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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.
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:
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.
Laser resurfacing is commonly recommended to address:
By stimulating collagen remodeling while improving the skin’s surface, laser resurfacing helps restore smoother, firmer, and healthier-looking skin.

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:
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.
Because no two patients have identical skin concerns, resurfacing treatments are customized across several levels of intensity.
The lightest resurfacing option, ideal for refreshing dull skin and improving early signs of aging with minimal downtime.
Best for:
A more intensive superficial resurfacing treatment that removes damaged outer skin layers while maintaining a relatively short recovery.
Best for:
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:
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:
Choosing the appropriate resurfacing treatment depends on several factors:
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.

Laser resurfacing treatments are performed in our office using advanced Sciton technology.
Depending on the depth of treatment, your visit may include:
Treatment times vary depending on the size of the area and the intensity of resurfacing.
Recovery depends on the depth of treatment.
Patients typically experience mild redness and light peeling with recovery measured in days.
Several days of peeling may occur while healthier skin replaces damaged surface layers.
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.
Although both treatments improve skin quality, they address different concerns.
Laser Skin Resurfacing focuses on:
BBL® Photo Rejuvenation is primarily recommended for:
Many patients achieve optimal results by combining both treatments as part of a comprehensive skin rejuvenation plan.
Below are answers to common questions about 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.
Laser resurfacing can improve fine lines, wrinkles, acne scars, sun damage, uneven skin texture, enlarged pores, and pigmentation concerns.
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.
Recovery varies based on treatment depth. Light resurfacing may involve only a few days of downtime, while deeper resurfacing treatments require additional healing time.
Comfort measures such as topical anesthetics, cooling technology, or local anesthesia are used based on the treatment intensity. Most patients tolerate the procedure well.
Yes. Laser resurfacing is often combined with BBL® Photo Rejuvenation, chemical peels, injectables, or medical-grade skincare to create a comprehensive facial rejuvenation plan.
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.

Let us help you achieve your aesthetic goals with confidence and ease.