3D Baby Face

What is a 3D Baby Face?

The preferred treatment protocols for acne scars, warts, and keratosis involve Radiofrequency Fractional CO2 Laser. For freckle treatment, Nd YAG Q-Switched Laser is used, while Thulium Laser is employed for treating spots and melasma. Pro Yellow Laser is utilized for vascular treatments, and for skin rejuvenation and tightening, 1540 and 1550 Erbium Laser are the first-choice treatments.
If wrinkles are increasing over time, sunspots are darkening and turning into keratosis, pores have become enlarged, and there is a mottled and pigmented appearance on the face, it is necessary to find a solution with laser treatments before these skin problems progress too far. Sun and environmental-induced spots, moles, and melasma tend to worsen with time, so using different laser systems to repair the skin and simultaneously rejuvenate it would be a reasonable approach to benefit from this synergistic effect.

In skin rejuvenation, laser protocols with various wavelengths now offer different solutions for treating spots and scars. Considering the ratio of skin issues such as spots, veins, keratosis, freckles, warts, moles, etc., along with skin color, age, and environmental damage, the 3D Baby Face protocol using different wavelengths on each layer of the skin will be a suitable treatment for patients with multiple problems requiring simultaneous solutions. This approach will lead to higher patient satisfaction.

3D Baby Face Laser Treatment

• Fraksiyonel Thulium 1927 nm,
• Fraksiyonel Pro Yellow 585 nm,
• Fraksiyonel Erbium 1540 nm ve CO2 10600 nm

Normally, melanin, which gives color to the skin, is evenly distributed throughout the body, resulting in a uniform skin tone. However, when melanin does not distribute evenly, skin blemishes can occur. Brown spots that manifest as freckles, sunspots, keratosis, or melasma may have various causes, including genetic predisposition. Typically, skin blemishes become more pronounced in individuals with fair skin after prolonged sun exposure and can further increase with age. The harmful effects of the sun, especially in their 40s, may lead to increased sunspots, actinic damage characterized by rough and thickened skin, redness and flaking in specific areas, and a tendency for skin tumors to develop, especially in sun-exposed areas, which can potentially lead to cancer.

In recent years, many scientific publications have supported the association between pigmentation issues and the formation of blood vessels. It has been shown that reducing the vascular endothelial growth factor (VEGF) is essential for achieving lasting results in spot treatment. Therefore, 585 Pro Yellow Laser treatment is a crucial component for both vascular and spot treatment in terms of continuity and permanence.

1927 Thulium Laser is the most effective laser for melanocytes and has been named ‘BABY FACE’ due to its superiority in removing spots. For the effects of Thulium Laser to be more long-lasting, the blood vessels that cause the blemishes must also be eradicated. Combining 1927 Thulium Laser with 585 Pro Yellow Laser could be a more accurate solution.

The spot should not be considered just a simple skin problem but also as a psychological issue.

The cells that make up the skin and nervous system have the same origin. Therefore, stress and nervous disorders can first manifest as skin issues such as rash, eyebrow and hair loss, acne breakout, or picking at pimples leading to scarring, discoloration, eczema, etc. Even if skin blemishes are not very prominent, they can be extremely distressing. Persistent and darkening spots in the most noticeable areas of the face, despite regular skin cleansing and care, can lead to psychological issues, obsessive behaviors, and social withdrawal to the point of becoming antisocial. People with blemishes may experience agitation and aggressiveness, feeling like everyone is looking at their spots.

The exact cause of blemishes is not fully known. The main reasons for the formation of blemishes classified as idiopathic are genetic predisposition and sun exposure. Blemishes are often associated with new blood vessel formations and tissue damage characterized by fine wrinkles. Aging, hormonal changes, chronic stress, and immune system deficiencies can also contribute to the development of spots. Brown spots on the skin can also occur as side effects of medications containing estrogen, such as birth control pills, and due to improper use of cosmetic products. Liver diseases are also often associated with skin discolorations. Spots are more commonly found on the face, décolleté, shoulders, back, and hands.

