CO2 Laser Skin Resurfacing Before & After Client #169

This patient presented with extensive second-degree burns to the lower legs following a traumatic hot oil cooking accident on April 1, 2025. The injuries resulted in widespread erythema, pigment distortion, and early hypertrophic scar development throughout the lower extremities. In addition to significant discoloration, the patient experienced areas of stiffness, uneven texture, and reduced mobility as the scars matured.

Under the care of Dr. Michael Mirmanesh, a comprehensive laser-based scar revision plan was initiated. The patient traveled from North Palm Beach to our Pinellas Park location specifically for Dr. Mirmanesh’s expertise in complex scar management and fractional CO₂ laser resurfacing. Treatment began with fractional non-ablative CO₂ using the Lumenis platform to safely penetrate into the dermis, stimulate controlled collagen remodeling, soften thickened scar tissue, and begin rebalancing tone and texture without compromising the surface barrier.

This case demonstrates the early stages of laser rehabilitation for traumatic burn scars. Even after the first session, improvements were visible, including enhanced softness, reduction in surface irregularities, and a more uniform appearance of the treated skin. As the collagen response progresses over the following weeks, additional refinement is anticipated. The patient will continue with multiple sessions to gradually rebuild the integrity of the skin, reduce discoloration, improve flexibility, and restore a smoother, healthier overall contour to the lower legs.