NanoLaserPeel™ & Contour TRL®

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Real Patient

What Concerns Do the NanoLaserPeel and Contour TRL Address?

Using laser skin resurfacing techniques, L&P Aesthetics in Palo Alto and Los Gatos treats patients in the Bay Area who have aging, sun-damaged and / or blemished skin. Our two erbium lasers, the NanoLaserPeel and ContourTRL, are both skin resurfacing techniques that remove the outer layer of skin to address topical skin issues.

Both lasers work by sending brief pulses of high-energy light into the skin and vaporizing damaged skin cells. The laser energy also stimulates underlying layers of skin which encourage the body’s own natural collagen production. As the lasered skin heals, smoother, tighter and more healthy skin is encouraged to form in its place.

Laser skin resurfacing treatments can leave patients with more natural-looking skin by improving such imperfections* as:

  • Wrinkles
  • Sun damage
  • Crow’s feet
  • Brown spots
  • Blotchiness
  • Acne
  • Chickenpox scars
  • Superficial facial scars
Young man smiling

Find more out about the NanoLaserPeel and Contour TRL treatments in the Bay Area and what they can do for your face. Request your consultation online or call  (650) 327-3232 to schedule an appointment in our Palo Alto or Los Gatos offices.

How Are Laser Skin Resurfacing Procedures Performed?

Laser skin resurfacing procedures are performed on an outpatient basis using a local anesthetic to help mitigate any potential pain. Usually our nursing staff administers the NanoLaserPeel while our facial plastic surgeons treat more severe cases with TRL.

During both laser skin resurfacing treatments, your provider will pass the laser over the targeted area several times until the skin’s imperfections are less visible and only a smooth layer of skin remains. Depending on the size and condition of the area being treated, your NanoLaserPeel or TRL treatment will last about 30 minutes. Some patients will need multiple treatments to achieve their desired results but others will meet their aesthetic goal after only one treatment.

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Why L&P and Who Is a Good Candidate for the NanoLaserPeel?

Anyone looking to improve skin texture, treat shallow wrinkles around the eyes, mouth or forehead or enhance non-responsive skin after a facelift, could consider the NanoLaserPeel. While it does not produce as dramatic results as the Contour TRL* does, there are many advantages of a NanoLaserPeel, including:

  • Less downtime, often called “the weekend peel”
  • Less painful than a TRL treatment
  • Younger patients, who need only a gentle resurfacing, will usually see results with the NanoLaserPeel*
  • Can treat small patches of skin
  • Can treat thin, delicate areas like around the eyes and upper lips

How Do Laser Skin Resurfacing Treatments Compare to Chemical Peels and Microneedling?

Due to their strength, laser procedures usually produce more dramatic results than both chemical peels and microneedling. However, with laser skin resurfacing, there is usually more downtime than with the other two treatments.

Before any laser treatment, you will have a consultation with one of our facial plastic surgeons or a member of our highly trained nursing staff. Before any treatment, our staff will provide you with detailed, personalized instructions on how to prepare.

Who Is a Good Candidate for Contour TRL?

The Contour TRL is widely regarded as the safest, most effective laser available. It safely removes a top layer of skin to reveal brighter, healthier skin. The depth of treatment depends on your skin condition, desired outcome, and expectation for downtime. Because Contour TRL can affect tissue with micron precision, our doctors can treat your skin with the exact amount of energy needed – no more, no less.

Treating skin with a laser stimulates the growth of new collagen, which improves the skin’s thickness and resilience. The skin surface will also re-grow with fresh, healthy cells, which will give your skin a younger rejuvenated appearance.

TRL can produce dramatic results by treating*:

  • Deep lines and wrinkles (even in difficult to treat areas like
    around the mouth and eyes)
  • Sunspots and age spots
  • Actinic keratoses
  • Skin texture irregularities
  • Acne and scars
  • Photodamaged skin
  • Enlarged pores
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NanoLaserPeel™ & Contour TRL® Before and After Gallery

View real results from real patients below.

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Facelift Neck Lift before and after treatment in Los Gatos, CA

Facelift And Neck Lift

This beautiful San Francisco Bay Area woman came to Drs. Liberman and Parikh fearful of the aging process and seeking a refreshed look. She was particularly bothered by her eyelids and wrinkling througout the face. To correct these areas and enhance the patients natural beauty Drs. Liberman and Parikh performed a signature L&P Facelift and Neck Lift, an upper and lower blepharoplasty, a lip lift, a fat transfer, and a chemical peel. This patient is thrilled and says that her results have been life-changing and she is now looking forward to the future.

Facelift Neck Lift before and after treatment in the Bay Area

Total Rejuvenation for South Bay Woman

This woman from the San Francisco South Bay received a facelift, necklift, chemical peel and browlift from Drs. Lieberman and Parikh. Only a few months after her surgery, she could not be more pleased with the total facial rejuvenation. The robust results look completely natural and have transformed her lifestyle and confidence.

