Is Laser Skin Resurfacing Safe?

Laser skin resurfacing is a widely used cosmetic procedure that helps improve skin texture, tone, and overall appearance. While it offers significant benefits, many people wonder whether it’s truly safe. Understanding the risks and safety measures involved can help you make an informed decision about whether this treatment is right for you.

Like any cosmetic procedure, laser skin resurfacing has potential risks, but when performed by an experienced professional, it is generally very safe. Let’s take a closer look at what you need to know.

Cons of Laser Resurfacing

Laser skin resurfacing benefits include:

• Improved skin texture by reducing fine lines and wrinkles.
• Reduced acne scars and hyperpigmentation, creating an even skin tone.
• Enhanced collagen production, resulting in firmer, smoother skin.
• Minimally invasive, typically performed as an outpatient procedure.
• Rapid results, with visible improvements often appearing within weeks.
• Precision targeting allows treatment of specific areas without affecting surrounding skin.

Pros of Laser Resurfacing

Key considerations among laser skin resurfacing pros and cons:

• Potential side effects, including redness, swelling, and temporary sensitivity.
• Risk of pigmentation changes, particularly in people with darker skin tones.
• Downtime, which can range from a few days to several weeks depending on intensity.
• Possible discomfort or mild pain during and immediately following treatment.
• Multiple treatments may be required for optimal results, increasing costs and recovery time.
• Sun sensitivity post-treatment requires diligent sun protection to prevent complications.

1. You Have a Dark Complexion

Having a darker skin tone does not automatically rule you out as a candidate for laser resurfacing, but it does come with additional considerations. Darker skin is more prone to post-inflammatory hyperpigmentation (dark spots) or hypopigmentation (light spots) after treatment. These changes can sometimes be long-lasting. If you have concerns about pigmentation changes, it’s crucial to seek out a provider with experience in treating a variety of skin tones. An expert will know how to select the safest laser type and settings for your skin.

2. You Have a Cold Sore

If you have the herpes simplex virus, laser resurfacing can trigger a flare-up, leading to painful cold sores after treatment. To reduce this risk, your provider will likely prescribe an antiviral medication before your procedure. Taking this precaution helps minimize outbreaks and ensures a smoother healing process. If you have a history of frequent cold sores, be sure to inform your doctor so they can tailor your treatment plan accordingly.

3. You Are Prone to Keloid Scars

If your skin tends to form keloid scars—raised, thickened scars that extend beyond the original wound—laser resurfacing may not be the best option for you. The laser creates controlled damage to the skin to stimulate healing, but in individuals prone to keloids, this can result in excessive scarring instead. Since keloids can be difficult to treat once they form, it’s crucial to discuss your medical history with your provider. They may recommend alternative treatments that minimize your risk.

4. You’re Pregnant or Breastfeeding

If you’re pregnant or breastfeeding, it’s generally recommended to avoid laser resurfacing treatments. While there is no concrete evidence that laser treatments directly harm the baby, hormonal changes can affect how your skin heals and increase sensitivity, leading to unexpected reactions or pigmentation issues. Additionally, many post-treatment skincare products contain ingredients that may not be safe during pregnancy. If you’re considering laser resurfacing, it’s best to wait until after pregnancy and breastfeeding to ensure optimal results and safety.

5. You’re Having an Acne Breakout

If you have an active acne breakout, it may be best to delay laser resurfacing. Some lasers are designed to treat acne, but undergoing treatment while experiencing severe breakouts can increase the risk of infection. Additionally, acne can interfere with the laser’s effectiveness, making results less predictable. Certain acne medications, can also make the skin more sensitive and slow down healing. If you’re treating acne, consult your provider about safer alternatives or the best timing for laser resurfacing.

6. You Have Taken Isotretinoin Recently

If you have taken isotretinoin (commonly known as Accutane) within the past year, laser resurfacing is not recommended. This powerful acne medication affects the skin’s ability to heal and increases the risk of scarring or excessive irritation after laser treatments. Because isotretinoin makes the skin more fragile and slows down recovery, most providers will recommend waiting at least six to twelve months before considering laser procedures. If you’ve recently used isotretinoin, consult your doctor for safer alternatives to achieve your skincare goals.

7. An Autoimmune Disease or a Weak Immune System

If you have an autoimmune disease or a weakened immune system, laser resurfacing may not be the best option for you. Since the procedure works by creating controlled damage to stimulate healing, individuals with compromised immune systems may struggle with prolonged recovery times and an increased risk of infection. Conditions like lupus, rheumatoid arthritis, or immunosuppressive treatments can affect how well your skin heals. It’s crucial to consult with your doctor to determine if laser resurfacing is safe or if an alternative treatment would be better suited for your skin.

8. You’ve Had Another Laser Treatment Before

If you’ve recently undergone another laser treatment or radiation therapy to the face, your skin may not be ready for another resurfacing session. Lasers work by creating controlled damage to stimulate healing, but subjecting your skin to too many treatments in a short period can lead to excessive irritation, prolonged recovery, or even complications like scarring. Before considering another laser procedure, consult with a specialist to determine whether your skin has had enough time to heal and if alternative treatments might be a safer option.