Laser Skin Resurfacing (Photorejuvenation)

Conveniently located to serve the areas of Marin, San Francisco and Napa

Laser skin resurfacing is a non-invasive cosmetic procedure that uses optically amplified beams of light to remove wrinkles and improve the tone and texture of the skin. Also known as photorejuvenation, laser treatments are the cutting edge in aesthetic tech, brought to you by Plastic Surgery Specialists of San Francisco! You can have bright, smooth skin at the speed of light without having to undergo more involved surgeries.

You don’t have to fuss with a facelift before you’re ready. Plastic Surgery Specialists (PSS) has the hardware and the knowhow to perform a variety of photorejuvenation techniques that will restore your long lost luster no matter what your skin type. We are a bright beacon in the San Francisco Bay Area providing the region’s best aesthetic services to our beautiful community. Contact us to illuminate your look. Call 415-384-9787. PSS now offers Virtual Consultations to suit our patients’ needs. 


Laser skin resurfacing in our Marin County surgery center is accomplished with a state-of-the art laser that provides three unique treatments for total skin rejuvenation. In essence, our Sciton Joule is three lasers in one, offering Erbium MLP (Micro Laser Peel), ProFractional and BroadBand Light (BBL) procedure options. Plastic Surgery Specialists can also combine treatments to address all issues that may be of concern to you. Laser Skin Resurfacing corrects uneven skin tone, age spots, broken capillaries, troubled texture and worrisome wrinkles.[1]

You have a lot of aesthetic options, so let us light the way. Our blog is updated regularly to elucidate you on all the latest cosmetic technology and trends. 

Before & After Photos

BroadBand Light

Often referred to as “Intense Pulsed Light,” “IPL” or a “FotoFacial,” Sciton’s photodynamic skin rejuvenation treatment is called the Forever Young BBL (BroadBand Light). BBL treatments utilize an intense, visible, broad-spectrum pulse of light. The light’s electromagnetic wavelengths are attuned to seek certain colors, either reds (e.g. rosacea, broken capillaries or red spots, etc.), browns (e.g. uneven pigmentation and brown spots), or both. BBL pinpoints particular pigments and selectively destroys them.[2] BBL treatments are performed in a series, usually spaced three weeks apart. Most people will require three to five treatments to achieve the best results. However, early positive changes become apparent even after the first treatment. By the end of the series, most people report a more uniform and even skin tone.

Center of Excellence

  • Over 40,000 procedures performed
  • Over 40 years of combined experience

Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.

Meet Dr. HvistendahlMeet Dr. DouglasMeet Dr. Poulos

Black Diamond

Micro Laser Peel

MLP (Micro Laser Peel) is the component of laser resurfacing that provides an excellent treatment for people with uneven pigmentation, wrinkles and skin laxity. MLPs employ the Erbium Laser to resurface the epidermis (the top layer of the skin), resulting in a more uniform color and a softer response.[3] It even eliminates fine lines! The procedure also addresses enlarged pores. Most people report some tightening in the treated skin as well. Our PSS medical specialists often prefer to perform MLP treatments in a series, depending on the severity of the condition of concern. We can achieve even better results when we combine MLP with the ProFractional Laser. Deeper and more dramatic results come with a bit of downtime and may require some light anesthesia in the form of topical numbing cream or numbing injections. 

ProFractional Treatment

The ProFractional Laser capability is not to be confused with a product called  “Fraxel,” which requires multiple treatments. Your laser skin treatment may include Sciton’s ProFractional Laser treatment. When combined with either a BBL or an MLP, ProFractional Laser treatment usually requires only one or two sessions. The ProFractional treatment is remarkably pain-free, and the downtime is far shorter than comparable light-based procedures.[4] Most people require three to five days for a full resolution of any redness and swelling.

The ProFractional treatment provided by PSS utilizes an Erbium Yag Laser to partially remove surface damage to the skin. Most importantly, the laser is able to penetrate below the surface of the skin into the dermis where collagen and elastin exist. These are the support structures of your skin. With a finely controlled ProFractional treatment, PSS can remove fine lines and deep wrinkles. The procedure may shrink enlarged pores and improve the texture and tone of the skin. The ProFractional treatment also reduces skin laxity. It is ideal for treating acne and its residual scarring as well.

Does the ProFractional Laser Tighten Skin?

The ProFractional laser is proven to tighten and contour the skin. It does this by stimulating collagen production deep inside the dermis. Results can last for years, depending on your skin condition.

Ideal Candidates for Laser Skin Resurfacing

Ideal candidates for laser skin resurfacing are healthy men and women who are concerned with wrinkles, scarring or skin irregularities. People with darker skin tones sometimes experience pigment discoloration.[5] They will need to confer with Plastic Surgery Specialists to determine their potential risk, so please be sure to inform our staff of any medical conditions during preliminary consultations.

