Use of combined modality for maximal resurfacing

Resurfacing of the skin plays a substantial role in facial rejuvenation. To better prepare the cosmetic surgeon for this endeavor, we have set out to define aging skin changes,review resurfacing indications, outline and compare various resurfacing practices, and discuss anticipated outcomes in our experience and in the current literature. We have found that appropriate patient selection, counseling, and technique have yielded a consistent result with a high degree of patient satisfaction. Furthermore, outcomes are maximized when one takes advantage of multiple modalities, combining resurfacing techniques, or when one combines resurfacing with surgical rejuvenation.