Laser Resurfacing Pros and Cons: What to Consider Before Treatment
Written and Medically Reviewed By Nicole Schrader, MD, FACS
Double board-certified facial plastic and reconstructive surgeon and otolaryngologist–head and neck surgeon with more than 20 years of experience in facial plastic surgery.
- Last updated: 09/30/2026
Laser skin resurfacing is a popular nonsurgical cosmetic treatment designed to improve skin texture, tone, and overall appearance. Depending on the type of laser used, it can help reduce wrinkles, scars, sun damage, and pigmentation, with recovery time varying by treatment intensity.
Like any cosmetic treatment, laser resurfacing has benefits, risks, and limitations. Understanding these can help you decide whether it aligns with your skin concerns and goals.
Is Laser Resurfacing Worth It?
Laser resurfacing can be worthwhile for the right patient, depending on your skin concerns, skin type, desired results, tolerance for downtime, and budget. According to RealSelf, many patients report that laser resurfacing is worth the investment.
Ablative treatments generally offer more noticeable results with longer recovery, while non-ablative treatments usually involve less downtime but may require multiple sessions. Results vary, so it is important to weigh the potential benefits, risks, recovery time, and cost before deciding on treatment.
Laser Skin Resurfacing Benefits and Drawbacks
Laser resurfacing can provide meaningful improvements, but the results, recovery, number of treatments, and risks vary depending on the type and intensity of treatment.
Pros of Laser Resurfacing
- Can Improve Multiple Concerns: Laser resurfacing can address fine lines, wrinkles, uneven pigmentation, sun damage, rough texture, and certain types of scars.
- Treatment Can Be Customized: More aggressive treatments may provide greater improvement, while gentler treatments can offer gradual results with less downtime.
- Nonsurgical Option: Laser resurfacing can improve skin quality without surgery, making it an option for patients who want rejuvenation without a surgical procedure.
Cons of Laser Resurfacing
- Downtime Varies: Non-ablative treatments may require little recovery, while ablative resurfacing can involve a longer healing period.
- More Than One Treatment May Be Needed: Gentler treatments often require multiple sessions, which can increase the overall time and cost.
- Results Come With Risks: Redness, swelling, pigment changes, infection, and scarring are possible, with risks varying by skin type and treatment intensity.
- More Aggressive Treatment Usually Means More Recovery: Treatments that produce more dramatic resurfacing often involve greater discomfort, downtime, and aftercare.
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What Type of Laser Treatment is Best for Me?
Choosing the right type of laser resurfacing depends on your skin concerns, goals, and tolerance for downtime. Laser resurfacing generally falls into two main categories: ablative and non-ablative. Either type can also be performed fractionally, treating microscopic areas of the skin while leaving surrounding tissue intact.
Ablative Laser Resurfacing
Ablative laser resurfacing removes the outermost layers of skin to treat deep wrinkles, scars, and significant sun damage. The heat from the laser stimulates collagen production, leading to long-term skin improvement. While results are often dramatic and long-lasting, the treatment requires a longer recovery period, usually ranging from one to three weeks.
Best for: Individuals with deep wrinkles, severe sun damage, or acne scars who are willing to undergo a longer healing process for more dramatic results.
Non-ablative Laser Resurfacing
Non-ablative laser resurfacing heats the deeper layers of the skin without removing the surface, stimulating collagen production to improve texture and tone over time. This treatment is less invasive than ablative resurfacing, requiring minimal downtime. However, it typically requires multiple sessions to achieve optimal results and is best for mild signs of aging.
Best for: Patients looking for gradual skin rejuvenation with little to no downtime, ideal for treating fine lines, mild pigmentation, and early signs of aging.
Fractional Laser Treatments
Fractional technology can be used with either ablative or non-ablative lasers. Instead of treating the entire skin surface at once, the laser targets microscopic columns of tissue while leaving surrounding skin untreated. This approach can shorten recovery and reduce side effects compared with traditional full-field resurfacing.
Best for: Patients looking for noticeable skin improvement while balancing treatment intensity and recovery time.
Who May Not Be a Good Candidate for Laser Resurfacing?
Laser resurfacing may not be appropriate for everyone. Treatment may need to be postponed, modified, or avoided in patients with:
- Active acne, skin infections, or open wounds in the treatment area
- A history of abnormal or keloid scarring
- Certain medical conditions or medications that may affect healing
- Recent tanning or significant sun exposure
- A history of pigmentation problems following skin treatments
According to Mayo Clinic, factors such as a history of keloid scars, certain medical conditions, some medications, recent sun exposure, and other health considerations can affect whether laser resurfacing is appropriate.
Your medical history, skin type, medications, and treatment goals should be reviewed during a consultation to determine whether laser resurfacing is a suitable option for you.
Laser Resurfacing before & after photos
* All patients are unique and individual results may vary.
Aftercare Tips To Ensure Optimal Results from Laser Resurfacing
Proper aftercare is essential for healing and optimal results. Recovery instructions can vary depending on the laser type and treatment depth, so your provider’s specific instructions should always take priority over general recommendations.
1. Keep the Treated Area Clean and Moisturized
- Gentle Cleansing: Cleanse the treated area with a mild, non-abrasive cleanser to remove impurities without irritating the skin.
- Moisturize Regularly: Apply a recommended moisturizer or ointment, such as petroleum jelly, to keep the skin hydrated and promote healing.
2. Protect Your Skin from Sun Exposure
- Avoid Direct Sunlight: Stay out of the sun, especially during peak hours, to prevent damage to the sensitive, healing skin.
- Use Sunscreen: Once the skin has healed sufficiently, apply a broad-spectrum sunscreen with at least SPF 30 to protect against UV rays.
3. Manage Swelling and Discomfort
- Elevate Your Head: Sleeping with an extra pillow can help reduce swelling.
- Use Cold Compresses: Applying ice packs or cool, wet cloths can alleviate swelling and discomfort in the initial days post-treatment.
4. Avoid Picking or Scratching
- Hands Off: Refrain from touching, picking, or scratching the treated area to prevent infection and scarring.
5. Follow Your Provider’s Instructions
- Adhere to Guidelines: Carefully follow any specific aftercare instructions provided by your healthcare professional to ensure the best outcome.
By diligently following these aftercare tips, you can enhance the healing process and achieve the desired results from your laser skin resurfacing treatment.
When to Contact Your Doctor
Some redness, swelling, and discomfort can be expected after laser resurfacing, but contact your provider if symptoms become severe or worsen. According to Johns Hopkins Medicine, patients should contact their doctor for warning signs such as fever, bleeding, or excessive pain.
You should also follow your provider’s instructions if you notice unusual drainage, increasing redness, or other signs of possible infection.
Who Should Perform My Laser Resurfacing Treatment?
Choosing the right provider for your laser skin resurfacing treatment is crucial for achieving safe and effective results. A board-certified facial plastic surgeon or dermatologist with extensive experience in laser treatments can help ensure the procedure is tailored to your specific skin type and concerns.
Dr. Nicole Schrader, a double-board-certified facial plastic surgeon, specializes in facial procedures and laser treatments with over 20 years of experience and 13+ years in private practice. Her expertise ensures that patients receive high-quality care with personalized treatment plans. Call us today at 609-279-0009 to schedule a consultation and take the first step toward rejuvenated, radiant skin.
Frequently Asked Questions About Laser Resurfacing
