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Lasers Treatment Tips

Hyperpigmentation - Is Laser Treatment Beneficial?

Dr. Bhushan Patil 89% (10 ratings)
MCh - Plastic Surgery, M.S. Gen. Surg., M.B.B.S.
Cosmetic/Plastic Surgeon, Pune
Hyperpigmentation - Is Laser Treatment Beneficial?

It is a condition that causes discoloration and discolored patches to appear on the skin. The color of one’s skin is determined by the production of melanin in the body, and hyperpigmentation is caused by a disproportionate production of melanin. People of any race or skin color can be affected by this condition. 

The most common pigmentation problems are brown sun spotsmelasmaage spots, and pigmented birthmarks.  Pigmentation issues very depending on the natural colour of the skin. Treatments include fade creams, IPL, Elos Aurora, lasertreatments like Fraxel Dual and in some cases biopsy or skin excision is required to exclude skin cancer such as melanoma.

Three skin irregularities caused by this condition are; Post Inflammatory hyperpigmentation, Lentigines (or sun spots) and Melasma.

  1. Treatment of brown sun spots: Many people have mottled brown spots, freckles and patches on their skin due to excess pigmentation. These are easily treated with medical grade Elos IPL or Fraxel Dual laser. There is a range of different causes of pigmentation. Treatments differ depending on what type of pigmentation is affecting your skin. The brown pigmentation is called melanin and is made by special cells in the skin called melanocytes. The main categories of pigmentation problem are freckles, age spots, (also called liver spots or sun spots) melasma and postinflammatory hyperpigmentation. 
  2. Melasma: Women with a genetic predisposition to this condition or those with darker skin complexions and those who have a higher exposure to ultraviolet rays are most commonly affected by melasma. It is a condition that affects the areas of the skin that are most exposed to the sun. It involves female hormones and so women who are pregnant are generally affected by melasma. Melasma is blotchy areas of brown skin pigmentation on the face. Melasma, (also known as chloasma), appears as blotchy pale brownish pigmentation on the face, especially forehead, cheek and upper lip. It is more common on darker skin types. It is especially common in women aged 20-40 and is associated with pregnancy or taking the contraceptive pill or injection. It also happens in healthy, non-pregnant woman taking no medications and men using aftershave. Sun exposure following some cosmetics can cause a phototoxic reaction where the chemical substance absorbs UV light. The resulting pigmentation extends where sun and cosmetic use have coincided, for example down the neck, often more on the right side in countries that drive on the left. Melasma is more stubborn and unpredictable to treat than freckles or age spots because the melanocytes have become sensitized and continue to produce extra pigment with even the slightest hint of sun. Sun protection is an essential part of treatment. Melasma can be treated with Active FX Laser Resurfacing. It destroys up to 80% of melanin, efficiently, which is ideal for cases of melasma that cause excessive pigmentation of skin.
  3. Lentigines: Minute brown spots that appear on your face and body, which is the collective result of continuous exposure to the sun, photodamage or chronic sun damage, are called lentigines. The spots usually have a visibly distinct border and appear on areas most exposed to the sun such as the face and hands.

How is one affected by post inflammatory pigmentation?
If there is an excessive production of melanin in the body, it could then overflow to the surface of the skin; this is caused by an inflammation. Post inflammatory pigmentation is the formation of brown patches on the skin that are the result of infection, injury or other conditions. Patients who already have a skin problem are more likely to be affected by this condition.

Post inflammatory hyperpigmentation (PIH) occurs after injury to the skin from whatever cause and is far more prevalent in darker skin. PIH appears as a dark brown area over the area of the previous injury and is due to excess melanin being produced by melanocytes as a result of the inflammation. Typically PIH resolves over several months but can persist for 1-2 years and in some cases can be everlasting. Treatment is generally patience as it will resolve and treatments risk further inflammation and therefore further PIH.  However hydroquinone can be useful in some patients and others benefit from mild treatments of Elos Aurora, IPL or Fraxel Dual laser.

Treatment of freckles

Freckles are small flat brown marks on sun exposed areas. The medical term is ‘ephilide’ and they are an accumulation of melanin in the surface skin cells (keratinocytes). The tendency to form freckles is inherited and is often seen in red heads and younger people. Freckles usually fade in winter and reappear in summer.

