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Fractional Co2 Laser Skin Resurfacing Tips

Fractional Laser Treatment - Know Everything About It!

Dr. Amit Patel 89% (262 ratings)
Diploma in Dermatology Venereology, MD - Physician
Dermatologist, Surat
Fractional Laser Treatment - Know Everything About It!

Fractional laser or Fraxel as it is commonly known in cosmetic surgery terms, is a non-invasive technique to treat various skin problems. A beam of laser is divided into thousands of treatment zones, which are focused on a particular spot on the skin, giving it the name fractional laser.

Conventionally, ablative laser works on the epidermis while non-ablative laser works on the collagen or the dermis layer. Fractional laser is unique in that it works on both these layers. Therefore, in problems involving both these layers, Fraxel works extremely well.

  1. Sun damage
  2. Extensive skin pigmentation
  3. Wrinkles
  4. Stretch marks
  5. Melasma

How does it work?

The skin has two layers – epidermis and the dermis. The epidermis is the protective layer and has the melanin-producing melanocytes, which gives the skin, its color. The dermis has collagen and elastic fibers, which gives it skin the elasticity. With age, the skin loses its elasticity and becomes pale, as the collagen degenerates. Less of new collagen is formed, and so aged appearance including sagging, fine lines, wrinkles, dark spots, etc. appear.

What Fraxel does is produce 1000s of columns of laser which act on both the dermis and the epidermis and improve collagen formation and removing old cells. The surrounding skin remains intact, and only the area of focus is treated.

What to expect?

  1. Before the procedure, the doctor will validate if you are a candidate for the procedure.
  2. Photos will be taken of the area and in people with darker complexion, bleaching or chemical peel may be used
  3. With face cleaned with soap and water, an anesthetic cream is applied to the skin.
  4. The laser beam is then applied, usually about 30 minutes.
  5. The procedure could be painful if the laser beam is strong which makes the use of anesthetic essential
  6. A cooling device is applied at the end of the procedure, and the area is then washed off
  7. One may experience redness, swelling, and tenderness for about a week
  8. New skin will develop in about a week’s time
  9. Skin peeling can happen in some people, which can be easily removed off without pain
  10. Adequate use of moisturizer and sunscreen is advised
  11. Clothing should be protective, include sunglasses, wide hat, and scarf
  12. Most people require a repeat of 3 to 4 sessions to complete the treatment, with a gap of a month usually.
  13. Unlike with other skin treatments, the effect from Fraxel takes time. It may take up to 3 to 4 months for the complete effect to show, as it involves complete collagen formation.

Advice from a doctor is must, so you can plan for your Fraxel treatment well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2489 people found this helpful

Wrinkles - Best Treatment Options To Get Rid Of Them!

Dr. Gunasekar Vuppalapati 85% (10 ratings)
M.Ch.(Burns & Plastic Surgery), Fellowship of The Royal College of Surgeons (FRCS), MBBS, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Wrinkles - Best Treatment Options To Get Rid Of Them!

There is a wide range of options to get rid of wrinkles. Laser treatments are considered to be one of the best ways to eradicate wrinkles for a long time. There are other treatments such as microdermabrasion, photo facials, and chemical peels as well. Dermal fillers are used to treat deep wrinkles. Wrinkles of the forehead and the eye are best treated with Dysport and botox.

There is a wide range of options to get rid of wrinkles. Laser treatments are considered to be one of the best ways to eradicate wrinkles for a long time. There are other treatments such as microdermabrasion, photo facials, and chemical peels as well. Dermal fillers are used to treat deep wrinkles. Wrinkles of the forehead and the eye are best treated with Dysport and botox.

How Does Laser Work?

Laser treatments such as the Fraxel and the fractional CO2 make tiny pores in the skin. These pores or incisions have two purposes. The first is to make sure that the skin produces collagen and the second is to ensure that the skin heals quickly. The laser can address wrinkles in areas such as eye, face, hands and legs. Out of all the treatment plans, laser treatment is by far the costliest one. They are typically used by maxillofacial surgeons having in-depth knowledge of physiology. Treatment of this kind might require more than one session depending on the extent of wrinkles.

How Does Dermal Filler Work?

Dermal fillers are a popular method to address wrinkles and are used to destroy wrinkles around the mouth and the eye. Lasers can also diminish hollowness and dark circles near the eye. Moreover, they are very effective in making up the lost volumes of the jawline, temples, and cheeks. Dermal fillers, however, last for about a year and needs to be redone to hold on to the facial changes. They are typically safe and contain limited side effects. A consulting session with the doctor will help to know more about the potential risk of this treatment.