Blemishes can vary from one another. Sunspots and keratosis are caused by sun exposure, while melasma is influenced by genetic predisposition. In melasma, spots may appear as a mottled mask-like pattern, with some areas of the skin being darker while others are lighter over time.

Prolonged exposure to ultraviolet rays can lead to sunburn, loss of skin quality, and changes in skin color. The increasing incidence of skin cancer in recent years is often a result of uncontrolled sun damage.

For very fair and sensitive skin types or darker skin types prone to melasma, it is essential to use high-protection sunscreen not only during summer but also on days when the sun is present throughout the year. After swimming in the pool or sea during the summer, it is necessary to carefully dry the skin to prevent the magnifying effect of water droplets from causing skin burns. Additionally, cosmetic products applied to the skin should be thoroughly removed before going out in the sun. The quality of the creams and makeup products used should also be considered carefully.

3D BABYFACE:

Thulium (1927nm) + Pro Yellow (585nm) + Erbium (1540-1550nm) + CO2 (10600nm)

• It lightens the color of blemishes.
• It reduces wrinkles.
• It eliminates moles, warts, and keratosis.
• It erases sunspots.
• It diminishes acne scars.
• It delays aging.
• It gives the skin a radiant glow.
• It whitens the skin.
• It reduces skin laxity.

1927 THULIUM:

The Thulium Laser has a wavelength of 1927 nm and is the most effective laser for melasma and spot treatment due to its impact on melanocytes. Thulium Laser provides a more blemish-free, vibrant, radiant, moisturized, healthy, and youthful skin. It targets melanin pigment and permanently eliminates the melanocytes that cause spots.

The 585 Pro Yellow Laser is essential for both vascular and spot treatment in terms of continuity and permanence, and it should be combined with the 1927 Thulium Laser.

The 1540 Erbium Laser is used to support the treatment by stimulating elastin-collagen production.

After the 3D BABY FACE treatment, blemishes and vascular formations are removed, the skin’s structure becomes tighter, pores shrink, and the skin rejuvenates.

585 PRO YELLOW LASER:

Facial telangiectasias, which are small dilated blood vessels on the face, are a common problem for individuals with fair skin living in sunny climates and often increase with age. Medications and medical creams are not effective solutions and can even complicate the treatment. Vascular and blemish problems require medical treatment using specific lasers like the 585 nm Pro Yellow Laser.

The ideal time for treating facial vascular dilations and spots is during the fall and winter months when the skin is at its lightest tone.

The expected ideal result of Pro Yellow Laser treatment is the initial darkening of the superficial blood vessels and spots, followed by their complete and permanent disappearance.

The 585 nm Pro Yellow (yellow light) Laser eliminates fine superficial blood vessels and vascular lesions that are spread on the skin surface, containing increasing oxyhemoglobin and deoxyhemoglobin, through a synergistic effect.

Pro Yellow Laser can be applied to all skin types without a risk of permanent side effects. It does not require long healing periods and is highly comfortable for the patient. Redness that may occur after the Pro Yellow Laser treatment fades rapidly. The treatment is painless and does not significantly disrupt the daily life of the treated person.

WHO EXPERIENCES BLEMISHES, VASCULAR FORMATIONS, AND VEGF FORMATION?

Increased facial vascularization is more common in individuals with fair and sensitive skin, frequent sun exposure, alcohol consumption, long-term use of corticosteroid creams, or oral corticosteroids, and repeated skin conditions like eczema or rosacea. Sometimes, congenital vascular dilations can also be a significant issue. People with very fair skin tend to have more vascular problems.

Facial telangiectasias are a widespread issue, seen in about 15% of the population. Women, especially those with vascular dilations and darkening spots, often report severe psychological problems, inferiority complexes, and depression, leading to significant psychological issues and social inhibitions.

Even in children, about 2% may have facial telangiectasias, which are more common in individuals with fair skin. Facial vascular issues are often referred to as telangiectasia, which can transform into spider nevi, 0.1-1 mm in diameter, characterized by increased thin blood vessels. Problems with fine blood vessels resembling skin moles (cherry angiomas) are also common in sunny climates like Mediterranean countries.

