With the advent of laser technology, medicine has succeeded in rejuvenating the skin thanks to the laser facial peeling procedure, because it is one of the best such products used without connecting a plastic surgeon.
- Laser peeling procedure
- Skin action
- Carbon Laser Peeling
- Erbium Laser Peeling
- Fractional Laser Peeling
- Types of laser peeling devices
- Pros and cons of the method
- Preparation for peeling
- Stages of the procedure
- Rehabilitation period
- Side effects, complications
- Skin care after the procedure
- Expert opinion: how peeling will help to rejuvenate
- Face peeling laser video
Laser peeling procedure
Laser face peeling (what it is and how it is carried out will be described later in the article) is a medical procedure.
Widely used in the field of cosmetology for the treatment and elimination of skin defects:
- pigmentation, etc.
This method is based on the destruction (removal) of skin cells at various depths using uniformly distributed laser microflows of various origins (carboxide, erbium, neodymium).
Mostly laser peeling is used for the face, but it can also be used on the hands, neck, abdomen and other parts of the body.
Laser face peeling – what it is and how it is made, will become clear if you understand the methods of its implementation. The procedure is based on one of the methods: traditional or fractional.
Laser traditional face peeling is such an effect of the laser stream that it is distributed evenly over the entire specified area of the integument. The effect of this procedure is negligible, but will help to refresh the look and evenly lighten the skin.
Fractional laser peeling, which has a number of subspecies, is characterized by a fragmented (spot) effect on problem areas, and usually up to 25% of problem skin is treated in a given area.
The effect of fractional peeling is much stronger:
- the skin is visibly rejuvenated;
- the dermis acquires a toned look and even structure;
- hyperpigmentation disappears.
Fractional peeling is cold (erbium) and hot (carbon) type. With the cold type, tissue is gradually destroyed in predetermined sections of the stratum corneum, while open wounds are not formed. Tissues are damaged, forming zones of active recovery, but the destroyed cells remain inside, so the effect is slightly pronounced compared to hot peeling.
With a hot type, tissues are burned out, which leads to the complete removal of cells. The area of the skin is reduced, due to which, when restored, the effect of tightness is immediately visible.
The difference in the result is explained by the aggressiveness of the action on the skin to provoke the body’s active production of collagen, which is involved in the formation of new dermal cells: the deeper the microdamage, the more collagen will be synthesized in the cells during skin restoration.
Carbon Laser Peeling
Carbon (carbon dioxide, carbon dioxide, carbon dioxide) laser peeling, or carbon exfoliation is one of the oldest types of medical procedures in cosmetology. It is used for dermabrasion (laser resurfacing) of the lower layers of the epidermis. Simply put, a beam of this type of laser penetrates into the deeper layers of the skin, thereby provoking accelerated collagen production.
The carbon dioxide laser has an antibacterial and anti-inflammatory effect, which prevents infection of the skin, but with incorrect settings and too strong exposure can lead to the formation of scars and scars.
Carbon laser peeling is suitable for people with serious skin defects:
- papillomas of non-cancerous species;
- various colloidal scars.
Therefore, it should not be resorted to by people with minor skin problems.
The recovery period is relatively short (sometimes up to a month), the effect of the procedure is long-term, but with improper settings of the device, skin pigmentation may intensify or weaken.
Erbium Laser Peeling
This type of laser is used for “light” peeling, i.e. acts on the upper layers of the skin (up to 30 microns), thereby eliminating the risk of the formation of new defects to 0. The laser affects the water structure of cells.
That allows you to evaporate the upper stratum corneum of the skin without injuries with minor skin problems:
- small age changes;
Erbium peeling is suitable for people who want to refresh and pull uneven areas of the skin on the face, hands, in the neck or neck area.
If skin problems are more serious, but not so strong as to use a carbon laser, the clinics practice combining procedures with carbon and erbium laser peels.
There are Fraxel devices with the patented fractional peeling method, which use an erbium and thulium fiber optic laser. The combination of these types of laser gives an excellent replacement for carbon fractional peeling, but increases the number of procedures to achieve the best effect.
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Fractional Laser Peeling
In clinics, the procedures for fractional laser peeling are called differently, while most often they do not explain to customers that this is the same procedure.
For example, in some clinics the procedure may be called:
- DOT therapy (dermal optical thermolysis);
- laser lifting;
Sometimes they give the wrong name, for example, rejuvenation of the fractal type or just fraxel. Fraxel is the name of the device from Reliant Technologies, with the help of which they carry out procedures, and there are several dozen of them from various manufacturers.
The only difference is what type of fractional peeling a particular clinic offers: erbium (cold) or carbon (hot) peeling, or both at once.
Types of laser peeling devices
Manufacturers claim that laser peeling is an excellent alternative to plastic surgery, so they are actively developing this area, improving existing technologies and developing new ones. The created devices allow using cold and hot peeling methods without any special difficulties.
