Laser Skin Resurfacing

What laser resurfacing treats

• Acne scars (rolling, boxcar, atrophic)
• Fine lines and wrinkles (especially periorbital)
• Sun damage and uneven skin texture
• Brown spots and post-inflammatory hyperpigmentation
• Large pores
• Mild skin laxity

Ablative vs. non-ablative

| | Non-Ablative Fractional | Ablative Fractional CO₂ | |---|---|---| | Downtime | 1–3 days (redness, mild swelling) | 5–10 days (peeling, crusting) | | Sessions | 3–5 | 1–3 | | Improvement | Moderate | Significant | | Best for | Texture, mild scars, tone | Deep scars, lines, laxity |

Dr. Puyana recommends the appropriate modality after evaluating your skin type, concern, and lifestyle.

Skin type and safety

Laser settings are adjusted for Miami's diverse skin tones. Non-ablative fractionated resurfacing is safer than traditional ablative for darker skin (Fitzpatrick IV–VI), with a lower risk of post-inflammatory hyperpigmentation when done correctly.