Fractional laser rejuvenation using the M22 Lumenis device (ResurFX)

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Fractional photothermolysis and laser resurfacing are names for the same process aimed at rapid skin rejuvenation with long-lasting effects, as well as the removal of age spots, expression lines and senile wrinkles, scars and stretch marks using a fractional laser.

The principle of laser resurfacing is simple: the skin is exposed to microtraumas, and its cells are activated to eliminate them. As a result, the skin becomes elastic, smoother, and its color improves.

The fractional thermolysis technique has been successfully practiced all over the world for many years and has maximum effectiveness in the field of non-surgical rejuvenation and non-surgical tightening of the skin of the face and body.

WHAT IS FRACTIONAL REJUVENATION

Fractional rejuvenation with a CO2 laser Asklepion “Multipulse” is a modern safe and effective method of non-surgical skin rejuvenation.

The laser beam delicately penetrates the skin and, smoothing it out, launches an active process of self-rejuvenation. The skin is tightened, smoothed, becomes elastic and saturated with moisture. Expression wrinkles and pores are smoothed out, and the facial contour is noticeably tightened. Skin rejuvenation occurs before your eyes: it takes on a fresh, healthy appearance. With the help of fractional laser facial rejuvenation, you can not only remove facial wrinkles and dilated capillaries, but also make the facial contour clearer.

The most important difference between laser resurfacing and fractional rejuvenation is in the operating mode of the laser beam. Resurfacing uses a continuous, full beam that destroys all skin cells in a flat, continuous pattern. The fractional rejuvenation regime involves exposure to an intermittent, divided laser beam, which creates a “grid” pattern. A thin beam (can be compared in thickness to a human hair) creates many small, deep (the entire thickness of the dermis) holes - zones of damage, between which areas of undamaged tissue are preserved.

What is the advantage of fractional photothermolysis over radio wave and photolifting?

Fractional photothermolysis, unlike laser resurfacing, does not remove the epidermis immediately over the entire surface of the skin, but “fractionally” - in uniform micro-areas, each a fraction of a millimeter in size. Moreover, since there is no extensive wound surface and intact skin is preserved between micro-areas, healing occurs quickly and without negative consequences. The basis of the widely advertised photo and radio wave lifting is the heating of collagen fibers, without removing the epidermis.

WHEN IS FRACTIONAL REJUVENATION NEEDED?

In response to damage in neighboring (healthy, undamaged) areas, young cells of the superficial and deep layers of the skin are activated, which trigger restoration processes. The result is rejuvenation, improvement of blood supply and skin quality: optical smoothing of skin texture, smoothing of facial wrinkles, reduction of pores, increase in turgor, elasticity and color.

Also, fractional rejuvenation is an effective remedy in the fight against (stretch marks) stretch marks and scars.

Stretch marks on the skin (or stretch marks) often occur due to a sudden change in body weight, for example, during pregnancy, lactation, during adolescence, in athletes. Strong skin tension causes rupture of dermal fibers, which leads to the appearance of flat atrophic scars - striae. During laser rejuvenation, the upper layers of the skin are removed, the surface is smoothed, regeneration processes are activated, as a result of which stretch marks on the body decrease in size, fade, and become less noticeable. Several procedures may be required to completely smooth the skin surface. It is especially effective to perform fractional rejuvenation 6 months after childbirth - this allows you to almost completely eliminate stretch marks on the abdomen.

Scars and scars are not very aesthetically pleasing. The cinematic phrase of brutal heroes that scars adorn men is a thing of the past. Laser medicine is absolutely effective and painless in getting rid of scars, which are “officially” called scars. Even after the first session of fractional rejuvenation, the scar will become much less noticeable and pale, but, as a rule, a course of procedures is needed to get rid of this problem completely.

