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Facial rejevenation

Only a dermatologist with additional specialisation in laser therapy and a comprehensive experience in this field can decide which type of laser is best suited for treating the disease. A special qualification is called D.A.L.M. That means that the doctor has received his diploma after additional studies and an exam.

More information you will find on http://www.laserstudium.de/



Critical remarks should also be made.
Some skin changes should by no means be treated with laser after a precise diagnosis has been made. It especially refers to pigmented birthmarks, so called nevocytic nevus.


However, it is possible to remove them with the help of a special laser, but the skin change can be possibly destroyed to some extent. Through short laser impulses pigment cells in such birthmarks can be decoloured and therefore an early recognition of malignancy may not be possible, there is a risk that a laser treatment can foster development of malignancy. Just as by different other skin diseases, for example an abnormal horny skin, malignant skin tumours must always be excluded through relevant examinations, so that these changes can be removed without danger for the patient and with the best cosmetic results possible. This refers to certain forms of age warts and hornification disorders.

 

Successes in cosmetic application of laser
By means of so called ultra short-pulsed carbon dioxide lasers impressive optically rejuvenating results can be achieved by means of removing and shrinking of the aging skin (for example, so called smoothing out wrinkles or skin-resurfacing ). Acne scars and wind pox scars can be smoothed very well as well. A carbon dioxide laser leads to a distinctive shrinking effect of the skin. However, by this type of laser there is a risk of inducing irrevocable scars when penetrating deep.
This can be prevented in combination with a second type of laser, so called Erbium-YAG-Laser. Especially in treatment of scarred changes or changes on the skin surface, impressive results can be achieved through combination of a so-called long-pulsed neodymium-YAG laser, a flaslamp pumped dye laser, or through an indication with selective photothermolysis, a modern system similar to laser. Scars resulting from face injuries with many fissures should be first corrected by means of suitable plastic-surgical measures in order to be able to get the best possible treatment result through a suitable combination of lasers later.
High-energetic long-pulsed colorant or neodymium-YAG laser in combination with ablation treatment are suitable for treating varicose veins and so called spider veins (disturbing red and blue blood vessels in the upper skin layer of the legs.)
Below we will describe the newest laser applications in detail.
A so-called selective photothermolysis in treatment of vessel changes
In the beginning, only relatively randomly (untargeted) vessels with an increased scar risk could be coagulated with the help of the first laser devices (ex. Argon laser). Nowadays a targeted removal of increased in number dilated/widened vessels in the case of port-wine stains, haemangioma and couperose (so-called selective photothermolysis).
Since the light impulse of a pulsed dye laser is very short, the neighbouring tissue is not damaged and cicatrisation (scarring) does not develop. It is a big advantage in treating port-wine stains, couperose and haemangioma. Alongside with pulsed dye lasers high - energy
Flash lamps (so called Photoderm and EpiLight) have been successfully used to treat dysfunctions of blood vessels at the skin surface. These flash lamps are not actual lasers, since they emit a wide spectrum of wavelengths.


Removing pigment depositions and dysfunctions without scars
Body-own and foreign particles with colour can be removed from the skin without scars by means of special lasers. An ultra-short laser impulse form a Rubin-laser or a neodymium-YAG laser is sent to pigment deposition on the skin. The light is received by a particle with colour in the skin (ex. Melanin in age spots) or Indian ink crystals in tattoos or in permanent make-up. Through receiving a very high light pigment in an ultra short time, particles with colour are destroyed (similar to an explosion in the skin) and split into such small pieces so that they can removed by the own immune system. Hormonal pigment disorders such as for example during pregnancy or hormonal withdrawals should be treated very thoroughly. It is possible that after a new solar irradiation of the skin pigment changes occur again.


Laser treatment of skin tumours
Alongside with surgical removal and plastic treatment measures, benign and malignant skin tumours can be removed with the help of laser. All skin and body cells consist for the most part of water. New ultrasound pulsed carbon dioxide lasers and Erbium Yag Laser send their energy to a specific spot in the tissue, so that skin particles either evaporate or they are even blown away. Through a controlled application of this laser, skin particles can be specifically removed with accuracy up to 1/1000 mm without damaging neighbouring tissue (a so-called light scalpel). Especially on difficult body parts or by removals of large areas laser therapy is the best method available. Above all, very impressive cosmetic results can be achieved on face, especially on the skin and connective tissue nodes, warts and sun damage with hornifications, so called actinic keratosis.