Generally, photorejuvenation is an outpatient procedure performed with a local anesthetic. Patients leave with bandages and an ointment that they will apply regularly to prevent scabbing. Any redness and inflammation generally subside after a couple of weeks. Some patients interested in laser skin resurfacing may consider Venus Viva, an anti-aging, non-invasive skin treatment that’s appropriate for all skin types.

Your Private Consultation at Plastic Surgery Specialists

Our safe, state-of-the-art surgical center is the pride of PSS. Plastic Surgery Specialists is a partnership between Dr. Stanley G. Poulos, Dr. Yngvar A. Hvistendahl and Dr. Trent D. Douglas. Together, they serve the San Francisco Bay Area with cutting-edge technology and the latest techniques to let your skin glow! We are leaders in the field of laser resurfacing and our expert providers are constantly training to keep up with the most current trends and treatment parameters.

For more information on Laser Resurfacing, please visit our Education Center. If you are considering laser skin resurfacing and live in San Francisco or the greater Bay Area, request a consultation so we can work with you to find the best solutions for your aesthetic concerns.

Please call us at (415) 886-0777.  We now offer Virtual Consultations.

Ready to Learn More?

5Steps to
Facial Rejuvenation

Keeping your face youthful and beautiful goes beyond visiting us for a treatment. You’ve already started the learning process. Now, take the next step by checking out our e-learning guide that breaks down the science of aging and the ways you can combat it.

Check Out the Guide

What Does Photorejuvenation Cost in the San Francisco Bay Area?

At your personal consultation, we will work with you to create your customized aesthetic plan. Financing options are available, so your laser treatments will not be cost-prohibitive. Join the PSS Beauty Club and take part in our Brilliant Distinctions program for exclusive savings opportunities. 

Contact us to get the conversation started. Call 415-384-9787.

Bright, Smooth Skin at the Speed of Light


Ready to Learn More?

5Steps to Facial

Check Out the Guide



Light up the room with beautiful skin, courtesy of our wide array of laser skin resurfacing treatments designed to rejuvenate your appearance and brighten up your bearing. You don’t have to commit to an involved surgery to highlight your lustrous looks. Photorejuvenation delivers bright, smooth skin at the speed of light to our fresh-faced, San Francisco-area patients. Be your most brilliant today!

How to Find Us

Plastic Surgery Specialists is known throughout the Bay Area for our excellence and expertise. Choose your area below to get accurate, easy-to-follow directions to our center.



Which is better, BBL or IPL?

BroadBand Light (BBL) is the next generation of Intense Pulsed Light (IPL). BBL offers more accuracy, power and precision than the traditional IPL technique. BBL is safe and effective, setting it apart as the superior option amongst a crowded marketplace of dazzling contenders and pretenders. But all that glitters is not gold! It only takes three treatments of BBL to experience the same rarified rejuvenation that would take six sessions of IPL to approximate.  

Does Micro Laser Peel (MLP) treatment hurt?

MLP is not a painful procedure, according to reports from our patients. In fact, most of them find it quite comfortable. To minimize any discomfort, we apply a topical anesthetic to the treatment area. During the procedure, many feel a “sunburn sensation” on the skin. That sun-kissed sensitivity will persist for the first hour after treatment, but will gradually fade as your skin heals over the next few days.

Do aesthetic laser treatments remove wrinkles?

Aesthetic laser treatments are a non-invasive way to rejuvenate your skin, especially if you are not yet ready to go the surgical route. There is a wide range of devices and techniques to suit every individual’s needs. Each procedure aims to remove surface imperfections, shrink pores, diffuse discoloration and reduce lines and wrinkles. The laser’s pinpoint precision is chief among the modalities’ many assets. Photorejuvenation can accurately target very specific skin conditions by adjusting the electromagnetic wavelengths of the laser instrument.


  1. Bitter, P. (2020). Broad Band Light and Skin Rejuvenation. Facial Plastic Surgery Clinics of North America, 28(1), 29–36. doi: 10.1016/j.fsc.2019.09.014
  2. Chang, A. L. S., Bitter, P. H., Qu, K., Lin, M., Rapicavoli, N. A., & Chang, H. Y. (2013). Rejuvenation of Gene Expression Pattern of Aged Human Skin by Broadband Light Treatment: A Pilot Study. Journal of Investigative Dermatology, 133(2), 394–402. doi: 10.1038/jid.2012.287
  3. Laser resurfacing. (2018, October 12). Retrieved December 20, 2019, from
  4. Aslam, A., & Alster, T. S. (2014). Evolution of Laser Skin Resurfacing. Dermatologic Surgery, 40(11), 1163–1172. doi: 10.1097/01.dss.0000452648.22012.a0
  5. Metelitsa, A. I., & Alster, T. S. (2010). Fractionated Laser Skin Resurfacing Treatment Complications: A Review. Dermatologic Surgery, 36(3), 299–306. doi: 10.1111/j.1524-4725.2009.01434.x