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
"I recently had a full abdominoplasty with lipo of the flanks by Dr. Stephenson. I would have to say Dr. Stephenson is excellent. His bedside manner is impeccable. I would recommend him over and over. I was so afraid to have this surgery done but no question went unanswered and he just makes you feel very calm and comfortable about the procedure. Even after I got home from surgery later that night he personally called to check on me. He is excellent. I am 10 days post-op and I am loving my results. I can't say thank you enough to Dr. Stephenson and the Prima Surgery Center staff they are all excellent, caring and very professional."- W.S. / Google / Aug 25, 2018
"Results Are Better Than I Ever Imagined - I had a Mommy Makeover with Dr. Song in April. I initially had consultations set up with three additional surgeons, with the Prima Center as my first appointment. I was so impressed with Dr. Song's expertise and bedside manner, that I canceled my other appointments as soon as I returned home. He listened carefully to what I hoped to achieve, showed me visuals of what the procedures entail,..."- J. / RealSelf / Aug 15, 2018
"Dr. Stephenson is a gem! It took several visits to other providers to find a physician that really took the time to listen which lead to proper testing, diagnosis and treatment. He is so personable, professional and great at what he does. He called me when referrals/recommendations were needed and consulted via phone with my other physicians to coordinate the best care for my case (which isn’t easy). During office visits I never felt rushed and all my questions were answered."- S.W. / Healthgrades / Aug 09, 2018
"Immediately upon arrival to the office, the staff was very receptive and warm. They identified me by name based on my appointment times, asked how I was and how my day was and then asked me to take a seat. Not one visit have I taken a seat in the waiting room and waited longer than 15 minutes. Very prompt with times and knowledgeable about all information related to the entire process. Very much understand what my time means to me. Love the office environment, the staff and for sure the doctor. Ursula is the bomb, love her!!! One of the best plastic surgeons, watched his work in the OR as a nurse and made the decision to let him do my procedure. I am very picky with who provide me care, he is the one who can all the time."- Anonymous / RateMDs / Aug 08, 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.