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. 2021 Aug 1;14(8):24–32.

TABLE 3.

Synopsis of post-laser-resurfacing care instructions by physicians at our practice (Cosmetic Laser Dermatology, San Diego, California)

PROVIDER POST-LASER RESURFACING PROCEDURE
Physician 1

  1. Tepid water directly on the face 3–4 times/day with gentle massage cleaning of the skin with a gentle fragrance-free cleanser

  2. Following showering, patients were instructed to pat dry face and apply a hypochlorous acid-containing spray (Lasercyn Dermal Spray; Sonoma Pharmaceuticals, Petaluma, California)

  3. Apply RCE serum

  4. Subsequently, apply 1% dimethicone ointment; alternatives include silicone-based gel, tripeptide-/hexapeptide-containing gel, or growth factor serum

  5. Repeat Steps 1–4 daily for 7 days until skin is healed

  6. On postoperative Day 2, apply triamcinolone acetonide 0.1% or betamethasone diproprionate 0.05% ointment at bedtime, which should be continued for 7 days

  7. On postoperative Day 7, when the skin is healed, patients are instructed to wash their face twice daily and hypochlorous acid-containing spray is discontinued; patients are then switched to topical application of RCE cream and serum (Calecim Multiaction Cream and Serum) and to CLA if they have sensitivity
Physician 2

  1. Vinegar soaks (capful of nonconcentrated white vinegar in a cup of water which is kept cold in the refrigerator) every 2–3 hours while awake

  2. Subsequent application of petrolatum-based ointment or 1% dimethicone ointment

  3. Patients directed to perform Steps 1 and 2 for the first 7–10 days until the skin is healed; during this time, patients can take showers but are instructed not to directly wash, rub, pick, or peel healing skin

  4. After the first 7–10 postoperative days, Steps 1 and 2 are discontinued and patients are transitioned to ceramide-containing growth factor cream (TNS Ceramide Treatment Cream) or serum (TNS Essential Serum)
Physician 3

  1. Vinegar soaks every 3 hours while awake

  2. Subsequent application of 1% dimethicone ointment

  3. Apply hypochlorous acid-containing spray to healing skin 4 times/day

  4. Patients directed to perform Steps 1–3 for the first 7 days

  5. At postoperative Day 7, Steps 1–3 are discontinued and patients are transitioned to RCE serum or tripeptide-/hexapeptide-containing gel
Physician 4

  1. Vinegar soaks 4 times per day

  2. Subsequent application of silicone-based gel periorbitally after soaks

  3. Application of RCE serum and occlusive ointment (Soothe+Protect Recovery Balm; ALASTIN Skincare®) after soaks

  4. Hypochlorous acid-containing spray several times per day

  5. Steps 1–4 performed until re-epithelization (at approximately 7–14 days); at this point, patients are transitioned to the application of skin growth factor serum or RCE cream
Physician 5

  1. Vinegar soaks every 3–4 hours

  2. Subsequent application of 1% dimethicone ointment

  3. Steps 1 and 2 performed for the first 4 days with a steady taper as oozing decreases

  4. On Day 5, transition to using mild fragrance-free face wash twice daily followed by application of tripeptide-/hexapeptide-containing gel after washing

  5. On Day 7, transition from tripeptide-/hexapeptide-containing gel to ceramide-containing growth factor cream (TNS Ceramide Treatment Cream)

  6. At Days 10–14, transition from ceramide-containing growth factor cream to growth factor serum and daily application a 50 SPF physical blocking sunscreen, which should be continued for 1 month

CLE: conjugated linolenic acid; RCE: red deer umbilical cord lining mesenchymal stem cell conditioned media

Special acknowledgment: Mitchel P. Goldman, MD; Douglas C. Wu, MD, PhD; Kimberly Butterwick, MD; William Groff, MD; and Monica Boen, MD