CAUSES OF BLEMISHES, VASCULAR FORMATIONS, AND VEGF FORMATION:

Facial telangiectasias are related to various factors such as having a sensitive skin structure, sun damage, susceptibility to rosacea, vulnerability to psychological stress, metabolic and rheumatic diseases, excessive estrogen, alcohol, chronic corticosteroid use, trauma, or genetic conditions.

After nose surgeries, an increase in facial telangiectasias can occur.

RELATION BETWEEN BLEMISHES, VASCULAR FORMATIONS, AND VEGF FORMATION:

Angiogenesis is a process characterized by the formation of new blood vessels derived from endothelial precursor cells in the embryo. Angiogenesis can be beneficial to the organism in situations like reproduction or wound healing but can become detrimental to the organism in conditions such as cancer.

Vascular Endothelial Growth Factor (VEGF) is a fundamental pro-angiogenic and multifunctional growth factor family with specific effects on endothelial cells.

The VEGF family leads to the proliferation, migration, and differentiation of endothelial cells.

Platelet-Derived Growth Factors (PDGF) are an important member of the superfamily and are part of the VEGF family, which consists of six members, including VEGF-A (Human-VEGF), VEGF-B, VEGF-C, VEGF-D, VEGF-E, and Placenta growth factor (PlGF).

When the VEGF family was first discovered, it was called Vascular Permeability Factor because it initiated vascular leakage in guinea pig skin.

Blood vessel development occurs in two different ways:

Vasculogenesis is the formation of blood vessels from endothelial cell precursors during embryogenesis.

Angiogenesis is the development of new blood vessels from pre-existing ones.

In adults, angiogenesis is necessary for

normal biological functions such as the female reproductive cycle, hair growth, and blood pressure regulation. In pathological conditions, angiogenesis can worsen the course of diseases such as ischemia, inflammation, and tumor development. On the other hand, angiogenesis during heart blood vessel reshaping and wound healing can have a positive effect, improving the disease’s severity.

THE ROLE OF PRO YELLOW LASER IN BLEMISH AND REJUVENATION TREATMENTS:

Histologically, melasma is characterized by increased dermal and/or epidermal melanin production and accumulation, indicative of a familial tendency for blemishes. Melasma is an acquired, chronic hyperpigmentation disorder that manifests as light to dark brown maps like a mask, primarily on sun-exposed areas of the body, especially the face. It is commonly seen in middle-aged women. It can affect individuals of certain ethnicities more, such as Latin, African, Afro-American, and Asian individuals with Fitzpatrick skin types IV-V. Melasma can cause deep psychological and social stress, significantly affecting the quality of life and mental health.

The etiology of melasma is not fully understood, and although many factors are believed to play a role in the pathogenesis, it is commonly classified as idiopathic (cause unknown) with a genetic predisposition. The most commonly identified risk factors are dark Fitzpatrick skin types (especially >III), sun exposure, pregnancy, use of oral contraceptives, and photosensitizing drugs like antiepileptic medications. Melasma’s association with autoimmune thyroid diseases, ovarian dysfunction, liver diseases, and cosmetic reasons has also been identified.

Biopsies of melasma-affected skin have shown an increase in melanocytes and melanophages. Some studies have observed a marked increase in dendritic protrusions and melanosomes, suggesting hyperactivity rather than hypertrophy of melanocytes.

Melasma-affected skin biopsies have been found to have increased release of vascular endothelial growth factor (VEGF).

The damaged basal membrane in melasma may allow increased penetration of melanin into the dermis and projection of melanocytes.

Post-inflammatory hyperpigmentation (PIH), which resembles melasma, is an acquired pigmentation disorder caused by inflammation due to various reasons such as skin conditions and treatments. PIH is associated with conditions such as acne, folliculitis, lichen planus, herpes zoster, and eczema. Pigmentation problems can also occur due to trauma, medications, or laser treatments. PIH occurs equally in both men and women, but it is more common in individuals with darker skin tones. PIH usually lasts for months or even years.

The chronic release of arachidonic acid, prostaglandins, and leukotrienes due to chronic inflammation also stimulates melanin synthesis in melanocytes.

