Laser resurfacing

regenerative procedure to restore the skin’s natural texture and elasticity

Table of Contents

We are born with young, tender and smooth skin without blemishes. As we age, our skin begins to change and lose its perfection. Factors such as excessive sun exposure, smoking, stagnant indoor lifestyle accelerate the aging process. Fine lines and wrinkles become more visible, pigment spots appear our skin loses its elasticity. The complexion darkens and our face loses its youthful glow and vitality.

The good news is that with the help of laser resurfacing in aesthetic clinics Skin Line we can erase layer by layer the imperfections accumulated over the years.

What is laser resurfacing?

Laser resurfacing is an invasive procedure that performs precisely controlled removal of parts of the skin's surface.The procedure removes skin imperfections and stimulates the production of new collagen and elastin. During the repair process, new cells are formed, resulting in improved skin texture, color and elasticity. In addition to general facial skin rejuvenation, laser resurfacing is suitable for treating a variety of skin problems, such as:

At Skin Line Aesthetic Clinics, we use state-of-the-art laser resurfacing technology to ensure maximum results and minimal discomfort:

Our experienced dermatologists will advise you and recommend the most suitable procedure for you, tailored to your individual needs and expectations.

Laser Fractional Facial Peeling with CO2 Laser

Say goodbye to your old skin, wrinkles, spots and blemishes. Laser resurfacing with the Ecomed CO2 Ultrapuls CO2 Laser System with Fractional Scanner II can now achieve maximum results, quickly and with minimal recovery time. Ecomed’s new fractional scanner works5 times faster than any other similar laser.

How Fractional Peeling Works

Ecomed CO2 Ultrapuls emits a laser beam of 80 micrometers and a speed of 500 pulses per second. Through the Fractional Scanner II, it scans an 18/18 mm area in less than a second and vaporizes 400 to 1200 micron dots of epidermis while leaving the rest of the area untouched. Depending on the desired effect, the Fractional Scanner II can achieve vaporization densities from 49 (7x7) to 484 (22x22) dots per square centimeter. The higher the evaporation density (degree of ablation), the better the effect and the longer the patient's recovery time. Fractional resurfacing is an alternative to full laser resurfacing, in which the top layer of the epidermis is 100% vaporized.

What the patient feels during the procedure

As the laser beam vaporizes the micro dots from the skin, the patient feels prickles at high speed. Depending on the degree of ablation, the discomfort of the procedure increases.

What is the expected outcome of the procedure?

Fractional peeling vaporizes a portion - between 20% and 40% of the patient's epidermis and heats the skin in depth. The healthy / unaffected / part of the skin helps to quickly recover the affected. As a result, the damaged epidermis layer is replaced with a new one and new collagen synthesis is stimulated. The skin is rejuvenated, plumped, more elastic and youthful looking. Superficial wrinkles and skin blemishes are reduced.

What is the recovery period?

Depending on the individual patient and what part of the epidermis is affected, the recovery period can last from 24 hours to 72 hours. In the first few minutes to a few hours after the procedure, the skin is red and painful as after a sunburn. The use of moisturizer and sunscreen with SPF 50+ is a must. After this period of discomfort, the redness subsides and the patient can return to their normal activities provided they avoid sun exposure and use moisturizer.

How many treatments are needed?

Depending on the age of the patient, the desired result and the degree of ablation, 2 to 4 treatments are needed at intervals of 1 month, but results are seen after the first treatment.

In what cases is fractional peeling with CO2 laser used?

Laser fractional peeling with Er:Yag (IR, 2940 nm)

Fotona’s Er:Yag(IR, 2940 nm) laser is a high-tech fractional and surgical laser with the ability to emit energy in both fractional and focused modes for performing dermatosurgical interventions

Types of laser fractional peeling

Recovery after an Er:Yag (IR, 2940 nm) fractional laser procedure is relatively short – up to a few days.

What is non-ablative resurfacing with Lumenis ResurFX?

The ResurFX fractional laser is the most advanced technology for non-ablative skin resurfacing. The ResurFX fractional laser stimulates the production of new collagen and elastic fibers in the deeper layers of the skin. Stimulating the production of new collagen is the key to more radiant and youthful skin.ResurFX is a laser skin resurfacing procedure that can solve many common skin resurfacing problems. It can even skin tone and texture; improve hyperpigmentation by removing sun or age spots, melasma and other forms of discoloration; smooth wrinkles and fine lines; and smooth stretch marks and light acne scars.Non-ablative resurfacing with Lumenis ResurFX delivers predictable and natural-looking results thanks to precise, homogeneous and even delivery of microbeam energy, and exceptional scanning capabilities.

How laser resurfacing works

Dermatological lasers emit a thin beam of light with high energy and density that vaporizes water in the skin and thus causes controlled damage (ablation) of the skin. Depending on the type of lasers and the wavelength they emit, different results can be achieved:

Types of laser resurfacing

Total ablation

This is the classic version of the procedure, where the superficial layer of skin on the entire face is removed. It produces the most dramatic results at the cost of a long recovery period and significant risks of post-operative complications. The full laser peel uses a CO2 laser. Classic laser resurfacing is not used in Skin Line aesthetic clinics due to the availability of more gentle alternatives.

