LASER SKIN REJUVENATION FOR AGEING AND PIGMENTATION
Laser skin rejuvenation is a cosmetic procedure designed to improve the appearance of the skin. This treatment targets various skin concerns like wrinkles, fine lines, sunspots, and uneven skin tone by stimulating collagen production and removing the top layer of damaged skin.
TYPES OF LASER SKIN REJUVENATION
ABLATIVE LASERS
This treatment targets various skin concerns like wrinkles, fine lines, sunspots, and uneven skin tone by stimulating collagen production and removing the top layer of damaged skin.
It removes the outer layers of the skin, promoting new skin growth. This is generally more effective but comes with longer downtime and more potential risks. Here are some common types of ablative lasers:
CO2 Laser (Carbon Dioxide Laser)
This is one of the oldest and most effective types of ablative lasers. It is commonly used to treat deeper facial lines, acne scars, and sun-damaged skin.
Erbium YAG (Er: YAG) Laser
This laser is less aggressive than the CO2 laser and is more finely tuned to remove thinner layers of skin. It is often used for finer wrinkles and for clients with darker skin tones to minimize the risk of hyperpigmentation.
Erbium: Glass Laser
This type is a variant of the Er: YAG laser and is typically used for moderate skin resurfacing.
Each type of ablative laser comes with its own set of risks, benefits, and recovery times. For instance, CO2 lasers generally require a longer healing time but offer more dramatic results, while Er: YAG lasers might offer quicker recovery but may need multiple sessions for optimal outcomes.
NON-ABLATIVE LASERS
Non-ablative lasers are less invasive than ablative lasers and work by heating the underlying layers of the skin without damaging the surface layer. These do not remove the top layer of skin. Recovery time is usually quicker but may require multiple sessions. This stimulates collagen production and can improve the skin’s tone and texture.
Laser treatment for pigmentation issues like age spots, melasma, and hyperpigmentation is an increasingly popular cosmetic procedure. The lasers work by targeting the melanin, or pigment, in the skin, breaking it down into smaller particles that are eventually eliminated or absorbed by the body. Here are some examples of non-ablative lasers commonly used for skin rejuvenation:
MOXI Laser
MOXI Laser is a type of fractional non-ablative laser treatment that operates at a 1927nm wavelength, specifically designed to target the water molecules within the skin. This innovative technology creates microscopic zones of controlled injury in the skin, prompting a natural healing process that enhances collagen production and facilitates pigment shedding. Here are the primary applications and advantages of MOXI Laser treatments:
- Skin Rejuvenation: Revitalizes aging skin, improving texture, firmness, and overall radiance.
- Fine Lines and Pigmentation: Effectively reduces the appearance of fine lines and addresses various forms of pigmentation, including melasma and sun damage.
- Skin Tone and Texture Improvement: Promotes a more uniform skin tone and smoother texture through the renewal of skin cells.
- Versatility for All Skin Types: Safe and effective across different skin types and tones, including darker complexions, making it suitable for a wide range of patients.
- Customizable Intensity Levels: Offers three levels of treatment intensity, catering to individual skin concerns from light “prejuvenation” to more intensive transformation.
The MOXI Laser procedure is relatively quick, taking about 30-45 minutes per session, with minimal to no downtime, especially at its lower intensity level. It is ideal for those seeking efficient treatments without significant recovery time, like working professionals. A typical course involves monthly sessions for three months, followed by maintenance treatments every 2-3 months to sustain the rejuvenated skin appearance.
PicoSure Laser
The PicoSure Laser is a leader in advanced laser technology, harnessing the power of picosecond pulses to deliver treatments that are not only fast but also highly effective. Operating at a 755nm wavelength, this US FDA-approved Alexandrite laser by Cynosure is renowned for its precision and versatility. Here are the fundamental applications and benefits of the PicoSure Laser:
- Efficient Pigmentation Treatment: Offers a superior solution for addressing pigmentation issues due to its high melanin absorption rate, making it ideal for treating conditions like melasma and sunspots.
