Fractional thermolysis (fraxel) is a method of laser "re -reduction" on the face and body, which helps overcome age- and stress -related skin problems.
The procedure is almost as effective as a surgical brace, and, after thermolysis, skin cells begin to be active, as in youth, producing collagen and elastin, that is, beneficial changes occur in several layers at once, and not just in the outer epidermis.
The procedure is very effective, but at the same time traumatic. It can only be performed in specialized clinics.
What is it - fractional photothermolysis, what is the essence of the method and its effectiveness, indications and contraindications for procedures on the face and body using fraxel technology, photos before and after, consequences and reviews of laser procedures, price estimates and what devices are used - all this we will try to tellyou further.
general information
Thermolysis refers to the process of destruction of tissue structures under the influence of high temperatures. The concept was created and mediated by physicians, and then introduced for use by cosmetologists.
And photothermolysis is also a process of thermolysis, but it is caused by exposure to light energy. In cosmetology, it is used during photoepilation and laser "re -reduction" of scars and scars.
Fractional photothermolysis is a technique in which photothermolysis does not affect the entire surface of the skin, but only individual areas. This means that we can talk about the destruction of tissue focus by heating it with the help of laser energy (light).
The essence of the procedure and other names
The fractional photothermolysis procedure is classified as a means of negative stimulation of the skin, because certain types of injuries are applied during the session, in this case burns.
To achieve the desired cosmetic results, you need to begin the process of regeneration, which restores the skin after damage.
This type of thermal burn looks like a "column", which is formed in the thickness of the dermis under the targeted action of a laser beam. This "column" in cosmetology is called the "microscopic treatment zone", or abbreviated - MLZ.
In diameter, they should not reach more than a tenth of a millimeter: from about 0. 1 to 0. 4 mm, with a penetration depth of up to 0. 5 mm. Depending on the type of procedure chosen, from ten to several thousand such microtrauma can be located on one square centimeter of the surface, while the impact rate is 3000 MLZ/second.
If we analyze the mechanism of action of fractional photothermolysis, then it is similar to mesoscooter therapy, but when using a roller, microdamage is applied mechanically using a needle.
In cosmetology practice, the concept of fractional thermolysis has several commonly used synonyms:
- optical thermolysis of skin;
- DOT therapy;
- fractional laser "polishing";
- LAFT rejuvenation;
- fractional laser nanoperforation;
Ablative and non -ablative methods
Laser ablation is the evaporation of material using a laser pulse. When using ablative fractional photermolysis, then select the type of laser radiation, the energy of which is mostly absorbed by water molecules.
During a short-term effect on a local area, the laser beam almost immediately heats the water contained in the tissue, up to 300C. Due to this, the entire "column" evaporates, and instead an open type microscopic lesion is formed, which is surrounded by a layer of thermally coagulated cells.
After ablative photermolysis, recovery will be slower and longer than non -ablative methods.
But the results of the procedure will be better objectively, and the lifting effect will be more pronounced. It is best to use a course of 2 to 6 sessions. But during such a procedure, the patient is exposed to the risk of certain infections to the tissues in the deep layers of the dermis.
Non -ablative fractional thermolysis can be associated with more gentle microtrauma techniques. A laser beam is used, which practically does not damage the epidermis, burns form beneath it.
The destroyed tissue does not evaporate, but remains in a "column", naturally, there are no open wounds. The removal is not as obvious as the first ablative method, because the products of cellular decay are not removed at the time of the procedure, which means that there is no "tightening" effect on the skin.
It is recommended to use courses from 3 to 10 sessions. For patients, there is almost no risk of infection in the deep layers of the dermis, as there is no violation of surface integrity.
Hints, effects
Indications for the appointment of procedures using Fraxel technology may be the following reasons:
- the need to stimulate withered and old skin;
- treatment of pigmented/depigmented lesions;
- remove scars, after acne and small scars;
- the need to get rid of stretch marks.
Not suitable for eliminating keloid formation.
Advantage
How is this method different from the classic "polishing" with a laser? With the traditional approach, burns affect a wide area, and with fractional exposure, it has local and point features.
Between the burn lesions there are spaces with intact skin, and this makes photothermolysis less traumatic and speeds up the healing time.
This method is suitable for treating any part of the body, but in most cases it is used specifically for the face. When using Fraxel technology, beauticians can work even with the skin on the eyelids.
One feature of this dermis optical thermolysis is the innovative design of the DOT device itself, which makes it possible to avoid missing skin areas or overlapping one zone with another zone.
Mechanism of action
At the initial consultation, the cosmetologist determines the goals that the client wants to achieve, finds out possible contraindications to the procedure, talks about possible outcomes and their compliance with client expectations.
The doctor will certainly prescribe one thing about the risks and development of post -procedure complications, as well as how to care for the skin after undergoing a course of photermolysis.
It is necessary to discuss in advance and choose the appropriate method of pain relief, and the client must certainly report an allergic reaction to the medication, if any.
A few hours before the session, a superficial exfoliation is performed, the purpose of which is to level the thickness of the stratum corneum of the skin.
During surgery, patients may experience moderate pain and discomfort. Their severity should in no way depend on the model of apparatus used. The level of pain is based on the depth and intensity of the laser beam, and these parameters are determined by the specialist himself, focusing on therapeutic goals.
The more problems are ignored, the deeper layers need to be affected.
But usually, a regular cream with anesthetic effect is used as an anesthetic, which is applied to the work area a maximum of 40 minutes before the start of the session.
