Resurfacing & Tightening
Laser Skin Resurfacing
Controlled laser energy that renews the skin surface and stimulates repair, helping soften texture, scars, fine lines and sun damage.
Laser skin resurfacing in Vancouver
Understanding Laser Skin Resurfacing.
Some things do not respond to skincare: acne scarring, texture you can see in raking light, sun damage that has built up over decades, fine lines etched around the mouth and eyes.
Resurfacing works by renewing the skin surface and prompting the deeper skin to rebuild collagen over the months that follow.
There is a trade-off, and it is the whole conversation. Gentler treatments mean less time looking flushed and flaky, and a more gradual change. More intensive treatments do more in one go and cost you real recovery time. The right answer depends on your skin, your concern and what your calendar allows.
Concerns & Goals
Concern guides connected to this treatment.
Acne Scars
Indented, raised, or uneven skin texture left after deeper acne inflammation.
Acne Marks & Post-Inflammatory Pigmentation
Flat red, pink, or brown marks that remain after acne blemishes have healed.
Enlarged-Looking Pores
Visible pores and an irregular skin surface often linked to oil, acne, or aging.
Rough or Uneven Skin Texture
Skin that looks less smooth or radiant and feels uneven because of surface irregularity.
Fine Lines and Wrinkles
Visible facial creases that develop from repeated expression, collagen loss, sun exposure and skin dryness.
Perioral & Smoker’s Lines
Fine vertical lines that form on and around the lips from lip movement, aging and sun exposure.
Loose or Crepey Skin
Reduced firmness and mild tissue descent related to aging and the decline of collagen and elastin.
Neck Laxity and Neck Lines
Loose neck skin, horizontal creases, or visible muscle bands that can reduce definition of the neck and jawline.
Treatment options and technologies
Laser resurfacing is one of several clinically recognised approaches to scarring, texture, fine lines and sun damage. It is not a fixed answer, and it is not always the appropriate one — intensity is not a ranking of quality, and the most intensive option is the wrong option for many people.
The options available here, selected according to clinical findings:
- HALO Hybrid Fractional Laser — considered where both tone and texture are to be addressed and ablative and non-ablative energy are suited to the same treatment.
- Secret PRO — considered where fractional CO₂ resurfacing or RF microneedling is indicated for scarring and textural change.
- PicoWay — considered where pigment is a substantial part of the concern, or where a picosecond approach to skin renewal is suited to the skin type.
- VAMP (PDRN Salmon DNA) — considered immediately after microchannel-creating treatment, to aid recovery and skin quality.
More than one is frequently indicated, staged over several months rather than selected against each other.
The selection is a clinical decision, not one you are expected to make. Your skin is examined in good light, the scar types and depths are identified, and your skin type, healing and scarring history, cold-sore history, isotretinoin use, medications, tanning habits and the recovery time available to you are all assessed before an approach or intensity is recommended.
Have Your Skin Examined and the Right Intensity Recommended →
Concerns this treatment may help
Resurfacing is most often considered for:
- Acne scarring — indented, rolling or uneven texture left after inflammation has settled
- Other scars, including some surgical scars
- Rough or uneven texture that you notice most in side lighting
- Enlarged-looking pores and an irregular skin surface
- Fine lines, particularly the vertical lines around the mouth and lines at the outer eyes
- Sun damage — the accumulated dullness, mottling and coarseness of years of exposure
- Crepey skin on the neck and décolletage
Who may benefit
Resurfacing suits people who are bothered by texture, scarring or sun damage, who can take the recovery the chosen intensity requires, and who will genuinely protect the skin from sun afterwards.
Skin tone changes the calculation. Deeper skin tones can be resurfaced, but the risk of pigment change afterwards is higher, so gentler settings, a different device, or preparation of the skin beforehand may be advised. Anyone who tells you skin tone is irrelevant here is not being straight with you.
Timing matters more than most people expect. A holiday in the sun, a wedding, or a summer spent outdoors are all reasons to plan treatment for a different month rather than push ahead.
