Skin Treatments

Laser Resurfacing

 

Laser resurfacing is an ablative skin treatment that uses Erbium:YAG (2940nm) laser energy to remove damaged outer layers of skin and support the skin’s natural renewal process. Using the Xlase Plus by Biotec Italia, this treatment may assist with skin concerns related to sun damage, textural irregularities, uneven pigmentation, and the visible signs of skin ageing. Treatments are performed by our skilled practitioner, who assesses each individual’s skin condition, medical history, and goals to determine whether the treatment is appropriate and to discuss realistic outcomes.

Book a consultation

Elegant, harmonious, authentic.

How Laser Resurfacing Works

The Xlase Plus Erbium:YAG laser operates at a wavelength of 2940nm, which is highly absorbed by water in skin cells. This causes controlled vaporisation of the outer skin layers, prompting the skin’s natural repair response and supporting tissue renewal over time.

Unlike non-ablative treatments, ablative laser resurfacing works at the surface level, making it possible to address textural irregularities and visible skin damage in a controlled manner. The Xlase Plus platform offers both short and long pulse settings, which the practitioner adjusts to manage tissue response and coagulation. It also supports fractional and full-field resurfacing approaches, as well as 3D Laselift techniques for skin tightening.

During your consultation, our practitioner will evaluate factors including skin type, condition, sun damage history, and any relevant medical considerations to assess suitability. Laser resurfacing may assist with:

  • Reducing the visible appearance of fine lines and wrinkles through controlled skin renewal.
  • Addressing textural irregularities, including those associated with acne scarring.
  • Targeting uneven pigmentation and areas of sun damage.
  • Supporting skin texture and tone in areas such as the face, neck, décolleté, and hands.
  • Minimising the visible appearance of open pores.

A thorough consultation is essential to discuss potential outcomes, associated risks, alternatives (such as chemical peels or RF-based treatments), and to form realistic expectations suited to your individual skin.

Areas Treated and Benefits

Our practitioner assesses skin concerns and recommends treatment areas based on individual presentation. The Xlase Plus laser is suitable for the following areas:

  • Face (tone and texture): May assist with fine lines, visible sun damage, uneven pigmentation, and textural irregularities.
  • Acne scarring: May assist with reducing the visible appearance of pitted or textured scarring by supporting skin regeneration.
  • Neck (texture and laxity): May assist with crepey or irregular skin texture, and the visible appearance of horizontal lines.
  • Décolleté (sun damage and irregularities): May assist with addressing sun-damaged skin, fine lines, and discolouration in the chest area.
  • Hands (texture and pigmentation): May assist with softening textural irregularities, reducing the appearance of age spots, and supporting overall skin condition.

Individual responses vary based on skin type, age, lifestyle factors, and the extent of the concern being addressed.

What to Expect: Treatment Process and Schedule

A consultation of 45–90 minutes is required prior to treatment. This is your opportunity to discuss skin concerns, review your medical history, and receive a thorough explanation of the procedure, expected recovery, risks, and whether laser resurfacing is appropriate for your skin. Our practitioner will not proceed without confirming suitability.

Preparation

In the weeks before treatment:

  • Discontinue active skincare ingredients such as retinoids and exfoliating acids, as advised by your practitioner.
  • Avoid excessive sun exposure and tanning.
  • Avoid heat-based treatments (e.g., saunas) to minimise skin sensitivity.
  • Follow any pre-treatment skincare guidance provided during your consultation.

Timing note: Winter is generally considered a suitable time for this treatment due to reduced UV exposure, supporting post-treatment skin care.

Treatment Day

  • The procedure takes approximately 45–90 minutes depending on the area being treated.
  • A topical anaesthetic may be applied to manage discomfort during the session.
  • The practitioner uses the Xlase Plus handpiece to deliver controlled laser energy across the treatment area, with adjustable pulse settings calibrated to your skin’s needs.
  • Cooling measures are used throughout to support comfort.

Aftercare

  • Expect approximately 7 days of downtime. Skin will peel as part of the renewal process — this is a normal part of recovery, often described as similar to an acid-free peel.
  • Keep treated areas clean and moisturised; avoid rubbing or picking at peeling skin.
  • Avoid sun exposure, heat, exercise, and makeup for the period recommended by your practitioner.
  • Apply a broad-spectrum, high-SPF sunscreen daily once skin has healed, and continue long-term sun protection.
  • Follow all aftercare instructions provided; contact the clinic if you have concerns during recovery.

