Skin Resurfacing


Laser Skin Resurfacing, Dermabrasion and Chemical Peels

The facial skin undergoes numerous changes with aging and exposure to such factors as sun, wind, smoking and expression of heredity. Unfortunately, most of these factors cause damage, which lead to fine lines, larger wrinkles, age spots and annoying skin growths.


Laser Skin Resurfacing with the carbon dioxide laser (C02) can help turn back the hands of time by removing damage and improving the quality and tightness of the skin in many patients. The best candidates ironically are those who have the fairer skin types which are often the patients with the most damage, such as blondes and redheads.

The laser in effect targets the water in the upper skin layers and vaporizes it in a controlled fashion until the skin formative layer is reached. Thus multiple laser passes are made which strip away the damaged skin layer by layer and in the process the skin is rejuvenated and tightened. Modern lasers will not burn the full thickness of the skin since they all use superpulse technology that allows precise vaporization. The result is more uniform youthful appearing skin with reduction and sometimes-complete removal of wrinkles along with tightening. It really is a second chance.



The procedure may be performed under local anesthesia when smaller segments are treated such as around the mouth (perioral) or around the eyes (periorbital). If a full-face treatment is called for the patient is often sedated.

The recovery time to get back into makeup for social purposes is approximately 10 to 14 days. Redness gradually fades over one to two months but is easily covered with normal makeup. Sunscreens must be worn for at least six weeks postop.

Of all the cosmetic surgery procedures, Laser Skin Resurfacing frequently provides results as dramatic as a full-face lift in appropriate individuals. This is never more evident than when a woman has a face lift only to have the quality of her skin compromise the result. For this reason, full face laser skin resurfacing is frequently combined with face-lifting three to six months after the skin lifting procedure. In this way, the lifted skin receives further tightening.



Dermabrasion is a skin resurfacing procedure commonly used to improve acne scarring and facial scars.  The priciple is to level the high parts of the scars down to the low parts of the scars by using a diamond impregnated "fraise" to gently plane the skin level.  The procedure is commonly performed under local anesthesia and has a recovery time slightly shorter than laser skin resurfacing with the CO2 laser.




Chemical Peels are commonly used to refresh the skin and remove some of the fine lines and discolorations. The procedure is usually performed under local anesthesia and minor oral sedation and has a week to ten days of visible peeling to achieve a good effect. 

Call today for a consultation to see which skin resurfacing procedure is right for you.






Excellence in Cosmetic Surgery for the New Millennium 

R. Gregory Smith, M.D., P.A.

(904) 285-5571

You are only a phone call away from an amazing transformation


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Ponte Vedra & Palencia
Cosmetic Surgery
R. Gregory Smith MD, PA
(904) 285-5571
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Ponte Vedra & Palencia Cosmetic Surgery

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621 Market Street

St. Augustine, FL 32095

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