Laser Skin Resurfacing

Laser Skin Resurfacing

Laser technology has revolutionised the field of facial surgery.  Just a few years ago lasers were rarely used by Facial Surgeons.  Today lasers are used for purposes ranging from resurfacing of the skin to tattoo removal.  Erbium laser treatment leads to more efficient inenergy absorption and decreases depths of residual thermal.

 

Laser skin resurfacing is a procedure to improve the quality of the skin, which is damaged as a result of sun damage, ageing and acne.  The treatment reduced facial wrinkles, scars and blemishes on the skin and improves the complexion. 

 

Wentworth Clinic uses the latest erbium laser to resurface the skin which has minimal downtime. 

 

Fractional laser is another modification to promote collagen regeneration.  We also promote intake of omega fish oils with fruit peels (Skinade) to promote subdermal collagen development for these patients.

 

Resurfacing can be carried out for full face or selected areas, such as around the eyes and mouth.  Laser skin resurfacing is performed under local anaesthetic with oral or intravenous sedation.  Recovery time is usually 8-10 days.  Following laser skin resurfacing one could expect redness and bruising for one to 2 weeks.  The cost of laser skin resurfacing depends on the area.

 

Post operative patients who have erbium laser resurfacing the redness of the skin is less and the healing is faster.  However there is little intra-operative tightening of the skin.  That is a probable disadvantage as opposed to CO2 laser resurfacing.  However the benefits outweigh this one disadvantage.

 

The following overview will describe the technique of facial skin resurfacing using erbium laser. 

 

How does the Resurfacing Laser work?

This new generation of Erbium lasers takes advantage of extremely short bursts (or pulses) of the laser beam that are powerful, yet are of such short duration that they do not harm the surrounding tissues. Therefore the laser can very precisely and accurately ablate only the tissue being treated, leaving the deeper tissues intact. The wrinkled or scarred upper layers of skin are thus removed and will then heal into a smoother layer of skin.

 

What conditions can be treated with the Resurfacing Laser?

The Erbium laser is most commonly used to remove lines and fine wrinkles from the face. Patients may require treatment in different areas. In some patients, only the areas around the eyes – the crow′s feet and eyelids – need to be treated. In others, the area around the mouth requires treatment, these deep lines and wrinkles around the mouth often cause lipstick to "bleed" from the lips on to the skin. In still others – especially those having spent long periods in the sun – the entire face may require resurfacing. Essentially any lines or wrinkles of the face that are objectionable can be treated with the laser.

 

Other areas that can be improved include the nasolabial fold area and the eye area. Many patients notice that the laser treatment seems to give a more "open" look to their eyes.

 

Another condition that can be treated with the laser is acne scarring, or scarring that is a result of surgery or trauma. The erbium laser offers tremendous advantages over other treatments such as dermabrasion and chemical peels. For acne scarring we provide a combination of laser rejuvenation and hydrodermabrasion.

 

What does the procedure itself involve?

Laser resurfacing is generally performed on an outpatient basis. An intravenous anaesthetic can be used if the full face is being treated. Following this, the local anaesthetic is injected in the areas being treated. Again, if only a limited area of the face is being treated, local anaesthetic alone can be used. Some patients may need only a topical (cream) anaesthetic.

 

The face is cleansed with saline solution or an antibacterial solution. Since the laser beam can be harmful to the eyes, precautions are taken: the surgeons, nurses wear protective eyewear and protective eye shields are placed in the patient′s eyes.The surgeon carefully chooses the various settings on the laser, according to the needs of each patient. The amount of laser energy being delivered and the frequency at which the laser beam contacts the skin are important variables which the surgeon determines prior to treating each patient.

 

At this point, the procedure begins. The surgeon aims the laser with a hand piece and turns the laser on and off with a foot switch. The surgeon treats each area individually and can vary the depth of the treatment from area to area, depending on how deep the wrinkles or scars are. The surgeon may increase the power setting for the deeper wrinkles around the mouth and may decrease the setting for the delicate skin of the eyelids.

 

He may perform several "passes" with the laser over the deep wrinkles around the mouth, but may stop at one "pass" over the eyelids. He will use the laser to "feather" the border of treated and untreated areas so that they blend together. After each "pass", the surgeon carefully inspects the treated areas to determine if the treatment is adequate or if another "pass" is needed.

 

He wipes away the burned layers of skin that have been treated with the laser and inspects the colour and texture of the remaining deeper layers to determine how much deeper the treatment needs to go. If the inspection reveals that the depth is appropriate, he stops. If not, the area is carefully treated again, re-inspected and if necessary, treated again. After the treatment is complete a topical ointment is applied over the treated area.

 

Can other procedures be done at the same time?

Most patients request that other procedures be performed in conjunction with laser resurfacing. Such procedures include facelifts, forehead lifts, eyelid surgery, and lip augmentation, chemical peels of the neck and chest and liposuction. In general, combining facial rejuvenation surgical procedures results in a more "harmonious" appearance. Furthermore, by combining surgical procedures, the patient undergoes just one recovery period and a single anaesthetic. Finally, the overall cost is significantly reduced if the procedures are combined.

 

What is the recovery period like?

