Laser Facial Resurfacing

Laser Facial Resurfacing Overview

Treats: Uneven pigmentation, fine lines and wrinkles, enlarged pores, and skin laxity

Length: 30-90 minutes

Anesthesia: Awake

In/Outpatient: Outpatient

Side Effects: Skin will be red and feel tight and itchy for 1-2 weeks

Risks: Scarring and pigmentation changes are rare but can occur

Recovery: 7-10 days

Duration of Results: Depends on the extent of the procedure - can be very long-lasting

Remarkable Care, Exceptional Results

laser facial resurfacing before and after


“Everyone at CFP is always friendly, welcoming and professional. They listen to me. Answer my questions honestly and offer their services with full transparency. I thoroughly enjoy going to CFP for my skin care. Makes not only my skin feel great, but makes me feel good about myself and my choices.

I totally recommend Carolina Facial Plastics to anyone seeking a medical grade quality skin care and treatment by friendly, experienced and professional staff. Awesome group of people!”

-Debbie B, Google Reviews



cutera titan laser skin tightening in charlotte, nc

Laser treatments provide comprehensive skin resurfacing and rejuvenation. Treatments are customized to the precise needs of the patient to address aging symptoms, scarring, acne, and other skin concerns.

Our experienced team, including Heather Bryant, MPAS, PA-CAmanda Piligian, PA-CCourtney Whitley, FNP-C, and Terri Edson, medical aesthetician, all perform our laser treatments.

The top aesthetic destination of the south, Carolina Facial Plastics, is led by double board-certified facial plastic surgeon Dr. Jonathan Kulbersh. With his team of cosmetic experts, a fully accredited surgery center, and a private recovery retreat all located in the heart of SouthPark, Carolina Facial Plastics is known for unparalleled and natural-looking results exclusively for the face.

laser resurfacing procedure in charlotte

Skin quality diminishes over time due to UV exposure, medical conditions, and repeated facial movements. This can result in uneven pigmentation, fine lines and wrinkles, enlarged pores, and skin laxity. There are numerous products and treatments available to improve skin quality. One of the most effective and powerful treatment methods is laser resurfacing.

A laser uses energy to remove the aging outer skin and allow new, healthy skin to replace it. To learn more about laser resurfacing and other rejuvenating treatments offered at Carolina Facial Plastics, please contact our center today.

Learn more about the laser resurfacing procedure at

Laser resurfacing can treat numerous skin concerns, including:

  • Fine lines and wrinkles
  • Uneven pigmentation
  • Enlarged pores
  • Uneven texture
  • Mild skin laxity
  • Scars

We will assess your skin and discuss your concerns and goals at your initial consultation. Through this appointment, we can create a treatment plan tailored precisely to your needs for the best possible outcome.

laser skin resurfacing patient undergoing the procedure in north carolina

We perform laser resurfacing in our office on an outpatient basis. Patients are given medications to take approximately one hour before the procedure to help them relax and minimize potential discomfort. When patients arrive at our office, the face will be thoroughly cleansed, and a topical numbing cream will be applied. After the face is numbed with a topical cream, we will administer additional numbing injections to ensure patient comfort.

After the patient is numbed and relaxed, the treatment begins and takes anywhere from 30-90 minutes to complete. The exact length of time depends on the area treated, the extent of the skin damage, and the laser settings.

At Carolina Facial Plastics, we employ three different laser resurfacing procedures from a single platform. Your treatment is chosen based on your concerns, anatomy, and goals. We use an erbium-doped yttrium aluminum garnet (Er:YAG) laser made by Cutera called the Pearl. We chose an erbium laser because it is as effective but with significantly less risk of complications than a CO2 laser. There are three types of Pearl laser resurfacing treatments performed at our practice:

Pearl Resurfacing

Pearl resurfacing is an ablative laser treatment that treats the entire superficial layer of the skin. This procedure addresses pigment and texture issues. It is less effective for skin tightening and treating fine lines.

Pearl Fractional

Pearl fractional is a fractionated laser treatment. During this procedure, the laser makes microscopic holes that go deeper into the dermal layers than the Pearl resurfacing treatment. This deeper treatment is better at treating fine lines, acne scars, and loose skin.

Pearl Fusion

Pearl fusion is a combination of both Pearl resurfacing and Pearl fractional laser treatments. This procedure is appropriate for a wide range of skin concerns.


Depending on the aggressiveness of the treatment, the downtime after a Pearl laser will be 7-10 days. Immediately after the treatment, the face will be red and covered with a light layer of Vaseline or Aquaphor. If the deeper Pearl fractional laser is used, there will likely be some minor oozing during the healing process. During this time, the face will feel tight and itchy but not painful. We give all patients detailed post-treatment instructions that include washing and soaking the skin. Bright, beautiful, and healthy skin will appear 10-14 days after the procedure, and the skin will continue to improve for the next four months.

Our office also offers exosome therapy to accelerate post-treatment healing. Applying exosomes directly to the skin after treatment has been shown to significantly reduce redness and speed up recovery times. Many patients experience a visible reduction in redness within 24 hours after post-laser exosome therapy compared to 48-72 hours. Exosomes also contain growth factors that help stimulate collagen and reduce the appearance of pigmentation from sun damage.

Carolina Facial Plastics is directed by double board-certified facial plastic surgeon Dr. Jonathan Kulbersh. During a consultation, our team will go over your goals and concerns and discuss whether a laser facial resurfacing procedure is the best choice for you. To schedule a consultation please fill out our online consultation form or call (704) -323-5090.

Frequently asked questions

To have the best result and ensure a safe treatment, we have created a six-week treatment plan for patients to undergo before having a laser resurfacing treatment. This plan allows the patient to heal faster and decreases the risk of potential complications. The treatment plan may include but is not limited to a medical-grade facial wash, retin-A, skin lightening cream, and a chemical peel.


All patients will experience significant improvement in their skin after a single treatment. If patients have advanced stages of aging or deep facial wrinkles, they may require an additional treatment session to achieve the best results.


Patients that have been on Accutane within the last year or have vitiligo or active facial infection are not candidates for laser facial resurfacing. The procedure is not recommended for patients with darker complexions as these skin tones have a higher risk for pigmentation irregularities and other complications.


At Carolina Facial Plastics, we take many steps to ensure patient comfort throughout a laser skin resurfacing procedure. However, each patient is unique, and some patients may experience mild stinging and slight discomfort. Overall, this procedure is tolerated well.


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