Sublative Skin Resurfacing

Sublative Skin Resurfacing for Radiant Skin

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Want to unlock your most gorgeous complexion ever? Then it’s time to introduce yourself to sublative skin resurfacing treatments. At Twin Ports Dermatology, we use the ELOS Plus Sublative System to target and treat fine lines and wrinkles, textural irregularities, and scarring. This treatment also stimulates collagen production to firm and strengthen the skin.

Twin Ports Dermatology is proud to offer free consultations for clients who want to discover sublative skin resurfacing treatments.


Sublative skin resurfacing uses radiofrequency energy directed at the skin in the form of a matrix. This ablative treatment resurfaces the skin to improve textural concerns. It also heats the deep tissues in the skin to stimulate collagen and elastin production.


You’re a good candidate for sublative laser skin resurfacing if you have moderate signs of aging, wrinkles, textural irregularities, reduce pores size, scarring, and stimulating collagen productions, but don’t want to resort to surgical treatments to see results.


*Individual results may vary


We recommend a series of treatments to help you achieve your best results. Most people benefit from three treatments spaced four to six weeks apart. Your skin will look smoother and more even as it heals. The results of collagen production take several weeks to appear and can continue to develop for three months or more.


Most people find this treatment very tolerable. You may experience a prickling sensation and a feeling of warmth. Your comfort is our priority, and we’ll make sure you know exactly what to expect. 


Immediately after treatment, you will experience sunburn-like warmth and minor swelling. We will instruct you to keep your skin dry for the next twelve hours and avoid any makeup or skincare products. The matrix will scab over and slough off over the next three to five days, leaving bright, rejuvenated skin. Your provider will give you everything you will need to care for your skin during healing.

Discontinue Retinol, scrubs and/or acid products 1 week prior to treatment.

Many medications make you sensitive to laser procedures and can result in adverse reactions. Below is a list of common medications. If you are on any of these medications, please reschedule your appointment after being off these for two weeks. If your appointment is within two weeks, please call us to reschedule.

Isotretinoin (Accutane)

Adapalene (Differin)

Tretinoin (Retin-A, Renova) 

Dapsone (Aczone)

Acitretin (Soriatane)

Dacarbazine (DTIC-Dome)

Fluorouracil (Fluoroplex, Efudex, 5 FU, Carac)

Methotrexate (Mexate; and others)

Vinblastine (Veiban)

Gold Salt thiomalate (Solganol)

Amitriptyline (Elavil; and others)

Bupropion (Wellbutrin)

Clomipramine (Anafranil)

Desipramine (Norpramin; Petrofrane)

Doxepin (Adapin; Sinequan)

Fluoxetine (Prozac)

Imipramine (Tofranil; and others)


Mirtazapine (Remuron)

Nortriptyline (Aventyl; Pamelor)

Paroxetine (Paxil)

Protriptyline (Vivactil)

Sertraline (Zoloft)

Tricyclics (class) 

Trimipramine (Surmontil)

Flucytosine (Ancobon)


Voricanozole (Vfend)



Cetirizine (Zyrtec)

Cyproheptadine (Periactin)

Diphenhydramine (Benadryl; and others)

Loratadine (Claritin)


Celecoxib (Celebrex)

ibuprofen (Motrin)

Naproxen (Naprosyn)

Piroxicam (Feldene)

Ketoprofen (Frotek)

Azithromycin (Zithromax)

Ciprofloxacin (Cetraxal, Cipro XR)

Dapsone (Aczone)

Demeclocycline (Declomycin; others)

Doxycycline (Vibramycin, Adoxa, Doryx, Periostat, Monodox, Oracea)

Griseofluvin (Fulvicin-U/F;others)



Lomefloxacin (Maxaquin)

Methacycline (Rondomycin)

Minocycline (Solodyn, Minocyn)

Nalidixic acid (NegGram; others)

Oxytetracycline (Terramycin; others)

Quinolones(class) (ofloxacin, Floxin)





Sulfamethoxazole/trimethoprim (Bactrim, Septra)

Sulfasalazine (Azulfadine)


Sulfisoxazole (Gantrisin)

Tetracyclines (class)

Chlorpromazine (Thorazine; and others)

Fluphenazine (Permitil; Prolixin)

Haloperidol (Haldol)

Perphenazine (Trilafon)

Piperacetazine (Quide)

Prochlorperazine (Compazine; and others)


Promethazine (Phenergan; and others)

Thioridazine (Mellaril)

Trifluoperazine (Stelazine; and others)

Triflupromazine (Vesprin)

Trichlormethiazide (Metahydrin; and others)

Thiazides (Diuril; HydroDIURIL)



Acetohexamide (Dymelor)

Trimeprazine (Termaril

Chlorpropamide (Diabinese; Insulase)

Tolazamide (Tolinase) Tolbutamide (Orinase; and others)

Glimepiride (Amaryl)

Glipizide (Glucotrol)

Glyburide (Glynase)

Tolazimide (Tolinase)

Tolbutamide (Orinase;others)

ACE inhibitors (Vasotec)

Amiodarone (Cordarone)

Diltiazem (Cardizem)

Disopyramide (Norpace)


Lovastatin (Mevacor)

Pravastatin (Pravachol)



Simvastatin (Zocor)

(medication used to reduce blood and tissue levels of harmful heavy metals)