Melasma and PIH are not static pigment deposition periods but rather dynamic and chronic processes involving hyperactivity of cells that produce excessive melanin. As a result, providing a permanent solution for the treatment of melasma and PIH is challenging.

Due to the lack of a highly effective, safe, and lasting medical treatment for melasma and PIH, the need for combination therapies has arisen. Single treatment approaches are not successful in most patients and do not provide long-lasting effects. Therefore, combination laser treatments are necessary to achieve optimum results.

Although topical drugs that suppress melanin production can temporarily lighten the skin, the effect is only temporary, and the spots usually return to their previous state once the treatment is stopped. Topical depigmenting creams generally provide temporary suppression rather than a permanent solution.

Combining lasers (Light Amplification by Stimulated Emission of Radiation) with high-density monochromatic coherent light sources can be used to treat various skin problems based on their wavelength, light properties, and penetration characteristics. Specific wavelengths of energy are sent to the target pigmented cell for a duration shorter than the thermal relaxation time of the target, which ensures that the energy remains limited to the target and causes minimal damage to the surrounding tissue. Lasers should emit wavelengths that are specific to the targeted pigmented cell, and the absorption rate should be kept as high as possible. The absorption of melanin decreases as the wavelength increases, but longer wavelengths also mean better skin penetration. Short wavelengths (<600 nm) damage pigmented cells with low energy flow while causing minimal thermal damage and ablation on the skin. Longer wavelengths (>600 nm) penetrate deeper, but they require more energy to cause melanosome damage, which can lead to permanent skin damage. The occurrence of PIH restricts the use of these types of lasers in stubborn melasma cases.

“In patients with melasma, the dendrites of melanocytes are increased in the melasma area compared to normal skin. The 585 nm Pro Yellow Laser reduces dendrites in melanocytes in the epidermis. Additionally, the 585 nm wavelength also damages the upper dermal vascular plexus, which is one of the pathogenic factors in melasma. Stimulating sub-threshold damage to the surrounding dermis promotes collagen formation, resulting in a brighter and tighter skin formation. Thulium and 585 nm Pro Yellow Laser are the most commonly used lasers for treating capillary vessels and melasma on the face.

In resistant melasma, there is abnormal pigmentation in both the epidermis and dermis. The part of the epidermis containing excessive melanin and abnormal melanocytes is treated with ablative lasers. The use of 585 nm Pro Yellow Laser for vascular and melasma treatment is based on the theory that dermal vascularization plays a significant role in melasma pathogenesis.

Melanocytes express vascular endothelial growth factor receptors 1 and 2, which are involved in the pigmentation process. The primary application of 585 nm Pro Yellow Laser is for vascular lesions, and it targets the vascular component of melasma, reducing melanocyte stimulation and relapses. Scientific studies have shown that during melasma treatment, there is a common telangiectasia network under most melasma, and in patients prone to facial flushing, the response to treatments is low, and the post-inflammatory hyperpigmentation (PIH) rate is high.

Fractional photothermolysis is a laser treatment method that creates multiple microscopic thermal damage areas, preserving a significant portion of healthy skin while minimizing the possibilities of side effects. The preserved skin acts as a reservoir for healing. Fractional laser treatment offers many advantages, as it does not create open wounds. The stratum corneum remains intact 24 hours after treatment, leading to faster healing and reducing complications related to open wounds, such as hyper/hypopigmentation. Fractional lasers allow reaching ideal depths without ablating the entire skin surface, making them effective and safe for dermal melasma treatment.

Although post-inflammatory hyperpigmentation (PIH) is more common after ablative laser treatments, it can still occur rarely as a complication of fractional photothermolysis. The PIH rate after fractional photothermolysis is 0.73%. Reducing treatment densities and using cooling devices during the laser procedure can lower the risk of PIH.

Although successful treatments with IPL for melasma have been reported, the recurrence rate is high. After IPL treatment for melasma, the condition can worsen. Melanosomes refill with melanin and melanocytes become reactivated, leading to the reappearance of hyperpigmented spots within 3-4 weeks. Due to its low efficacy and reliability under current conditions, IPL may not have a place in melasma treatment.

