Coltishall Cosmetic Clinic

Dr Sanjay Gheyi MBBS, MS, FRCS, FP Cert, BCAAM


0800 0430737

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  Injectables : fillers : IPL : lasers : hair removal : photorejuvenation : co2 resurfacing : leg veins : vital : Sub Q : Liposuction : Fat transfer

Laser Skin Resurfacing

Acne Scarring

Agera Rx
Age spots
botulinim toxin inections
Cellulite reduction
chemical peels
Carbondioxide laser
dermal fillers
DOT therapy
Fat transfer
Hair removal
Hair restoration
excessive sweating
L.E.D light therapy
Leg veins
Fractional eyelift, Madonna lift
diamond microdermabrasion
minor surgery
oxygen facial
prp treatment
Radiofrequency skin tightening
restylane vital
Silhouette lift
Y lift with Restylane Sub Q
Tattoo removal
Ultrasound body contouring
Varicose vein services
Vascular lesions

Skin resurfacing treatments are used to rejuvenate old or damaged skin. This may be due to age related changes, sun damage or scars resulting from injury or acne.

Skin resurfacing is not new. Ancient civilizations have practiced various forms of skin resurfacing techniques such as mechanical exfoliation or chemical peels with natural acids found in sour milk, wine or fruit juices. The ancient Egyptians are said to be the first to use dermabrasion skin care techniques to improve their skin. Kings and queens used alabaster and pumice to remove blemishes and rough spots and make their skin smooth and soft.

Various types of skin resurfacing treatments are available

Slow skin resurfacing can be achieved by skin products containing fruit acids.

Slightly faster methods are microdermabrasion and gentle chemical peels. These should not be performed too often.

Recent advances in laser technology allow a very precise and controlled skin resurfacing and we consider this to be the best method currently available.

Lasers used for skin rejuvenation

Lasers currently being used for skin rejuvenation can be broadly classified into two groups. These are ablative lasers that burn off layers of skin and non-ablative lasers that just heat the tissues to stimulate synthesis of new collagen.
Non-ablative lasers require multiple sessions and results are not as striking as those with the use of ablative lasers which in general are considered more effective.


Ablative lasers are used to burn off top layers of the skin in a controlled manner causing controlled tissue injury. Resultant healing response then produces new younger looking plumper skin.

This picture shows how conventional ablative laser resurfacing is performed.


CO2 laser resurfacing

Lumenis introduced ultrapulse CO2 laser resurfacing in 1990s. CO2 or carbon dioxide laser has been considered king of ablative lasers and “Gold Standard” for skin rejuvenation and removal of wrinkles, pigment changes, sun damage, acne scars and skin resurfacing.
Conventional CO2 laser resurfacing can achieve great results in exchange for a recovery period. Social downtime can last a 1-3 weeks, some facial redness can last an additional few weeks. Complications include a risk of bacterial, viral or yeast infections with possible scarring and also delayed risk of pigment changes which could be darkening or lightening of skin color. These can be prevented by using prescription medication.

It is possible to customise CO2 laser resurfacing to address individual needs. Please note that this is a surgical procedure and compliance with pre and post-operative care will improve recovery and results. You will be prescribed oral medications and creams if aggressive laser resurfacing is carried out. This procedure is used for treatment of scars including acne scars, wrinkles and for skin tightening. It is recommended to perform full face procedures but it is also possible to use it around the mouth area for lines, wrinkles and scars and also around the eyes for eyelid skin resurfacing. Typically local anaesthesia nerve blocks or special local anaesthesia infiltration is used.

To avoid the risks of complications and reduce recovery time recently new technology called fractional laser resurfacing has been developed. Here the laser beam is broken up or fractionated into many small micro beams which are separated so that when they strike the skin surface small areas of the skin between the beams are not hit by the laser and left intact. These small areas or bridges of untreated skin promote a rapid recovery and healing with less risk of complications.



This picture shows that fractional lasers remove only small areas of skin leaving bridges of normal skin in between.

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Fractional ablative laser resurfacing

Two types of lasers are mainly used for fractional resurfacing, erbium and carbondioxide or CO2. Recently a new wavelength YSGG has been introduced [ pearl laser]. We believe CO2 lasers are best in delivering results as other two wavelengths are limited in their capability to ablate, penetrate and heat the skin which CO2 does best. There are now numerous devices capable of performing such treatments. Best known are smartxide DOT and Lumenis ultrapulse encore lasers. Some other lasers are fraxel repair, mixto, ellipse juvia and lutronic eco2. Smartxide DOT laser is unique in its ability to treat all conditions due to infinite number of treatment settings possible.

Dr Sanjay Gheyi MBBS MS FRCS FP Cert. BCAAM, Medical Director and Laser Surgeon of Coltishall Cosmetic Clinic has many years experience with IPL and lasers. He has received one to one training from pioneers of this technology in Italy and has reproduced excellent results in his clinic. Treatment is tailored to your needs. It can be a superficial laser peel to minimise the downtime or a deeper resurfacing to maximise the results but this can have some downtime.


Call 0800 0430737 or fill out our appointment form to arrange your consultation

© Dr Sanjay Gheyi