Schedule and Results

  • Initial changes in skin texture and appearance may be noticeable as the skin heals over several weeks.
  • Some concerns may be addressed in a single session; others may benefit from a planned series of treatments, spaced as advised by your practitioner.
  • Maintenance treatments may be recommended based on individual skin response over time.
  • Follow-up appointments assist in monitoring progress and managing expectations.
Side Effects and Safety

Laser resurfacing has a well-established safety profile when performed by a qualified practitioner. Because it is an ablative procedure, downtime is expected and is a normal part of the treatment process.

Common temporary side effects include redness, swelling, sensitivity, and peeling. These are expected and typically resolve within 7–14 days with appropriate aftercare.

Possible risks include temporary changes in pigmentation (hyperpigmentation or hypopigmentation), scarring, infection, or prolonged redness. These risks are minimised through thorough pre-treatment screening, correct technique, and adherence to aftercare instructions. However, individual responses vary and cannot be fully predicted.

Our practitioner screens for contraindications prior to treatment. Conditions that may affect suitability include, but are not limited to: active skin infections, certain autoimmune conditions, history of keloid scarring, use of photosensitising medications, recent sun exposure, and pregnancy. Alternatives will be discussed where laser resurfacing is not considered appropriate.

Please disclose your full health and medication history at your consultation. Individual outcomes vary, and no specific result can be guaranteed.

Frequently Asked Questions
Is laser resurfacing suitable for all skin types?

Suitability for laser resurfacing depends on a range of individual factors and cannot be determined without a thorough in-person assessment. Erbium:YAG laser resurfacing may be suitable for a variety of skin types and tones; however, certain presentations require particular care. Individuals with darker skin tones may carry a higher risk of post-treatment pigmentation changes, and those with active skin conditions, a history of keloid scarring, or certain underlying health conditions may not be appropriate candidates.

During your consultation, our practitioner will assess:

  • Your skin type, tone, and current condition
  • Any history of skin sensitivity, scarring, or previous treatments
  • Relevant medical history and current medications
  • The nature and extent of the skin concerns you are seeking to address

Patch testing or a staged treatment approach may be recommended in some cases. Our practitioner will not proceed with treatment unless suitability has been clearly established and you have had the opportunity to ask questions and consider your options.

What is the expected downtime and recovery process?

Because Erbium:YAG laser resurfacing is an ablative procedure — meaning it removes the outer layers of skin in a controlled manner — a period of visible recovery is a normal and expected part of the process. Patients should anticipate approximately 7 days of downtime, though individual recovery timelines vary depending on the treatment area, the depth of the session, and each person’s skin response.

During recovery, it is common to experience:

  • Redness and swelling in the treated area, most pronounced in the first 2–3 days
  • Peeling or shedding of the skin as the renewal process takes place — this is a normal part of healing and is often described as similar to an acid-free peel
  • Sensitivity to touch, temperature, and skincare products during the healing period

To support recovery, patients are advised to:

  • Keep the skin clean and well moisturised using products recommended by their practitioner
  • Avoid touching, rubbing, or picking at peeling skin, which may increase the risk of complications
  • Refrain from exercise, heat exposure (including saunas and hot showers), and the use of makeup for the period advised by their practitioner
  • Apply a broad-spectrum, high-SPF sunscreen daily once the skin has healed, and maintain consistent sun protection as part of ongoing skin care

Full skin healing and the appearance of the treated area typically continue to evolve over several weeks following the procedure. Follow-up appointments assist our practitioner in monitoring your recovery and addressing any questions during this period.

Can laser resurfacing be combined with other treatments?

In some cases, laser resurfacing may be considered alongside other skin treatments as part of a broader approach to addressing skin concerns. Whether a combination approach is appropriate depends entirely on your individual skin assessment, medical history, treatment history, and goals.

Treatments that are sometimes considered alongside laser resurfacing include skin needling, skin care programmes, or other energy-based modalities. The sequencing, spacing, and suitability of any combined approach requires careful assessment. Combining treatments without appropriate professional oversight may increase the risk of adverse effects, including prolonged redness, pigmentation changes, or compromised skin barrier function.

Our practitioner will discuss whether a combined approach is appropriate for your situation during your consultation. We do not recommend or proceed with combination treatments without a thorough individual assessment, and any plan will be developed with your safety and realistic expectations as the primary considerations.

How long may the outcomes of treatment be maintained?

The skin continues to change over time as a result of the natural ageing process and ongoing environmental factors, including UV exposure, lifestyle, and general health. As such, the outcomes of laser resurfacing are not permanent, and individual responses to treatment vary considerably.

