The latest fractional ablative laser AcuPulse CO2 has appeared at the RAMI clinic

What is the fractional laser facial rejuvenation procedure? How is CO2 rejuvenation different? What are the indications and contraindications? Read the BEFORE and AFTER photos, prices and reviews in this article!

To preserve the beauty of their skin, women resort to all kinds of cosmetic procedures. One of the effective methods is fractional rejuvenation using a laser. Let's find out how much you need to pay to eliminate age-related changes and hide obvious signs of aging.

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.

Thanks to the use of fractional laser, the following problems are successfully solved:

  • smoothing the skin surface;
  • significant refreshment and lightening, which is directly related to the peeling effect;
  • visible reduction in porosity;
  • reducing skin wrinkling, both small and large folds;
  • pronounced tightening and reduction of excess skin;
  • smoothing the texture of skin with atrophic post-acne scars (post-acne);
  • significant alignment of any type of dyschromia (skin pigmentation);
  • elimination of stretch marks and stretch marks, both acquired during puberty and postpartum.

The effectiveness of the fractional photothermolysis method lies in the unique capabilities of the laser equipment used in the clinic. Thanks to the special design of the device, the laser beam is divided into many fractions - microbeams. Thus, the laser impact area is not continuous, but mesh, consisting of a large number of microscopic points. It is thanks to this distribution of laser light that microthermal treatment zones, several tens of microns thick, are formed in the skin.

Microdamages caused by the laser give adjacent unaffected areas an impulse to actively restore the skin structure over the entire treated surface. Thanks to undamaged areas of the skin, but subjected to active thermal effects, a violent remodeling reaction occurs - the growth of a qualitatively new compacted layer of the dermis and epidermis. Cells begin to intensively reconstruct the damaged area, new cells are actively dividing and transforming, collagen is synthesized, damaged tissues are replaced with new fibers, and all metabolic processes are also stimulated. A renewed cellular framework is formed - the skin becomes younger from the inside.

Before the procedure, the doctor individually adjusts the laser (power, intensity, laser exposure time) in accordance with the structure and condition of the patient’s skin. After the procedure, there is slight swelling and redness of the skin, which persist for 2-3 days, as well as peeling, which disappears within 5-6 days. Your usual makeup can be applied the day after the procedure.

The first rapid phase of remodeling - the formation of a primary new connective tissue framework - ends with the end of the desquamation process. The second delayed post-traumatic regeneration lasts about 6-8 weeks. And the third phase of final tissue remodeling is completed by the end of the 12th month.

As a result of fractional thermolysis on the treated area of ​​skin, the renewed skin looks much younger, its turgor increases, the skin surface becomes smoother, wrinkles are removed, the texture is evened out, and the appearance of scars and stretch marks is significantly reduced.

Fractional laser facial skin rejuvenation

There are two types of fractional laser facial skin resurfacing:

  • Ablative . The laser causes tissue dehydration, which results in a lifting effect. There is a risk of infection.
  • Non-ablative . The skin is not injured. The regeneration process occurs under the skin. The development of infection is excluded, but the effect is not very noticeable.

The choice of method is made by a specialist, taking into account the individual characteristics of a person’s skin. Before performing the technology, the cosmetologist may prescribe antibacterial and anti-infective drugs. On the day of the procedure, it is better to give up smoking, drinking alcohol and active sports.


Since the intervention is not a surgical operation, no extensive preparation is required. Initially, you should consult a cosmetologist who will assess the condition of the skin and also give recommendations on the necessary photorejuvenation method.

The patient is obliged to tell the doctor about all conditions and diseases in the medical history, as well as exacerbations of chronic diseases over the past six months.

If there are any, the specialist will advise you to visit specialized doctors to assess the safety of the procedure.

You should also take a blood and urine test to identify or exclude inflammatory processes in the body. The date for the first visit is then set.


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.


The result can be noticed immediately after healing, if the imperfections were not very pronounced. Deep wrinkles or scars must be removed through several procedures.

Visually, the skin is smoother, has a natural color, the face is tightened and visibly blooms in 99% of cases.

One percent is allocated to unforeseen circumstances, inadequate care, and the lack of qualifications of the doctor.

Fractional CO2 laser rejuvenation

Fractional rejuvenation involves the use of several acupressure techniques. One of the most popular is the CO2 laser. This innovative technique was developed by American and Korean doctors. The laser copes well with wrinkles of varying depths, scars and skin irregularities. The device has a high threshold energy density and allows painless penetration into the layers of the dermis.