Laser cold and hot face peeling is distinguished by the fact that these are the temperature regimes of laser exposure, in which you can get a completely different effect from the procedure.
Erbium peeling is considered cold, and carbon and neodymium peeling is hot. The exposure temperature depends on the laser penetration depth into the skin: the higher the laser heating temperature, the deeper it enters the epidermis, while not heating neighboring areas.
The most popular cold peeling machines are:
- Fraxel re: store (SR1500) patented device Reliant Technologies Inc. based on erbium fiber optic laser;
- Fraxel re: store DUAL – a device for cold peeling using an erbium-thulium laser for a better effect on the skin;
- Palomar Lux1540 – one of the nozzles of the multifunctional device Palomar StarLux The nozzle uses an erbium laser.
- Clear and Brilliance is a portable cold peeling machine based on Fraxel technology. It is used along with other devices for rejuvenation and treatment of skin defects.
The following devices are more suitable for hot peeling:
- SmartXide DOT CO2 is a carbon laser laser designed for hot peeling to combat deep skin irregularities.
- Palomar Lux2940 – another Palomar StarLux nozzle The nozzle uses a neodymium laser, which allows penetration of up to 150 microns into the skin during laser resurfacing.
- Bizon’s More-Xel Scanning is a carbon dioxide laser device that has 3000 modes for safe peeling. It has a built-in ultrasound scanner to analyze the thickness and condition of the skin for presetting the laser.
- GentleMaxPro is a multifunctional device based on an alexandrite-neodymium laser, designed to perform various cosmetic procedures (hair removal, rejuvenation), thanks to a wide wavelength range.
As you can see, many devices combine the functions of both cold and hot peels, which greatly simplifies the clinics to provide all types of laser peels.
Pros and cons of the method
Common advantages of laser peeling include:
- almost always a painless procedure;
- lack of chemical effects on the skin with various drugs;
- relative ease of use of devices in procedures;
- minimal exposure to foreign objects (hands, various instruments) with the skin, and, as a result, minimal risk of infection;
- visible effect after the first procedures;
- long-term effect (up to 5 years);
- helps fight any skin defects;
- the relative cheapness of some types of peeling (for example, removal of age spots – from $ 41 – $ 54).
But the disadvantages of this procedure are relatively few, they are mainly explained by a large number of contraindications:
- the gauze effect, which may not pass over time;
- allergies to painkillers and anesthetics are possible, used with aggressive effects on the skin;
- the high cost of some procedures, and, as a rule, they are prescribed from 2 to 8 times (for example, laser peeling of the entire forehead area costs from $ 68 – $ 136).
Laser face peeling – what is it and what indications for use for this procedure have approximately become clear from the above details.
However, the full spectrum of action is much more suitable for people with almost any skin defect:
- scars of various nature;
- enlarged pores;
- wrinkles (age, expression);
- appeared “crow’s feet” around the eyes;
- consequences of tattooing;
- skin pigmentation (eg, freckles);
- blue skin after acne;
- vascular network;
- stretch marks (striae);
- various irregularities;
- loss of skin elasticity;
- premature skin aging.
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For each individual type of laser procedure, there are a number of contraindications, and the list may always be different: what may be prohibited in one procedure may not be taken into account in another.
And yet, since this is a rather serious thermal procedure, it has a large number of common contraindications:
- age from 25 years;
- oncological diseases of any localization;
- purulent rash in problem areas;
- various infectious skin diseases (herpes, fungal and bacterial infections);
- tendency to form scars, scars;
- recent tan;
- autoimmune and immunodeficiency diseases;
- pregnancy and lactation;
- pathology of connective tissue;
- tuberculosis of any type;
- some cardiovascular disorders;
- a history of stroke;
- installed pacemaker;
- allergy to analgesics, anesthetics;
- the presence of open wounds on the skin;
- course treatment with drugs that reduce blood coagulation;
- taking hormone-containing products;
- if the procedure was preceded by chemical peeling, after which less than 2 weeks have passed.
Preparation for peeling
Laser face peeling – what it is in practice and what stages precede this procedure are described in detail below with an indication of all possible requirements and recommendations.
The preparatory stage for the final laser peeling procedure may include the following items:
- At the direction of the doctor, a series of examinations should be taken and the necessary tests taken to rule out possible negative consequences.
- It is necessary to perform a preliminary facial cleansing to prevent the formation of new rashes, including purulent ones.
- It is also necessary to carry out a peeling procedure to make the stratum corneum of the epidermis even, and to stimulate skin restoration to accelerate healing after laser peeling.
- Your doctor may prescribe antiviral drugs to prevent herpes worsening.
- A week before laser peeling, any effects on the face or other part of the body where the procedure will be performed should be abandoned.