Factors that may influence how outcomes are maintained over time include:

  • Consistent and adequate sun protection, which is one of the most significant factors in supporting skin condition following any resurfacing treatment
  • Skincare practices, including the use of appropriate moisturisers and skin-supporting products as recommended by your practitioner
  • Lifestyle factors such as diet, hydration, smoking, and general health
  • Age and the rate of individual skin change over time

Some patients choose to have maintenance treatments at intervals recommended by their practitioner to support the condition of their skin over time. Your practitioner will discuss what a realistic ongoing plan may look like for your situation based on your skin’s response. No specific outcome or duration of results can be guaranteed, and expectations will be discussed openly at your consultation and follow-up appointments.

Is a consultation mandatory before treatment?

Yes. A consultation is required before any laser resurfacing treatment is performed. This is not a formality — it is an essential step in ensuring that the treatment is appropriate for you and that you are able to make a fully informed decision before proceeding.

During your consultation, our practitioner will:

  • Review your medical history, current medications, and any relevant health conditions
  • Assess your skin type, tone, and the nature of the concerns you are seeking to address
  • Explain the procedure in detail, including how the Xlase Plus Erbium:YAG laser works and what to expect during and after treatment
  • Discuss the potential risks, side effects, and contraindications relevant to your individual presentation
  • Outline realistic expectations for outcomes, noting that individual responses vary
  • Present any alternatives that may also be appropriate for your skin concerns
  • Provide preparation guidelines and answer any questions you may have

No treatment will be scheduled or performed without a completed consultation. We encourage patients to take their time, consider their options, and ask any questions they have before making a decision.

Who performs the laser resurfacing treatment?

All laser resurfacing treatments at our clinic are performed by our skilled practitioner, who has training and experience in the use of the Xlase Plus Erbium:YAG platform. The same practitioner who conducts your consultation will be involved in your care, ensuring continuity and familiarity with your individual skin assessment and treatment plan.

All procedures are conducted in accordance with applicable Australian standards and guidelines, including those set out by AHPRA and the relevant National Boards. Our practitioner operates within their scope of practice and will be transparent about any situations in which a referral or alternative provider may be more appropriate for your needs. Patient safety and informed decision-making are the foundations of how we approach every treatment.

Is anaesthesia or numbing required for the procedure?

Because Erbium:YAG laser resurfacing is an ablative treatment that works at the skin’s surface, some degree of discomfort during the procedure is expected. Topical anaesthetic cream is routinely applied prior to treatment to manage this, and most patients find the procedure tolerable with appropriate numbing in place.

The level of discomfort experienced can vary depending on:

  • The area being treated and its sensitivity
  • The depth and coverage of the treatment session
  • Individual pain tolerance

Cooling measures may also be used during the procedure to support comfort. Our practitioner will discuss pain management with you prior to your session and ensure you are comfortable with the approach before proceeding. If you have concerns about discomfort or a low tolerance for pain, please raise this during your consultation so that appropriate measures can be considered.

What are the contraindications for laser resurfacing?

There are a number of conditions and circumstances that may make laser resurfacing unsuitable or require careful consideration before proceeding. Our practitioner conducts a thorough assessment at your consultation specifically to identify any contraindications relevant to your situation.

Conditions that may affect suitability include, but are not limited to:

  • Active skin infections, cold sores (herpes simplex), or open wounds in or near the treatment area
  • A history of keloid or hypertrophic scarring
  • Certain autoimmune or inflammatory skin conditions, such as lupus, psoriasis, or eczema in the treatment area
  • Use of photosensitising medications, including some antibiotics and certain acne medications (e.g., isotretinoin — a period of cessation is typically required before treatment)
  • Significant or recent sun exposure or active tan in the treatment area
  • Pregnancy or breastfeeding
  • Certain medical conditions or medications that affect skin healing or immune response

This list is not exhaustive. It is important that you disclose your full medical history, including all current medications and supplements, at your consultation. Withholding relevant health information may affect the safety of your treatment. Where a contraindication is identified, our practitioner will discuss suitable alternatives with you.

What preparation and aftercare are involved, and why do they matter?

Preparation and aftercare are integral to the safety and outcome of laser resurfacing. Following the guidance provided by your practitioner helps to reduce the risk of complications, supports the skin’s healing process, and contributes to the best possible recovery experience.