If sedation was given a short time in the recovery room is required. With local anaesthesia alone the patient is released when the procedure is completed. As the local anaesthetic wears off most patients experience a burning or stinging sensation over the treated areas. This burning is described as mild to moderate by most patients. The burning is completely gone in a few days. Oral pain medication and ice compresses help to relieve the discomfort. Some patients experience itching of the face. Medications can be prescribed to help with the itching.

 

Who is a good candidate for resurfacing with the Laser?

The ideal candidate for laser resurfacing has a relatively fair complexion. In general, the lighter the complexion, the more predictable the results. However those with darker skins can also be treated very successfully. Since Asians and Afro-Caribbean sometimes have a tendency to experience either some darkening or lightening of the treated skin, proper skin care both before and after the procedure is essential. This minimises the chance of pigmentation changes. In questionable cases a small "test patch" behind one ear a few months prior to the actual resurfacing can help determine if the skin will react favourably to the laser.

 

Patients with a mild to moderate amount of skin laxity (jowling, for example) are excellent candidates for laser resurfacing. For those that feel that it is "too early" for a facelift, the laser is an excellent alternative. Of course patients with large amounts of hanging skin will need to have the skin surgically removed with a procedure such as a facelift.

 

When is the skin back to normal?

The pinkish colouration, which fades with time, usually persists for 2-3 weeks. In some cases it can persist for longer. Most patients report that they can literally see the pink fading day by day. After 7-10 days, when things are healed over, camouflage make up can be worn. With the make up, the pink colouration is completely hidden. In some darker skinned patients, light brown areas may necessitate the use of bleaching agents. In general, the skin is completely back to normal in 2½-3 months.

 

What complications are possible?

As with any surgical procedure, there are risks involved with laser resurfacing. Changes in the skin′s pigmentation are possible. Careful pre-operative planning and post-operative follow up usually eliminates the risks of pigmentation changes. Scarring is extremely unlikely. Because it is possible to precisely judge the depth of resurfacing when using the erbium laser, the risk of treating too deeply is minimised. Infection is unlikely since oral antibiotics and anti-viral medications are routinely prescribed. Some patients, during the first few weeks after laser resurfacing, develop a type of mild dermatitis or rash over the treated areas. Generally, these conditions clear up on their own, however topical or oral medications can be prescribed if necessary.

 

If complications occur, can they be corrected?

Frequent visits to the surgeon are necessary in the first few weeks after the procedure so that any impending problems can be noted early and treated promptly. Any suspicious areas must be treated with the appropriate antibiotics, medications or ointments.

What is the right age to have Laser Resurfacing performed?As with any elective, cosmetic surgical procedure, there really is no "right age". Young patients in their late teens or early twenties with acne scarring often request resurfacing. Some people begin to develop significant wrinkling, often in the crow′s feet area, while still in their twenties and request laser resurfacing.

 

Likewise, many patients in their 70′s and 80′s request laser resurfacing. Older patients are excellent candidates for laser resurfacing, as long as they are in good health.

 

How many treatments are required

The number of treatments depends on the problem being addressed. Fine wrinkling in the crow′s feet region in a young patient is often easily eliminated in a single treatment. Very deep lines around the mouth in an older patient with significant sun damage may require two or three treatments.

 

Likewise, very deep acne scarring will usually require more than one treatment. In these patients the goal should be "improvement" of the deepest scars. Complete elimination of the very deep scars is not always possible.

 

In Summary

The following conditions may be treated with the

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Laser Skin Resurfacing Before and After Pictures in London, UK shows positive outcome of results. Skin resurfacing is performed to remove wrinkles on the face, removes scars due to injuries or damage skin
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Laser Skin Resurfacing Before and After Pictures in London, UK shows positive outcome of results. Skin  resurfacing is performed to remove wrinkles on the face, removes scars due to injuries or damage skin
due to excess of sun rays. You can view blemishing skin and improvised skin by comparing before and
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After
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Laser Skin Resurfacing Before and After Pictures in London, UK shows positive outcome of results. Skin resurfacing is performed to remove wrinkles on the face, removes scars due to injuries or damage skin
due to excess of sun rays. You can view blemishing skin and improvised skin by comparing before and
after pictures.Skin Resurfacing is performed by renowned Facial and Cosmetic Surgeon Dr. V. Ilankovan.


Before

After
Laser Resurfacing

Laser Skin Resurfacing Before and After Pictures in London, UK shows positive outcome of results. Skin  resurfacing is performed to remove wrinkles on the face, removes scars due to injuries or damage skin
due to excess of sun rays. You can view blemishing skin and improvised skin by comparing before and
after pictures.Skin Resurfacing is performed by renowned Facial and Cosmetic Surgeon Dr. V. Ilankovan.


Before

After
Laser Resurfacing

Laser Skin Resurfacing Before and After Pictures in London, UK shows positive outcome of results. Skin resurfacing is performed to remove wrinkles on the face, removes scars due to injuries or damage skin
due to excess of sun rays. You can view blemishing skin and improvised skin by comparing before and
after pictures.Skin Resurfacing is performed by renowned Facial and Cosmetic Surgeon Dr. V. Ilankovan.

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