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 differ in depth (superficial, deep), localization (perioral, periorbital, etc.), mechanism of formation (facial, static).That is why 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 through microzones (fractions), leaving sections of intact tissue between them.This procedure, on the one hand, is minimally traumatic, on the other, highly effective, which is confirmed by research over the past few years.Viable cells from undamaged tissue ensure rapid recovery 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 undergo a course of 3-5 procedures with an interval of 3-4 weeks.Thus, procedure by procedure, the old collagen framework is replaced with 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 disturbed 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 that embody the theory of fractional photothermolysis.The advantages of fractional laser rejuvenation performed with such a device are efficiency, safety and painlessness.When using fractional laser treatment for skin rejuvenation, an important feature 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 scars after acne.The comfort of the procedure, even at maximum power, is provided by the cooling system - contact cooling throughout the procedure.Unlike other devices, the procedure with this device is performed without anesthesia and marker paints.
Indications for the procedurelaser facial skin rejuvenation, in addition to age-related changes (structural changes in the epidermis and dermis, pronounced elastosis, 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 performed with multiple laser flashes throughout the treatment area.The duration of the procedure depends on the area of the treated surface, usually the treatment of the face takes 30 minutes.The strength of the procedure performed on different areas of the face can vary, for example, when correcting the "crow's foot" area in the periorbital area, 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.Followed by a cream according to skin type (without essential oils, glycolic acid, etc.).
The duration of recovery after laser rejuvenation depends on the state of the microcirculation.In people who smoke, regeneration is significantly reduced.Sometimes the reason for slow regeneration is the lack of certain trace elements (for example, zinc), vitamins and polyunsaturated fatty acids.Therefore, it is recommended to conduct a course of laser skin rejuvenation while taking drugs 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 during the recovery period that do not contain preservatives, mineral oils, fragrances and dyes.They are specially created for skin recovery after laser resurfacing, chemical peeling, photorejuvenation and perfectly relieve redness, peeling and irritation of the skin.The minimum use of a make-up 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 being solved, different concentrates can be added to the main cream.The system of individual recipes allows you to create more than 100,000 variants of different compositions.
What procedures can be combined with laser facial skin rejuvenation to achieve maximum results?
To support 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 a maximum level.This procedure is especially relevant when a woman is in perimenopause and the activity of fibroblasts 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 shortened by 40%, skin elasticity increases, its tone improves, wrinkles are smoothed.These processes intensify over time due to the restoration of physiological processes in the dermis.
Good results are also achieved when biorevitalization procedures are included 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 depends on the type of skin, the area of injection and the initial condition of the skin.
Current skin condition –status praesens– one of the most important criteria for developing an adequate individual program.The competent combination of different methods allows you to get excellent results with a high degree of safety.
Fractional laser facial skin rejuvenation is the optimal way to get rid of 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 fatty deposits in the double chin area, but this will not change the condition of the skin itself.