Facial Resurfacing Expert

If your skin looks uneven, dull, or more lined than you want, facial resurfacing targets the root cause. It removes damaged surface cells and drives new collagen and skin renewal. At
DeRosa Plastic Surgery, we tailor resurfacing to your skin type, your schedule, and the result you want.

Our office is in West Bloomfield, and we see patients from nearby communities like Orchard Lake, Keego Harbor, Sylvan Lake, Bloomfield Hills, Bloomfield Township, and Farmington Hills. If you searched for facial resurfacing near me, laser resurfacing near West Bloomfield, or fractional laser in Metro Detroit, you are in the right place.

What facial resurfacing improves

Texture and pores

Refines roughness, enlarged pores, and uneven skin feel. Great for makeup that no longer sits right.

Lines and wrinkles

Softens fine lines and targets deeper etched lines by building new collagen in the treated zones.

Sun damage and tone

Fades blotchy pigment and sun spots, improves tone, and helps skin look clearer.

Acne scars

Smooths depressed scars and rough patches by remodeling collagen under the surface.

What is facial resurfacing

Facial ResurfacingFacial resurfacing is a set of treatments that intentionally create controlled micro injury to the skin. Your body responds by shedding damaged cells and building new collagen and elastin. The outcome is skin that looks smoother and more even, with improved firmness over time.

DeRosa Plastic Surgery highlights fractional resurfacing options including DeepFX and ActiveFX as part of the UltraPulse and AcuPulse laser systems, designed to address both deeper concerns and more superficial texture and tone issues. You can review the base overview here:
Facial Resurfacing.

DeepFX and ActiveFX fractional laser resurfacing

Fractional resurfacing treats a fraction of the skin at a time by creating microscopic treatment zones, while leaving surrounding skin intact. That approach supports faster recovery and strong collagen remodeling. DeepFX focuses deeper to target more advanced lines, wrinkles, and scars. ActiveFX focuses closer to the surface to improve texture and tone, including sun damage and fine lines.

Your plan might involve one modality or a layered approach based on your concerns and downtime tolerance. During your consultation, we review what you want to improve, then match it to the treatment depth, density, and number of sessions that make sense for your skin.

Other resurfacing and skin renewal options we pair with lasers

Chemical peels

Chemical peels remove the outer layer of skin to improve dullness, uneven pigmentation, and fine lines. Peels also help maintain results between laser sessions.
Learn more here: Chemical Peels.

PicoSure Focus treatments

If pigmentation and skin quality top your list, Focus treatments with PicoSure may be a fit for collagen and pigment concerns with minimal downtime.
Learn more here: PicoSure Laser.

If you want to browse additional non surgical options that support skin quality, tone, and facial balance, start here:
Non Surgical Treatments.

Who is a good candidate for facial resurfacing

Many healthy adults qualify for facial resurfacing. The best candidates want visible improvement in texture, tone, or lines, and they can follow post treatment care. During your visit, we review your skin type, sun exposure habits, medications, prior procedures, and any history of pigment changes.

  • You want smoother skin texture and smaller looking pores.
  • You want to reduce fine lines around the mouth, cheeks, and eyes.
  • You want to improve sun damage, blotchy pigment, or rough patches.
  • You want acne scar remodeling and better skin reflectivity.
  • You want a plan that fits your timeline and your tolerance for downtime.

What to expect at your consultation in West Bloomfield

We start with your goals and what bothers you most in the mirror and in photos. We evaluate skin quality, laxity, pigment, vascular redness, and scar type. We also discuss how you heal, how quickly you need to return to work, and what you can do at home to protect your investment.

If you are also considering a surgical facial procedure, we help you decide the right order. Some patients pair resurfacing with facial surgery timing to improve skin quality while maintaining natural facial contours. You can explore facial procedures here:
Face.

How treatment day works

Your exact steps depend on the energy level and depth selected. In general, we prep your skin, apply appropriate numbing, and perform the resurfacing in a controlled, methodical pattern. The treatment itself is efficient. Many patients describe a warm sensation during passes. Afterward, we review aftercare and product use.

Downtime and healing timeline

Most resurfacing plans follow a predictable pattern. Expect redness and a tight feeling early on. Then you see flaking or peeling as damaged surface cells shed. Many patients feel comfortable returning to normal social activity after the visible peeling stage ends. Collagen remodeling continues for weeks, so skin keeps improving after the first noticeable change.