Autologous Platelet-Rich Plasma (PRP) is a plasma fraction containing a concentration of platelets higher than normal blood. They function as a growth factor complex agonist. They exhibit both mitogenic and chemotactic properties. Seven growth factors have been proven to be secreted by platelets for wound healing: PDGF alpha-alpha, PDGF alpha-beta, PDGF beta-beta, TGF beta 1, TGF beta 2, vascular endothelial growth factor, and epidermal growth factor. Additionally, TGF beta 1 inhibits melanogenesis.

PRP contains 30 times more PDGF, 10 times more EGF, and 7 times more TGF beta compared to whole blood. These growth factors act on receptors in mesenchymal, fibroblast, osteoblast, endothelial cells, and epidermal cells, stimulating the body’s own cells to revitalize and restructure tissues, reshape collagen fibers, and soften wrinkles and lines. PRP is used as a complementary treatment in various cosmetic applications, such as skin rejuvenation and the treatment of fine lines and wrinkles. For regenerative purposes, therapeutic PRP should contain at least 1 million platelets. It should be applied intradermally and using napage technique simultaneously on the treatment area.

In an academic study, after applying two sessions of laser treatment to patients who developed very dark PIH following ablative laser treatment, it was observed that the PIH complaints decreased by an average of 85%. After the third session, there were no complaints, and significant skin brightening and color lightening were observed in treated patients. Therefore, this treatment has become routine in melasma treatments. The combination of lasers enhances the efficacy of clearing spots and reducing recurrences.

In solar lentigo disease, an increased number of melanocytes in the basal cell layer leads to hyperpigmentation. Nesting formation in melanocytes along the basal membrane is not observed. Melanin absorbs a wide range of wavelengths (351-1064 nm). The photomechanical effect simultaneously reduces vessels and melanocytes by damaging oxyhemoglobin along with melanocytes, creating regression in superficial vessels. Since melasma has an arteriole telangiectasia component, it is evident that the effect and synergy of lasers used for treating spots and vessels are crucial.

PRO YELLOW STAIN, WHAT IS THE EFFECT OF VASCULAR LASER?

The biggest advantage of this laser is not only to lighten the skin but also to treat redness of the nose, facial redness, red acne scars, and pigment lesions. It provides instant improvement and whitening in skin tone. After surgery, it treats red spots and scars, eliminates small wrinkles, and rejuvenates the skin with a lifting effect. 585 nm Pro Yellow Laser is particularly effective against Melasma by inhibiting VEGF.

WHO ARE THE PATIENT GROUPS UNDERGOING PRO YELLOW STAIN, VASCULAR TREATMENT?

This treatment is extremely fast and highly popular among those with a busy work schedule, as it can be done even during lunchtime and does not significantly impact daily life. Any redness that may occur after the treatment can be easily covered with foundation. The procedure is very quick, and patients can apply makeup and shave after the treatment.

WHAT IS THE COMBINATION OF 3D BABY FACE STAIN TREATMENT?

Combining fractional Thulium 1219 nm, fractional Pro Yellow 585 nm, fractional Erbium 1540 nm, and, in cases of large pores or acne scars, fractional carbon dioxide (CO2) laser for Melasma treatment accelerates the resolution of stains and telangiectasias and prolongs the treatment efficacy. The 1540 Erbium Laser is the most effective wavelength for skin tightening and rejuvenation.

By using the 585 nm Pro Yellow laser, which is effective at depth, on capillaries and stains located on the face, better results can be achieved with less energy expenditure. The application with 585 nm Pro Yellow yellow light laser provides the patient with very high comfort without the risk of side effects, regardless of skin type, and without requiring long recovery periods.

Redness that occurs immediately after the 585 nm Pro Yellow laser treatment disappears within hours, allowing the patient to continue their daily life without interruption. Proper use of sunscreen within the treatment plan is essential for better treatment response. Ideal sun protection can be achieved by reapplying protective creams every 3-4 hours. The procedure takes about 15 minutes, and typically, three sessions are planned.

