Laser Resurfacing Skin Complications

Laser skin resurfacing is an in-office procedure used by dermatologists to remove liver and age spots, acne scars, skin with sun damage, and mild to moderate wrinkles. Laser resurfacing (sometimes referred to as "skin rejuvenation") uses an ablative laser that destroys the epidermis and heats the layer of skin underneath to encourage new collagen fiber growth. The American Academy of Dermatology (AAD) notes that laser resurfacing of the skin can cause visible wounding and other complications in some circumstances.

Change in Skin Tone

A possible complication of laser resurfacing is hyperpigmentation (when skin turns darker) or hypopigmentation (when skin turns lighter) than its regular shade. The Mayo Clinic indicates that patients may notice a change in skin tone a few weeks after the procedure that lasts for several months. Patients with darker skin tones are at higher risk for hyperpigmentation. The American Society of Plastic Surgeons adds that use of sun protection is essential during the first year after the procedure to avoid irregular pigmentation.

Herpes Outbreaks

Patients infected with the herpes virus type 1 may experience an outbreak of blisters (cold sores), as laser resurfacing may trigger the dormant virus to activate. Those who experience frequent or severe cold sores, or those who've had shingles in the area, should consider taking oral anti-viral medication during laser skin resurfacing to avoid this complication.

Significant Downtime

Laser resurfacing causes raw wounds that often ooze, blister and scab. Also, pain may be noted after this treatment. Tending to the treated area of skin is required to avoid bacterial infections, scarring and inflammation. The AAD notes that special soaks, ointments and bandages are used post-treatment to reduce these complications. It will take about 2 weeks to note a positive change.

Other

Other complications associated with laser resurfacing include acne breakouts, milia (small white bumps on the skin), burning, scarring, redness that lasts longer than anticipated (sometimes more than 4 months), the appearance of spider veins, and flushing after physical exertion for up to a year.