Skin rejuvenation remains popular. The development of new, safer, and more predictable techniques allows appropriate methods to be individualized and applied to each patient. Laser skin resurfacing continues to be a frequently performed procedure as part of an overall rejuvenation program. Over the last decade, the erbium:yttrium-aluminum-garnet (Er:YAG) laser has been added to carbon dioxide laser systems in the hope of decreasing the side-effect profile while maintaining superior results. Clinical benefits following resurfacing with early Er:YAG lasers were less impressive than those obtained with the carbon dioxide systems. This was partly because of poor hemostasis and limited ablative depths. Recent introduction of new, modulated Er:YAG lasers allows full use of their ablative properties with the addition of adequate coagulation. Improved clinical results followed, with long-pulsed Er:YAG laser resurfacing producing benefits comparable to those obtained with carbon dioxide laser systems. These latest models represent a real advance in laser technology, allowing versatility and flexibility when choosing appropriate parameters for each problem treated.