Removing wrinkles from under the eye-

Botox and Dysport are two of the most popular options to get rid of wrinkles under the eye region. While lasers can diminish the appearance of wrinkles, botox and Dysport can permanently get rid of it. They also ensure that the wrinkles do not come back for quite some time. Some other wrinkles that botox and Dysport can fix include wrinkles of the forehead, eye, and the brows.

How Effective Are Wrinkle Creams?

In comparison to botox and lasers, wrinkle creams are far less effective. This being said, they are extremely popular for the fact that they are readily available over the counter and are very cheap. Most wrinkle creams contain retinol that helps to increase collagen production and stimulate turnover of the skin. Wrinkle creams that are designed for the eye do not contain retinol since they are an eye irritant and can cause damage to the eye. These creams also contain anti-oxidants that help the collagen to hold their own and stop the interference of free radicals.

Laser treatments such as the Fraxel and the fractional CO2 make tiny pores in the skin. These pores or incisions have two purposes. The first is to make sure that the skin produces collagen and the second is to ensure that the skin heals quickly. The laser can address wrinkles in areas such as eye, face, hands and legs. Out of all the treatment plans, laser treatment is by far the costliest one. They are typically used by maxillofacial surgeons having in-depth knowledge of physiology. Treatment of this kind might require more than one session depending on the extent of wrinkles.

How Does Dermal Filler Work?

Dermal fillers are a popular method to address wrinkles and are used to destroy wrinkles around the mouth and the eye. Lasers can also diminish hollowness and dark circles near the eye. Moreover, they are very effective in making up the lost volumes of the jawline, temples, and cheeks. Dermal fillers, however, last for about a year and needs to be redone to hold on to the facial changes. They are typically safe and contain limited side effects. A consulting session with the doctor will help to know more about the potential risk of this treatment.

Removing wrinkles from under the eye-

Botox and Dysport are two of the most popular options to get rid of wrinkles under the eye region. While lasers can diminish the appearance of wrinkles, botox and Dysport can permanently get rid of it. They also ensure that the wrinkles do not come back for quite some time. Some other wrinkles that botox and Dysport can fix include wrinkles of the forehead, eye, and the brows. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2926 people found this helpful

Fractional Laser Treatment - Know About It!

Dr. Nidhi Gupta 90% (10 ratings)
MD - Dermatology, MBBS
Dermatologist, Panchkula
Fractional Laser Treatment - Know About It!

Fractional laser or Fraxel as it is commonly known in cosmetic surgery terms, is a non-invasive technique to treat various skin problems. A beam of laser is divided into thousands of treatment zones, which are focused on a particular spot on the skin, giving it the name fractional laser.

Conventionally, ablative laser works on the epidermis while non-ablative laser works on the collagen or the dermis layer. Fractional laser is unique in that it works on both these layers. Therefore, in problems involving both these layers, Fraxel works extremely well.

  1. Sun damage
  2. Extensive skin pigmentation
  3. Wrinkles
  4. Stretch marks
  5. Melasma

How does it work?

The skin has two layers – epidermis and the dermis. The epidermis is the protective layer and has the melanin-producing melanocytes, which gives the skin, its color. The dermis has collagen and elastic fibers, which gives it skin the elasticity. With age, the skin loses its elasticity and becomes pale, as the collagen degenerates. Less of new collagen is formed, and so aged appearance including sagging, fine lines, wrinkles, dark spots, etc. appear.

What Fraxel does is produce 1000s of columns of laser which act on both the dermis and the epidermis and improve collagen formation and removing old cells. The surrounding skin remains intact, and only the area of focus is treated.

What to expect?

  1. Before the procedure, the doctor will validate if you are a candidate for the procedure.
  2. Photos will be taken of the area and in people with darker complexion, bleaching or chemical peel may be used
  3. With face cleaned with soap and water, an anesthetic cream is applied to the skin.
  4. The laser beam is then applied, usually about 30 minutes.
  5. The procedure could be painful if the laser beam is strong which makes the use of anesthetic essential
  6. A cooling device is applied at the end of the procedure, and the area is then washed off
  7. One may experience redness, swelling, and tenderness for about a week
  8. New skin will develop in about a week’s time
  9. Skin peeling can happen in some people, which can be easily removed off without pain
  10. Adequate use of moisturizer and sunscreen is advised
  11. Clothing should be protective, include sunglasses, wide hat, and scarf
  12. Most people require a repeat of 3 to 4 sessions to complete the treatment, with a gap of a month usually.
  13. Unlike with other skin treatments, the effect from Fraxel takes time. It may take up to 3 to 4 months for the complete effect to show, as it involves complete collagen formation.

If you wish to discuss about any specific problem, you can consult a Dermatologist.

