Intermediate

Skin Resurfacing

Vaporising thin layers of skin to smooth wrinkles and texture.

Target (chromophore)
Water
Lasers used
CO₂ (10,600 nm), Er:YAG (2940 nm) — often fractional
Main effect
Ablative (vaporisation) + photothermal
Typical course
1–4 sessions
Recovery time
4 days to 2 weeks

1 What is the problem?

Photo-ageing (sun damage), fine lines, wrinkles, rough texture and enlarged pores. These come from damaged, thinning collagen and an uneven outer layer.

2 The science

Water absorbs infrared light at 2940 nm and 10,600 nm very strongly, so the energy instantly boils the water in cells and removes a thin layer of tissue. The wound-healing response then builds new collagen. Fractional devices treat thousands of microscopic columns and leave untouched skin between them, which makes healing much faster.

Laser lightCO₂ (10
Absorbed byWater
CausesAblative (vaporisation) + photothermal

3 Key points to remember

  • Er:YAG absorbs water ~10× more than CO₂ → shallower, gentler
  • CO₂ leaves more heat behind → more tightening
  • Fractional = faster recovery than full-surface ablation
  • New collagen keeps forming for months

4 What happens during treatment

  1. 01

    Numbing cream is applied

  2. 02

    Laser treats the skin in a grid of micro-columns

  3. 03

    Skin is red and swollen for a few days

  4. 04

    New skin surface forms within 1 week

5 Possible risks

Infection, prolonged redness, pigment changes and, rarely, scarring. Correct settings, skin cooling and experienced hands reduce these risks.

Did you know? The CO₂ laser was invented in 1964 by Kumar Patel at Bell Labs.