’ll be given an anaesthetic to stop you feeling pain during the procedure. There are a number of options available, including:

    • local anaesthetic cream – if you’re only having the procedure on a small area of skin
    • local anaesthetic injection – also for small areas of your face
    • general anaesthesia – if you’re having a very large area of skin treated, for example your whole face

    Local anaesthesia completely blocks pain from your face and you’ll stay awake during the procedure. General anaesthesia means you will be asleep during the procedure.

    You may have some pain after laser facial resurfacing. Over-the-counter painkillers can help with this. If you’re in a lot of pain afterwards, let your surgeon know.

  • FAQ: Non-ablative laser resurfacing What is non-ablative laser resurfacing?

    Non-ablative laser resurfacing is similar to ablative laser resurfacing but it doesn’t destroy the top layer of your skin, which is called the epidermis.

    More information

    Ablative laser resurfacing destroys the top layer of your skin to expose the lower layers and encourage new growth. Non-ablative techniques encourage new growth without removing the top layer of your skin.

    Ablative laser resurfacing most commonly uses either a carbon dioxide or an Erbium:YAG (a type of metal-enriched crystal) laser. Non-ablative facial resurfacing uses a variety of techniques.

    • Intense pulsed light targets the pigment in your skin to remove areas of discolouration.
    • Pulsed dye lasers target a beam of light on blood vessels in your skin to lighten red-coloured skin marks, such as birthmarks.
    • Infrared lasers can treat wrinkles caused by sun damage by encouraging new skin to grow.
    • Photodynamic therapy is a technique used to treat some skin cancers but can also be used to reduce the signs of ageing.
    • Fractional resurfacing is a technique in which a laser is used in conjunction with other treatments in certain parts of the treatment area, rather than all of it. The treatment is done over several sessions.

    Non-ablative techniques are less invasive than ablative techniques so have a lower risk of side-effects and people tend to recover faster. They’re usually used for less severe wrinkles and skin tightening and the changes after treatment will be more subtle.

  • Other helpful websites Other helpful websites

    Further information

    Sources

    • Skin resurfacing – laser surgery. Medscape. www.emedicine.medscape.com, published 30 October 2015
    • Lasers in plastic surgery. British Association of Aesthetic Plastic Surgeons. www.baaps.org.uk, accessed 7 December 2015
    • Map of Medicine. Acne. International View. London: Map of Medicine; 2014 (Issue 2)
    • Laser resurfacing. Dermnet NZ. www.dermnetnz.org, published 16 June 2014
    • Intense pulsed light therapy. Dermnet NZ. www.dermnetnz.org, published 29 December 2013
    • Nonablative facial skin tightening. Medscape. www.emedicine.medscape.com, published 2 October 2014
    • Nonablative resurfacing. Medscape. www.emedicine.medscape.com, published 13 January 2015
    • Personal communication, Mr Anthony Attwood, Consultant Plastic and Reconstructive Surgeon, 23 December 2015
    • The British Association of Dermatologists response to the Department of Health’s review of the regulation of cosmetic interventions call for evidence. British Association of Dermatologists. www.bad.org.uk, published October 2012
    • Microdermabrasion. Medscape. www.emedicine.medscape.com, published 30 October 2014
    • Acne. British Association of Dermatologists. www.bad.org.uk, reviewed August 2013
    • Pulsed dye laser treatment. Dermnet NZ. www.dermnetnz.org, published 6 July 2014
    • Photodynamic therapy. Dermnet NZ. www.dermnetnz.org, published 23 September 2014
    • Photodynamic therapy for the dermatologist. Medscape. www.emedicine.medscape.com, published 3 March 2014
  • Has our information helped you? Tell us what you think about this page

    We’d love to know what you think about what you’ve just been reading and looking at – we’ll use it to improve our information. If you’d like to give us some feedback, our short form below will take just a few minutes to complete. And if there's a question you want to ask that hasn't been answered here, please submit it to us. Although we can't respond to specific questions directly, we’ll aim to include the answer to it when we next review this topic.

    Let us know what you think using our short feedback form
    Ask us a question
  • Related information Related information

  • Author information Author information

    Reviewed by Rachael Mayfield-Blake, Freelance Health Editor, Bupa Heath Content Team, January 2016.

