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Lasers are of many types and serve many purposes.
The laser used by Plastic Surgeons for facelifts and skin resurfacing emits a powerful beam of a specific wavelength of light. The beam is strong enough to heat the surface of the skin, causing a superficial burn of the tissue. This removes the surface layer, including nearly all the dead cells, and some of the living cells, and also causes the underlying collagen to tighten up somewhat. When the skin surface regrows, the skin is smoother and tighter than it was. Although commonly referred to as Laser Facelift, a more accurate name would be Laser Skin Resurfacing.