南国の美容クリニック。宮城美容外科クリニックです。

Skin Resufacing is not new to medical cosmetic field.
It is also called skin abrasion(skin shaving) to treat acne scars and to repair regular scars , using a diamond handpiece attached to an electric grinder, which was a routine treatment in cosmetic dermatology.
Performing this procedure using laser device has been around for more that 10 years now, and this made its name laser skin resurfacing familiar to the public.
To compensate for the weak points of the electric grinder, laser for resurfacing shows more detailed and more even skin abrasion.
And not only for scars but also as a good means in treatment of skin texture, laser resufacing is undoubtably one of the best option available for skin tightening.

Laser resurfacing uses 2 types of laser beams: erbium（Er:YAG) laserand carbon dioxide（CO?) laser.
Both have the vaporizing capability, in which both beams, when absorbed by water substances in the treatment skin site, vaporize skin tissue and consequently function as skin shaver lasers.
The big difference between the two lasers is whether it coagulates by heat or not.
CO? laser shows heat coagulation, meaning it burns skin a bit while shaving, taking longer time to heal.
Er does not cause burns, so it usually shows fast recovery.

Statements below are about erbium laser skin resurfacing, and also stated are the details of fractional laser and microlaser peelingに, which are also available in the same erbium laser devce：






Erbium Laser

１．Laser Skin Resurfacing　　　　　Erbium Er) laser is the first choice for skin resufacing (abrasion).
It has less heat coagulation, meaning no burns and faster to recover.

　　　　Resurfacing healing process for 7 weeks（wet complexion due to Vaseline）
1-or-2-week period shows it dry, redness and discoloration might be observed for weeks, but can be covered up with make-up.

Shaving the whole epidermis layer down to the upper layer of the dermis lets the new skin regenerate from the skin pores, revives the younger newer skin, and triggers production of collagen fibers in the dermis, which gives tightened skin complexion and improved scar and acne skin appearances.







acne scars laser bef/aft

Actual treatment goes as follows: Anesthetic cream or tapes are applied for 30 min on the skin.
Anesthetic injection is introduced.
IV sedation is also available if needed.
Then laser treatment is performed when anesthetics work.
Whole face treatment is a routine but might be too much for some patients.
Partial application is also an alternative such as one part of the cheek.
Other sites of the body are also good candidates for this procedure.
resurfacing for neck scar
Skin resurfacing is an invasive method that takes a longer downtime to recover.
But its effect is a reward for the courage of doing it, giving your loosened or damaged skin a newer youthful looks.

If the healing process seems excessive, milder procedures such as fractional laser and laser peel are also the options, which are resurfacing remedies that require only days to recover.


２．Fractional Laser　　　　Fractional laser is a skin resufacing done in a milder way by drilling microscopic holes in the skin to stimulate collagen reproduction.
Since they are in micro level, they appear a redness through that subside for about 3 to 7 days.
This is much less invasive that the regular skin resufacing so sessions of treatments is necessary.

　　　before fractional　　　　　　　 　　　　after
microholes reach dermis layer
　　　fractional handpiece 　　　　　　microholes diagram

By making microholes deep through almost the whole layer of dermis, fractional laser can show more tightening effect and moderation of finer wrinkles

　　　before fractional　　　　　　 　　　after
Redness looks similar with Micro Laser Peel (stated below) that can be covered with make-up
Anesthetic cream or tapes alone can be used so it is much easier compared to the whole-layer resurfacing.


３．Micro Laser Peel　　　　 Micro Laser Peel is a milder less-invasive abrasion of skin that peels off the keratin layer found on the surface of the epidermis. to enhance remodeling of the skin.
It has similar job with chemical peeling but deeper and more even

　Micro Peel handpiece　　　　 　　dermis peeling diagram

Laser peeling may not show progress in scar repair but tightening and improvement in skin tone can be observed.

　 before Micro Peel　　　soon after　　　　　　　３rd day　　　　　　i month　　　
Redness might be seen but subsides for about 3 days and can be covered with make-up.
Lower eyelid is also a good part to perform this procedure and better to be combined with lower eyelid fat removal or blepharopasty(eye lift).
Micro Peel bef/aft
Micro Laser Peel is, the same as fractional laser, performed with only just anesthetic cream or tapes.

This has been the details of skin resurfacing done with a laser device.



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