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Laser Resurface PRE-OPERATIVE Which wrinkles - Laser resurfacing can give excellent results in treating fine superficial wrinkles; around mouth, eyes & cheeks. Dynamic lines (forehead, cheek, movement associated) respond less well with approximately 50% improvement. Prior treatment - With chemical peels or dermabrasion must be recorded. Laser treatment contraindicated with recent or current use of ISOTRETINOIN. Cold sores - Any history is important. Will require a course of ZOVIRAX. Sun/Sunbeds - Avoid for 4 weeks prior to surgery. Smoking - Essential to stop at least 2 weeks before surgery and at least 3 weeks after. Drugs - Avoid Aspirin/Ibuprofen type drugs for 3 weeks prior to surgery. OPERATION Anaesthetic - Local or general Hospital stay - Either day case or overnight POST-OPERATIVE Dressing - light dressing applied in theatre 1st 24hrs - cool water and aqueous cream only keep moist at all times Diet - soft foods / drinks with straw Exercise - avoid strenuous exercise for 3 weeks Sleeping - head up Sun - avoid for 3 months, use sunblock (SPF 15-20)after 1 week - Use non-perfumed moisturizing cream - concealing make-up can be used; unscented, hypoallergenic. Sunbed - avoid for 3 months POTENTIAL PROBLEMS Pain - Mild to Moderate discomfort expected. - Avoid Aspirin/Ibuprofen type analgesics. Swelling & oozing - especially around eyes and neck - lasts for 5 - 7 days Skin redness - bright red for first week - pink for 3 - 4 weeks - normal skin colour by 3 months Skin darkening - more common with olive or dark skin tones - may last for 3 - 6 months - can worsen with sun exposure Skin lightening - rarely permanent - darken or repigment after 3 - 6 months Scarring - rare - avoided by careful attention to healing in first 2 weeks - may occur secondary to infection or reactivation of Cold sores Infection - can occur - avoided by good skin care and antibiotics as indicated Ectropion - downward drooping of the lower eyelid can occur with treatment in this area, especially if previous lower blepharoplasty. Acne or milia - flare-up can occur postoperatively ;){kind=small}
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