Laser,Skin,Resurfacing,Review, health Laser Skin Resurfacing Review

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Skin Resurfacing - Introduction    First of all you must know that every new resurfacing laser or deviceis measured against the industry’s most powerful machine for the past40 years, the carbon dioxide (CO2) laser. It was invented in 1964 andhas been the most widely used laser in medicine. In the area ofdermatology, its use has been predominantly for facial resurfacing. Itoften achieves desired results in a single treatment, works on fine andintermediate lines and acne scars, maximally tightens the skin anddelivers results that last. Its drawback is a long, 5-14 day socialdowntime, making it less desirable for any working person. To overcomethis handicap, many devices have been developed by the aestheticindustry. There are ablative and non-ablative strategies thatrejuvenate your skin and you will learn about the benefits anddownsides of each of these techniques.Fractionated Ablative lasersCarbon dioxide laser - CO2 LaserAsan ablative laser, it vaporizes the tissue and is able to eradicatefine and intermediate lines, smoothes overall skin texture and acnescars, eradicates uneven pigmentation as well as tightens the skin. Itlets you appear about 10 years younger and easily replaces the need fora face lift unless skin sagging is severe. Preparation andpostoperative care most closely resembles a full fletched surgicalprocedure, however, CO2 laser resurfacing can be performed under localanesthesia. The price you pay for the results is one to two weeks ofsocial downtime while the skin reepithelializes. In addition, theresurfaced skin may appear pinkish for several months thereafter.Fractional CO2 laser (ActiveFX(TM), DeepFX(TM), Fraxel re;pair, Mosaic eCO2)Sincethe beginning of 2007, refined systems with partial degrees of ablationhave revolutionized the resurfacing market. Amongst these, thecombination of DeepFx and ActiveFx, manufactured by the leader in CO2technology (Lumenis) give results most closely comparing to thetraditional laser resurfacing. This new technology offers fasterhealing times with still excellent results. In the meantime, a numberof laser companies have now developed their own permutations of afractionated CO2 laser and include Fraxel re:Pair, Slim MIxto/SX, Exelo2, Mosaic.Erbium YAG lasersThetraditional erbium laser has produced results that were absolutelycomparable to the CO2 laser yet it fell out of favor because ofsignificant post operative bleeding. As with the fractional methoddeveloped for the CO2 laser, today’s erbium laser treatments are almostexclusively fractionated and may also be called pixilated. Names thatyou may read about are Pearl, Pixel, ProFractional and Starlux 2940.However, they do not deliver results that mirror the original. Whiledowntime is typically limited to 1-4 days, the downfall of thefractionated erbium technology is the very superficial nature of theresurfacing results, being excellent at improving sun damage, and skintexture, but will target only the finest lines. Several treatments arenecessary to achieve such results. These fractionated lasers do notsignificantly contribute to skin tightening, removal of wrinkles, letalone acne scars.Non ablative fractional lasersProtectingthe epidermis, the upper most layer of our skin, and thereby minimizingsocial downtime, non-ablative lasers deliver energy in the lower layersof skin, ideally only causing swelling which is socially much moretolerable than oozing. Amongst the non-ablative lasers, FRAXEL is themost marketed. Other brands include Affirm, StarLux-Lux, Mosaic. Usinga wave length lower than that of a CO2 laser,these lasers drive energy into the skin, stimulating collagenproduction and thereby tightening skin. Results after a singletreatment are minimal and it can easily take 4-8 treatments to observean effect. While its effects on wrinkles and lines after 4-8 treatmentsis fairly close to the results of a single CO2 laser treatment, it doesnot seem to deliver on scars as well. In addition, the Fraxel has beenFDA approved for the treatment of melasma, also known as the mask ofpregnancy, which shows as symmetric pigmentation on the face as aresult of sun exposure with increased estrogen levels.Non-laser fractionated resurfacing devicesPlasmaand radiofrequency devices belong to this category. Because of the moreconvincing results, plasma technology will be discussed here. Theplasma device is not based on laser principle. Plasma is pushed intothe skin to induce partial ablation of the epidermis and renewal ofcollagen beneath the surface of the skin. Treatments can be deliveredin 1-2 aggressive sessions, results mimicking nearly those offractionated CO2 laser resurfacing. When energy levels are minimized toallow for as a little as a few-hour lasting redness, several treatmentswill be needed for an effect. With the latter technique however,results tend to be much less dramatic. Having gained FDA approval inthe second half of 2007, the technology is fairly new and long termresults are not known yet. Skin Resurfacing - SummaryInsum, many exciting technologies are available nowadays. The generalrule of little downtime little results still applies but ultimately,your goals, your ability to tolerate social downtime and your walletwill steer you and your treating physician to a resurfacing plan thatis tailored to you.ResultsCO2 Laser                  ****ActiveFX                      ***Fractional Lasers        **TCA Peel                     **Glycolic Peel                *Microdermabrasion     *Social downtimeCO2 Laser                  5-14 days         ActiveFX                      3-5 days    Fractional Lasers        1-6 days   TCA Peel                     5-7 daysGlycolic Peel                NoneMicrodermabrasion      None# TreatmentsCO2 Laser                 1         ActiveFX                     1-2    Fractional Lasers       4-8   TCA Peel                    1Glycolic Peel               6-8Microdermabrasion    6-8Lasting resultsCO2 Laser                10 years     ActiveFX                    10 years Fractional Lasers      UnknownTCA Peel                   2 yearsGlycolic Peel              1 yearMicrodermabrasion   1 yearAverage CostCO2 Laser               $3000    ActiveFX                   $3700 Fractional Lasers     $5000TCA Peel                  $500Glycolic Peel             $700Microdermabrasion  $1000