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.), formation mechanism (facial, static).Therefore, 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 (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 intact tissue areas between them.This procedure, on the one hand, is minimally traumatic, on the other hand, very effective, which has been confirmed by research in recent years.The stable cells of the undamaged tissue ensure the rapid restoration 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 carry out a course of 3-5 procedures with an interval of 3-4 weeks.Thus, from procedure to procedure, the old collagen framework is replaced with a new one, skin remodeling occurs, fine wrinkles are eliminated and deep wrinkles are softened.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 appearance of devices embodying the theory of fractional photothermolysis.The advantages of fractional laser resurfacing performed using such a device are efficiency, safety and pain-free.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 mn).If the depth of partial 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 ensured by the cooling system - contact cooling during the entire procedure.Unlike other devices, the procedure with this device is performed without anesthesia and marker ink.
Indications for the procedurelaser rejuvenation of the 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.
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 using multiple laser flashes over the entire treatment area.The duration of the procedure depends on the area of the surface being treated, usually the facial treatment lasts 30 minutes.The strength 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 impact will be less than when correcting a prominent bag above the upper lip.After the procedure, a slight swelling and redness of the skin is possible, which disappears after 1-3 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 rejuvenation depends on the state of the microcirculation.In people who smoke, regeneration is significantly reduced.Sometimes the cause of slow regeneration is the lack of some microelements (for example, zinc), vitamins and unsaturated fatty acids.Therefore, it is advisable to carry out a course of laser skin rejuvenation while taking medications that contain the entire complex of substances necessary for regeneration.The duration of the recovery period also depends on the use of home care products.In my practice, during the recovery period, I widely use preparations that do not contain preservatives, mineral oils, fragrances and colors.They are specially designed to restore the skin after laser resurfacing, chemical peeling, photoregeneration and to perfectly relieve redness, skin and skin irritation.The minimum use of makeup remover is surface 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, different concentrates can be added to the basic cream.The system of individual recipes allows you to create more than 100,000 variants of different compositions.
Which procedures can be combined with laser facial skin rejuvenation to get 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 drugs containing 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 important 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 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.
Also, 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 drug and the number of biorevitalization procedures depends on the type of skin, the injection area and the initial condition of the skin.
Current skin condition -status praesens– one of the most important criteria for developing an adequate individual program.A competent combination of different methods allows you to get excellent results with a high degree of safety.
Fractional laser facial skin resurfacing 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 fat deposits in the double chin area, but this will not change the condition of the skin itself.