DOT Therapy can help to reverse the effects and appearance of skin that is sun damaged or altered by acne scars, as well as smooth wrinkles and fine lines. At Prima Center for Plastic Surgery, our patients can look and feel renewed in a short amount of time by undergoing this short and harmless procedure, performed by one of our board-certified cosmetic surgeons. With adjustable laser settings, the doctor is able to customize this laser treatment to specifically match the needs of your skin. This treatment is an outpatient procedure that helps rebuild the skin and restore it back to a vibrant, healthy looking appearance.
"Dr. Philip Nakano has a genuine personality! Excellent bedside manners and cares a great deal about his patients. His facial procedures are beautiful! I trust him."- C.E. / Facebook / Aug 25, 2015
"35 Years Old, Breast Cancer Survivor, Reconstruction Surgery by Dr. Song - Dr. Song goes into detail with the procedure that he performed on me. He told me what to expect, how to care for myself before and after, and made sure to answer any questions I may have had. He also insists on calling his office if I may have any questions going forward, or if I remember anything I wanted to ask but forgot. He is very gentle when talking with you, and his bedside manner puts you at ease immediately."- C. / RealSelf / Apr 24, 2018
"Dr. Nakano gave me my face back after a very bad car accident shattered the right side of my face. I'm forever grateful for his skill and care. It took awhile to heal but the results are amazing. The staff is top notch."- D.H. / Facebook / Apr 03, 2018
"There are truly not enough positive words I can write regarding Dr. Jeff Zwiren (Dr. Z), his primary nurse, Cindy, and the caring and attentive staff at Prima Center for Plastic Surgery. I have a been a patient of Dr. Z's for over 15 years and I can honestly say that each and every experience I have had with him has been second to NONE! Not only is Dr. Z an exceptional surgeon, but he is a wonderful and genuine man. In fact, I have never met two people quite like Dr. Z and Cindy. They are two of the most compassionate and empathetic people I have ever known. Dr. Z has always listened intently to my concerns, and I have always been more than satisfied with the results. He is a meticulous surgeon whose conscientiousness is obvious in his work and attitude. If you are looking for a doctor who is at the top of his profession, is highly respectable, demonstrates tremendous knowledge, precision and cognizance as well as a sincere courtesy like no other, then Dr. Z is the physician for you!"- S.B. / Google / Mar 20, 2018
"Dr. Stephenson is amazing! 23yrs after having my son I finally decided to get a TT to get rid of my stretch marks & I chose Dr. Stephenson to do it. I'm so glad I did. He did not patronize me just to get my business. He was very realistic about the potential outcome of my surgery, so, on Dec 29, 2017 I checked into Gwinnett Medical hosp where they treated me like gold & Dr Stephenson snatched my waist & got rid of my stretch marks. Dr. Stephenson has a wonderful bedside manner & he answers any & all of your questions so write them down so you don't forget. Ursula (his nurse) is wonderful too. With their help I was back to work in 2 weeks. Choose Dr. Stephenson and you won't regret it"- L.M. / Google / Feb 18, 2018
Laser skin resurfacing uses controlled light beams with high intensity to vaporize and remove the upper layer of the skin. When the damaged, superficial skin is removed, it gives way for new skin to grow, which masks the face with a new layer of epidermis. Any pain during the procedure is managed with local anesthesia and/or sedatives to help the patient relax. The eyes will also be protected since lasers can be harmful to the patient’s vision. Laser skin resurfacing’s advanced technology allows accurate targeting of smaller areas so the surrounding skin is not affected. A session may take up to 2 hours depending on the patient’s skin conditions.
Ablation vs. Non-Ablation
Laser skin resurfacing may be aggressive, depending on the patient’s aesthetic goals. The more aggressive the treatment (which is referred to as an ablative procedure) the more it wears away the epidermis to let new skin regeneration begin. Recovery with this technique may take up to 3 weeks. The lighter treatment, or non-ablative laser, does not remove any skin. It stimulates deeper layers of the skin to initiate an increased growth of collagen. With this treatment, there will be no downtime for the patient. Both techniques help the skin regenerate. As new layers of skin are developed, skin problems such as wrinkles, mild scars and discoloration are minimized.
There are two types of laser skin resurfacing: the CO2 and Erbium lasers. CO2 is the most popular type in this procedure. It is an ablative method which wounds the epidermis to give way for new skin growth and improve collagen development. The intensity of the laser beams with CO2 is high. Erbium, on the other hand, is a more gentle procedure that only removes superficial skin layers so the recovery period is quicker. Depending on the patient’s skin condition and aesthetic goals, the doctor will recommend the laser that is more suitable for the patient to render better results.
During/After the Procedure
Laser resurfacing is an outpatient procedure. There may be pain during treatment, so local anesthesia can be used to minimize the patient’s discomfort. The doctor may also prescribe the patient a pain reliever after the procedure. The face may be bandaged after treatment. Since the epidermis is peeled away, the skin may appear red for several weeks. As it heals, crusting may be present. It is very important to follow the doctor’s advice on skin care to prevent any scarring. It may take a few days before the patient can resume normal activities. It may also be beneficial to use an extra pillow when sleeping to ease any discomfort.
Plan Your Procedure
- Average Cost
- $1,000 - $2,500
- Recovery Time
- 1 week
- Average Procedure Time
- 1-2 hours
- Post-op Follow-up
- 1 week
- Procedure Recovery Location
Laser Skin Resurfacing FAQs
Negative Effects on Skin?
Although the procedure will wear the skin surface away, there is a minimal risk of scarring, especially when post-treatment care is implemented. It is critical to find a reputable doctor or technician with comprehensive experience with laser skin treatments. It’s important for the surgeon to understand different technologies affect different skin types. When done correctly, the result is a long-lasting healthy skin effective in combating signs of aging and skin damage.
Aside from the natural effects of aging, personal habits and environmental factors, results can be long lasting. Maintenance treatments may be considered as signs of aging get more and more significant over time.
Ablative or Non-Ablative?
It depends mainly on the patient’s skin condition and cosmetic goals. Another factor to consider is how quick the recovery period should be or if there should be no downtime for the patient. The doctor will discuss each treatment in detail and recommend the best approach that matches the patient’s circumstances.