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 wrinkles on the skin.They are distinguished by depth (superficial, deep), location (perioral, periorbital, etc.), formation mechanism (facial, static).Therefore, most methods for 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 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 and, on the other, very effective, as confirmed by research in recent years.Viable cells from undamaged tissue guarantee rapid restoration of the treated area.In one procedure, 25 to 30% of the tissue is processed.Studies confirm that to achieve optimal results, it is necessary to carry out a cycle of 3 to 5 procedures with an interval of 3 to 4 weeks.Thus, from one procedure to another, the old collagen structure is replaced by a new one, skin remodeling occurs, fine wrinkles are eliminated and deep wrinkles are smoothed.When non-ablative photothermolysis is used, the barrier function of the epidermis is not affected 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 appearance of devices incorporating the theory of fractional photothermolysis.The advantages of fractional laser resurfacing performed with 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 nm).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 guaranteed by the cooling system: contact cooling throughout the procedure.Unlike other devices, the procedure with this device is performed without anesthesia or marker paints.
Indications for the procedure.Laser rejuvenation of the skin of the face, 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 demonstrates the importance of a differentiated approach in the use of this method, taking into account the type and condition of the skin.The procedure is performed by a dermatocosmetologist on an outpatient basis and is performed using multiple laser flashes throughout the treatment area.The duration of the procedure depends on the surface area to be treated, generally the facial treatment lasts 30 minutes.The power of the procedure performed on different areas of the face may vary, for example, when correcting the “crow's feet” area in the periorbital area, the depth of the impact will be less than when correcting a pronounced bag over the upper lip.After the procedure, slight swelling and redness of the skin may occur, which disappears after 1 to 3 days and depends on the type of skin 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 resurfacing 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 undergo a course of laser skin rejuvenation while taking medications containing the entire complex 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 preparations that do not contain preservatives, mineral oils, fragrances or dyes during the recovery period.They are specially designed to restore the skin after laser rejuvenation, chemical peeling, photorejuvenation and perfectly relieve redness, peeling and skin irritation.The minimum use of makeup remover is a 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 to be solved, various concentrates can be added to the base cream.The individual recipe system 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 medications that contain 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 amino acid replacement therapy method 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.
In addition, 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 the normal division of skin cells.The choice of the drug and the number of biorevitalization procedures depend on the type of skin, the injection area and the initial condition of the skin.
Current condition of the skin –praesens status– one of the most important criteria for developing a suitable individual program.A competent combination of several methods allows you to obtain excellent results with a high degree of safety.
Fractional laser facial skin rejuvenation is the optimal way to eliminate wrinkles, but it is not an alternative to the surgeon's scalpel.You can have plastic surgery to improve the shape of your face or remove fat deposits in the jowl area, but it will not change the condition of the skin itself.