- Tattoo Removal: Utilizes ultra-short pulse durations to shatter tattoo ink into minuscule particles, allowing for effective removal with fewer sessions.
- Acne Scars and Sun Damage: By creating a photomechanical effect rather than a thermal one, PicoSure effectively repairs acne-scarred and sun-damaged skin without the associated risks of burns or post-inflammatory hyperpigmentation.
- Skin Revitalization: The patented Focus Lens Array technology induces Laser Induced Optical Breakdowns (LIOBs), spurring collagen and elastin production, leading to a rejuvenated skin appearance.
- Minimized Downtime: Thanks to its precision and the gentle nature of its mechanism, PicoSure treatments result in minimal redness and bleeding, enabling a quick return to daily activities.
PicoSure’s edge over other picosecond lasers, especially those with a 1064nm wavelength, is its unparalleled ability to target melanin effectively while preserving surrounding tissues, offering outstanding results with less discomfort and fewer side effects. With a decade of proven effectiveness, supported by extensive clinical research, PicoSure stands out as the picosecond laser of choice for discerning clients seeking the best in skin rejuvenation and repair.
Long Pulse Nd: YAG (Neodymium-Doped Yttrium Aluminium Garnet) Laser
This laser is used for a variety of skin issues, including acne scarring and spider veins. It is also suitable for darker skin tones.
Fraxel Laser
Fraxel lasers work by delivering laser beams in a fractional manner, targeting only a “fraction” of the skin at a time. This allows for the treatment of microscopic columns of skin while leaving the surrounding areas untouched. The targeted areas stimulate the natural healing process, encouraging the production of new collagen and elastin. Common uses include:
- Skin resurfacing.
- Treatment of fine lines and wrinkles.
- Hyperpigmentation and sun spots.
- Acne and surgical scars.
- Improving skin texture and tone.
Q-Switched Nd: YAG Lasers
The Q-Switched Nd: YAG (Neodymium-doped Yttrium Aluminium Garnet) Laser has the ability to deliver high-powered energy in extremely short pulses, making it particularly useful for targeting pigments like melanin and tattoo ink. The laser emits wavelengths that can be precisely absorbed by the targeted pigment in the skin. These pulses are so quick and powerful that they effectively shatter the pigment into tiny particles, which are then naturally eliminated or absorbed by the body. Common Uses include:
- Tattoo removal
- Treatment of pigmented lesions like age spots and sunspots
- Treatment of vascular lesions
- Acne and acne scars
- Skin rejuvenation
Alexandrite Laser
Generally used for hair removal, it can also be used for some pigmentation issues.
Pulsed-Dye Laser (PDL)
The PDL emits light at a wavelength that is particularly well-absorbed by oxyhaemoglobin in the blood, allowing it to selectively target blood vessels. When the light hits these vessels, it converts to heat, causing the vessels to coagulate and eventually be absorbed by the body. This laser can also be used for rejuvenating skin without causing surface damage. Common uses are:
- Treatment of vascular lesions such as rosacea, spider veins, and haemangiomas.
- Reducing redness and broken capillaries in the face.
- Treatment of some types of pigmented lesions.
- Reducing the appearance of scars.
- Wart removal.
Diode Laser
This type of laser is primarily used for hair removal but has some applications in skin rejuvenation as well.
PROCEDURE STEPS
CONSULTATION
Dr Sandeep and his highly skilled team offer an exhaustive initial assessment for individuals contemplating laser facial rejuvenation. This preliminary consultation is pivotal for ascertaining whether laser treatment is the most effective method for addressing skin concerns, such as ageing and pigmentation for you. The consultation usually involves the following key elements:
Initial Discussion and Medical History
- Client’s Concerns: The assessment commences with Dr Sandeep attentively listening to the client’s specific skin issues, their expectations, and the results they aspire to achieve through laser facial rejuvenation.
- Medical History: A thorough medical history is collected, noting any pre-existing conditions, allergies, medication use, or lifestyle factors that may affect the treatment or healing process.