2626 people found this helpful

Tips For Using Facial Laser Treatment - The Photo Facial

Dr. Archhana Gullur 90% (114 ratings)
MD, MBBS
Dermatologist, Bangalore
Tips For Using Facial Laser Treatment - The Photo Facial

One of the most popular cosmetic laser facial treatments is called a Photo facial. This type of laser procedure can be very effective at treating brown spots, broken capillaries, and unwanted redness (such as rosacea). Photo facials can also improve the overall quality and smoothness of your skin by mildly stimulating new collagen production. There are many types of laser systems that can perform photo-facials-most are called IPLs or Intense Pulsed Lights. If you are trying to decide whether to have a photo-facial, here are some considerations:

  1. Photo facials are best at treating discoloration. For significant wrinkling or sagging, fractionated resurfacing lasers are a better laser treatment choice.
  2. More than one treatment is almost always necessary, no matter which kind of photo-facial you choose to do. Expect that you will need 3-5 treatments depending on the severity of your sun damage, and depending on your desired result. These treatments will be spaced out every 2-4 weeks.
  3. Its not only your face that ages you. Sun damage to your neck, chest, and hands can be corrected with the photo-facial treatments, as well.
  4. Downtime is minimal with a photo-facial. My patients typically experience less than 12 hours of facial redness, though sometimes it can last into the next day. Makeup can be worn immediately after the procedure to help "hide" that post-treatment redness. You can also expect your prominent brown spots to scab for a few days after the procedure, before peeling off.
  5. Photo-facial treatments are generally easy to tolerate. You will feel a snapping sensation on your skin, but shouldn't feel significant pain. A topical numbing medicine is usually applied for 20 minutes beforehand. This helps further reduce any discomfort.
  6. The anti-aging benefit of any laser treatment is not permanent. Your face will continue to age. You will develop new age spots at some point, and your skin will start to sag again. But if you start to take better care of your skin after these treatments by consistently wearing sunscreen and by using premium skin care products, these measures will help preserve your results for a longer period of time. But repeat treatments will be necessary for maintenance. My patients see me for maintenance treatments at intervals of 6 months to 1.5 years, depending on how well they take care of their skin in between. If you wish to discuss about any specific problem, you can consult a dermatologist.
4251 people found this helpful

Causes And Treatment of Acne Scars

Dr. Vijay Khandelwal 87% (16 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology, post graduate certificate in dermatology
Dermatologist, Narnaul
Causes And Treatment of Acne Scars

Quite strikingly, Acne can become a persistent cause of your worries, if left untreated. Acne not only harms you physically, but also damages your psychological health. Persistent acne can result in a pockmarked face, making you feel sullen and unsure of yourself. Acne refers to a condition where the skin perpetually develops stinging, red bumps. Red pimples might show on your face, shoulders, back or neck. The bumps usually take a lot of time to heal and they leave behind deep scars. And, in order to treat, such scars one can go for cosmetic dermatology procedures.

Acne Scars: What are they?

When inflamed blemishes, result from crushing of excess oil, bacteria and dead cells in your skin pores, enlarge and swell up breaking the follicle wall, acne scarring is caused. One can get rid of acne scars through the natural healing process of your skin if the lesions are not very deep. Deep lesions will require medical assistance. New collagen formation can heal such scars, but it doesn't restore the radiance and tautness of your original skin. Acne scars can be divided into two broad types:

Hypertrophic and Keloid scarring: Raised tissue on the surface of the skin following excess collagen production causes such kind of scars.

Atrophic or depressed scarring: These scars are caused due to reduced tissue production. Small, but noticeable holes on your skin are called Ice picks. However, the boxcar is a scar, which is similar to a chicken pox mark.  

Causes of Acne scars:

  1. Malfunctioning of hormones even after the age of puberty can lead to acne formation in both males and females.
  2. Food items rich in carbohydrates can trigger acne. Dairy products could also worsen the condition.
  3. Any medicine that contains lithium, androgen or corticosteroids can worsen this skin condition.
  4. Bacteria, excess oil, blocked pores, and dead skin cells are the primary reasons behind acne.

Treatments of Acne scars:

Cosmetic dermatology procedures can successfully help you do away with acne scars. Blue-light therapy, is a procedure in cosmetic dermatology, which can work wonders for acne scars. A narrow- band, but high - intensity Blue-light is used to counter Porphyrins released by bacteria causing acne. Porphyrins easily absorb Blue-light and the light leads to radical damage of Porphyrins when used in certain wavelengths.

There are certain topical creams available, which can improve mild scarring, most of the acne scars are either depressed or raised type and need a combination of surgical procedures and skin resurfacing. The therapeutic options that are currently available to treat acne scars include subcision, dermabrasion, microdermabrasion, derma rollers, chemical peels, TCA cross, ablative lasers, fractional lasers and dermal fillers.