Preparation (typically 2–4 weeks prior to treatment):

  • Discontinue the use of active skincare ingredients, including retinoids, exfoliating acids (AHA/BHA), and vitamin C in high concentrations, as these can increase skin sensitivity
  • Avoid deliberate sun exposure, tanning beds, and self-tanning products, as a tan in the treatment area increases the risk of pigmentation complications
  • Avoid heat-based treatments such as saunas, steam rooms, and waxing in the area to be treated
  • Inform your practitioner of any changes to your health or medications between your consultation and treatment date
  • Follow any additional preparatory skincare routine recommended by your practitioner to optimise skin condition prior to the session

Aftercare (as directed by your practitioner):

  • Keep the treated area clean and apply recommended moisturisers or healing products regularly to prevent the skin from drying out during the peeling phase
  • Do not pick, rub, or forcibly remove peeling skin, which can disrupt healing and increase the risk of scarring or infection
  • Avoid exercise, excessive heat, alcohol, and activities that may cause sweating or flushing for the period recommended by your practitioner
  • Avoid applying makeup to the treated area until the skin has healed sufficiently, as directed
  • Begin applying broad-spectrum, high-SPF sunscreen daily as soon as your practitioner advises it is appropriate, and continue this as part of your long-term skin care routine
  • Attend all recommended follow-up appointments so your practitioner can monitor your recovery

If you experience unexpected symptoms during your recovery — such as signs of infection, unusual pain, or prolonged redness — contact the clinic promptly. Our team is available to support you throughout the recovery process.

Why Patients Choose Us for RF Resurfacing

Expertise in Natural-Looking Outcomes

Our qualified practioners use evidence-based techniques tailored to individual anatomy, aiming for results that complement and refine your natural features. Outcomes vary based on personal factors such as age, skin type, and overall health—realistic expectations will be discussed during your consultation. We prioritise a balanced approach, carefully considering facial harmony and the recovery process.

Personalised Consultation Process

We start with thorough assessments to understand your unique concerns and goals, developing a plan suited to your needs. This includes discussing potential risks, benefits, and alternatives openly. Every outcome depends on individual characteristics; our focus is informed decision-making.

Comprehensive Patient Support

From initial consultation through recovery, we provide clear guidance on aftercare, follow-ups, and addressing concerns. Our protocols emphasise safety, risks, and realistic recovery timelines. Schedule a consultation to explore options with us.

Schedule  a  Consultation

 

Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au

 

Sydney Centre for Plastic Surgery

Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022

 

Gosford Private Medical Centre

Suite 4, 12 Jarrett St
North Gosford NSW 2250

Breast reduction Sydney, Breast Reduction Surgery Sydney, Boob reduction, Breast Surgery, Breast reduction surgery, Breast surgery for back pain, Surgery for large breasts, Oversized breast surgery – Dr Vlad ILLIE, plastic surgeon Sydney

Breast Augmentation Sydney, Breast Surgery Sydney, Boob job Sydney, Breast Implants Sydney Eastern Suburbs, Breast Enlargement Sydney, Breast Enhancement, Breast Enhancement Sydney, Breast implant surgeon Sydney, Silicone Implants, Motiva Implants – Dr Vlad ILLIE, plastic surgeon Sydney

Breast Reconstruction Surgery Sydney, Breast Cancer Reconstruction Sydney, Diep Flap Surgery, Reconstructive Surgery, Breast Reconstructive Surgery, Breast Surgery Post-Breast Cancer, Breast Surgery Post-Mastectomy – Dr Vlad ILLIE, plastic surgeon St Vincent’s Hospital Sydney

Mummy Makeover, Saggy Breasts Surgery, Breast Lift & Implant, Boob lift, Breast enlargement and lift, Breast enhancement Sydney, Breast surgery post-pregnancy, Breast surgery post-weight loss  – Dr Vlad ILLIE, plastic surgeon St Vincent’s Hospital Sydney

Breast Augmentation Sydney, Breast Surgery Sydney, Boob job Sydney, Breast Implants Sydney Eastern Suburbs, Breast Enlargement Sydney, Breast Enhancement, Breast Enhancement Sydney, Breast implant Surgeon Sydney, Silicone Implants, Motiva Implants – Dr Vlad ILLIE, plastic surgeon

Breast Revision, Breast Surgery Sydney, Breast implant revision, Breast augmentation revision, Breast implant replacement, Breast Implant Reduction, Breast Implant Replacement, Surgery for botched breasts – Dr Vlad ILLIE, plastic surgeon

Tuberous breast surgery Sydney, tuberous breast correction Sydney, tuberous breasts, plastic surgeon Sydney, cosmetic surgeon Sydney, severe tuberous breasts, mild tuberous breast, Tuberomastoplasty, Lollypop Breast Lift – Dr Vlad ILLIE, plastic surgeon Sydney

Asian Breast Surgery Sydney, Asian breast implants, Asian scar healing breast implants, Asian breast reduction Sydney, Asian breast revision Sydney – Dr Vlad ILLIE, plastic surgeon Bondi Junction

Breast implant removal Sydney, Breast explant Sydney, breast implant removal surgery, breast implant removal plastic surgeon Sydney, BREAST IMPLANT EXPLANTATION SURGERY, removal of the breast implants, breast implant revision procedures performed, including removal of breast implants – Dr Vlad ILLIE, plastic surgeon Sydney