They need no treatment except sun protection. They can also be faded by Elos IPL, but will reappear with sun exposure. No treatment can transform a skin which freckles, into one which tans evenly.  Of course, further sun exposure can bring the freckles out again so it is very important to apply a good sunscreen following treatment to maximise results.

How does laser treatment help to remedy hyperpigmentation?

  • Clear and Brilliant, Fraxel and Photofacial are three types of laser treatment that have been known to resolve hyperpigmentation.
  • Short bursts of energy and heat are produced by the laser and aimed at the cells that have a concentration of melanin. The excess melanin from these cells is then broken down and destroyed with the help of the laser.
  • Each case of hyperpigmentation varies, and their treatment varies on the extent of the condition as well. The treatment will be administered over a course of sessions.

Though these treatments are effective, one must always stay protected from damage due to overexposure to the sun, by wearing the sunscreen with the correct SPF and other sun gear.

8 people found this helpful

5 Benefits Of Laser Skin Tightening!

Dr. Smita Priyadarshni 92% (10 ratings)
M.D. DERMATOLOGY
Dermatologist, Delhi
5 Benefits Of Laser Skin Tightening!

Ageing is often the harshest foe to the skin. The years will take its toll on the skin’s tightness, resulting in loose saggy skin. However, there are many techniques which allow for the rejuvenation and tightening of the skin and help you get your youthful look back. Most of these are usually non-invasive or minimally-invasive and include creams, peels, dermabrasion and other such forms of treatment. One such method which has become quite popular is laser skin tightening.

What is Laser Skin Lightening?

As is evident from the name, this method uses a laser or an infrared light source of a specific wavelength to heat up the treated area. This method of treatment specifically heats up the collagen present under the skin and stimulates it to cause tightening. This treatment also encourages the growth of new collagen under the skin.

Benefits of Laser Skin Tightening:

Some of the benefits of laser skin tightening are mentioned below –

  1. It works deep beneath the skin– While most other treatments make you look younger by treating the superficial layers of skin, laser skin tightening works by stimulating the collagen under the skin and thus works from way deeper, making it a more effective treatment. It can easily correct all forms of lines on your neck, forehead, eyes, wrinkles and blemishes.

  2. Minimally invasive– There is no involvement of surgical tools and thus no incisions, stitches or even injections are used. Although the skin is heated up from beneath the surface with the help of a laser, it is still a minimally invasive procedure.

  3. Less painful– Although the lower layers of the skin are heated up, the laser mechanism allows for the top-most layer of the skin to remain cool, thus lessening the pain and discomfort faced during the procedure.

  4. Minimal downtime– Laser skin tightening is a minimally invasive process and is usually done on an outpatient basis. The total downtime is quite minimal and you can resume daily activities quite quickly after the procedure.

  5. Lasts for longer– As the new collagen develops under your skin, the effects start to show in full swing in about a couple of months. You may at best need a follow up treatment to ensure that the best results are achieved. However, once the treatment is completed and the skin tightens, the effects do stay for quite a while.
2375 people found this helpful

Laser - How It Can Help Treat Acne Scars?

Dr. Nitin Jain 90% (256 ratings)
MBBS, Diploma in Venerology & Dermatology (DVD), DDV, MD - Dermatology , Venereology & Leprosy
Dermatologist, Pune
Laser - How It Can Help Treat Acne Scars?

Once acne heals, it can leave behind acne scars that consist of clogged pores such as blackheads and whiteheads, deeper cysts and pimples

What can cause acne scars?
Acne causes inflammation and often results in wounds and damages to your skin, thus breaking down elastin and collagen. After the wounds heal, much of the collagen is left behind which causes acne scars. This makes your skin appear uneven. In addition, post-inflammatory hyper-pigmentation (PIH) is also caused by acne. Consequently, there is overproduction of melanin, causing skin discoloration.

Why scar treatment?
If not treated on time, acne scaring may lead to extreme embarrassment, low self-esteem, depression and social withdrawal. Acne scars can be corrected by an acne dermatology treatment. .