  • Days 1 to 3: redness, warmth, and sensitivity.
  • Days 3 to 7: visible shedding and texture changes as skin renews.
  • Weeks 2 to 6: collagen remodeling, improved texture, improved tone.

Your exact recovery depends on treatment intensity, your skin type, and your aftercare consistency.

Results you can see and results you can feel

The early win is smoother texture and brighter tone. The longer term win is collagen remodeling. Patients often notice makeup applies more evenly, skin looks less crepey, pores look refined, and lines soften. If acne scars are your priority, resurfacing can improve scar depth and edge definition, especially when the plan targets the correct layer of skin.

If you want the best long term outcome, treat facial resurfacing like a process, not a one time event. Your plan may include a series, then maintenance, plus a skincare routine that protects results.

Safety, risks, and how we reduce them

Facial resurfacing is a medical procedure. Risks include prolonged redness, infection, scarring, and pigment changes, especially in patients prone to hyperpigmentation. We reduce risk through careful candidate selection, controlled settings, and clear aftercare instructions. We also help you plan around major sun exposure, travel, and events.

  • We assess pigment risk and prior healing history before treatment.
  • We give a tailored aftercare plan and product guidance.
  • We emphasize sun protection because UV exposure can reverse progress fast.
  • We schedule follow ups to confirm healing stays on track.

Why choose DeRosa Plastic Surgery for facial resurfacing near Metro Detroit

DeRosa Plastic Surgery is led by Dr. Amy P. DeRosa, a board certified plastic and reconstructive surgeon in Metro Detroit. Learn more about Dr. DeRosa here:
About Dr. DeRosa.

Patients choose our practice for a treatment plan that fits real life. You get clear guidance, conservative planning when it matters, and an approach that protects natural facial harmony. If you want more context on the full range of services, visit:
Areas of Expertise.

Local care for West Bloomfield and nearby communities

Many patients want a trusted option close to home. Our West Bloomfield location works well for patients driving in from Orchard Lake, Keego Harbor, Sylvan Lake, Bloomfield Hills, Bloomfield Township, Birmingham, Farmington Hills, Farmington, and Walled Lake. If you are within a short drive and want facial resurfacing without traveling far, schedule a consultation and we will map the right plan for your skin.

Common questions about facial resurfacing

How many sessions do I need

The number of sessions depends on your goals and the depth selected. Some patients choose a single stronger session with downtime. Others choose a series of lighter sessions with less downtime per visit. During your consultation, we recommend a plan based on the issue you want to improve, like pigment, texture, lines, or acne scars.

Will I look swollen or scabbed

Many patients see redness and mild swelling early on. Peeling and flaking follow as skin renews. We give you aftercare steps that support clean healing and help you feel comfortable during the visible recovery phase.

When can I wear makeup again

We guide you based on how your skin heals and the treatment depth. The goal is to avoid irritation and keep healing smooth. At your follow up, we confirm when makeup fits safely into your routine.

Can you combine resurfacing with other treatments

Yes. Many patients pair resurfacing with peels, skincare, and other non surgical options to improve overall skin quality. If you want to explore more options that complement resurfacing, start with:
Non Surgical Treatments.

Next step, book your facial resurfacing consultation

If you want smoother skin texture, improved tone, and fewer visible lines, book a consultation. We will review your goals, evaluate your skin, and outline a plan you can follow with confidence.
Use our consultation page here:
Contact.

Contact information

Phone: 248-688-7597
Fax: 248-498-6060

Address: 33200 W. 14 Mile Road, Suite 180, West Bloomfield, MI 48322

Want prep guidance before you arrive. Review the practice FAQ here:
FAQs.
You can also find helpful resources here:
Patient Forms.
If you want to explore financing options, visit:
Financing.
If you want to read patient feedback, visit:
Reviews and Testimonials.