FRACTIONAL REJUVENATION REVIEWS

“I work in a clinic myself, I see results on other people. I realized that you can change what age has ruined. In the spring, plastic surgeon Maria Grigorievna Levitskaya gave me a fractional rejuvenation session. I survived the first 4 days with swelling, beauty was ahead... My skin changed a lot, fine wrinkles and pigmentation disappeared, I stopped using foundation, everything became so great! But in the fall, the skin became dull and the turgor decreased slightly. After the second procedure I look 10 years younger, hooray! Great technique!! Thanks to the hands that carried out the procedure! I’ll repeat it again in a month!” I.B., 55 years old.

This and other reviews about fractional rejuvenation are on our website.

Indications

It is recommended to carry out fractional laser rejuvenation in the following situations:

• Post-acne . The procedure reduces the visibility of scars.
• Wrinkles around the eyes . The method allows you to eliminate creases, folds and dark circles under the eyelids. Getting rid of deep wrinkles will be difficult. For a noticeable effect you will need at least 5 procedures.
• Wrinkles at the mouth . Laser resurfacing reduces such defects after 4-5 sessions.
• Insufficient elasticity of the skin . The laser gives the epidermis density and elasticity.
• Pigmentation . The method removes dark spots that cause rough skin and spoil the appearance.

The technique is also designed for the following problems:

• sagging skin;
• spider veins;
• warts;
• papillomas;
• dullness of the skin;
• ugly oval face;
• stretch marks.

Rejuvenation courses can be used at any age. Most often they are used for aging skin after 40 years. The procedure is actively practiced after lipofilling and surgical skin tightening.

HOW IS THE FRACTIONAL REJUVENATION PROCEDURE?

In our clinic, fractional rejuvenation is performed on an outpatient basis, under local anesthesia and lasts 30-60 minutes (depending on the number of treated areas). After the procedure, the patient immediately leaves the clinic and can return to their normal lifestyle. Discomfort or moderate pain (the sensation is similar to a burning sensation after a severe sunburn) persists for 2-3 hours and can be easily relieved with conventional anti-inflammatory drugs (nise, ketanol, ketanov, etc.) and creams. Redness lasts 1-2 days, after which peeling appears. Full recovery occurs after 4-5 days. Skin care after the procedure does not require special skills: the first few days the cream is applied every hour, and in subsequent days the interval increases.

When using gel with fibroblasts immediately after the procedure, the rehabilitation period is reduced by 3 times!

Fractional rejuvenation is performed during the period of low sun activity from September to March (inclusive). Renewed skin is initially tender and vulnerable, so active sun rays can injure it and cause unwanted reactions. For a lasting anti-aging effect, it is advisable to perform 2-3 procedures on the face and 3-5 on the neck and décolleté per season with an interval of 1.5-2 months. An important feature of the fractional rejuvenation method is the presence of a noticeable result after the first procedure. By laser removing old layers of skin, you will stimulate collagen production, resulting in firmer, younger-looking skin again and again.

Fractional rejuvenation can be performed in the neck and décolleté, hands and especially sensitive areas - around the eyes and lips. As practice shows: those who have gone through this procedure once will not want to part with their new beautiful appearance. And patients who once came for a fractional rejuvenation procedure at the Abrielle clinic become our good friends and regular clients.

Using technology at home

The fractional laser rejuvenation procedure can be performed independently using portable lasers. These devices are lower power and less invasive, so they will not help remove deep wrinkles or scars. To achieve the effect, you will have to carry out a longer course of treatment - from 8 to 12 weeks. The general procedure for performing the procedure remains the same - preliminary cleansing of the skin, treatment with a laser beam, and the use of moisturizers.

The price of home devices is high, but with repeated use they pay for themselves. The devices are convenient because the session can be carried out at any convenient time, including while traveling.

Device models

Home laser devices are intended for non-ablative treatment of the skin only. For these purposes, fiber, diode lasers and neodymium glass lasers are used. The devices are commercially called “rejuvenation lasers.”