Types of acne scars
Depending upon the depth and area of the damage caused to the skin, the acne scars may include rolling acne scars, boxcar acne scars, icepick acne scar and raised acne scars.

Acne Scar Removal
Firstly, the formation of new acne should be kept in check. Depending upon the characteristics of the skin and scars, scar removal is customized. If the scars are few and less aggressive, it can be treated by fillers that can be injected into your skin. If the scarring happens to be heavy and more aggressive, surgical treatment might be needed, one of which is the laser treatment.

Laser treatment of scars (Skin Surfacing)

  1. Fraxel Repairing is a part of the CO2 Laser treatment which removes the blemishes caused by acne, stretch marks and hyper-pigmentation. It stimulates your body’s natural ability to produce collagen, rejuvenates the cells and smoothens the surface of the skin.
  2. Active FX, also called MaxFX, is a fractional treatment by laser for treating loose skin, facial lines and hyper-pigmentation.
  3. Erbium is a type of laser used for the removal of moderately deep lines and superficial skin, surrounding the hands, face, chest and neck
  4. People with a darker skin tone should not go in for skin surfacing. For smaller areas, topical anesthetics are used and for larger ones, a nerve block or sedation is used.

Potential Complications
Potential side effects include a burning sensation, swelling, itching, scarring, obstruction of sweat glands causing raised bumps on the skin, infection or pigmentation issues.

After Care
You will have to get the area dressed, soaked, and apply an ointment daily till it heals completely.



 

4 people found this helpful

Dermatology Treatments for Acne Scarring!

Dr. M. Shraddha 92% (35 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DNB - Dermatology & Venereology
Dermatologist, Chennai
Dermatology Treatments for Acne Scarring!

Acne scars look bad and often interfere with your bright looks, as they make you feel embarrassed and unfresh. You use more makeup to cover them or avoid going out in order to hide them. However, instead of hiding your face or the scars, you may try these treatment options to remove the scars instead and feel brighter and better.

  1. Retinoid creams: The retinoid creams are especially beneficial on scars if applied patiently for a prolonged period. These creams come with little side effects like burning, drying or peeling of the skin, but over a medium to long-term application, all scars do get removed.
  2. Chemical peels: This method involves the application of a chemical peel on the skin. The acid in it removes the superficial skin layer to improve the appearance of the scar. This works well on lighter scars, and a licensed medical practitioner, nurse or cosmetologist can do this procedure.
  3. Dermabrasion and Microdermabrasion: This technique involves using a high-speed brush on the skin to polish the portion of the scar and make that part of the skin even, so that the scar looks lighter. If your skin doctor feels that you don't need serious dermabrasion, then he may use a microdermabrasion where small crystals are sprayed onto the skin surface to remove the skin cells over the scar and improve appearance.
  4. Microneedling: Microneedling therapy or percutaneous collagen induction is one of the latest techniques being widely used to treat such scars and is known as simple and effective in atrophic acne scar treatment. Skin microneedling and all its therapeutic possibilities are now being widely discussed.
  5. Laser treatment: A combination of a few types of laser treatments or just one type depending on the acne stage or redness is used. This smoothens the skin and removes the acne scars by removing skin cells from the area.
  6. Fillers: Fillers are used on the skin which gets depressed due to the acne or scars. There are some binding materials like collagen or Hyaluronic acid, which can be injected through an injection, and this keeps the skin smooth, scar free and elevated for some time after which the injection has to be repeated. This has to be a continuous treatment until your skin starts to appear normal again.
4108 people found this helpful

Lasik Surgery - All You Need To Know!

Dr. Monika Jethani 92% (14 ratings)
MS - Ophthalmology, MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Contact Lens Dispensing, DNB - Opthalmology
Ophthalmologist, Vadodara
Lasik Surgery - All You Need To Know!

Lasik is a safe surgery, if your topography and pachymetry reports are Normal, get your eyes tested for Lasik today

1 person found this helpful

Laser Hair Removal Works Or Not?

Dermatologist
Dermatologist, Noida
Laser Hair Removal Works Or Not?

