Fractional resurfacing is a technique in which a grid-like pattern of CO2 laser pulses is delivered to the skin in such a manner that healthy tissue surrounds each area of laser-induced injury. This differs markedly from traditional resurfacing techniques in which the entire surface in the treated area is affected by the laser, resulting in a relatively long recovery period. This technique is the new “gold standard” for laser skin resurfacing and rejuvenation with very little downtime and a high safety profile. A significant amount of the aged or sun damaged skin must be treated to generate appreciable improvement. Therefore, a series of 3 treatments is recommended for the best possible result. A substantial benefit of fractional resurfacing is the ability to treat the neck, hands, eyelids and chest, areas where the skin is thin that traditional techniques could not be used due to the high risk of scarring and change to skin color.
Microneedling, often known as collagen induction therapy, is another form of skin resurfacing. Microneedling may be performed with or without Plasma Replacement Therapy (PRP). Microneedling inserts very short, thin needles into the surface of the skin. This very mild injury causes the skin to develop more collagen to heal itself with an end result in reduction of fine lines and wrinkles, improved scar appearance, and overall improved skin texture. When used on the scalp in conjunction with PRP microneedling can stimulate dormant hair follicles. Otherwise combing microneedling with PRP provides additional improvement in collagen and elastin production.