Since this technology in cosmetology appeared relatively recently, the choice of devices for home treatment is small. There are 3 models available on the Russian market: Iluminage Skin Smoothing Laser manufactured by Reliant Technologies Inc. (Solta Medical holding, USA), TRIA Age-Defying Laser (Tria Beauty company) and ReAura (a joint product of Reliant and Philips companies).

Ilumination Skin Smoothing Laser

Iluminage Skin Smoothing Laser is the first model of home laser for rejuvenation. Its manufacturer is one of the leaders in high-tech equipment for cosmetology centers. The company's products are sold in 90 countries around the world. The model has a modern design and ease of use.

Fractional laser device for home use Iluminage Skin Smoothing Laser

According to the manufacturer, when using this device, the following effect of reducing wrinkles is noted in accordance with the period of use:

• 2 weeks - 78% of patients;
• 4 weeks - 87% of patients;
• 12 weeks - 95% of patients.

Skin treatment must be carried out 5 days a week for 12 weeks. After this, the device can be used as needed up to 2 times a week. The duration of one session is 3–4 minutes. The on/off button is located at the bottom of the case. It is used to control the power of the laser beam.

Main technical characteristics of the device:

• wavelength - 1440 nm;
• highest pulse radiation power - 4 J/cm2;
• the lowest pulse radiation power is 3–4 J/cm2;
• irradiation area (tip size) - 7 mm2;
• duration of 1 pulse - 60 ms;
• pulse frequency - up to 1 Hz.

TRIA Age-Defying Laser

The required course of treatment is 8 weeks of 5 procedures (1 session per day). The first improvements are noted after 2 weeks of use. Processing duration: low level - 30 s, medium - 1 minute, high - 2.5 minutes. After several sessions, it is recommended to increase the power level of the laser beam.

Laser device for home use TRIA Age-Defying Laser

The effect declared by the manufacturer is as follows:

• reduction of fine wrinkles;
• evens out complexion, lightens pigmentation;
• obtaining a smoother skin texture.

Technical characteristics of TRIA Age-Defying Laser:

• light wavelength - 1440 nm;
• output power - 5–12 mJ in 1 pulse;
• laser type - diode.

The control buttons are located at the top of the device. The window through which the laser beam exits has a more elongated shape, since TRIA Age-Defying Laser was originally developed to combat wrinkles around the eyes. The device includes 2 adapters that are suitable for all types of sockets.

ReAura Philips

The effect of using the ReAura device for 12 weeks is described in the official documentation:

• reduction in the number of wrinkles - in 81% of patients;
• evening out skin tone, reducing age spots, freckles - in 83% of patients;
• smoothing the texture of the dermis - in 86% of patients.

The minimum duration of treatment is 8 weeks (2 sessions per week), then maintenance therapy can be continued. It is recommended to treat only 1 zone per course. The time interval between two procedures should be at least 48 hours.

Fractional laser device for home use ReAura Philips

When using this model, you must first apply gel to the skin (for better contact of the emitting head). This product is included with the device, but after it runs out, you will have to buy a new one. The device has 3 intensity levels, the first of which is for trial purposes.

Technical characteristics of ReAura:

• light wavelength - 1435 nm;
• maximum output power - 1.5 W;
• pulse duration - 9 ms;
• laser type - diode.

Recommendations for choosing a device

The table below shows the comparative characteristics of the devices described above, allowing you to navigate when choosing them.

Table: comparison of laser devices for home use

Since the devices are not cheap, and the effect of treatment is purely individual, I would recommend first trying the fractional laser rejuvenation procedure at a certified cosmetology center. The technical characteristics of the first two devices are identical, but the ReAura Philips model has a wider range of applications.

VIDEO ABOUT HOW FRACTIONAL REJUVENATION TAKES PLACE

To summarize, we can say that fractional rejuvenation is a low-traumatic procedure, after which the skin quickly and easily recovers, as small areas of damage alternate with areas of healthy tissue. A huge number of microflares permeate the skin, the action of the laser on the cells activates the production of new collagen, which is responsible for the youth and elasticity of the skin. This is a classic weekend routine! The effect of healing and facial lifting lasts a long time - fractional laser, acting on the skin from the inside, triggers the natural processes of its restoration and rejuvenation.

