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.), formation mechanism (facial, static).Therefore, most methods for correcting age-related changes in the skin are aimed at reducing the depth and strength 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 in microzones (fractions), leaving areas of intact tissue between them.This procedure is, on the one hand, minimally traumatic, and on the other, very effective, which has been confirmed by research in the last few years.Viable cells of undamaged tissue ensure 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 perform 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, the skin is remodeled, fine wrinkles are removed and deep wrinkles are smoothed.When non-ablative photothermolysis is used, 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 phase in laser medicine and laser skin rejuvenation was the emergence of devices embodying the theory of fractional photothermolysis.The advantages of fractional laser rejuvenation performed using 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 problem of deep wrinkles or acne scars.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 markers.
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.
Accumulated work experience shows the importance of a differentiated approach to the application 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 the help of 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 parts 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 prominent 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 type of skin and 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 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 recommended to carry out laser skin rejuvenation treatment while taking medicines 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, I widely use preparations during the recovery period that do not contain preservatives, mineral oils, fragrances and colors.They are specially designed for skin renewal 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 the skin type.Depending on the initial condition of the skin and the problem being solved, different concentrates can be added to the base 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 achieve 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 relevant when a woman is in perimenopause and when 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 recovery period of the skin after fractional laser rejuvenation is reduced by 40%, the elasticity of the skin increases, its tone improves, and wrinkles are smoothed out.These processes intensify over time due to the renewal of physiological processes in the dermis.
Also, good results are achieved by including biorevitalization procedures in the laser rejuvenation process - injection of hyaluronic acid of non-animal origin.After all, it's no secret that moisture is necessary for normal skin cell division.The choice of 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 creating an adequate individual program.A competent combination of different methods allows you to achieve 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.