Cold sores need managing, not ignoring. Freshly resurfaced skin is vulnerable, so if you get them — even rarely — preventive antiviral medication is usually arranged before facial treatment.
Recent isotretinoin use, a tendency to keloid scarring, active acne or infection in the area, and some medical conditions affecting healing all need discussion before a plan is made.
Your consultation
Resurfacing is performed by our experienced laser technicians, working under the medical direction of Dr. Gidon Frame.
At assessment we examine the concern in good light, establish your skin type and how it has responded to treatments and injury before, and take a history covering cold sores, keloid or hypertrophic scarring, isotretinoin, medications, tanning habits and previous resurfacing.
We also ask a practical question: how many days can you realistically be out of sight? That answer shapes the recommendation as much as your skin does.
If preventive antiviral medication is advisable before facial treatment, our physicians — Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher — can arrange it.
No charge for the conversation. The consultation is complimentary, so working out which intensity suits you costs nothing. A booking fee is applied to hold your appointment, covering the clinical time set aside for you and reducing appointments lost to no-shows.
What treatment is like
Preparation. Depending on the plan, this may include priming the skin in advance, strict sun avoidance, and antiviral medication started before the appointment.
On the day. The skin is cleansed and numbing is applied and given time to take effect. Protective eyewear is worn, and for treatment close to the eyelids, shields may be placed to protect the eyes directly.
During. The laser is passed over the area in sections. Expect heat, prickling and a sensation many describe as hot pinpricks, easing as cooling is applied.
Straight afterwards. Your skin will be red, hot and swollen, rather like a strong sunburn. This is expected. You will leave with ointment on and clear written instructions.
What resurfacing can and cannot change
What it can improve: the depth and visibility of acne scarring, rough and uneven texture, the look of enlarged pores, fine lines, and the mottled dullness of sun-damaged skin.
What it cannot do: remove scarring completely, lift skin that has descended, restore lost facial volume, or protect you from future sun damage.
When you see change. Once redness and flaking settle, the skin usually looks brighter and smoother straight away. The change that matters for scarring and lines is slower — new collagen forms over the following months, so the result at three months is better than the result at three weeks.
Series or single treatment. Lighter approaches are typically repeated as a series. More intensive treatment achieves more per session, so fewer are needed. Scarring in particular usually needs more than one round.
What influences your result: the type and depth of your scarring, your skin type, your age and how well your skin heals, whether you smoke, and how strictly you follow aftercare and sun protection.
Skin heals at different rates and to different degrees, and two people given the same treatment will not end up in the same place.
Anti-Aging Medical & Laser Clinic
Looking for the right next step?
Anti-Aging Medical & Laser Clinic can help you understand this treatment, explore related technologies and concerns, and build a plan around your goals.
Recovery and aftercare
How much recovery you face depends on the intensity chosen.
- Lighter, non-ablative treatments: a few days of redness, warmth and a sandpapery feel, usually manageable around normal life.
- Fractional treatments: redness and swelling for several days, then a bronzed or grid-like appearance as treated skin prepares to shed, followed by flaking. Pinkness can linger afterwards.
- Ablative treatments: pronounced swelling, weeping, crusting and peeling over one to two weeks or more, then a prolonged period of pinkness that makeup can cover once the skin has closed.
What helps: sleeping propped up for the first nights to limit swelling, keeping the skin coated with the ointment you are given, gentle cleansing only, and cool compresses.
What to avoid: picking or pulling at any flaking or crusting, scrubs and active skincare, makeup until you are told the skin has closed, exercise, saunas, swimming pools and hot showers, and any sun at all.
Then, without fail: daily broad-spectrum sun protection. New skin that is exposed to sun is how a good result turns into a pigmentation problem.
Contact the clinic promptly if you develop increasing pain, spreading redness, yellow discharge, a fever, or a cluster of painful blisters.
