The Erbium is a more invasive, aggressive laser than others used for skin rejuvenation. To emphasize the intensity of this treatment, we sometimes categorize it with our surgical procedures even though it is not technically surgery. We hope this helps you prepare for the downtime as well as the substantial results you can achieve.
Dr. Burns specializes in performing deep Erbium resurfacing treatments that can dramatically transform the skin without compromising on patient safety.
Am I a Good Candidate for the Erbium Laser?
Laser treatments can be done at any age, but the Erbium laser isn’t for everyone. Because it is a more aggressive procedure than some of our other options, it is best for individuals who have more advanced concerns and who want to avoid needing an extended series of treatments to reach their goals. It is especially well-suited for treating perioral rhytids, the vertical lines that develop around the lips (also known as “smoker’s lines” or “lipstick lines”).
Erbium laser skin resurfacing is safer for darker skin tones than some alternatives, but caution is still advised. There is a risk of hypo/hyperpigmentation post-treatment in Fitzpatrick types IV to VI (ethnic or darker skin types).
During a one-on-one consultation, an RSMD provider will thoroughly assess your medical history, skin condition and desired outcomes to determine which resurfacing method is best for you. The good news is that no matter what your issue is, RSMD has the complete gamut of state-of-the-art equipment and lasers to treat any of your needs.
What Should I Expect During My Treatment?
Before treatment begins, your RSMD provider will cleanse your skin and administer the anesthesia of your choice.
The comfort level of Erbium laser resurfacing varies from patient to patient and depends primarily on the depth of treatment required and the area treated, which varies from patient to patient. The procedure is often tolerated with topical and/or injected local anesthetic if treatment is limited to the mouth area. However, deeper, full-face treatments usually require general anesthesia and are preferred by most patients.
To perform the treatment, Dr. Burns will pass the laser handpiece over your skin. Some areas may require more than one pass to maximize results. A full-face treatment usually takes 30 to 45 minutes.
What Is the Recovery Like After Erbium Laser Resurfacing?
Downtime is expected with laser resurfacing procedures. It is important to follow instructions during this time, as your skin will be sensitive and require extra care. It is especially critical to avoid too much exposure to ultraviolet light/sunlight until fully healed. Stay out of the sun as much as possible, and if you cannot avoid being outdoors, wear a hat and sunscreen on the healed areas.
Keeping your skin moist and clean are the two key elements of your post-procedure care. You will apply the ointment prescribed by Dr. Burns and our staff. It should be applied liberally after cleansing. There is a specific but simple and effective regimen that will be detailed to you for both preoperatively and postoperatively.
Some swelling is common the first few days after laser resurfacing, as is a sensation of heat for the first 24-48 hours. We apply an advanced cool collagen face mask that is soothing to minimize the heat sensation during this time period. It may look and feel like you have a sunburn during the initial wound healing stage, which lasts approximately 7-10 days. For the first few days you will have an open wound that oozes that you must keep clean and moist, as stated above. Following this period, residual redness fades over the next few weeks.
Please note that redness is not a bad thing. In this situation, it is a sign of “construction” that occurs because of new red blood vessels delivering a new layer of collagen and elastin. It indicates overall healing. The top layer of your skin will regenerate in about one week. This is when you can resume using sunscreen and cosmetics, and consequently, it is also when most patients feel comfortable resuming social interactions with makeup.
What Are the Expected Results With Erbium Laser Resurfacing?
The results of an ablative Erbium laser treatment will be apparent relatively quickly, as many of the wrinkles are significantly reduced or even eliminated during the procedure. However, the new collagen and elastin are laid down over the next six months, and these results will emerge gradually as your skin heels and post-treatment redness and swelling resolve.
Patients typically only need one Erbium laser treatment to achieve their goals and enjoy their results for years. If any lines are left, they are usually minimal, but we have other techniques that can be utilized to minimize these few remaining lines if desired. Fortunately, that is an unusual request for most of our patients, as they are satisfied with the LRS alone.