Fractional resurfacing laser is one of the most effective treatments for acne scars. It is a minimally-ablative technique that creates microscopic zones of dermal injury in a grid-like pattern. This helps in collagen remodelling, skin tightening, scar improvement, reduction in fine lines, improvement in texture, tone and colour of the skin. A series of 4 to 6 sittings are usually needed for optimal results. Each session lasts for one hour and is performed at monthly intervals.

Certain types of scars such as the ice pick and rolling scars, pixel laser are combined with subcision, dermal rollers and TCA cross. In addition, punch excision and softening of margins with laser can be done for box scars. All the mentioned procedures are well-tolerated with local application of anesthetic creams before procedure. With these procedures, improvement of scars is seen over several weeks.

Lately, injectable dermal fillers are being used for correction of acne scars, giving it a smoother appearance. This is semi-permanent and needs to be redone as and when required. Timely treatment of acne is necessary to keep, both unwanted pigmentation and scars at bay. So, get rid of your scars and make the dream of blemish free and smooth skin come true.

2596 people found this helpful

10 Tips To Treat Stretch Marks Effectively

Dr. Archhana Gullur 90% (114 ratings)
MD, MBBS
Dermatologist, Bangalore
10 Tips To Treat Stretch Marks Effectively

Pregnancy is a life-changing phase in a woman’s life. In addition to a baby (or babies!), there are a lot of physical and emotional changes also that come with it. The more evident are the physical ones, and in addition to weight changes, the stretch marks are the most obvious.

The uterus or the womb grows to its full extent to accommodate the developing baby, and so there is stretching of the connective tissue in these areas. After delivery, the tension is lost, and these marks become evident.

What are stretch marks?

These marks appear as lines on the skin and are most commonly found in areas such as the buttocks, arms, breasts, thighs and stomach. They are different in appearance in comparison to the normal skin. It may appear pinkish or purplish initially and then it takes a shiny appearance later. When you feel the stretch marks, you may feel a certain indentation or ridge on the skin. It may feel sore or itchy as well sometimes.

They most commonly appear during adolescence when there is rapid growth and stretching of the skin. It is also seen in women pre and post pregnancy. Stretch marks can also appear when there is a sudden change in weight.

How To Treat Them?

  1. Use Moisturisers: People who use moisturisers show an increased elasticity of the skin, which reduces the appearance of stretch marks on the skin. Keeping the skin hydrated stops the skin from tearing and creating stretch marks. Moisturising is not entirely effective on older marks, but it can help with newly formed stretch marks. You can also use it on areas that are prone to stretch marks.

  2. Retin-A: Retin- A is known to boost collagen production that helps the skin to stretch out with ease and not cause tears. When Retin-A is used, it is recommended to limit the sun exposure as the skin becomes more susceptible to sun damage and burning.

  3. Glycolic Acid: This chemical compound falls under the category of an alpha-hydroxy acid which is commonly found as a major ingredient in chemical peels. It is known to amplify the production of collagen and increase the tensile strength of the skin. Go to your dermatologist for a stronger dose for more effective results.

  4. A Combination of Retin-A and Glycolic Acid: A combination of these two potentiates the action of each other and gives better results.

  5. Vitamin E Oil: You can find Vitamin E oil capsules in medical shops that are known as the miracle medication when it comes to curing stretch marks.

  6. Essential Oils: Certain essential oils like rose oil, lavender oil, or geranium oil are known to reduce stretch marks.

  7. Vascular Laser: Pulsed dye laser that is kept at the wavelength of 585 nm is used to remove the stretch marks that are red and newly formed. It may not be effective on the older ones that have turned silver. This process is highly expensive and needs about 6 sittings. The efficacy of this procedure also depends on the complexion of the skin. Much like laser hair removal, vascular laser does not work on darker skin. The colour difference between the marks and the actual skin tone should be prominent.

  8. Fractional Laser Treatment or Laser Resurfacing: This is used to get rid of the older stretch marks that have turned light and are no longer red. This procedure is more expensive than the previous one and is prone to leave scars on the site of application.

  9. Abdominoplasty or Tummy Tuck: The only permanent solution to get rid of stretch marks is to cut them out entirely. If you are tired of the stubborn tiger stripes, then this could be your only way out.

  10. RF Micro-Needling Device: This is a more cost effective alternative to CO2 Laser Resurfacing that could be used on any stretch mark types –“new and old”. The micro needles are driven directly into the skin to a certain depth (0.2mm-3.0mm) and radiofrequency (RF) energy is then released inside the skin. Minimally invasive RF thermal energy creates fractional electrocoagulation in the dermis which facilitates a natural wound healing process promoting the remodelling of collagen. If you wish to discuss about any specific problem, you can consult a dermatologist.

4216 people found this helpful
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