Common and usually temporary effects
These are part of a normal recovery, not signs that something has gone wrong:
- Redness, heat and a sunburn-like sensation
- Swelling, most noticeable around the eyes and worst in the first days
- A rough, sandpapery skin texture
- A bronzed or grid-like look before treated skin sheds
- Dryness, flaking and peeling
- Itching and tightness as the skin repairs
- Temporary sensitivity to skincare products you normally tolerate
Less common but important risks
- Cold sore reactivation. On freshly resurfaced skin an outbreak can be more widespread and more painful than usual, and can lead to scarring. This is why preventive antiviral medication is used for facial treatment in anyone with a history — even a distant one. Report clustered painful blisters immediately.
- Bacterial or fungal infection, and delayed healing.
- Burns and blistering beyond the expected treatment effect.
- Pigment change. Post-inflammatory hyperpigmentation is the most common significant complication, and the risk is distinctly higher in deeper skin tones and after any sun exposure on healing skin. Loss of pigment (hypopigmentation) is less common but can be long-lasting or permanent, and is more associated with deeper ablative treatment.
- Prolonged redness lasting weeks to months after more intensive treatment.
- Scarring, uncommon but possible, particularly with infection, picking at healing skin, or in people prone to keloid formation.
- Eye injury. Laser light can cause serious and potentially permanent damage to the eye. Protective eyewear is worn throughout by you and the technician, and for treatment near the eyelids protective shields may be placed directly over the eyes. Eye protection is never optional and is not removed while the laser is active.
- Milia (small white cysts) or an acne flare as the skin heals.
- A result that falls short of what you hoped for, or that needs further sessions to reach.
When treatment may need to wait
Treatment may need to be postponed or reconsidered if you have:
- An active cold sore, infection, or inflamed skin in the treatment area
- Recent sun exposure, a tan or sunburn — or a sunny holiday coming up
- Recent isotretinoin use
- A history of keloid or hypertrophic scarring
- Active acne in the area intended for treatment
- An autoimmune or connective tissue disorder, or medication that suppresses your immune system
- A condition that impairs healing, including poorly controlled diabetes
- Previous radiation treatment to the area
- Pregnancy or breastfeeding
- Medications that increase light sensitivity
- Recent surgery, another resurfacing treatment or a peel on the same skin
- Circumstances that make strict aftercare and sun avoidance unrealistic right now
This is not a complete screening list. Your skin type, health history, medications, healing and scarring history and previous treatments are all reviewed before a plan is agreed.
Skincare before and after resurfacing
Before. You may be asked to prepare the skin for a period beforehand, and to stop retinoids and exfoliating acids in the days leading up to treatment.
During healing. Simplify ruthlessly. A gentle cleanser and the ointment or moisturiser you are given, and nothing else, until you are told otherwise. Actives reintroduced too early are a common cause of irritation and prolonged redness.
Afterwards. Sun protection every day, without exceptions, on healing and healed skin alike. Once your skin is fully recovered, a maintenance routine helps hold the improvement — but no cream replaces what resurfacing does to texture and scarring.
Technologies Used
Technologies that may support this treatment.
Secret PRO
Secret PRO is a multi-technology platform combining RF microneedling, fractional CO₂ laser resurfacing, and a Surgi handpiece for different treatment goals.
HALO Hybrid Fractional Laser
HALO is a hybrid fractional laser that delivers both ablative and non-ablative energy to the skin within the same treatment to address tone and texture.
PicoWay
PicoWay is a picosecond laser platform that delivers ultra-short pulses of light across several wavelengths to target pigment and stimulate skin renewal.
VAMP (PDRN Salmon DNA)
A topical polydeoxyribonucleotide (PDRN) formula applied immediately after microchannel-creating procedures to aid skin recovery and quality.
Anti-Aging Medical & Laser Clinic
Why patients choose our clinic
- More than one platform. Having a range of resurfacing technology means the intensity is chosen for your skin and your concern rather than dictated by the single device in the room.
