Age-related skin changes and their correction are one of the most important problems of modern dermatocosmetology.Most scientists distinguish between chronological (physiological) aging, menopausal 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 are aimed at reducing the depth and severity of wrinkles.
The emergence of fractional laser skin rejuvenation technology (fractional non-ablative photothermolysis) can be considered a 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, highly effective, which has been confirmed by research over the past few years.Viable cells of undamaged tissue ensure rapid restoration 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, skin remodeling occurs, fine wrinkles are eliminated and deep wrinkles are smoothed out.When using non-ablative photothermolysis, the barrier function of the epidermis is not impaired 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 emergence of devices that embody the theory of fractional photothermolysis.The advantages of fractional laser rejuvenation performed using such a device are efficiency, safety, and painlessness.When using fractional laser treatment for skin rejuvenation, an important characteristic 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 post-acne scars.The comfort of the procedure, even at maximum power, is ensured by the cooling system - contact cooling throughout the entire procedure.Unlike other devices, the procedure with this device is carried out without anesthesia and marker paints.
Indications for the procedurelaser rejuvenation of facial skin, in addition to age-related changes (structural changes in the epidermis and dermis, pronounced elastosis, the presence of perioral 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 procedure is performed on an outpatient basis by a dermatocosmetologist and is carried out using multiple laser flashes throughout the treatment area.The duration of the procedure depends on the area of the surface being treated, usually facial treatment takes 30 minutes.The power of the procedure performed on different areas of the face may vary, for example, when correcting the area of “crow’s feet” in the periorbital zone, the depth of impact will be less than when correcting a pronounced pouch 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 skin type and the selected parameters.At this time, it is recommended to use a spray that improves tissue regeneration.Next is a cream according to your skin type (without essential oils, glycolic acids, etc.).
The duration of recovery after laser rejuvenation depends on the state of microcirculation.In people who smoke, regeneration is significantly reduced.Sometimes the cause of slow regeneration is a lack of certain microelements (for example, zinc), vitamins, and polyunsaturated fatty acids.Therefore, it is advisable to conduct a course of laser skin rejuvenation while taking medications containing the entire complex of substances necessary for regeneration.The duration 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, fragrances and dyes.They are specially designed to restore skin after laser resurfacing, chemical peeling, photorejuvenation, and perfectly relieve redness, peeling and irritation of the skin.The minimum use of makeup 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 variants of various compositions.
What procedures can be combined with laser facial skin rejuvenation to obtain 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 procedure is especially relevant when a woman is in perimenopause and fibroblast activity is significantly reduced.The method of amino acid replacement therapy 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 physiological processes in the dermis.
Also, good results are obtained by including biorevitalization procedures in the course of laser rejuvenation - injection of hyaluronic acid of non-animal origin.After all, it’s no secret that moisture is necessary for normal division of skin cells.The choice of drug and the number of biorevitalization procedures depends on the skin type, injection area, and initial skin condition.
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 obtain excellent results with a high degree of safety.
Fractional laser facial skin rejuvenation is the optimal way to get rid of wrinkles, but is not an alternative to a 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.