It cannot be accepted that on every person an explicit laser works immaculately. In any case, there are a few lasers that give fruitful hair removal relying upon your hair color & type of skin. Most commonly Diode Laser and ND YAG are utilized. You may also get a long-lasting Hair Removal results if these devices are best, utilized by your Type of Skin, Hair Color and accomplished by an Expert Well Qualified Hair Removal Professional.

ND YAG Lasers are ideal and most secure for individuals with dark skin. And likewise, Diode Lasers are best for those who are fair. The results of utilizing these Lasers are unsuitable & not permanent if applied on White, Gray or Blonde Hair.

Blonde, Dark or White hairs are not delicate to most lasers, as hair must have color to be dealt with adequately, and blonde and white hair have low melanin pigment in their hair follicles.

Being said that, it is quite difficult and brisk to expel hair in individuals with dark skin as a result of intrusion overabundance Melanin.

To beat such issues chromophores are as of now being attempted that is consumed specifically by hair follicles and gives transitory focus to laser treatment. Yet, issue still may emerge in light of the fact that chromophore may not enter into all the deepness of hair follicles. That is the reason it is constantly savvy to look for experienced and all around Expert Well Qualified Hair Removal Professional for your hair removal, so you may not experience those issues in master hands.

There are no any fast hair removal techniques; each laser hair removal treatment needs somewhere around 4-6 treatment session at 6 two months interim, contingent upon your skin type, hair color and the great hands of experts accomplishing your hair removal with particular laser for your skin type.

Truly Speaking, Laser Hair Removal works superbly whenever selected intelligently.

Hyperpigmentation - Can It Be Treated With Laser Treatment?

Dr. Audumbar Borgaonkar 88% (67 ratings)
MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Navi Mumbai
Hyperpigmentation - Can It Be Treated With Laser Treatment?

It is a condition that causes discoloration and discolored patches to appear on the skin. The color of one’s skin is determined by the production of melanin in the body, and hyperpigmentation is caused by a disproportionate production of melanin. People of any race or skin color can be affected by this condition. The most common pigmentation problems are brown sun spots, melasma, age spots, and pigmented birthmarks.  Pigmentation issues very depending on the natural colour of the skin. Treatments include fade creams, IPL, Elos Aurora, laser treatments like Fraxel Dual and in some cases biopsy or skin excision is required to exclude skin cancer such as melanoma.

Three skin irregularities caused by this condition are; Post Inflammatory hyperpigmentation, Lentigines (or sun spots) and Melasma.

  1. Treatment of brown sun spots: Many people have mottled brown spots, freckles and patches on their skin due to excess pigmentation. These are easily treated with medical grade Elos IPL or Fraxel Dual laser. There is a range of different causes of pigmentation. Treatments differ depending on what type of pigmentation is affecting your skin. The brown pigmentation is called melanin and is made by special cells in the skin called melanocytes. The main categories of pigmentation problem are freckles, age spots, (also called liver spots or sun spots) melasma and postinflammatory hyperpigmentation. 
  2. Melasma: Women with a genetic predisposition to this condition or those with darker skin complexions and those who have a higher exposure to ultraviolet rays are most commonly affected by melasma. It is a condition that affects the areas of the skin that are most exposed to the sun. It involves female hormones and so women who are pregnant are generally affected by melasma. Melasma is blotchy areas of brown skin pigmentation on the face. Melasma, (also known as chloasma), appears as blotchy pale brownish pigmentation on the face, especially forehead, cheek and upper lip. It is more common on darker skin types. It is especially common in women aged 20-40 and is associated with pregnancy or taking the contraceptive pill or injection. It also happens in healthy, non-pregnant woman taking no medications and men using aftershave. Sun exposure following some cosmetics can cause a phototoxic reaction where the chemical substance absorbs UV light. The resulting pigmentation extends where sun and cosmetic use have coincided, for example down the neck, often more on the right side in countries that drive on the left. Melasma is more stubborn and unpredictable to treat than freckles or age spots because the melanocytes have become sensitized and continue to produce extra pigment with even the slightest hint of sun. Sun protection is an essential part of treatment. Melasma can be treated with Active FX Laser Resurfacing. It destroys up to 80% of melanin, efficiently, which is ideal for cases of melasma that cause excessive pigmentation of skin.
  3. Lentigines: Minute brown spots that appear on your face and body, which is the collective result of continuous exposure to the sun, photodamage or chronic sun damage, are called lentigines. The spots usually have a visibly distinct border and appear on areas most exposed to the sun such as the face and hands.

