The Tunable Resurfacing Laser (TRL) by Sciton delivers deep skin resurfacing with unparalleled precision. Using an Erbium:YAG wavelength, TRL can be adjusted to precisely target and vaporize damaged skin layer by layer. It’s ideal for improving deep wrinkles, surgical or acne scars, and advanced sun damage—achieving powerful results with controlled thermal injury and customizable depth.

Before treatment, a topical anesthetic is applied and dental-style nerve blocks are administered to ensure optimal comfort—especially when treating areas like the mouth, cheeks, or eyes. The TRL laser is then passed over the skin in a series of precise, tailored passes. Treatment times range from 30 to 90 minutes, depending on the size and depth of the area being treated.

With numbing and nerve blocks, most patients report minimal to moderate discomfort during the procedure. After treatment, the skin will feel tight, warm, or sunburned, with redness, swelling, and oozing expected during the first several days of recovery.

Deep wrinkles (especially around the eyes and mouth)
• Acne or surgical scars
• Poor skin texture from aging or sun damage
• Patients seeking significant improvement in one session

• Fitzpatrick Skin Types III+ (case-by-case basis)
• Active acne, infection, or open wounds
• Pregnant or breastfeeding individuals
• Patients prone to keloid scarring
• Those with unrealistic expectations regarding downtime

Discontinue retinoids, glycolic acid, and exfoliants 5–7 days prior
• No Accutane (isotretinoin) for at least 6 months
• Avoid blood thinners for 3–5 days before (if medically approved)
• Consider antiviral medication if there’s a history of cold sores

Pre-Treatment Guidelines
• Avoid sun exposure and tanning for 4 weeks before treatment
• Start prescribed antiviral medication 1–2 days prior if recommended
• Discontinue any resurfacing or aggressive treatments at least 4 weeks before

Post-Treatment Care
Expect redness, swelling, and oozing for 5–7 days post-treatment
• Keep the treated area continuously moist with an occlusive healing ointment (you will receive a post kit for the first 7 days and will need to purchase a post-healing kit for days 7+ through the first month)
• All post-care instructions are provided on the day of treatment

Results begin to appear as the skin heals within 1–2 weeks, with dramatic improvements in texture, tone, and fine lines visible in 4–6 weeks. Collagen remodelling continues for up to 6 months, further enhancing results.

Typically 1 treatment is sufficient for most patients, with optional touch-ups annually or every 12–18 months, depending on skin goals and severity of concerns.

Minimum 6–12 months, depending on depth and healing.

Day 1–2: Intense redness, swelling, oozing, and sensitivity
• Day 3–5: Skin begins to tighten and re-epithelialize
• Day 6–10: Pink skin emerges as healing completes
• Full recovery varies from 7–14 days, depending on treatment depth

 Redness, swelling, or oozing lasting longer than 14 days
• Signs of infection: pus, spreading redness, increased pain
• Blisters or raw skin that worsens instead of improves
• Uneven pigmentation that persists longer than 3 months

• Medical-grade occlusive ointments

(e.g. vinegar water soak with sterile gauze, Hale Derma Mist, Aquaphor—provided post-treatment)

Post-care healing after day 7: 

• ZO Emollient Cleanser

• ZO Hydrating Cream

• ZO Soothing Ointment

• ZO Hydrating Crème

• Physical SPF 30+

Often treated post-facelift or in conjunction with:
• BBL Forever Young™ to maintain tone and pigment correction
• Botox® to prevent expression lines from recurring
• HALO
• ProFractional
• Medical-grade skincare for daily maintenance and cellular health