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 of correcting age-related skin changes aim to reduce the depth and severity of wrinkles.
The emergence of fractional laser skin rejuvenation technology (non-ablative fractional photothermolysis) can be considered a major advance 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 is on the one hand minimally traumatic, on the other hand very effective, which has been confirmed by research in recent years.Viable cells of intact tissues ensure rapid restoration of the treated area.During a procedure, 25-30% of the tissue is treated.Research confirms that to achieve optimal results, it is necessary to perform a series 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.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 embodying the theory of fractional photothermolysis.The advantages of fractional laser rejuvenation carried out using such a device are effectiveness, safety and painlessness.When using fractional laser treatment for skin rejuvenation, the depth of coagulation is an important characteristic.Ideally, it should be at least 1 mm (1000 min).If the depth of fractional coagulation is less, 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 procedure.Unlike other devices, the procedure with this device is performed without anesthesia or marking paint.
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 professional 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 several laser flashes throughout the treatment area.The duration of the procedure depends on the area of the surface to be treated, facial treatment usually lasts 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 bag 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 selected parameters.At this time, it is recommended to use a spray that enhances tissue regeneration.Next comes a cream according to your skin type (without essential oils, without glycolic acids, etc.).
The recovery time after laser rejuvenation depends on the state of the microcirculation.In smokers, regeneration is significantly reduced.Sometimes the cause of slow regeneration is a lack of certain microelements (eg zinc), vitamins and polyunsaturated fatty acids.Therefore, it is advisable to carry out a course of laser skin rejuvenation while taking medications containing the entire set 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 during the recovery period preparations that do not contain preservatives, mineral oils, perfumes and dyes.They are specially designed to restore the 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 depending on your skin type.Depending on the initial condition of the skin and the problem to be solved, various concentrates can be added to the base cream.The individual recipe system allows you to create more than 100,000 variations of various compositions.
What procedures can be combined with laser facial skin rejuvenation to achieve optimal results?
To maintain the synthesis of new collagen, fibroblasts – skin cells – need amino acids.Amino acid replacement therapy (AZT) involves the use of injectable medications containing amino acids and hyaluronic acid.The method helps to stimulate the work of fibroblasts and maintain collagen synthesis at the maximum level.This procedure is especially relevant when a woman is perimenopausal 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.These processes intensify over time due to the restoration of physiological processes in the dermis.
Good results are also achieved by including biorevitalization 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 drug and the number of biorevitalization procedures depend on the type of skin, the injection area and the initial condition of the skin.
Current skin condition –praesens status– one of the most important criteria for developing an adequate individual program.A competent combination of different methods allows you to achieve excellent results with a high degree of security.
Fractional laser facial skin rejuvenation is the optimal way to get rid of wrinkles, but is not an alternative to the surgeon's scalpel.You can have plastic surgery to improve the shape of your face or remove fatty deposits in the double chin area, but this will not change the condition of the skin itself.