Fractional laser resurfacing

Here, with the help of CO2 , Er:YAG or ResurFX lasers, microscopic column burns are made in the skin with different depths and densities, according to the effect being pursued. Most commonly, 20% to 50% of the skin is damaged in fractional peels. In the recovery process, unaffected skin helps the skin damaged by the peel to recover. The surface layer of skin is exfoliated and new, smooth and soft skin appears underneath without imperfections.

Fractional resurfacing can be done in several variations:

How many laser resurfacing treatments are needed?

The number of laser resurfacing treatments that are needed to correct an aesthetic problem depends on several factors:

  • From the type and severity of skin damage;
  • The condition of the surrounding healthy skin;
  • On the age and health status of the patient;
  • On the care the patient takes to recover.

For example, for a general refreshing of the facial skin, removal of fine lines, wrinkles and light pigment spots resulting from excessive sun exposure of a 40 year old woman who does not smoke and leads an active and healthy lifestyle, one treatment of superficial fractional laser resurfacing with CO2 laser or non-ablative laser peeling with ResurFX is sufficient. To achieve a similar effect, but for more severe forms of pigmentation due to sun damage in a 60 year old female smoker who sees a sedentary lifestyle, 3 treatments of deep or ultra-deep fractional laser resurfacing with a CO2 laser will be required. To find out how many treatments are needed to correct your skin problem you will need to have an examination with our dermatologists.

For whom is laser resurfacing suitable

Laser resurfacing is a procedure that can be performed on anyone, regardless of gender, age and skin color, when we have any of the following problems:

  • Fine lines and wrinkles;
  • Superficial pigmentation or photodamage;
  • Active acne;
  • Oily or acneic skin;
  • Enlarged pores and other skin turgor disorders;
  • Atrophic or hypertrophic scars;
  • Relaxed skin;

For whom laser resurfacing is not suitable - contraindications

Laser resurfacing is a procedure that is not suitable for everyone and carries some risks. Laser resurfacing is not appropriate when you have active infections, viral, fungal or bacterial diseases, inflammatory skin conditions or skin cancer; Pregnancy or breastfeeding; Individuals with an electronic implant, such as a glucose monitor, pacemaker or defibrillator or a permanent implant in the treated area; Cancer or a history of cancer; Immunosuppressive diseases such as AIDS and HIV or use of immunosuppressive medications; Heart disease, epilepsy, uncontrolled hypertension, and liver or kidney disease; Herpes simplex in the treatment area; Active ulcers, psoriasis, eczema, or rashes; Uncontrolled endocrine disorders such as diabetes or thyroid dysfunction; Biologic fillers injected into the area within the past 6 months or Botox within the past 2 weeks; Use of isotretinoin (Accutane) within 6 months prior to treatment.

Be sure to let your doctor know if you suffer from any of the above conditions before starting this treatment.

Recovery after laser resurfacing

Laser resurfacing in most of its varieties is an ablative procedure, which means that the integrity of the skin is compromised and it takes time for it to recover.

Risks may include: redness, swelling, scarring or pigmentation change. Some redness and swelling may occur immediately after laser resurfacing depending on the customized treatment settings. The swelling may subside after a few hours and the redness the next day or over the next few days. Most patients are able to return to their daily activities the same day.

Usually, the doctor should advise you not to expose yourself to direct sun for several days after treatment and to use sunscreen.

How does the laser resurfacing procedure work?

Както всяка друга естетична процедура в Skin Line, лазерният пилинг започва с естетична консултация с цел пациентът да бъде запознат в детайли какво предстои и какви могат да бъдат крайните резултати. По време на консултацията вие и вашият дерматолог решавате дали това е най-подходящата процедура за вас и дали очакваните от вас резултати могат да бъдат постигнати.

Пациентът се запознава със съдържанието и подписва Информирано съгласие за извършване на инжекционна процедура.

Следва подготовка на пациента за процедурата – почистване и дезинфекциране на зоната която предстои да бъде третиране.

Обезболяване на зоната която предстои да бъде третирана с анестетичен крем, който съдържа лидокаин.

Следва същинската процедура.

Within the first 24 hours after laser resurfacing

Treated areas should not be washed in order to avoid contamination;

Do not exercise and avoid physical exertion;

Avoid excessively hot environments (solarium, Turkish bath, sauna, etc.)

Avoid alcohol consumption and smoking;

Do not expose yourself to direct sunlight;

Consume plenty of water.

Common side effects include erythema, edema, pain, sensitivity and itching. Therapy site reactions usually resolve within 24-48 hours and swelling within a week

What are the risks of laser resurfacing?

The risks of laser resurfacing are relatively low, but it is important to be aware of them before undergoing the procedure.

Here are some of the most common risks of laser resurfacing:

Redness, swelling and itching: These symptoms are usually mild and go away within a few days.

Dry or flaky skin: This can last for several weeks after the procedure.

Infection: The risk of infection is small, but it is important to follow your doctor’s instructions to reduce the risk.

Hyperpigmentation: This is a condition in which the skin becomes darker than normal. Hyperpigmentation can occur as a result of laser resurfacing, but usually disappears within a few months.

Laser resurfacing at Skin Line Aesthetic Clinics do:

Dr. Mihail Mihaylov is a Medical Director at Skin Line Aesthetic Clinics and International trainer of Belotero and Radiesse for Mertz Aesthetics
Laser resurfacing is a regenerative procedure to restore the skin's natural texture and elasticity

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