Facelift Neck Lift before and after treatment

Timeless Grace L&P Signature Facelift, Neck Lift, Brow Lift & TRL

Prepare to be amazed by the dramatic makeover of this 65-year-old female patient from the San Francisco Bay Area! She had come to our office concerned with the lack of definition of her jaw and neckline, as well as the sagging of her temple/brow area, and the texture changes she saw in her skin. Explore her remarkable before and after pictures following a combination of procedures including our L&P Signature Facelift, Neck Lift, Brow Lift, and the revolutionary Tunable Resurfacing Laser (TRL) by Sciton. Through a very strategic approach we tackled aging changes in both her upper and lower race all in one procedure. One of the key components of this case was to bring balance and harmony back to her face. Experience firsthand the stunning results as years seem to melt away on our gorgeous patient. Our patient’s enhanced facial contours, ,sharp neck and jawline, more open eyes and refreshed appearance showcase the remarkable potential of these advanced treatments. A simultaneous ablative erbium laser resurfacing (TRL Laser) was also performed to improve her skin quality. It is a common misnomer that facelifts also improve aging skin. We find a lot of our patients can benefit from laser resurfacing. Performing them simultaneously also allows for a single period of downtime to be used for multiple benefits. Don’t miss this opportunity to see the incredible transformation for yourself and imagine the possibilities for your own rejuvenation journey. Discover how our skilled team can help you unlock a more youthful, radiant version of yourself at L&P Aesthetics and The IO Clinic.

Recovery and Beyond

Pain tolerance varies from person to person, and the level of discomfort will vary by the location and depth of the treatment. On a scale from 0 to 10, (0 being no pain and 10 being unbearable pain), our patients usually report a 3 to 5 level of discomfort. For the NanoLaserPeel , a topical anesthetic will be applied 30 minutes prior to treatment. For the Contour TRL, our doctors may administer a subcutaneous local anesthetic.

NanoLaserPeel™ & Contour TRL® FAQs

4-6 weeks prior:

  • Begin using retinol, or a vitamin A, alpha-hydroxy acid, or hydroquinone cream.


2 weeks prior:

  • Stop using the retinol, vitamin A cream, alpha-hydroxy acid or a hydroquinone cream.
  • Stop using aspirin (if medically possible). Tylenol (acetaminophen) is fine.
  • To avoid bruising, stop taking vitamin E, St. John’s Wort, Ginkgo biloba, evening primrose, garlic, feverfew, and ginseng to avoid bruising. Tylenol (acetaminophen) is fine.


2 days prior:

  • Do not use medications that cause photosensitivity such as doxycycline or minocycline.
  • Stop taking ibuprofen and drinking alcohol.
  • Hydrate as much as possible. The laser is attracted to the water in your cells so your results will be better if you are well hydrated.
  • If you are prone to cold sores, begin an antiviral and continue for 3-5 days after treatment.
  • Get lots of rest with your head and shoulders elevated to help minimize the swelling that may occur around the eyes and cheeks.
  • Apply Aquaphor to the area immediately after treatment but then keep the area dry so the peeling with begin sooner.
  • Avoid activities that can cause flushing for two weeks after treatment.
  • Avoid aggressive facial treatments, such as microdermabrasion and chemical peels, for 4 weeks post treatment and avoid topical products that may cause irritation for 6 weeks following your treatment.
  • Be aware that acne lesions or milia (white-colored tiny keratin plugs) can occur up to a month after treatment.
  • Contact our office if you develop acne or milia or if blistering, crusting, or scabbing develops. We will most likely recommend a thin layer of antibiotic ointment (such as bacitracin) for you to use twice a day until the skin heals. Do not pick or attempt to remove scabs that form following your treatment, as this may cause infection or scarring.

Your skin will probably look like it has been severely sunburned for approximately 3 to 5 days after the NanoLaserPeel and anywhere from 10 days to 4 weeks after a Contour TRL treatment. During this time, your skin may feel raw and have some oozing drainage. Some patients report a tingling, burning, or itching sensation that comes and goes throughout the day.

The top layer of your skin will re-grow and can be covered with makeup in about one week. At this time, you will see noticeable improvements in your skin’s texture, tone and wrinkle appearance*. Deeper laser treatments also stimulate the growth of new collagen over the next 4 to 6 months and oftentimes, the skin may show increasing improvements in tightness and resilience.

Our staff will instruct you on how to care for your skin during the healing process, and you may use ice or pain medication to alleviate any discomfort, but it is critical to stay out of the sun as too much sun could cause permanent, irregular discoloration. You can also refer to this video for step-by-step instructions on how to care for your skin after your laser treatment.

There are minor risks associated with laser skin resurfacing treatments, but negative side effects are very rare, especially in our office where our practitioners are highly trained. Possible side effects can include scarring, infection, abnormal healing, and allergic reactions, all of which our staff will discuss with you prior to your appointment.

Also, we generally recommend that people with darker skin tones do not get a Contour TRL resurfacing treatment because the strength of the laser might cause permanent skin lightening. Better treatments for people with darker tones are the Forever Young BBL™ and Halo Hybrid Laser.

Elevating Aesthetics to New Heights

Work That Speaks for Itself

Trust your beauty to an award-winning team of board-certified facial plastic surgeons, renowned for comprehensive expertise, high-quality care, and an unparalleled commitment to patients. Learn why men and women throughout San Francisco, Palo Alto, and San Jose select L&P Aesthetics for superior results.

Palo Alto
(650) 407-2922

Los Gatos
(408) 402-3220

Skin & Wellness
(650) 327-3232