If you decided to start a new life on Monday, impressing your work colleagues with your transformation in the morning, we are waiting for you on Thursday, at the Abrielle clinic!

What is the procedure

Fractional laser is aimed at the skin and activates regeneration processes. Micro rays provoke a skin burn, after which cells begin to actively divide. As a result, collagen and elastin are produced.

This procedure takes from 30 to 60 minutes. During it, slight tingling may be felt. The technology is quite new, so the features of the laser are not well disclosed.

Laser rejuvenation is the most modern skin renewal procedure!

Professional cosmetologists prefer laser procedures to outdated chemical (acid) peels. The effect that is noted after laser and chemical exposure is very similar, but the possibility of various options when using wide settings of the laser device makes this procedure more flexible and applicable for more “fine” correction of the patient’s skin.

The experience of our cosmetologists (and especially Levon Chakhoyan, who is also an active plastic surgeon with a deep understanding of anatomy) allows us to promise patients truly the best results! Check out the before and after photos.

Please note that the cost of laser rejuvenation with the head doctor of the clinic, Levon Chakhoyan, is the same as with any other cosmetologist at our clinic. If you have never been to us before, we recommend taking advantage of our promotion and getting a 15% discount on your first visit!



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Rules for recovery after the procedure

After rejuvenation it is recommended:

• do not wash your skin with scrubs in the near future;
• protect the outer cover from sun exposure;
• Use moisturizing creams daily for 2 weeks;
• Avoid cosmetics that contain retinol and salicylic acid;
• try not to smoke or drink alcohol;
• do not visit the bathhouse, sauna and solarium;
• protect the skin from mechanical influences;
• use decorative cosmetics only after 7 days;
• Do not use cleansing masks or abrasives.

To maintain the results for as long as possible, you should regularly visit a cosmetologist and undergo a full course of rejuvenation. Experts advise not to rush into such procedures, find out about all the contraindications and choose a high-quality clinic that has real reviews. They also advise leading a healthy lifestyle, exercising and taking care of your skin. This is the only way to prolong youth and improve your appearance.

Conclusions and recommendations

The choice of a specific laser rejuvenation procedure is made by a cosmetologist based on diagnostic results, indications and contraindications, current tasks, cosmetological “history” and the patient’s expectations.

The experience of a cosmetologist is very important when choosing one or another mode of operation of the device.

The level (novelty) of the laser installation is also important - after all, the newer the device, the more accurate and modern the programs embedded in it. We use the 2021 AcuPulse device in our clinic!

Contraindications and side effects

Complete contraindications include:

• period of bearing a child;
• lactation;
• tendency to form scars;
• oncological diseases;
• chronic infections;
• weak immunity;
• psoriasis at the acute stage.

Fractional laser rejuvenation has relative prohibitions:

• renal pathologies;
• increased blood glucose;
• mental disorders;
• recent sunbathing.

Within two days after laser resurfacing, the following symptoms are observed:

• redness;
• swelling;
• discomfort;
• dryness;
• peeling.

To alleviate the condition, use painkillers and cool the skin. After a while the face looks a little tanned. There is no need to do anything about this connection.

To get rid of puffiness in the eyes and nose, you need to take care of removing water from the body. It is necessary to eat less salty foods and hot spices. It's better to take a diuretic. The appearance of ichor is considered a natural reaction. When the scab peels off, a new layer of skin will appear underneath. You should not try to pick off the dry areas yourself, otherwise it may leave scars.

Rarely, the patient is bothered by a rash, itching, or different skin color. With time everything will pass. Side effects are more common for women with sensitive skin.

To avoid possible complications, it is advised to look for experienced cosmetologists with the appropriate skills. The key to a successful procedure will be choosing a good specialist.