*Results May Vary

Excellent rating
Based on 227 reviews
Trustindex star 1Trustindex star 2Trustindex star 3Trustindex star 4Trustindex star 5
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. DeRosa is amazing. Very attentive, doesn’t make you feel ashamed of your body. Understands BII, the challenges & makes you comfortable in your own skin again. Her staff is great too. Everyone in her office shows such compassion & sensitivity. I know reviews are important & just wanted to say choose Dr. DeRosa you won’t be disappointed.
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Chantal Montalvo
September 15, 2026
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I had an excellent experience and highly recommend DeRosa Plastic Surgery. I chose Dr. DeRosa to perform the breast reduction I'd wanted for 25 years and have been thrilled with the results! It's exactly what I'd hoped for, except it has also been truly life-changing. Dr. DeRosa's team was positive, caring, helpful, and took their time making sure I understood everything. I had pretty bad day-of jitters and struggled at the post-op appointment to get my drainage tubes out, and the staff was so compassionate. I recommend Dr. DeRosa both for her skill and precision but also because her office and staff are lovely, warm, and caring.
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Justine Galbraith
September 8, 2026
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I am so happy with my first experience! They used the Pico laser to treat the dark spots on my face and remove a small tattoo. One more treatment to go! The doctor and staff love what they do and create a great environment... helps when you might be a little nervous!
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Mary Watson
August 20, 2026
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Without a doubt I knew at my initial consult, Dr Amy DeRosa was my person I would place my trust in. Approachable, so very knowledgeable, an all around advocate for women, and kind! There was no hesitation to move forward with her in charge. Additionally, each individual who cared for me prior to surgery was just as comforting, so very capable and again kind. I felt safe. I would never leave out the office staff. Top notch. So very helpful, responsive and once again kind! I would recommend this office without hesitation!
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Barb Henderson
August 2, 2026
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I cannot say enough wonderful things about Dr. DeRosa and her entire team. From my very first interaction, everyone has been incredibly empathetic, caring, and kind. You can truly tell that they are passionate about what they do and genuinely care about helping their patients feel their best. I recently had my explant surgery and lift, and I am so happy that I made the decision to move forward with this procedure. I am only one week post-op and already feeling great. The support, compassion, and professionalism I have received throughout this process have made such a positive difference. Dr. DeRosa and her entire team made me feel comfortable, listened to, and cared for every step of the way. I am so grateful for their expertise and the way they treat their patients like real people, not just another procedure. Thank you, Dr. DeRosa and your amazing team, for making this experience such a positive one. I am so happy I chose you!
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Bridget Duffie
July 31, 2026
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Dr. DeRosa and her team have been amazing from start to finish. She is incredibly warm, professional, and genuinely caring, and she made me feel comfortable and supported throughout the entire process. Every appointment felt personal, never rushed, and she always took the time to answer my questions and make sure I felt confident in my decisions. The results have honestly been life-changing and my confidence has skyrocketed. I’m so grateful I chose Dr. DeRosa and cannot recommend her enough. If you’re looking for a surgeon who is not only highly skilled but also kind, compassionate, and truly invested in her patients, Dr. DeRosa is exceptional. ❤️
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Taylor G
June 16, 2026
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I HIGHLY recommend Dr. DeRosa and her entire team. I am thrilled with the results of my explant and surgery, both inside and out. Her entire team is incredible. So many of the health issues I was having has resolved. They helped give me my life back.
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Jennifer Clarke
March 31, 2026
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Best Decision I Could Have Made Haven’t posted yet to their google review but lmk what you think. Dr. DeRosa, Tim, and the entire team were absolutely incredible throughout my breast explant journey. From my very first emotional phone call, Tim reassured me that what I was experiencing wasn’t “in my head,” even after multiple doctors and specialists couldn’t explain my severe joint pain and inflammation. Meeting Dr. DeRosa was a turning point—she is not only highly knowledgeable but also kind, genuine, and deeply empathetic. Knowing she had personal experience made me feel even more confident in my decision. Surgery day went smoothly, and the results were life-changing. I immediately noticed I could breathe better, and the inflammation I had been suffering from disappeared. I felt like myself again with minimal discomfort. At my follow-ups, I continued to receive the same level of care and compassion. Learning that one implant had been leaking only confirmed I made the right choice. Now at 8 weeks post-op, I feel amazing and love how I look. I’m beyond grateful to Dr. DeRosa, Tim, and the entire team. If you’re considering a surgeon in Michigan, I highly recommend them—truly the best decision I could have made.
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N_Wolcott
March 19, 2026
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Dr. DeRosa and her entire staff were absolutely amazing! From calming my nerves, to making sure everything was taken care of, to answering every single question I had; Dr. DeRosa and her staff were top notch! It took me over 15 years to finally take the leap and get the surgery! I cannot speak highly enough of my decision and the staff that helped to make my dreams come true!
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Shannon Maiorana
March 17, 2026
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I am 6 months post-explant and feeling great. I can't say enough good about Dr. DeRosa and her entire staff. Everyone was so friendly, professional and thorough. Such a great team, a very caring Doctor and I am so glad to have this behind me. Would highly recommend Dr. Amy DeRosa and her staff if you are wanting your breast implants removed.
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Brenda Rust
March 14, 2026

DeepFX