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Lumenis acupulse (fractional carbon dioxide laser)

A smooth, shiny, healthy skin is a feature that everyone cares about. However, acne, scar, burn scars and stretch marks, sagging and wrinkles can disrupt a healthy and youthful appearance of our skin and our beauty.

What is Fractional Laser and how does it work?

When environmental factors (damaging effects of sun, air pollution) are added to the normal aging process, the collagen destruction accelerates. As the amount of collagen which is the main protein of the connective tissue decreases, wrinkles begin to be observed. This causes a sad, grumpy, angry and exhausted facial expression that does not reflect the true psychological state of the person. When people look in the mirror over time, they cannot recognize themselves.

Contrary to the conventional lasers that affect all the skin surface, fractional CO2 laser (ACUPULSE) used for skin rejuvenation opens microscopic columns in the skin. These columns are very thin, the main target in these areas is the water, in order words, aqueous structures such as collagen, blood vessels, keratinocytes suffer selective thermal damages. The living cells in the undamaged area next to the area suffered thermal damage migrate to the area suffered thermal damage, and start to stimulate the repair mechanism here. Thus, a new collagen production starts under the skin. The biggest feature of the new generation fractional CO2 laser is performing its function under the skin without damaging the upper surface of the skin, and it provides faster healing process and allows patients to return their social life in a short time.

Since Er: Glass and Er: Yag lasers that belong to the outdated technology have a short wavelength, it was not possible to reach the deepest layer of skin. For this reason, they affected the limited area, and sometimes it was not possible to achieve the desired point despite many applications. The size of the treatment area has been expanded by ACUPULSE fractional CO2 Laser in the laser technology.

The thickness of the skin is not treated by fractional laser applications spontaneously or based on experience but treated by knowing the depth to be reached. In addition to its strength, its recovery time is short and fast thanks to its fractional feature. Due to its long wavelength, it can show its effect in the desired layer of the skin.

For Which Cases is Fractional Laser Used?

  • Skin Renewal, facial rejuvenation, and improvement of the skin quality
  • Facial wrinkles and sagging
  • Sagging and loosening in the neck and eyelids
  • Sunspots (facial and body)
  • Hyperkeratosis (skin thickening and coarsening)
  • Skin spots occurring during pregnancy
  • Wrinkles and loosening in the décolleté (low-neck) area
  • Stretch marks due to fast growth, pregnancy, weight loss or gain
  • Wrinkles on the hand surface,
  • Aging spots on the hands
  • Scarless removal of bulging moles, warts and similar structures in various areas of the body
  • Burn scars (superficial or deep)
  • Deep wounds and surgical scars (various areas of the face and body)
  • Superficial swollen lesions due to surgery or injury (KELOID)
  • Nail disorders requiring a surgical intervention
  • Rhinophyma (nasal rough, cauliflower appearance) and otophyma (cauliflower appearance in the ear)
  • Correction of uneven coloration in the genital area and genital aesthetics
  • Reconstruction of the vagina which is dry and painful after menopause and vaginal tightening
  • Removal of the large porous and rough appearance on the skin
  • Removal of sunspots, age spots, postpartum spots, and superficial pigment
  • Treatment of cholesterol plaques in the eyelids (Xanthelasma)

What are the Changes in the Skin After Application of Fractional Laser?

After application of fractional laser, subcutaneous collagen fibres begin to shorten by 30% at once. Tightening and improving begin in the skin immediately after the application. In the period of 1 to 3 months following the application, production of subcutaneous new collagen and reconstruction of subcutaneous connective tissue occur. As a result of all of them, defined as skin rejuvenation, tightening of the skin begins to appear and the number of various spots, wrinkles, sagging, and scars is reduced significantly. The structure of the skin regains an appearance looking 5 years younger by narrowing skin pores.

Is ACUPULSE Fractional Laser Application Painful?

The painless application is performed by using local anaesthetic creams or nitrous oxide to prevent burning and pain sensation during the application.

How many times is ACUPULSE Fractional Laser Application performed?

In the ACUPULSE Fractional laser system, the number of sessions depends on the severity of the damage, and it is planned not to prevent the person from returning his/her social life and provide a short recovery process. The number of application varies between 1 to 5 sessions. Sessions are applied every 4-6 weeks.

What are the features of the recovery process?

On the first day following the application, rash and oedema occur on the skin. Except for the point-like crusting which disappears within 3-7 days, there is no complaint from the patients. The patient can put on makeup from the 3rd day after the application and this advantage shows that the person can return his/her daily life in a short time.

What Should be Taken into Consideration Before the Application?

The patient should avoid the sun and solarium exposure for 1 month prior to the treatment. Medications that prevent blood clots from forming (aspirin, heparin), retinoid-containing medications(Roaccutane), photo-sensitive medications (tetracycline, naproxen, oestrogen, progesterone, birth control pills, chloroquine) should not be taken. Prior to the treatment, if skin abrasive treatments such as dermabrasion and peeling or skin lift surgery have been applied, it should be specified to the doctor. If the patient has had herpes before, she/he must take medicine before the application.

What Should be Taken into Consideration After the Application?

You can take a warm shower 48 hours after the application. A cold compress can be applied in order to reduce oedema and inflammation. The skin should be kept moist and clean to reduce crusting that may occur on the skin after the treatment. This moisturizing process should be repeated 3 to 4 times a day for the first week. The use of sunscreen after recovery is recommended, depending on the patient’s skin type and environmental conditions, however, skin peeling creams should not be used for at least 1 month.

Who cannot have this treatment?

  • If the person has used Roaccutane in the last 6 months, this treatment is not applied.
  • It is not applied to pregnant women.
  • It is not applied to people who have an active infection and acne in the skin.
Author: Doç. Dr. Erdem Güven
We're writing about our patients.

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