During the session, the cosmetologist moves the nozzle over the surface, which emits a targeted laser beam. If such a need arises, then the same area is treated repeatedly in the same procedure.
The duration is from 15 minutes to 1 hour. It all depends on how much skin is being treated. Upon completion of fractional photermolysis, a cream with a soothing effect is applied on the "polished" surface.
To achieve the desired result, it is necessary to carry out several procedures - from 3 to 10, depending on the type of exposure chosen. You can have a session once a month.
Recommendations (training and rehabilitation)
A few days before the scheduled procedure, the patient should begin taking a prophylactic course of antibiotics and antiviral agents. Naturally, if there is objective evidence for this.
On the day fractional photothermolysis occurs, the person should avoid alcohol and completely refrain from doing any sports.
After a non -ablative photothermolysis procedure, the recovery process lasts up to three days, after the type of ablation - at least a week.
If "polishing" is based on ablation, then for a few more days the patient will experience skin redness, swelling, burning sensation and discomfort.
After consulting a specialist, you can apply cooling compresses or apply local analgesics on the skin, available in spray form.
After at least three days have passed, the color of the "polished" dermis may change slightly. For example, it may be pseudo-tanned, due to increased decomposition of pigment-containing residues from previously necrotic cells.
Dryness will appear, exfoliation will begin and a person may experience a bit of itching for a short time. All these manifestations are harmless and will pass on their own in about a week. It is strictly forbidden to scratch the itchy skin!
In order for recovery after fraxel to run without complications, you need to follow some basic recommendations:
- you need to take care of the skin and make sure you use the recommended external products. In most cases, these are medications prescribed for the treatment of thermal burns and moisturizing sprays;
- the crust formed on the surface during wound healing cannot be removed artificially, only falls naturally;
- if before the procedure the patient takes antimicrobial and antiviral drugs, then their course should be continued according to instructions;
- in order not to develop hyperpigmentation, it is necessary to isolate the treated skin from direct sunlight for a period of at least a month. Usually use sunscreen with SPF 40+;
- during the recovery period, it is forbidden to use scrubs and other mechanical methods of skin cleansing.
Possible side effects and complications
Despite the fact that fractional photermolysis is one of the most modern and safe methods, it also has some side effects:
- bacterial infections, development of streptoderma or staphyloderma;
- erythema lasts more than three days;
- edema on the surface of the treated skin with a duration of more than two days;
- hyperpigmentation in the post -inflammatory period;
- appearance of burning blisters, erosive cracks;
- HSV1 exacerbation or acne;
- microscopic bleeding under the skin.
Contraindications (general and local)
Fractional photothermolysis is not performed with the following general contraindications:
- tumor oncology;
- period of breastfeeding;
- HSV1 and HSV2 in the acute stage;
- contagious disease;
- chronic diseases in the stage of manifestation;
- diabetes mellitus of any kind;
- defects and deficiencies of the cardiovascular system;
- disturbances in the work of organs of the hematopoietic system, poor blood clotting;
- the presence of autoimmune diseases;
- tendency to form scars in keloid type;
- status epilepticus or seizure syndrome;
- soul distortion;
- taking isotretinoin for six months;
- a recent tan or a visit to the solarium.
And the following local contraindications:
- all inflammatory processes are localized in the intended work area;
- impaired skin integrity;
- any neoplasm of unknown origin;
- dry skin cleaning or any other procedure that may injure the skin.
Where and on the device run, price estimates
The cost of one fraxel procedure depends on the area being treated, so price estimates for fractional laser coating vary.
Only a qualified specialist can conduct a photothermolysis session at a cosmetology hospital.
For the fraxel rejuvenation procedure itself, a device with CO2 or an erbium laser is used. Ordinary beauty salons mostly do not have the necessary equipment or trained staff.
The use of lasers for cosmetic purposes is still controversial. But nonetheless, procedures based on the action of laser beams are among the most popular, effective and safe.
Reviews
We invite you to read some reviews on fractional laser facial skin rejuvenation:
- First comment: "I'm 35 years old. Went for 2 fractional photermolysis sessions. The second visit took place 30 days after the first visit. As a result, I noticed that my pores, usually slightly enlarged, tightened, and the skin on my forehead and cheeks began to appearmore evenly. I was satisfied. The only thing that bothered me was the exfoliation that appeared after the second visit. But it disappeared without a trace after three days. Now I look in the mirror and enjoy my own face. "
- Second comment: "I want to tell you about my impression of this method, because I felt a positive result. After three procedures, I noticed my face brightened, pigment spots on some parts of the face became brighter, scars began to be less noticeable, and skinbecome tense. These changes do not happen simultaneously, but gradually. After about 4 months, I start to look 5-6 years younger than my age. I advise everyone who takes care of themselves to try this wonderful thing.
- Third review: "I am very scared of procedures like this, believing that there are more unwanted consequences from them than additions. However, when the first wrinkles appeared, the idea of" magical skin transformation "began to visit my head more often. So Idecided to hold a photermolysis session. In the process, there was a slight painful sensation, but acceptable. After some time, pleasant changes on the face became visible: wrinkles around the eyes smoothed, skin became brighter, contours tightened. In general, Iliked the effect. I will use this procedure again if necessary.
- Fourth review: "I consider this method indispensable for any woman who wants to stay young and attractive. I discovered something new for myself and was very satisfied. There were many positive moments and it all radiated on my face: fine wrinkles and pigmentationlost, the skin is not so flabby, inflammation is reduced, and most importantly, I prefer myself. I would like to advise everyone to love yourself, not to skimp on their beauty and use effective procedures to maintain your youth.