Simvastatin (Zocor, FloLipid)

Atorvastatin (Lipitor)

Lovastatin (Altoprev)

Pravastatin (Pravachol)

Acetazolamide (Diamox)

Amiloride (Midamor)

Bendroflumethiazide (Naturetin; and others)

Benzthiazide (exna and others)

Chlorothiazide (Diuril and others)


Cyclothiazide (Anhydron)

Furosemide (Lasix)

Hydroflumethiazide (Diucardin; and others)

Hydrochlorothiazide (HydroDIURIL; and others)

Methyclothiazide (Aquatensen; Enduron)

Metolazone (Diulo; Zaroxolyn)

Polythiazide (Renese)

Quinethazone (Hydromox)

Triamterene (Dyrenium)

Trichlormethiazide (Metahydrin;others)

Thiazides (class)

Estrogen replacement

Oral contraceptives

Other hormones

Additional plant families

Agrimony (Agrimonia eupatoria)

Angelica root and fruit (Angelica species)

Bergamot peel (Citrus bergamia

Bitter orange peel (Citrus aurantium)

Buttercup plant (Ranunculus species)

Carrot family

Celery (Apium graveolens)

Cow Parsnip (Heracleum lanatum)

Dill (Anthium graveolens)

Fennel (Foeniculum vulgare)

Fig (Ficus carica)

Goosefoot (Chenopodium species)

Iron tablets

Khella fruit (Ammi visnaga)

Lemon peel (Citrus limonia)

Lomatium (Lomatium dissectum)

Lovage root (Levisticum officinale)

Parsley (Petroselinum sativum)

Psoralea seeds (Cullen corylifolia, Psoralea corylifolia)

Queen Anne’s lace (Daucus carota)

Rue leaves (Ruta graveolens)

St Johns Wart (Hypericum perforatum)

Yarrow plant (Achillea millefolium)

Methoxsalen (Oxsoralen)


PABA (p-aminobenzoic acid)

Sunscreens containing benzophenones

  • Please be advised that you may expect a certain degree of discomfort, redness, warmth, and irritation during and after treatment. Notify the clinic if it persists.
  •  For the first 12 hours after your procedure, you should not apply any skincare products or makeup. After 12 hours, it is essential to keep your skin moisturized. After cleansing, apply a hyaluronic acid serum such as Twin Ports Dermatology Hyaluronic Serum and a gentle moisturizer such as Vivier Lexxel. 
  • Tiny scabs less than 1 mm in diameter usually form 24-72 hours post-treatment and may remain for several days. The scabs should not be touched or scratched even if they itch and should be allowed to shed off naturally.
  • After 12 hours, gently wash the treated area with a mild cleanser such as Cerave Hydrating Cleanser. If the treated area is irritated, do not rub with a towel – instead, pat dry.
  • During the first two (2) days following treatment, prevent trauma to the treated site: avoid hot baths, massage, irritating skin care products or exfoliants, etc. Keep the skin clean to prevent contamination or infection. Avoid any mechanical or thermal damage to the area.
  • You may have mild swelling for 1-3 days after your treatment. Sleep with your head elevated the first night after treatment.  
  • Please apply an icepack to the irritated area for 1-2 days in approximately 15-minute sessions 3-4 times daily. You may also take Ibuprofen as needed for discomfort and swelling.  
  • Redness for 2-3 days is common. To reduce this, you may apply 1% hydrocortisone cream 3-4 times per day. 
  • If you should develop any open sores, apply EltaMD Moisturizer or Aquaphor to those areas 2-3 times daily until healed.
  • Avoid sun exposure for at least two weeks after your treatment, as your skin will be more sensitive to the sun after your Sublative treatment, and you can experience hyperpigmentation. 
  • Use a minimum of SPF 30 daily to protect your skin after treatment.  A physical block SPF such as EltaMD Pure will be less irritating than a chemical SPF. 
  • Avoid retinol, alpha hydroxy acids, scrubs, acne treatments, or other irritating products until the scabs and irritation resolve. 
  • Use skincare products free from alcohol, dye, and perfumes for one-week post-treatment.
  • If there are any signs of infection, such as redness, tenderness, or pus, please contact the office.
  • Do not rub, scratch, or pick at the treated area while red discoloration is present.
  • Avoid excessive sweating for 24 hours post-treatment. 
  • Avoid activities such as swimming and use of hot tubs for the first 2 – 3 days or until any redness, crusting, or blisters have resolved.
  • Your at-home skin care regimen between treatments is as essential as the treatment to reach optimal results.  
  • If you have questions about your treatment, please call us immediately at 218-302-1000. Note we are not open on weekends; if you have a medical concern on the weekend, please visit urgent care. Call us the following Monday so we can assist you.
  • We do request a 24-hour cancellation policy for appointments, please. Failure to do will result in a $50 fee.
  • Refunds on products are for exchange only within 30 days.  Refunds on procedures will receive credit toward future purchases.


*individual results may vary


Take the First Step - Request A Consultation

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If you would like to schedule an in-person consultation, please fill out the form on this page and one of our knowledgeable medical staff members at Twin Ports Dermatology will reach out to you promptly. You can also call our Duluth, MN office directly to schedule: 218-302-1000.

Twin Ports Dermatology serves the greater Duluth area. We’re the only locally owned private dermatology clinic & medspa in the area.

*Individual results may vary