
How Laser Resurfacing Can Revitalize Your Skin

Your skin changes in ways that creams and serums can’t fix. Years of sun exposure create deep damage that sits well below the surface. Acne scars, wrinkles, and brown spots leave permanent texture changes that no amount of makeup can completely hide.
Most people try topical treatments first, but when the damage extends into the deeper layers of your skin, you need something that can rebuild from within.
At R. James Koch, MD, in San Mateo, California, we use the AcuPulse™ Fractional CO2 Laser to address skin concerns needing more than surface treatments.
Dr. Koch teaches laser techniques to other physicians and knows how to get meaningful results while keeping recovery manageable.
Fractional technology shortens laser treatment downtime
Traditional CO2 lasers treat your entire skin surface at one time, meaning weeks of downtime and higher risks. The AcuPulse system takes a less aggressive but equally effective approach, creating thousands of microscopic treatment columns without touching surrounding tissue.
Fractional technology speeds healing because the untreated skin between laser columns helps repair the treated areas. Your skin essentially rebuilds itself using healthy tissue as scaffolding.
The SuperPulse™ technology adds precision that older lasers can’t match. Instead of continuous heat that can damage surrounding tissue, these ultra-fast pulses turn most of the thermal energy into vapor rather than transferring it to your skin.
Less heat means more comfort during treatment and cleaner healing.
The laser reaches where collagen lives
At 1.5 millimeters below your skin’s surface, the laser penetrates the dermis, where collagen production happens.
This controlled thermal damage triggers your body’s natural healing response, stimulating the formation of fresh collagen and elastin — proteins that build resilience and elasticity — over the following months.
Surface treatments can’t reach this depth. Injectable treatments add volume but don’t improve skin quality itself. Laser resurfacing removes damaged surface layers while stimulating structural improvements beneath, so your skin rebuilds itself stronger and smoother.
Skin problems that respond best to laser treatment
Laser resurfacing targets specific problems that develop over time:
- Fine lines and deep wrinkles
- Acne scars that create uneven texture
- Sun damage, like brown spots and rough patches
- Skin laxity around your jawline and neck
- Enlarged pores that make applying makeup difficult
- Overall dullness
Dr. Koch adjusts the laser's depth and intensity based on your skin quality and how much recovery time you can handle. Areas like your neck and chest get more conservative settings, while facial skin can handle deeper treatment for maximum improvement.
Treatment happens in our procedure room using topical anesthesia or nerve blocks, depending on what areas we’re targeting. Most patients feel warmth and a scratching sensation during the session, which lasts 30-60 minutes.
Your recovery timeline breakdown
The first week, your skin shows a fine grid pattern where the laser created its microscopic columns. Surface peeling reveals fresh skin underneath as damaged layers shed naturally. Mild redness continues for another few days after the peeling finishes.
Most patients return to makeup and normal activities 10-14 days post-treatment. The improvements keep developing for months as new collagen forms. What you see at six weeks becomes your new baseline, with continued subtle enhancement over the following year.
Recovery time varies based on treatment depth, but even conservative settings produce noticeable improvements in skin texture and tone.
Dr. Koch can perform laser resurfacing alone or combine it with nonsurgical or surgical procedures to address structural aging and skin quality in one recovery period.
Schedule your laser resurfacing consultation
Restore your skin’s clarity and smoothness with advanced laser technology. Contact us today at 669-279-3663, text us, or schedule online at drkochfacialplasticsurgery.com to learn how laser resurfacing can address your specific skin concerns.
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