Laser skin resurfacing has evolved far beyond the "one-size-fits-all" approach of the past. Quickly gaining popularity in the Bay Area for the best way to erase sun damage, fine lines, or acne scarring, patients have a variety of options when it comes to laser skin treatments.
The most common question we hear at Cheng Plastic Surgery is: "Which laser is right for my skin type and lifestyle?" Understanding the difference between ablative and non-ablative technology is the first step. While some lasers work by gently heating the tissue to stimulate collagen (non-ablative), others remove the outer layers of skin to reveal a fresh, "reset" complexion (ablative). The best choice depends entirely on whether you are looking for a superficial glow treatment with little to no downtime or a transformative result for deeper wrinkles and texture issues.
For those in the South Bay seeking the absolute latest in skin rejuvenation, we are proud to exclusively offer UltraClear laser treatments at our Saratoga, CA location. UltraClear is a new "cold" fiber laser that offers a range of results from light treatments to more intense tissue tightening with Laser Coring. Unlike traditional lasers that can be painful or carry risks for darker skin tones, UltraClear is remarkably comfortable and safe for all skin types (Fitzpatrick scales I-VI). It targets both the surface for immediate radiance and the deeper dermal layers to trigger long-term collagen production. Most patients ask about UltraClear recovery time, and for a 3D MIRACL (lightest setting), you’re looking at just 2–3 days of mild redness, making it a favorite for our busy Saratoga and Los Gatos professionals.
If your concerns involve deep-set wrinkles or significant sun damage from years in the California sun, we often recommend our UltraClear Laser Coring (highest UltraClear setting) CO2 or DEKA lasers. These have historically offered dramatic skin tightening and resurfacing. While the Laser Coring and CO2 laser recovery is more involved, typically requiring 7–10 days of social downtime, the results are unparalleled for smoothing fine lines and deep wrinkles.
For younger patients or those focused on "pre-juvenation," the Moxi laser is our go-to for addressing initial signs of aging like pigment, with virtually no downtime. Our medical providers often pair Moxi with BBL (BroadBand Light) Laser for a more effective result.
We also specialize in treating difficult pigment and unwanted brow tattoos with the PiQo4 laser. As one of the most powerful picosecond lasers on the market, the PiQo4 uses four different wavelengths to shatter pigment (like melasma or sunspots) into tiny particles that your body naturally flushes away. Tattoo and dark spot removals may take several laser sessions as your body works to break down the pigment and filter out.

Because we operate under the direct expertise of double board-certified facial plastic surgeons Dr. Jacqueline Cheng and Dr. Elbert Cheng, every laser protocol is medically supervised to ensure safety and efficacy. We don't just treat it with lasers. Our medical team assesses your skin’s thickness, pigment history, and healing capacity to choose the specific wavelength that will give you the results you discussed in your assessment.
When considering the cost of laser skin resurfacing, it is important to view it as an investment in your skin's health. Prices vary depending on the intensity of the treatment and the number of sessions required. For instance, a series of Moxi treatments may cost less upfront than a single, deep UltraClear or CO2 resurfacing session, but the latter provides a more permanent correction for deep aging. During your consultation at our Saratoga or Redwood City offices, we provide customized estimates and treatment plans that include clear pricing and a projected timeline for your results. Whether you are looking to refresh or reset, our goal is to ensure you feel confident and educated every step of the way.