Application situations of PRO Yellow Laser treatment:

• Facial capillaries
• Melasma (Mask face)
• Cherry angioma (Strawberry marks)
• Telangiectatic lesions (Capillary vessels)
• Hemangioma (Vascular marks)
• Lentigo (Age spots)
• Rosacea (Red face)
• Port wine stain
• Post-acne erythema (Residual marks after acne)
• Post-inflammatory hyperpigmentation (Persistent marks after infection)
• Acne rosacea (Red face)
• Spider nevus (Spiderweb-like marks)

WHO SHOULD NOT UNDERGO PRO YELLOW LASER TREATMENT?

• Pregnant and nursing women
• Patients with active inflammation in the treatment area
• Individuals with a history of keloid development
• Those who have used acne medications such as isotretinoin in the last 6 months
• People using blood thinning medications or with coagulation problems
• Those with unrealistic expectations

WHAT ARE THE ADVANTAGES OF 3D BABY FACE LASER TREATMENT?

Laser beams at different wavelengths are directed at different layers of the skin to rejuvenate, eliminate melanin, or deoxygenate blood hemoglobin for the treatment of various conditions. The most commonly used systems are laser systems. Laser treatment is the process where uniform light is directed to a single target.

In 585 nm yellow light, the target is the vessel wall or blood in the tissue (oxyhemoglobin and deoxyhemoglobin), and it is used in vascular problems of the skin such as red face, spots, melasma, rosacea, and capillary vessels.

Combination treatments offer the possibility of treating many diseases simultaneously. For example, in a patient with both spots, redness, and skin relaxation problems, the treatment can remove the spots, reduce redness, and tighten the skin. The 1540 Erbium Laser has been proven to stimulate collagen in the dermis, providing skin rejuvenation, tightening, increased mitochondrial ATP levels, and skin rejuvenation at the DNA level. The 585 nm yellow light treatment also stimulates DNA repair in the nucleus of skin cells. Studies have shown that immediately after the 585 nm yellow light treatment, the healing of wounds and the recovery time of bruises on the skin surface due to other procedures can be accelerated by up to 80%. The 585 nm Pro Yellow laser significantly reduces the risk of complications such as scars or spots that may occur after other cosmetic or medical procedures. Expected side effects such as pain or burning are almost non-existent. It increases the comfort of both the physician and the patient. Patients can return to their normal lives immediately after the procedure without the need for concealer or other products.

WHAT IS THE ROLE OF 3D BABY FACE LASER TREATMENT IN ROSACEA?

The main factors in the formation of rosacea are the redness and appearance of capillaries due to passive vascular dilation and the formation of inflammation in the skin, resulting in papulopustular eruptions on the skin. Laser treatment aims to remove abnormal vascular lesions and correct dermal disorganization, as well as to restructure collagen and reduce elastosis in patients with rosacea.

Many medical treatments for rosacea only treat its attacks and do not prevent its recurrence or have an effect on facial redness and vascular and tissue growths such as rhinophyma.

For the treatment of capillary vessels, electrocoagulation, diathermy, and more recently, IPL technologies have been used. Electrocoagulation and diathermy treatments have a high risk of poor wound healing, such as depression and color loss, in the skin. The effectiveness of IPL treatments is low. Electrocoagulation procedures are very painful and leave scars, making them less tolerable for patients.

Different laser systems are used for the treatment of capillary vessels in rosacea. Studies have been conducted on the use of Long Pulse Nd YAG Laser (1064 nm), PDL (585-595 nm), and KTP (532 nm).

It is claimed that 585 nm Pro Yellow Laser treatment with 3D Baby Face can not only reduce the intensity of capillaries and redness but also reduce the frequency of redness and burning attacks on the face by reducing blood flow in the affected area. Fractional Erbium 1540 nm Laser has been proven to stimulate collagen in the deep dermal tissues, promoting tissue rejuvenation and reducing recurrence. The 1927 nm Thulium releases VEGF from blood vessels and is the most effective treatment for stains caused by increased melanin.

Studies have shown that treatment results are more successful and the number of sessions is lower in early stages of rosacea.