- Prior Treatments: Information about previous skincare treatments or surgeries is also gathered.
Physical Examination
- Skin Assessment: Dr Sandeep will closely examine the areas of concern to assess the extent of ageing signs (like wrinkles, fine lines, and skin laxity) and pigmentation issues (like age spots or melasma).
- Skin Type: Determining your skin type can influence the choice of laser and treatment settings. Our team will evaluate your skin and recommend the most suitable type of non-ablative laser treatment for you.
Treatment Discussion and Planning
- Laser Types: Dr Sandeep will explain the types of laser treatments available, such as ablative vs. non-ablative lasers, and which would be most suitable for your skin concerns.
- Procedure Details: Information about how the procedure is performed, the expected number of sessions, and the associated risks and benefits will be discussed.
- Treatment Plan: If deemed suitable, a detailed treatment plan is outlined, specifying the number of sessions required, their frequency, and the types of lasers to be used.
- Alternative Treatments: If laser skin rejuvenation is not appropriate for your condition, other treatment options may be presented.
Risks and Precautions
Dr Sandeep also discusses potential risks, such as redness, swelling, scarring, and hyperpigmentation or hypopigmentation are discussed.
Cost and Logistics
An itemised cost breakdown is provided to the client, including the cost per session and any additional or optional expenses. Information regarding the scheduling of the treatment sessions, as well as their duration, is also conveyed to the client for complete transparency.
Pre-Treatment Guidance
Clients are offered guidelines on how to prepare their skin for laser treatment. This may involve avoiding sun exposure, discontinuing certain skincare products and medications, and refraining from activities that could complicate the treatment or recovery. The treatment may have to be performed at a later date if you have had prolonged sun exposure recently.
By the end of the initial consultation clients should have a thorough understanding of what laser facial rejuvenation entails. Dr Sandeep and his team are committed to ensuring that each client feels well-informed and prepared, offering individualised treatment plans that align with the client’s unique skincare needs and objectives.
Informed Consent and Documentation
Clients are offered guidelines on how to prepare their skin for laser treatment. This may involve avoiding sun exposure, discontinuing certain skincare products and medications, and refraining from activities that could complicate the treatment or recovery. The treatment may have to be performed at a later date if you have had prolonged sun exposure recently.
By the end of the initial consultation clients should have a thorough understanding of what laser facial rejuvenation entails. Dr Sandeep and his team are committed to ensuring that each client feels well-informed and prepared, offering individualised treatment plans that align with the client’s unique skincare needs and objectives.
Treatment
Laser treatment is performed in our Ministry of Health accredited Laser Suite. The skin is cleansed, and a topical anaesthetic may be applied. Protective eye gear is usually worn, and the laser is passed over the targeted areas.
Patch Test
For certain skin types and certain kind of lesions Dr Sandeep may perform a patch test to see how your skin responds to the laser.
Post-Treatment
Cooling gels or creams may be applied, and sun protection is crucial following the treatment.
Aftercare Instructions
After undergoing laser skin rejuvenation, proper aftercare is crucial for optimal results and minimizing side effects and speed up recovery. Here are detailed aftercare instructions commonly recommended:
IMMEDIATE AFTERCARE
- Cold Compress: Apply a cold compress to the treated area to reduce swelling and discomfort. Avoid applying ice directly to the skin.
- Antibiotic Ointment: Your healthcare provider may prescribe an antibiotic ointment to prevent infection. Apply it as directed.
- Sun Protection: Avoid direct sun exposure on the treated area. If you must go outside, wear a wide-brimmed hat and apply a broad-spectrum sunscreen with at least SPF 30.
FIRST 24-48 HOURS
- Skin Cleaning: Gently clean the treated area with a mild, non-abrasive cleanser. Do not scrub.
- Moisturising: Use a gentle, fragrance-free moisturizer to keep the skin hydrated. Avoid any products with retinoids or alpha hydroxy acids initially.
