Laser Skin Resurfacing

in San Francisco

Deep Skin Renewal

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Personalized Resurfacing From Light Refreshing to Deep Skin Renewal

Healthy, youthful-looking skin is defined by more than smoothness alone. Sun exposure, aging, acne scarring, and environmental damage gradually affect skin tone, texture, elasticity, and overall radiance.

Laser skin resurfacing offers a customizable approach to skin renewal by removing damaged skin layers, stimulating collagen production, and encouraging healthier skin regeneration. Whether you’re looking for a light refresh or a more dramatic transformation, treatment can be tailored to your skin, your goals, and your available downtime.

At Aesthetic Surgery Center: Michael R. Macdonald, M.D., laser skin resurfacing in San Francisco is performed using advanced Sciton® laser technology, allowing treatments to range from gentle maintenance to comprehensive resurfacing. 

What Is Laser Skin Resurfacing?

Laser skin resurfacing is an advanced skin rejuvenation treatment that precisely removes damaged outer skin while stimulating the production of healthy new collagen beneath the surface.

Unlike treatments that focus on only one concern, laser resurfacing can improve multiple aspects of skin quality simultaneously, including:

  • Skin texture
  • Fine lines
  • Wrinkles
  • Acne scars
  • Sun damage
  • Pigmentation
  • Overall skin tone

One of the greatest advantages of modern resurfacing technology is its flexibility. Treatments can be customized from light resurfacing with minimal downtime to deeper resurfacing that produces more significant correction.  

What Laser Skin Resurfacing Can Improve

Laser resurfacing is commonly recommended to address:

  • Fine lines and wrinkles
  • Sun-damaged skin
  • Uneven skin texture
  • Acne scars
  • Surgical scars
  • Pigmented lesions
  • Enlarged pores
  • Rough skin
  • Early skin laxity

By stimulating collagen remodeling while improving the skin’s surface, laser resurfacing helps restore smoother, firmer, and healthier-looking skin.  

Why Choose Dr. Michael R. Macdonald for Laser Skin Resurfacing?

Successful resurfacing is not simply about using an advanced laser—it is about selecting the right treatment depth for each individual.

Every patient’s skin ages differently. Factors such as skin quality, pigmentation, previous treatments, lifestyle, and recovery expectations all influence the ideal approach.

At Aesthetic Surgery Center, laser resurfacing is customized through careful evaluation of:

  • Skin type
  • Degree of aging
  • Wrinkle depth
  • Pigmentation
  • Scar severity
  • Desired downtime
  • Long-term aesthetic goals

Rather than offering a single resurfacing treatment, Dr. Macdonald’s practice provides a personalized approach designed to deliver meaningful improvement while preserving the skin’s natural character.

Treatment Options

Because no two patients have identical skin concerns, resurfacing treatments are customized across several levels of intensity.

NanoLaserPeel®

The lightest resurfacing option, ideal for refreshing dull skin and improving early signs of aging with minimal downtime.

Best for:

  • Mild sun damage
  • Uneven texture
  • Early fine lines
  • Preventative skin maintenance

MicroLaserPeel®

A more intensive superficial resurfacing treatment that removes damaged outer skin layers while maintaining a relatively short recovery.

Best for:

  • Pigmentation
  • Rough texture
  • Mild wrinkles
  • Actinic keratoses

ProFractional™

Fractional laser resurfacing treats only a portion of the skin at a time, stimulating collagen production while allowing faster healing than full-field resurfacing.

Best for:

  • Acne scars
  • Surgical scars
  • Moderate wrinkles
  • Texture irregularities

Contour TRL™

Contour Tunable Resurfacing Laser (TRL™) provides the deepest level of resurfacing offered within the Sciton platform. Treatment depth is customized to address significant wrinkles, advanced sun damage, and deeper textural concerns while allowing the physician to tailor recovery time.  

Best for:

  • Deep wrinkles
  • Advanced sun damage
  • Acne scars
  • Significant texture irregularities

Which Treatment Is Right for You?

Choosing the appropriate resurfacing treatment depends on several factors:

  • Your skin condition
  • Your goals
  • Available recovery time
  • Desired level of improvement

Some patients benefit from lighter treatments performed periodically, while others achieve better outcomes with more comprehensive resurfacing.

A consultation allows us to recommend the treatment that best aligns with your skin and lifestyle.

What to Expect During Treatment

Laser resurfacing treatments are performed in our office using advanced Sciton technology.

Depending on the depth of treatment, your visit may include:

  1. Skin preparation
  2. Topical anesthetic or local anesthesia when appropriate
  3. Customized laser resurfacing
  4. Cooling and post-treatment skin protection

Treatment times vary depending on the size of the area and the intensity of resurfacing.  

Recovery & Results

Recovery depends on the depth of treatment.

Light Resurfacing

Patients typically experience mild redness and light peeling with recovery measured in days.

Medium Resurfacing

Several days of peeling may occur while healthier skin replaces damaged surface layers.

Deep Resurfacing

More comprehensive treatments require additional healing time but often produce the most dramatic improvement in wrinkles, scars, and overall skin quality. Collagen remodeling continues for months following treatment. 

Laser Skin Resurfacing vs. BBL® Photo Rejuvenation

Although both treatments improve skin quality, they address different concerns.

Laser Skin Resurfacing focuses on:

  • Wrinkles
  • Texture
  • Acne scars
  • Collagen remodeling

BBL® Photo Rejuvenation is primarily recommended for:

  • Brown spots
  • Redness
  • Sun damage
  • Uneven pigmentation

Many patients achieve optimal results by combining both treatments as part of a comprehensive skin rejuvenation plan.

Before & After Results

Our gallery showcases individualized treatment planning and real patient outcomes. Individual results vary.

Frequently Asked Questions About Laser Skin Resurfacing in San Francisco

Below are answers to common questions about laser skin resurfacing.

What is laser skin resurfacing?

Laser skin resurfacing is a treatment that removes damaged outer skin while stimulating collagen production to improve wrinkles, texture, scars, and overall skin quality.

What skin concerns can laser resurfacing treat?

Laser resurfacing can improve fine lines, wrinkles, acne scars, sun damage, uneven skin texture, enlarged pores, and pigmentation concerns.

How many laser resurfacing treatments will I need?

The number of treatments depends on your skin concerns and the type of resurfacing performed. Some patients achieve their goals with one treatment, while others benefit from a customized treatment plan.

How long is recovery after laser resurfacing?

Recovery varies based on treatment depth. Light resurfacing may involve only a few days of downtime, while deeper resurfacing treatments require additional healing time.

Is laser skin resurfacing painful?

Comfort measures such as topical anesthetics, cooling technology, or local anesthesia are used based on the treatment intensity. Most patients tolerate the procedure well.

Can laser resurfacing be combined with other treatments?

Yes. Laser resurfacing is often combined with BBL® Photo Rejuvenation, chemical peels, injectables, or medical-grade skincare to create a comprehensive facial rejuvenation plan.

Reveal Smoother, Healthier-Looking Skin

Whether you’re looking to refresh your complexion or address deeper signs of aging, laser skin resurfacing offers a personalized path to healthier, more radiant skin. Schedule a consultation to learn which resurfacing treatment is right for you.

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