How is one affected by post inflammatory pigmentation?
If there is an excessive production of melanin in the body, it could then overflow to the surface of the skin; this is caused by an inflammation. Post inflammatory pigmentation is the formation of brown patches on the skin that are the result of infection, injury or other conditions. Patients who already have a skin problem are more likely to be affected by this condition.

Post inflammatory hyperpigmentation (PIH) occurs after injury to the skin from whatever cause and is far more prevalent in darker skin. PIH appears as a dark brown area over the area of the previous injury and is due to excess melanin being produced by melanocytes as a result of the inflammation. Typically PIH resolves over several months but can persist for 1-2 years and in some cases can be everlasting. Treatment is generally patience as it will resolve and treatments risk further inflammation and therefore further PIH.  However hydroquinone can be useful in some patients and others benefit from mild treatments of Elos Aurora, IPL or Fraxel Dual laser.

Treatment of freckles

Freckles are small flat brown marks on sun exposed areas. The medical term is ‘ephilide’ and they are an accumulation of melanin in the surface skin cells (keratinocytes). The tendency to form freckles is inherited and is often seen in red heads and younger people. Freckles usually fade in winter and reappear in summer. They need no treatment except sun protection. They can also be faded by Elos IPL, but will reappear with sun exposure. No treatment can transform a skin which freckles, into one which tans evenly.  Of course, further sun exposure can bring the freckles out again so it is very important to apply a good sunscreen following treatment to maximise results.

How does laser treatment help to remedy hyperpigmentation?

  • Clear and Brilliant, Fraxel and Photofacial are three types of laser treatment that have been known to resolve hyperpigmentation.
  • Short bursts of energy and heat are produced by the laser and aimed at the cells that have a concentration of melanin. The excess melanin from these cells is then broken down and destroyed with the help of the laser.
  • Each case of hyperpigmentation varies, and their treatment varies on the extent of the condition as well. The treatment will be administered over a course of sessions.

Though these treatments are effective, one must always stay protected from damage due to overexposure to the sun, by wearing the sunscreen with the correct SPF and other sun gear. 

Laser Hair Removal - All You Need To Know!

Dr. Tarwinder Singh Nagpal 85% (17 ratings)
MS - General Surgery
Cosmetic/Plastic Surgeon, Bathinda
Laser Hair Removal - All You Need To Know!

In the modern times, hair removal has become very common. Most people get a hair removal done for fashion reasons, although hair removal is extremely hygienic as well. The common hair removal methods are waxing, shaving or tweezing. The latest and the most effective hair removal method is laser hair removal

Benefits:

  1. Lasers are extremely useful to remove unwanted hair from different parts of the body like the face, the legs, the arms, the underarms, the bikini line, and any other area. Here are a few benefits of laser hair removal:
  2. Laser hair removal can focus on a particular portion of the skin leaving the surrounding areas. It can also remove coarse hair without affecting the skin in the area.
  3. It is a very fast method as each laser pulse takes just a fraction of a second. An upper lip laser hair removal takes about a minute whereas laser hair removal of the back can take almost an hour.
  4. Laser hair removals are mostly permanent after a series of minimum 3 sittings.

What to do before Treatment?
Laser hair removal is just not a method to remove hair, it is a complete treatment. Make sure the person who will conduct the treatment on you is a professional technician or a doctor. 
If you are getting a laser hair removal, abstain from waxing, plucking, or electrolysis for at least six weeks before going through the treatment. Also try to avoid the Sun as that can create certain complications.

What to expect from Treatment?
Before your unwanted hair is removed with laser, it will be trimmed to just a few millimeters right above the skin. The equipment of the laser treatment will adjust to the colour, the thickness, as well as the location of the unwanted hair being treated, along with the skin colour. The technician and you will need to wear eye protection, according to which laser will be used. Your outer skin will also be requiring a coolant gel or device before the treatment takes place. 
After the treatment is done you will be provided with ice packs and anti-inflammatory lotions to relieve the discomfort. Schedule your next sitting after at least six weeks. You will have to keep going for more sittings until hair stops growing.