- Experienced laser technicians perform the treatments, under the medical direction of Dr. Gidon Frame.
- Physicians on site. Dr. Gidon Frame, Dr. Sarina Govindasamy and Dr. Teri Fisher can arrange antiviral cover and review anything that needs medical attention during healing.
- Honest about downtime before you book, not after — including telling you when the timing in your life is wrong for the treatment you are asking for.
- Caring for a wide range of skin types in Vancouver since 2001, with more than two decades of experience behind the recommendation.
FAQ
Questions about Laser Skin Resurfacing.
Three things decide it: how much change you need, how much recovery you can take, and what your skin type safely allows. Deep acne scarring generally does not respond well to the gentlest options, while someone wanting an overall freshening with a few days of flaking is well served by them. Deeper skin tones often do better with a gentler approach precisely because it carries less risk of pigment change.
The assessment is complimentary — there is no consultation fee for coming in and discussing what resurfacing would do for your skin. A booking fee is charged to hold the appointment slot, which reserves the clinical time and keeps missed appointments down. The details are explained when you book.
With lighter treatments, a few days of looking flushed and feeling rough. With fractional treatments, expect several days of redness and swelling followed by a bronzed, sandpapery appearance as the skin sheds. With ablative treatment, plan on one to two weeks or more of visible healing and then a longer stretch of pinkness that makeup can cover once the skin has closed. Book with your calendar in front of you.
The virus stays dormant in nerve tissue for life, and the stress of resurfacing is a classic trigger. On skin that has just been treated, an outbreak is not a single blister — it can spread widely across the treated area, is genuinely painful, and is one of the few ways a resurfacing treatment can end in scarring. Preventive medication is straightforward, cheap, and is the reason this is rarely a problem.
Softened, often substantially, but not erased. Different scar types respond differently — rolling and shallow scars generally improve more readily than narrow deep ones, which may need to be addressed with other techniques alongside resurfacing. Most people with significant scarring need more than one round, and the honest goal is scarring that no longer catches the light and draws attention, not skin that has never had acne.
Yes, and it is a practical point rather than a scheduling preference. Healing skin is highly vulnerable to sun-induced pigmentation, so the weeks after treatment need to be low-exposure ones. Booking before a beach holiday, a ski trip or a summer of outdoor work puts your result at risk. In Vancouver, the darker months are genuinely the easier time to heal well.
Not until the skin has fully closed, which your technician will confirm. Applying makeup over skin that is still crusting or weeping risks infection and disturbs healing. Once you are cleared, mineral makeup over sunscreen is generally the easiest thing to tolerate, and most people find lingering pinkness covers well.
Frequently, because they solve different problems — resurfacing changes skin quality and texture, while injectables address volume and expression lines. Sequencing and spacing matter, and treatments are usually staged rather than stacked on one day, so that healing is not complicated and any reaction can be attributed to the right treatment.
Numbing is applied beforehand and given time to work. During treatment most people describe heat and a prickling or stinging sensation, more intense with more intensive settings. Afterwards it feels like a strong sunburn: hot and tight rather than sharply painful, easing over the first day or two. Pain that increases rather than settles is not normal and should be reported.
The collagen change is durable, but your skin keeps ageing and keeps meeting ultraviolet light. Results are best held with daily sun protection, a sensible routine, and periodic lighter maintenance treatment. Someone who resurfaces once and then spends every summer unprotected will lose ground; someone who protects their skin will keep much of what they gained.
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Why Anti-Aging Medical & Laser Clinic?
- A medical clinic with physicians and experienced medical-aesthetic providers on the team.
- Science-informed assessment, treatment planning, and realistic expectations.
- Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
- Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
- Personalized skincare and product consultations based on your goals and routine.
- Home-care guidance to support your skin between in-clinic appointments.
- Professional skincare products available through the Anti-Aging Vancouver shop.
- Clear guidance on treatment options, preparation, downtime, aftercare, and next steps.
- Ongoing follow-up so your plan can evolve as your needs and goals change.