About our health information

At Bupa we produce a wealth of free health information for you and your family. We believe that trustworthy information is essential in helping you make better decisions about your health and care. Here are just a few of the ways in which our core editorial principles have been recognised.

  • Information Standard

    We are certified by the Information Standard. This quality mark identifies reliable, trustworthy producers and sources of health information.
    Information standard logo
  • HONcode

    This site complies with the HONcode standard for trustworthy health information: verify here.

    This website is certified by Health On the Net Foundation. Click to verify.

What our readers say about us

But don't just take our word for it; here's some feedback from our readers.

Simple and easy to use website - not alarming, just helpful.

It’s informative but not too detailed. I like that it’s factual and realistic about the conditions and the procedures involved. It’s also easy to navigate to areas that you specifically want without having to read all the information.

Good information, easy to find, trustworthy.

Meet the team

Image of Andrew Byron

Andrew Byron
Head of health content and clinical engagement




  • Dylan Merkett – Lead Editor – UK Customer
  • Nicholas Ridgman – Lead Editor – UK Health and Care Services
  • Natalie Heaton – Specialist Editor – User Experience
  • Pippa Coulter – Specialist Editor – Content Library
  • Alice Rossiter – Specialist Editor – Insights
  • Laura Blanks – Specialist Editor – Quality
  • Michelle Harrison – Editorial Assistant

Infographic showing what the Bupa health content team do

Our core principles

All our health content is produced in line with our core editorial principles – readable, reliable, relevant – which are represented by our diagram.

An image showing or editorial principals

                  Click to open full-size image

The ‘3Rs’ encompass everything we believe good health information should be. From tweets to in-depth reports, videos to quizzes, every piece of content we produce has these as its foundation.

Readable

In a nutshell, our information is jargon-free, concise and accessible. We know our audience and we meet their health information needs, helping them to take the next step in their health and wellbeing journey.

Reliable

We use the best quality and most up-to-date evidence to produce our information. Our process is transparent and validated by experts – both our users and medical specialists.

Relevant

We know that our users want the right information at the right time, in the way that suits them. So we review our content at least every three years to keep it fresh. And we’re embracing new technology and social media so they can get it whenever and wherever they choose.

Our accreditation

Here are just a few of the ways in which the quality of our information has been recognised.

  • The Information Standard certification scheme

    You will see the Information Standard quality mark on our content. This is a certification programme, supported by NHS England, that was developed to ensure that public-facing health and care information is created to a set of best practice principles.

    It uses only recognised evidence sources and presents the information in a clear and balanced way. The Information Standard quality mark is a quick and easy way for you to identify reliable and trustworthy producers and sources of information.

    Certified by the Information Standard as a quality provider of health and social care information. Bupa shall hold responsibility for the accuracy of the information they publish and neither the Scheme Operator nor the Scheme Owner shall have any responsibility whatsoever for costs, losses or direct or indirect damages or costs arising from inaccuracy of information or omissions in information published on the website on behalf of Bupa.

  • British Medical Association (BMA) patient information awards

    We have received a number of BMA awards for different assets over the years. Most recently, in 2013, we received a 'commended' award for our online shared decision making hub.

Contact us

If you have any feedback on our health information, we would love to hear from you. Please contact us via email: healthinfo@bupa.com. Or you can write to us:

Health Content Team
Bupa House
15-19 Bloomsbury Way
London
WC1A 2BA

Find out more Close

Legal disclaimer

This information was published by Bupa's Health Content Team and is based on reputable sources of medical evidence. It has been reviewed by appropriate medical or clinical professionals. Photos are only for illustrative purposes and do not reflect every presentation of a condition.

The information contained on this page and in any third party websites referred to on this page is not intended nor implied to be a substitute for professional medical advice nor is it intended to be for medical diagnosis or treatment. Third party websites are not owned or controlled by Bupa and any individual may be able to access and post messages on them. Bupa is not responsible for the content or availability of these third party websites. We do not accept advertising on this page.

For more details on how we produce our content and its sources, visit the 'About our health information' section.

ˆ We may record or monitor our calls.