Risks:
You might look sunburned after the treatment. Moisturizing will help ease the burnt feeling. Use sunscreen to prevent any colour change of your skin. Some other side effects can be blistering (which is usually very rare), swelling, scarring, or redness.

1677 people found this helpful

Anti-Aging Dermatology Treatments - Understanding The Types & Benefits!

Dr. Rajeev Vij 88% (10 ratings)
MBBS, MD - Dermatology
Dermatologist, Delhi
Anti-Aging Dermatology Treatments - Understanding The Types & Benefits!

All of us have the innate desire to age gracefully. We want to think like a 40 but look like a 20. Nevertheless, with few treatments, you can undo the signs of aging to restore your youthful glow.

Types-

  1. Laser Treatment: This method uses laser beams to generate heat energy for stimulating growth of new collagen fibers. This leaves your skin supple and rejuvenated.

  2. Botox Injections: One can do away with wrinkles by the use of unadulterated Botulinum toxin A. When injected in a small amount, they block the nerves and prevent contraction of the muscles. Hence, the skin appears less wrinkled and even smoother.

  3. Chemical Peel: Here, the doctor coats the affected areas of the skin with acid, thus causing microscopic exfoliation & new collagen formation and eliminating lines, creases and age spots.

  4. Dermabrasion: The procedure requires sanding the epidermis (upper skin layer) with the help of a rotating brush done with Aluminium Oxide Crystals. A new skin layer eventually replaces the old one that gets removed in the process.

  5. Face-lift: The method involves eliminating the excess skin and fat from the neck and the lower face, thus helping to tighten up the connective tissue and the underlying muscle.

  6. Soft Tissue Fillers: Soft tissue fillers including hyaluronic acid, collagen and fat can be injected into the creases on the face. This helps to plump and level out the furrows.

Benefits-

Anti-ageing treatments address and treat the following skin issues associated with age:

  1. Loss of one’s skin firmness

  2. Reduced elasticity of the skin

  3. Increased skin dryness

  4. Pigmentation disorders, such as uneven pigmentation or age spots

  5. Loss of skin radiance

  6. Wrinkle formation

  7. Increased vulnerability to rashes and bruises

  8. Greater translucency resulting in visibility of the veins

  9. Increased redness due to enlarged blood vessels

3358 people found this helpful

Piles - Role Of Laser Proctology In Treating It?

Dr. Dinesh Shah 86% (53 ratings)
MS - General Surgery, MBBS
General Surgeon, Jaipur
Piles - Role Of Laser Proctology In Treating It?

Proctology refers to the study of the structure and diseases of the anus, rectum, and sigmoid colon. Laser surgery in proctology field enables excellent cutting, limiting thermal damage to the surrounding tissues reducing the post-operative pains. Piles are also called hemorrhoids. They are swellings in blood vessels found in or around the rectum and anus. Piles manifest symptoms like bleeding after passing stool, itchy bottom, hemorrhoid mass hangs out of the anus that pushes back in after passing of stool (prolapse), a mucus discharge, soreness, redness and swelling around the anus. Proctology conditions like piles might not be life-threatening, but they’re associated with poor quality of life and embarrassment.

Laser Treatment for Piles
Piles are classified into grades based on their severity.

  • Grade one is the initial stage where a person has bleeding or itching but no prolapse. At this stage conservative measures are recommended.
  • In grade two, the mass of hemorrhoids begins prolapse during defecation but goes back in, on completion of the act. 
  • In Grade three, the prolapsed haemorrhoidal mass does not go back on its own, and manually pushed back. LHP is recommended for early stages of Grade 3; however, stapler surgery is recommended for advanced stages.

The LHP process
A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

Benefits

  • Reduced pain, faster healing, higher outcome, and shorter procedures.
  • Optimal treatment and outcomes.
  • Presets enabling ease of use improved surgical control and accurate dosage.
  • Requires no incisions and suturing.
  • The procedure leaves no foreign material in the body.
3332 people found this helpful
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