What’s your immediate post-procedure protocol for fractionated laser resurfacing (i.e., Sciton Pro-fractional Laser)?

My immediate post procedure protocol for fractionated laser resurfacing is to decrease stinging with the Zimmer chiller (approximately 10-30 minutes followed by the application of Vaseline. I have not seen significant pinpoint bleeding while treating acne scarring (Lumenis Encore laser) but have seen it when treating rhinophyma in which case we apply aluminum chloride and pressure. I would suggest pre-treating with a blood vessel laser first if you can see significant telangiectasia with the dermatoscope.

Years ago I used Silon face masks that did decrease post-operative erythema and time to heal, however, they were cumbersome and difficult to keep in place. I would not use any masks/dressings for partial resurfacing.

Diana Parnell, MD, FAA...

Agree. Also, avoid barrier repair creams containing microplastics as they are more easily absorbed.