- 2 days before the procedure, any cosmetics must be discarded so that the skin is as clean as possible.
- On the day of the procedure, it is better not to take alcohol, as it reduces blood coagulation, and not to engage in active physical activity.
- Do not visit the solarium, sunbathe in the sun.
Stages of the procedure
All people who want to resort to laser peeling need to undergo a thorough examination before the procedure, since even one procedure is quite expensive and you do not want to spend money on the “wrong” effect.
To do this, it is best to find out the condition of your skin, so that the doctor gives as clear an idea of the subsequent effect as possible (will the problems disappear or will the peeling just correct them).
Since doctors use different devices for different types of laser peels, the order and duration of action will depend on the thickness and characteristics of the patient’s skin.
First of all, the device is configured taking into account the features and thickness of the skin. There are special ultrasound machines that allow you to determine the thickness of the skin and its condition in order to correctly adjust the depth and power of the laser on the epidermis, and without damaging the stratum corneum.
The patient and the doctor put on glasses to protect the eyes from radiation, and the patient’s glasses can be completely closed to prevent the laser from accidentally getting on the retina.
Next, determine the type of anesthesia or anesthesia if aggressive peeling methods are used. If the peeling is superficial, then most often they cost a stream of cold air to reduce unpleasant sensations.
The procedure lasts about 30 minutes, but can increase up to 40-60 minutes, depending on the type of painkillers and anesthetics used.
The most important thing during the recovery period is to act as little as possible with the skin, since after the procedure it becomes very vulnerable to various infections due to the lack of an upper protective layer. With a shallow peeling for a recovery period, it may take up to a week, but with deep peeling (laser resurfacing) it can take from 3 weeks.
In the early days, you should use emollient and healing drugs, such as panthenol, as prescribed by your doctor. To prevent infection, you also need to use chlorhexidine or drugs based on it.
After the procedure, it is not recommended to go to places with a sharp change in climate (for example, to go outside at low temperatures in winter) without applying protective drugs. In the event that the skin, due to the age of the patient, cannot fully recover.
After the second week, on the recommendation of a doctor, you can start the procedure:
- ozone therapy.
From the fourth week, you can resort to a laser resurfacing procedure to remove the formed scars, if they have a place to be. Two months after the procedure, you can take a course of chemical peeling if there are still problem areas on the skin, for example, the gauze effect.
Side effects, complications
Side effects after the procedure include:
- edema (observed in all patients) – decreases after 1-2 days, it is better this time is at home;
- small swelling of the skin or burns – with wounds that have opened, it is necessary to prevent erosion, so you should carefully monitor their daily condition;
- redness, bruising, rash, itching – in the early days are normal, as the skin gives a protective reaction to the irritant;
- peeling – since after the procedure, cell recovery has intensified, the body will be intensified to get rid of old cells;
- gauze effect – an effect in which the skin acquires a mesh structure, which may not pass over time and requires additional procedures.
With a competent approach and carrying out the procedure, side effects can be minimized, however, the gauze effect can develop into a complication, since it tends to persist for several years.
Complications can also appear in the form of acne, infection or scarring, therefore, both the doctor and the patient must follow all the rules of preparation for the procedure, as well as keep in mind a number of additional procedures that will need to be addressed in case of complications.
Skin care after the procedure
Sunlight should be avoided to avoid serious skin damage. If there is a need to go out, then it is necessary to use a cream with a protective factor.
- Be sure to use an antiseptic to prevent infection of the skin.
- After the recovery period, residual redness is possible, which can be hidden with light makeup, but only after all the wounds have healed.
- It is better not to touch the formed crusts and let them fall off themselves, so as not to bring the infection through the hands.
- It is better to choose the time for the procedure during the vacation period so as not to attract the attention of people, especially in the early days.
Expert opinion: how peeling will help to rejuvenate
Most experts come to the conclusion that laser face peeling is one of the safest methods of treatment and facial rejuvenation. Especially popular people who like to keep their youth and attractive appearance longer, but who do not want to “shred” their face under a surgical scalpel, like to use this service.
Ordinary people are no exception, because by the age of 50, pigmented spots, deep wrinkles and sagging areas may appear on the skin, and laser peeling can help rejuvenate your face for 10-15 years, and maintain this effect for a long time.
Experts recommend resorting to laser peeling of people after 50 who want to rejuvenate a face without surgery, especially if it is contraindicated to them or if there is a fear of scars and scars. No exception are people who are tired of the constant use of expensive cosmetics, which do not significantly improve the general condition of the skin.
If you need a long-lasting effect without the constant use of cosmetics, it is better to resort to several laser face peeling procedures, because what is it compared to regular purchases of expensive cosmetics that do not give the desired effect.
Face peeling laser video
Laser resurfacing. Pores and post-acne: