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450 Sutter Street, Suite 1212, San Francisco, CA 94108 655 Redwood Highway Suite 250, Mill Valley, CA 94941

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Laser Resurfacing

A combination of life-long ultraviolet damage (UVA and UVB) from sunlight, plus age-related changes in the skin, can lead to fine lines (rhytids) in the facial skin and many different issues with pigmentation or discoloration. Fine lines are frequently prominent in the area around the eyes (crow’s feet) and may become more obvious with facial movement (such as smiling, laughing, etc.). In mild cases and younger patients, Botox may be sufficient to treat this issue. In more advanced cases, however, these lines are visible at rest and may extend into the cheek area. For these patients, skin resurfacing is required, and Dr. Ransom offers the latest in laser technology to suit all skin types and specific needs.

In some patients, a similar issue arises in the area around the mouth (perioral), causing fine lines (rhytids) that radiate away from the lips like the spokes of a wheel. These are sometimes referred to as “lipstick bleed lines” because they may permit small amounts of lipstick or lip liner to run onto the face. Lines around the mouth are of variable depth – many are shallow, like those around the eyes, but others may be very deep (particularly in smokers). Treatment of lines in this area often requires multiple modalities and sometimes multiple treatment sessions, depending on each patient’s unique anatomy.

Lasers can also treat many pigmentation issues, including brown or purple spots (dyschromias) and visible tiny blood vessels (telangiectasias). By removing the top layer of the skin (epidermis), the laser can take away these spots. (Non-ablative lasers that are specific to the pigments in blood or certain type of “age spots” are also useful.) The heat from the laser also helps the body form new collagen from the deeper layers of the skin, creating a smoother, more uniform surface color and texture. This is useful in treatment of many types of scars.

An added benefit of ablative laser resurfacing is the ability to remove some precancerous skin lesions, such as actinic keratoses (on the facial skin) or actinic chelitis (on the lips). Because the epidermis sloughs off after an ablative laser procedure, areas that may have turned into a skin cancer in the future (i.e., that have not penetrated into the dermis below) are removed. Healthy new skin then heals from below.

Depending on your skin type and your available downtime, a single treatment or series of treatments may be indicated. If multiple sessions are required, these are generally spaced out between three and six months, based on the areas being treated and severity of the fine lines, wrinkles, and dyschromias. Dr. Ransom personally administers your laser treatment, making sure that you achieve the best result in the most comfortable and convenient way possible – and with the quickest recovery.

Who is a candidate?

Anyone with signs of facial aging, including fine lines, wrinkles, and pigment irregularity may be a candidate for CO2 laser resurfacing. In addition, the laser can be used to treat scars from injury, prior surgery, or acne. Contraindications for CO2 laser treatments include a history of scar formation from lasers and darker pigmentation of the skin. In these people, there could be undesired changes in the color or texture of the skin that is treated. For most patients, a pre-treatment medical-grade skin care regimen can improve results and reduce the risks of complications. This often includes topical medications to stabilize skin tone and improve the skin’s healing mechanisms. For more information, please see our page about skin care products or contact our office.

Frequently Asked Questions

Q: How long is the recovery after laser resurfacing?
A: Recovery time after your laser treatment depends on a number of factors, including the depth and intensity of the treatment, the areas treated, and your specific skin type and healing process. Following the laser treatment, patients use topical emollients and soaks to assist in healing and improve the results. Downtime is typically less than a week, and may be as quick as three days!

Q: What type of anesthesia is used for the laser treatments?
A: Multiple anesthesia options are available for laser resurfacing. This includes local anesthesia only, light sedation, or general. In most cases, patients are able to have laser treatments with topical numbing medicines and local anesthesia blocks. For deeper treatments, light sedation is common. This may include oral medications for pain and anxiety, or similar medicines delivered through an IV. Dr. Ransom will discuss the most appropriate option for your case during your consultation.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.