Age-related skin changes and their correction are one of the most important problems of modern dermatocosmetology.Most scientists distinguish between chronological (physiological) aging, menopause and photoaging.And for all types of aging, the main sign is skin wrinkles.They are distinguished by depth (superficial, deep), localization (perioral, periorbital, etc.), mechanism of formation (facial, static).Therefore, most methods for correcting age-related skin changes aim to reduce the depth and severity of wrinkles.
The appearance of fractional laser skin rejuvenation technology (fractional non-ablative photothermolysis) can be considered an important breakthrough in aesthetic medicine.The essence of the method is the controlled destruction of old collagen and elastin by microzones (fractions), leaving areas of intact tissue between them.This procedure, on the one hand, is minimally traumatic, on the other hand, highly effective, which has been confirmed by research in recent years.Viable cells of the undamaged tissue ensure rapid recovery of the treated area.In one procedure, 25-30% of the tissue is processed.Research confirms that to achieve optimal results, it is necessary to complete a course of 3-5 procedures with an interval of 3-4 weeks.Thus, from procedure to procedure, the old collagen framework is replaced by a new one, the skin is reconstructed, fine wrinkles are eliminated and deep wrinkles are smoothed.When non-ablative photothermolysis is used, the barrier function of the skin is not affected and the risk of infection is minimized.Currently, this method is considered the most effective way to correct age-related skin changes.
A new stage in laser medicine and laser skin rejuvenation was the appearance of devices incorporating the theory of fractional photothermolysis.The advantages of fractional laser resurfacing performed using such a device are efficiency, safety and painless.When using fractional laser therapy for skin rejuvenation, an important feature is the depth of coagulation.Ideally, it should be at least 1 mm (1000 mn).If the depth of fractional coagulation is less, then there is no need to talk about solving the problems of deep wrinkles or scars after acne.The comfort of the process, even at maximum power, is ensured by the cooling system - contact cooling throughout the process.Unlike other devices, the procedure with this device is performed without anesthesia and marker dyes.
Indications for the procedureLaser facial skin rejuvenation, in addition to age-related changes (structural changes in the epidermis and dermis, strong elasticity, presence of peroral and periorbital wrinkles, etc.) are atrophic scars after acne and hyperpigmentation of various origins.
The accumulated work experience shows the importance of a differentiated approach to the use of this method, taking into account the type and condition of the skin.The operation is performed in outpatient clinics by a dermatocosmetologist and is performed with multiple laser flashes throughout the treatment area.The duration of the procedure depends on the area of the surface being treated, usually a facial treatment takes 30 minutes.The strength of the procedure performed in different areas of the face can vary, for example, when correcting the "crow's feet" area in the periorbital zone, the depth of impact will be less than when correcting a pronounced case above the upper lip.After the procedure, slight swelling and redness of the skin is possible, which disappears after 1-3 days and depends on the type of skin and selected parameters.At this time, it is recommended to use a spray that improves tissue regeneration.This is followed by a cream according to your skin type (no essential oils, glycolic acids, etc.).
The duration of recovery after laser resurfacing depends on the state of the microcirculation.In people who smoke, regeneration is significantly reduced.Sometimes the cause of slow regeneration is the lack of certain trace elements (for example, zinc), vitamins and polyunsaturated fatty acids.Therefore, it is recommended to conduct a course of laser skin rejuvenation while taking drugs that contain the entire complex of substances necessary for regeneration.The length of the recovery period also depends on the use of home care products.In my practice, I widely use preparations during the recovery period that do not contain preservatives, mineral oils, perfumes and dyes.They are specially designed to restore the skin after laser resurfacing, chemical peeling, photoresurfacing and perfectly relieve redness, peeling and irritation of the skin.The minimum use of make-up remover is superficial cleansing of the skin and a base cream according to your skin type.Depending on the initial condition of the skin and the problem being solved, various concentrates can be added to the base cream.The system of individual recipes allows you to create more than 100,000 variations of various compositions.
Which procedures can be combined with laser facial skin rejuvenation to achieve maximum results?
To maintain the synthesis of new collagen, fibroblasts - skin cells - need amino acids.Amino acid replacement therapy (AZT) involves the use of injectable drugs containing amino acids and hyaluronic acid.The method allows you to stimulate the work of fibroblasts and maintain collagen synthesis at the maximum level.This process is especially important when a woman is perimenopausal and fibroblast activity is significantly reduced.The amino acid replacement therapy method is perfectly combined with laser skin rejuvenation (fractional photothermolysis).As a result, the skin recovery period after fractional laser rejuvenation is reduced by 40%, skin elasticity increases, its tone improves and wrinkles are smoothed out.These processes intensify over time due to the restoration of normal processes in the dermis.
Also, good results are achieved by including biorejuvenation procedures during laser rejuvenation - injection of hyaluronic acid of non-animal origin.After all, it's no secret that moisture is necessary for the normal division of skin cells.The choice of the drug and the number of biorejuvenation procedures depends on the type of skin, the area of injection and the initial condition of the skin.
Current skin condition -status praesens– one of the most important criteria for developing an adequate individual program.A competent combination of various methods allows you to get excellent results with a high degree of safety.
Fractional laser skin resurfacing is the optimal way to get rid of wrinkles, but it is not an alternative to the surgeon's scalpel.You can have plastic surgery to improve the shape of your face or remove fat deposits in the double chin area, but it will not change the condition of the skin itself.