- No Makeup: Avoid applying makeup or other cosmetic products on the treated area for at least 24-48 hours unless approved by your healthcare provider.
FIRST WEEK
- Hydration: Keep the skin well-hydrated by applying a non-comedogenic moisturizer several times a day.
- Avoid Heat: Refrain from activities that can heat the skin, such as saunas, hot showers, or intense workouts.
- Skin Peeling: Some peeling or flaking is normal. Do not pick or peel off the skin; let it come off naturally.
ONGOING CARE
- Sun Protection: Continue to protect the skin from the sun for at least 4-6 weeks post-treatment. Use a high SPF sunscreen and wear protective clothing.
- Skin Products: Gradually reintroduce your regular skincare products but avoid any harsh or abrasive products unless approved by your healthcare provider.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your healing progress. Additional treatments may be scheduled at these visits.
SIGNS TO WATCH FOR
- Infection: Signs of infection include increased redness, warmth, or pus. Contact our team immediately if you suspect an infection.
- Hyperpigmentation or Hypopigmentation: Darkening or lightening of the skin can occur. Consult our team immediately for appropriate treatment.
- Excessive Swelling or Redness: Some swelling and redness are normal, but if these symptoms persist or worsen, contact our team immediately.
GENERAL TIPS
- Healthy Diet: Eating a balanced diet rich in vitamins and antioxidants can help speed up the healing process.
- Stay Hydrated: Drink plenty of water to help with skin recovery.
- Sleep Well: Try to sleep on your back to avoid putting pressure on the treated area, and elevate your head with extra pillows to minimize swelling.
Follow-up Appointments
Regular follow-up appointments will be scheduled to assess the effectiveness of the treatment and make any necessary adjustments.
Maintenance Treatments
Depending on the treatment and the severity of the scarring, ongoing maintenance treatments may be recommended.
Outcome Evaluation
The effectiveness of the treatment is evaluated, often through before-and-after photos and client feedback.
Adjustments
The treatment plan may be adjusted based on the results and any side effects experienced.
POTENTIAL RISKS AND SIDE EFFECTS
Laser facial rejuvenation is a popular medical procedure that involves the use of lasers to improve skin quality, reduce fine lines, and correct pigmentation issues. Like any medical procedure, it comes with a set of potential risks and side effects. The type and extent of these risks may depend on whether the laser is ablative (removes layers of skin) or non-ablative (heats skin without removing layers). Here’s a general overview of the risks involved:
- Redness and Swelling: These are the most common side effects and are usually temporary, disappearing within a few days to a week.
- Itching or Irritation: Some people experience itching or irritation during the healing process.
- Burns and Scarring: Incorrect laser settings, or improper technique, can lead to burns and subsequent scarring.
- Infection: The procedure can make the skin more susceptible to bacterial, viral, or fungal infection.
- Hyperpigmentation and Hypopigmentation: There’s a risk of skin either darkening (hyperpigmentation) or lightening (hypopigmentation), especially if post-treatment care instructions aren’t followed. This is more common in individuals with darker skin tones.
- Blistering and Crusting: Especially with more aggressive laser treatments, the skin may blister and form a crust, which usually heals within one to two weeks.
- Eye Injury: During facial treatments, especially those close to the eye area, there’s a risk of eye injury if proper protective eye wear is not used.
- Multiple sessions often needed for optimal results.
Note that each type of laser treatment comes with its own specific set of risks, and your individual risks may vary based on your skin type, the area being treated, and the expertise of the practitioner. Please make an appointment with Dr Sandeep and our experienced team for a comprehensive understanding of your specific risks and whether laser facial rejuvenation is suitable for you.
TRANSFORM YOUR SKIN TODAY!
Revitalize your skin with Dr Sandeep’s specialized treatments for laser skin rejuvenation for aging and pigmentation. Don’t wait any longer to rediscover your skin’s natural beauty.
Schedule your personalized assessment with Dr Sandeep and take the first step towards a radiant, flawless complexion.
