Dr Manoharan is a world leading laser dermatologist specialising in deep laser resurfacing. With more than two decades of experience, he now focuses his time on providing deeper, transformative results to patients looking for long-lasting results.
From his signature 10-Year Flashback TM to his dramatic results for complex scars, Dr Manoharan’s passion lies in delivering the most effective results for his patients.
What is laser resurfacing?
Laser resurfacing is a skin rejuvenation procedure that removes the top layers of skin using an Erbium:YAG or CO₂ laser. It helps treat wrinkles, scars, pigmentation, and overall skin texture by stimulating collagen production and resurfacing damaged skin.
How does ablative laser resurfacing work?
The laser precisely removes microscopic layers of skin, triggering the body’s natural healing and collagen regeneration process. This results in smoother, tighter, and more even-toned skin over time.
What conditions can it treat?
Ablative lasers are highly effective for:
• Deep wrinkles and fine lines
• Acne scars and surgical scars
• Sun damage and pigmentation
• Skin laxity and overall skin rejuvenation
What’s the difference between CO₂ and Erbium:YAG lasers?
• CO₂ lasers (for example the Lumenis Ultrapulse) penetrate more deeply that other lasers, making them ideal for full area treatment of deep wrinkles and scars.
• Erbium:YAG lasers (for example the Sciton Joule) offer more precise, controlled resurfacing of a smaller area, making them ideal for deeply ablating a particular spot or skin cancers.
Is the procedure painful?
To ensure that treatments are as comfortable as possible for our patients, we use a combination of numbing cream, local anesthesia, nerve blocks, or sedation to ensure patient comfort.
We also have a visiting anaesthetist once a month for those patients who wish to have maximum comfort with twighlight sedation.
What is the downtime after the procedure?
Downtime depends on the laser intensity:
• Mild resurfacing: 5–7 days of redness and peeling.
• Moderate resurfacing: 7–10 days of healing with pinkish skin for a few weeks.
• Deep resurfacing: 10–14 days of intense peeling and redness, followed by months of gradual improvement.
How can I prepare for my laser resurfacing treatment?
• Avoid sun exposure and tanning for at least a month before treatment.
• Stop certain medications (e.g., blood thinners, some acne medications) as advised by your dermatologist.
• Take antiviral medication if prone to cold sores.
What should I expect after the procedure?
• First few days: Redness, swelling, and peeling.
• Week 1-2: Skin crusts and sheds, revealing fresh skin underneath.
• Week 3-4: Pinkness fades, and collagen remodeling begins.
• 3-6 months: Full results develop as collagen builds.
How many sessions are needed?
For deep wrinkles, scars, or significant sun damage, 1–2 sessions are typically enough. For milder issues, multiple lighter treatments may be preferred to minimize downtime.
Who is a good candidate for ablative laser resurfacing?
Ideal candidates have:
• Fair to medium skin tones (darker skin tones need careful pre-treatment).
• Moderate to severe wrinkles, scars, or sun damage.
• No active skin infections or inflammatory conditions (e.g., acne, rosacea).
Is ablative laser resurfacing safe for darker skin tones?
Yes, but with caution. Darker skin has a higher risk of pigmentation issues, so we use lower settings, pre-treat with pigment inhibitors, and consider Erbium:YAG over CO₂ for a safer approach.
How long do the results last?
Results can last years with good skincare and sun protection. However, skin continues to age, so maintenance treatments (like fractional lasers, peels, or injectables) may be needed every few years.
What are the alternatives if I want less downtime?
If you want less downtime, consider:
• Fractional non-ablative lasers
• RF microneedling
• Chemical peels