The most effective areas of treatment are the cheeks and chin, while the success rate is slightly lower on the nasal wings. The reason for this is that the capillaries on the face belong to the veins, while the capillaries on the nasal wing are branches of the nasal artery. Therefore, the capillaries on the nasal wing do not disappear quickly or recur frequently.

THE NIGHTMARE OF ACNE SCARS, KERATOSES, MOLES, AND WARTS: RADIOFREQUENCY FRACTIONAL 10600 nm CO2 LASER

Radiofrequency Fractional CO2 Laser treatment eliminates acne scars, blemishes, keratoses that occur on the cheeks due to aging, colorless moles, warts, fine lines, especially enlarged pores on the cheeks and nose, rough and dry appearance on the skin, and fine lines on the lips. It creates a younger and more radiant tissue.

Radiofrequency Fractional CO2 Laser reduces scars in the skin, removes depressions, tightens loose tissues, and eliminates skin blemishes. In addition, it results in long-term effects as the skin is restructured, and the newly formed skin tissue is smoother, brighter, vibrant, and younger.

In classical skin peeling applications, there are so many points of laser shots between the affected area that no healthy skin is left in the targeted area. The entire skin area is vaporized to a certain thickness depending on the applied energy. Since the entire skin area is vaporized, an open wound occurs on the skin.

For classical laser applications to large areas such as cheeks, the patient must be given sedation anesthesia or general anesthesia. Regular dressings should be applied for about 10 days for wound healing. After healing, redness can persist in the target area for a long time (3-4 months).

WHAT ARE THE EFFECTS OF RADIOFREQUENCY FRACTIONAL CO2 LASER?

During Radiofrequency Fractional CO2 Laser treatment, significant changes occur in the structure of the skin. Firstly, there is a sudden shortening of 30% in collagen fibers under the skin and vaporization on the upper layer of the skin during the application. In addition to the surface changes that occur during the 1-3 month period after the treatment, new collagen formation occurs with the stimulation of fibroblast cells called under the skin.

WHAT IS THE DIFFERENCE BETWEEN FRACTIONAL CO2 LASER AND CLASSICAL CO2 LASER?

In fractional CO2 lasers, laser application is not performed on the entire skin in the targeted area. Many point laser shots are created in the targeted area, leaving healthy skin between these shots, so no open wound is formed on the patient’s skin. Thus, fast healing and effective laser treatment are achieved. The frequency of point laser shots can be increased or decreased according to the needs of the problematic skin. The diameter of each point laser shot is 120 micrometers, which is almost half the size of a hair. For this reason, these laser shots are called microscopic treatment zones. In fractional carbon dioxide lasers, the surface properties of the patient’s skin are changed. They reduce fine wrinkles, blemishes, and the rough appearance of the skin surface and create a more quality skin structure.

WHAT IS THE DIFFERENCE BETWEEN THE COMBINATION OF RADIOFREQUENCY FRACTIONAL CO2 LASER AND OTHER FRACTIONAL LASERS?

Fractional CO2 lasers without radiofrequency only change the surface properties of the skin. In other words, they reduce fine wrinkles, blemishes, and rough appearance of the skin. However, they do not have any effect on deep skin tissues. Radiofrequency fractional CO2 lasers change the surface of the skin and also provide deep skin tightening and rejuvenation in the deep tissue due to their effects on deep skin tissues. Radiofrequency devices have two electrode tips in contact with the treated area. These two tips create an electrical energy by creating electron movement under the skin. The heat is created as the electron movement passes through high-resistance tissues. The heat created is controlled according to the energy. The depth of electrical movement is determined by the distance between the two electrodes. Collagen-producing fibroblast cells in deep dermal tissues are stimulated by the heat created under the skin by bipolar radiofrequency. In addition, cell metabolism accelerates, and blood circulation in the region increases. Fractional CO2 lasers on the skin surface and deep skin tissues are tightened and tightened by radiofrequency to create a younger-looking and rejuvenated skin. With bipolar radiofrequency, collagen content in deep connective tissues is increased, providing tissue restructuring and a more youthful appearance.