Lasers & technology

Laser Skin Resurfacing

Fractionated laser treatments that improve texture, tone, and pigmentation — reducing fine lines, acne scars, and sun damage with controlled downtime.

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.

Frequently asked questions

How many laser resurfacing sessions will I need?

Non-ablative fractional treatments typically require 3–5 sessions spaced 4–6 weeks apart. Ablative CO₂ resurfacing can achieve significant improvement in 1–2 sessions.

Can I get laser resurfacing in the summer in Miami?

We recommend non-ablative treatments year-round with diligent sun avoidance. Ablative resurfacing is best performed October–April when UV exposure is lower and sun avoidance is easier.

Trusted sources

AAD — Laser and light treatments

This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.

Related procedures

IPL Photofacial

Reduce sun damage, brown spots, and visible blood vessels with intense pulsed light — the most popular treatment for sun-damaged Miami skin.

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Laser Hair Removal

Permanent hair reduction with diode and Nd:YAG lasers — safe and effective on all Fitzpatrick skin types, including richer Hispanic and Caribbean tones.

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Microneedling

Controlled micro-injuries that stimulate collagen and elastin — effective for acne scars, enlarged pores, and skin texture with no UV sensitivity required.

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Before & After

Real patient results from Miami Skin Center.

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