The CO2 laser works by heating the top layer. Between the processed points, untouched areas are preserved.

Such rejuvenation is superior to old methods, in which the entire surface of the skin is injured. The likelihood of infection and the development of side effects is minimal. The skin recovers quickly, and the effect lasts for several years.

Experts choose fractional CO2 lasers for ease of use, simple controls, the ability to adjust the size of the illuminated area, and high performance. When purchasing a device, it is important to make sure that the manufacturer is reliable.

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.

Possible complications

Fractional rejuvenation does not exclude complications. In some cases they are normal and go away within a few days.

Others develop due to the inexperience of the cosmetologist or lack of proper facial care during the rehabilitation period.

What is not the norm:

  • severe pain or swelling at the site of laser beam exposure;
  • damage does not heal in two weeks;
  • pigmentation and scars appeared.

Mild redness, peeling and itching are a completely predictable condition for any type of epidermis.

Such consequences disappear on their own within 1-2 weeks, leaving behind no visual imperfections.


Women note the following benefits of fractional laser rejuvenation:

  • impact on any area of ​​the face;
  • a large list of indications;
  • long-lasting effect (about 1 year);
  • rapid recovery (3-5 days).

There is information that the pain was quite severe. However, everyone has their own sensitivity threshold. Everyone's reaction to pain medication is different.

Of the minuses, the following points are noted:

  • the likelihood of developing allergies;
  • long recovery period;
  • high price;
  • the need for several sessions.

Judging by reviews on the Internet, puffiness and bags under the eyes make the face look older. For advanced deep wrinkles, the procedure is useless.

It is worth noting that when combining 2 types of fractional effects, the result lasts for at least 2 years. It has been noticed that people with dark skin tolerate the procedure more easily.

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.


The cost of fractional rejuvenation depends on certain factors:

  • cosmetologist qualifications;
  • the device used;
  • the nature of the problem;
  • type of fractional impact;
  • surface area;
  • pricing policy of the organization.

The average cost of a session in Moscow is 11,500 rubles. In the regions, the price for the procedure varies from 8 to 10 thousand rubles. In some clinics it reaches 25-30 thousand rubles.

The final amount depends on the area of ​​influence. You can select the entire face and neck or one of the following options:

  • area around the eyes;
  • forehead;
  • cheekbones;
  • cheeks;
  • temporal zone;
  • chin.

If desired, it is permissible to treat the forearms, décolleté, abdomen, chest or hands. You should not trust dubious clinics that offer to perform the procedure at a suspiciously low price.

Advantages of the method

Many patients are captivated by this method due to its significant advantages that are worth noting. By choosing photothermolysis, a person receives the following:

  • low cost with high efficiency;
  • painlessness;
  • the effect of even one procedure;
  • non-invasive;
  • no strong side effects.

In addition, the effect of laser solves several problems of the aesthetic component of the epidermis at once, which is good news.

Before and After Photos

On the Internet, you can find a considerable number of photos before and after fractional rejuvenation. In the first days, the face takes on a not entirely aesthetic appearance, but after 7-10 days you can see an excellent result. The pictures show the following changes occurring:

  • the oval of the face is tightened;
  • the skin becomes clean and smooth;
  • skin tone is evened out;
  • acne scars go away;
  • blackheads around the nose lighten up.

After laser rejuvenation, the skin becomes fresher and smoother. Large wrinkles are reduced in size. Severe pigmentation disappears. In any case, the laser effect has a lot of advantages, which can be judged from the photos presented.

Appliances used

The subsequent effect depends a lot on the equipment used for fractional rejuvenation.

If a clinic is using an unknown device, the patient should think carefully. Otherwise, the consequences may remain on the skin for life.

Laser options:

  • Matrix – offers rejuvenation without visual marks on the face, eliminates wrinkles and corrects oval shape;
  • SmartxideDot – equipment patented in Russia, the device generates a unique pulse shape;
  • Palomar Star is a multifunctional device, suitable for hair removal, pigmentation, skin treatment and rejuvenation;
  • Asclepion Dermablate Effect – suitable for affecting the most delicate areas of the skin;
  • DermablateLifting is foreign equipment that combines radiofrequency lifting, as well as an ablative method of exposure.

Each clinic specializes in certain equipment, which is worth asking about during your preliminary consultation.

What complications may arise after laser removal of papillomas, and what are the consequences of them. In this publication you will learn about myostimulation - what it is and when its use is justified.

Here watch a video of facial brushing.

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