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Skin Resurfacing

  • Phoenix Co2 laser

Indications for Fractionated CO2 Laser Systems

•Sun-damaged skin

•Aging skin

•Skin Texture irregularities , wart and skin tag removals

•Pigmented dyschromias & scars

•Skin striations

•Early Rhytids

•Wrinkles

•Ablation and resurfacing of soft tissue

Reducing Fine Lines and Coarse Wrinkles

Getting Rid of Coarse Wrinkles and Fine Lines

The CO2 laser beam is divided into tiny shafts by a scanner in the Phoenix-15 CO2 laser. Light shafts pass through the epidermis and heat the skin’s subcutaneous layers. This heat stimulates collagen production by causing skin cells to replicate more quickly in order to repair the wound. The treatment area of the scanner can be adjusted from 5 to 30 millimeters.

Laser Blepharoplasty

The Phoenix-15 CO2 laser comes with an incisional handpiece that acts as a scalpel-like cutting tool.

As the laser energy cuts, it vaporizes and coagulates, resulting in less bleeding, bruising, and swelling, as well as minimum or no discomfort and a quicker recovery time.

Removal of Warts

Warts are one of a number of unattractive and uncomfortable soft tissue disorders. Because it removes both the head and the root of the wart, the Phoenix-15 CO2 laser is an excellent treatment for eradicating warts. The laser produces a high-intensity beam that vaporizes the wart and coagulates its blood flow while inflicting no injury to the surrounding tissue.

Removal of Skin Tags

Skin tags are tiny flaps of skin that protrude from the neck, armpit, groin, and eyelids, among other places. Skin tags are a benign growth that come in a variety of sizes and shapes. They may also be flesh-colored or incorporate darker colors. The Phoenix-15 CO2 Laser can remove skin tags swiftly and effectively with minimal bleeding and no downtime.

How Fractional Technology Works

The light emitted by the Phoenix CO2 laser has a wavelength of 10,600nm, which is substantially absorbed by water down to the lower dermis.

  • Each CO2 energy pulse ablates a vaporized tissue column.
  • The laser energy is spread in an even manner, leaving small regions of untreated skin in between places when ablation occurs, stimulating collagen development and remodelling. This speeds up the healing process and cuts down on patient downtime.

Spot Size and Depth of Ablation

CO2 Fractional

Spot Size = 120 microns

Phoenix CO2 Laser Resurfacing Depth: ~ 100 – 750 μm

Treatment approach:

  • Remove all make-up and visible hairs from the area to be treated
  • Examine the treatment area carefully for any evidence of cancer
  • Continue only if you are sure there are no signs
  • Both the operator and the patient must wear protective eyewear
  • Apply topical anesthetic and wait (45-60 minutes)
  • Thoroughly remove topical anesthetic

Instructions for Aftercare

Day 1 (1st day after treatment):

  • Sunburned look with tight feeling
  • Avoid direct sunlight and excessive heat
  • Begin washing face as needed with tepid water and gentle cleanser on day 1 (1st day after treatment) (use your hands only)
  • Reapply ointment/cream to afflicted area as needed after taking a tepid shower and washing your hair (ensure skin remains constantly moist)

Day 2:

  • Swelling should subside and skin may bronze and feel gritty
  • Itching (particularly along the jaw-line) tends to begin on this day
  • Continue applying ointment/cream (and cool compresses, if needed)
  • Continue washing face with gentle cleanser and tepid water
  • For extreme itching, hydrocortisone cream (OTC 1%) may be applied
  • AVOID picking and/or scratching

Day 7-28

  • Continue appropriate moisturizer until skin has hydrated back to its normal level (3-4 weeks)
  • May start regular skin care program as long as treated area is healed (no exfoliation)
  • Continue applying non-irritating sunblock (SPF 30+) and use mineral make-up (powder) to protect treated areas (Do not use liquid foundation as it may clog pores and irritate new skin)
  • Avoid excessive sun exposure for up to 4 weeks (cover treated areas with a hat or coat)
  • Resume workout routines

Healing times will vary depending on the individual and the therapy intensity.

Complications

Laser skin resurfacing complications include:

  • Hypopigmentation
  • Scarring (usually resolves over time with steroid treatment)
  • Induration (typically resolves over time with steroid treatment)
  • Induration that generally resolves over time with steroid treatment
  • The formation of fibrotic tissue, which usually disappears with steroid therapy over time.
  • Necrosis of the preauricular flap
  • Auricular skin slough/loss

Prognosis and Outcome

Depending on the indication for which laser resurfacing was conducted, the results range from good to exceptional.

Patient satisfaction is dependent on the delivery of natural-looking results with minimum downtime and a low complication rate.

The most significant improvement is in actinic changes. Wrinkles are frequently reduced by 60-80%, while scars are reduced to a lesser extent.

Deeper skin folds of the cheeks, forehead, and neck, as well as malar bags and excess skin of the upper eyelid (pseudo blepharoplasty effect), show improvement, but the results are less predictable.

Lines that are static are enhanced more than lines that are dynamic. The use of botulinum toxin A to treat these dynamic lines results in a significant improvement.

Heat stimulates the skin’s subcutaneous layer.

The use of botulinum toxin A to treat these dynamic lines results in a significant improvement.

Over the course of 60 to 90 days, heat induces the regeneration of subdermal collagen. At 3–6 months, patients should be reviewed and/or retreated.

Typical Fractional CO2 Healing Process

Pretreatment

CO2 Resurfacing Results

Skin Resurfacing with Erbium Laser

For treating superficial wrinkles and fine lines, the erbium YAG laser offers a less invasive approach. The procedure has a short recovery period and produces excellent outcomes for mild to severe skin wrinkling and dyschromia. The treatment is light and risk-free, and it can be used on the neck, chest, hands, and face.

Pre-treatment instructions for ERBIUM YAG:

Before starting treatment, talk about and discuss any healing issues you have, such as diabetes, connective tissue disease, or radiation/chemotherapy.

If you have an active infection or a history of herpes simplex of the lips, mouth, or face, talk about it.

If the patient is pregnant or breastfeeding, the Erbium Yag treatment should be avoided.

Discuss and disclose any topical anesthetic, antibiotic, or other pharmaceutical allergies you may have.

If you’ve used Isotretinoin (Accutane) in the last 12 months, don’t start the treatment.

Discuss any hypertrophic scarring, keloid forms, or other skin problems you’ve had in the past.

Prior to undergoing further therapy:

During your therapy, make sure to tell your doctor about any new medications you’re taking.

Treatments are not permitted in sunburnt and suntanned areas

4 weeks before to treatment, avoid direct sun exposure and tanning beds. Any treatment area exposed to the sun should be protected with a broad-spectrum sunscreen with an SPF of 30 or higher.