Controlling the light's intensity, cosmetic surgeons use laser light like a scalpel, to gently remove the outer layers of the skin around the eyes and mouth or the entire face. The procedure smooths out acne scars and pock marks, evens out sun-damaged discolored skin, and removes the fine lines and wrinkles that form as we get older. The procedure also tightens the tissue beneath the skin, thus as the surface skin peels away during the healing process, a tighter and more youthful skin is exposed.

The procedure usually takes less than an hour and is usually performed in the doctor's office. An anesthesiologist administers sedation and local anesthesia.

Prior to laser surgery, a two to six week regiment of nightly use of Retin-A or glycolic acid is sometimes suggested to stimulate the cells beneath the skin, thus shortening the healing time. At this time, the surgeon discusses medication, over-the-counter drugs and any vitamins that the client may be taking on a regular basis to insure nothing interferes with the healing process.

Post treatment involves soaking the face in a vinegar and water solution and applying a salve to keep the skin moist. Antiviral and antibiotics are prescribed to reduce the risk of cold sores and infections. The skin will be raw after surgery, slightly or moderately swollen and burning. The swelling and burning (which is kept under control with pain pills) peak about the 3rd or 4th day. As new skin rebuilds itself, it will "weep" and crust and peel. After the peeling, weeping and crusting stops (anywhere from 6 to 10 days), the skin remains red for several weeks and pink for up to two months. The redness can be concealed with make-up.

Once the skin has completely healed, the client is free to resume normal skin care, with one exception. Always apply sun-block and avoid exposure to the sun. The full impact of the surgery won't be apparent for a couple of months and its effects can last for several years.

Note: Laser surgery is not a substitute for a face-lift. It will not improve sagging skin or remove deep laugh lines or deep furrows in your forehead.