Is Laser Resurfacing the Key to Firmer, More Youthful Skin?

Laser facial treatments are having a serious skincare moment and for good reason. Marketed as the secret to firmer, smoother, more youthful skin, laser resurfacing claims to do everything from tightening pores to fading fine lines and acne scars. But how does it actually work and can it really boost collagen production?

Here’s what you need to know before booking that appointment or membership package.

What Is Laser Resurfacing, Exactly?

Laser resurfacing is a cosmetic treatment that uses high-intensity light beams to remove damaged outer layers of skin and stimulate collagen production in the deeper layers. Depending on the type of laser used, it can address multiple skin concerns like:

• Fine lines and wrinkles

• Uneven skin tone and texture

• Sun spots and discoloration

• Acne scars

• Enlarged pores

• Skin laxity

While some spas and medispas offer mild, no-downtime laser facials that can be repeated regularly, more intensive treatments typically performed by board-certified dermatologists or plastic surgeons can deliver dramatic, long-lasting results in just one session (with a longer recovery period).

Understanding the Different Types of Lasers

Not all lasers are created equal. The best option for you will depend on your skin type, tone, goals, and how much downtime you can realistically manage.

Here’s a breakdown of the most common types:

• Ablative lasers: These remove the top layer of skin and heat the deeper layers to stimulate new collagen. They’re more aggressive, but also more effective. CO₂ and Er:YAG lasers fall into this category.

• Nonablative lasers: These heat up the skin without damaging the surface. They’re gentler and have shorter recovery times, but typically require multiple sessions.

• Fractional lasers: These lasers create microscopic columns of treated skin surrounded by untouched areas. They allow for faster healing and are widely used for collagen induction.

“Fractional lasers give the benefit of collagen stimulation with fewer risks and quicker recovery than fully ablative lasers,” explains Cameron Rokhsar, MD, a dermatologist and laser specialist. Think of it like aerating a lawn targeted treatment that leaves healthy areas intact to help with healing.

Do Lasers Really Stimulate Collagen?

Yes, and here’s how. Laser resurfacing causes controlled damage to the skin. That triggers a natural wound-healing process, during which your body ramps up collagen production a structural protein essential for firm, plump skin.

According to Christopher Harmon, MD, this collagen remodeling is what helps smooth fine lines, tighten sagging skin, and improve acne scars. “The healing process of that injury is really what gives the rejuvenation,” he says.

CO₂ lasers are especially effective for stimulating collagen in deeper layers, though they carry a higher risk of hyperpigmentation in medium to darker skin tones. Er YAG lasers can be a gentler but still effective option for delicate areas or sensitive skin.

How Much Does It Cost?

Laser treatments vary widely in cost, depending on the type of laser, the provider’s experience, and your geographic location:

• Mild, spa-based laser facials: ~$75–$300 per session

• In-office nonablative treatments: ~$500–$1,500 per session

• Ablative or CO₂ lasers by dermatologists or plastic surgeons: ~$2,000–$6,000 per session

While higher-end treatments are more costly, they often deliver faster and longer-lasting results, sometimes with just one visit.

What Recovery Looks Like

Downtime varies based on intensity:

• Nonablative lasers: Minimal redness, a day or two of sensitivity

• Superficial ablative treatments: 5–7 days of redness and peeling

• Deep resurfacing: Up to several weeks of healing

During recovery, the skin may appear red, swollen, or flaky. Avoid sun exposure and always apply broad-spectrum SPF to protect the healing skin.

Pro tip: People with darker skin tones should choose an experienced provider who understands how to adjust the treatment settings appropriately, as improper use can increase the risk of post-inflammatory hyperpigmentation.

Who Should Avoid Laser Resurfacing?

Laser resurfacing isn’t for everyone. You should talk to your provider if you:

• Have active acne or cold sores (the laser can trigger outbreaks)

• Take blood thinners or smoke (which can delay healing)

• Have melasma or pigmentation-prone skin (some lasers can worsen discoloration)

Also, be sure to disclose any use of retinoids, vitamin C serums, or other active ingredients in your skincare routine, as they may need to be paused before your treatment.

Key Questions to Ask Before Booking

To make the most of your treatment and minimize risks, vet your provider carefully. Ask:

• How many years of experience do you have with laser resurfacing?

• Do you have experience treating my skin tone?

• Can I see before-and-after photos of your patients?

• What type of laser will you be using and why?

• What should I do to prep my skin beforehand?

Bottom Line

Laser resurfacing can be a powerful tool to boost collagen, firm skin, and reduce visible signs of aging. But not all lasers are right for everyone and results depend heavily on the provider’s expertise.

Whether you’re opting for a $75 laser facial or a $5,000 clinical treatment, make sure you understand the risks, benefits, and expectations. If done correctly, it can leave your skin smoother, plumper, and more radiant.

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