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Only a thorough choice and a combination of suitable laser equipment guarantee the best possible success of the therapy.

Skin laser therapy has existed for more then 35 years.


A critical application is necessary.


Due to developing new short-pulsed lasers, impressive treatment successes can be achieved. Especially in the case of vessel changes, pigmentation of skin, tumours, wrinkles and scars big successes can be achieved. Still these lasers are mostly used for cosmetic needs. It is more and more obvious that only through a thorough choice of a suitable laser or a combination of many lasers, the best possible treatment success can be achieved; and only in treatment centres which provide all opportunities and have a big experience in laser applications.

A big number of skin changes and skin diseases can be healed by means of a new laser technology. For treating many diseases, laser therapy has become the first choice. For example port-wine stains, strawberry marks, haemangioma, tattoos, small veins on the face and couperose as well as sun damage of lips and facial skin, age warts, certain forms of birthmarks, and a bulbous nose (rhinophyma) can be treated this way.

Only if the best suitable laser equipment is available for treating these diseases or dysfunctions, due to speed and little skin damage significantly better therapy results can be achieved then during any other type of therapy,.
Beauty without wrinkles

Because of sun, environmeltal and aging process, especially in women of middle age small wrinkles develop around the mouth and eyes to varying degrees. These wrinkles are often perceived as aesthetically very disturbing, just as wind pox scars and deep scars that are considered aesthetically unacceptable. With the help of sophisticated laser equipment, a so-called ultra-pulsed carbon dioxide laser, skin wrinkles can be removed with accuracy up to 1/1000 mm. The connective tissue lying underneath is shrinked through a specifically sent laser impulse. By means of an additional application of other lasers such as Erbium-YAG-Laser a dye laser significantly better results can be achieved. Due to combination of different lasers the risk of scarring is further minimised. By means of a gentle removal of upper skin layers, connective tissue growth is stimulated and the skin becomes tighter in the cource of the following months. This also strongly smoothes the skin.		 fotolia_17275387_xs



Hairless beautiful
For millions of women and men too much hair is not only a cosmetic problem, it also negatively influences life in general. They avoid swimming pools and sport clubs, social contact is limited because of a shy and unconfident manner. Removing hair by shaving, pulling them out, wax, electroepilation with needles and chemical hair removers are painfull and time-consuming methods. Undesirable side effects such as reddenings and inflammations occur; the result is frustrating and often not long lasting either. Due to development of new, high energetic light impulses, so called Epilight and the long-pulsed Nd Yag Laser, a new option of gentle and lasting hair removal was invented.

This way bothering hair on all body parts can be removed simply and gently. Clinical supervision and examination via a tissue section proved that hair roots had been destroyed which prevents new hair growth.

Change of vessels
Small and large hemangiomas
Port-wine stains
Small veins in the face
Spider veins
Pigmented changes
Skin hornification and age warts
Age spots
Hormal face spots
Tattoos, permanent-make-up and dirt inclusions on the skin
Benign skin neoplasms
Benign growths of skin surface as well as benign colourless moles
Warts
Yellow depositions of connective skin of the lids
Bulbous nose (rhynofirma)
Malignant skin neoplasms
Basalcell carcinoma
Squamous epithelium carcinome and its preliminary stages

 

Other applications:
Face wrinkles
Abnormal hairiness (hypertrichosis)
Scars
Keloids

 

Overview of the most common laser types for skin treatment

Flash lamp pumped pulsed dye laser
Emission spectrum: 585 nm
Target structure: fine red vessels
Technically the most sophisticated laser, very well suitable for a scarless gentle treatment of abnormal vessels such as port-wine stains, haemangiomas, fine spider veins, fine telangiectasias, couperose, removal of depositions on the skin, xanthelasmas or isolated hardenings in the case of lichen sclerosus.

 

Q-switched, frequency doubled Neodymium- YAG-laser
Emission spectrum: 532 nm
Target structure: red and brown pigments
Gentle removal of all doubtlessly benign brown or red-pigmented lesions such as solar lentiginosis, seborrheic keratosis on the skin surface, red tatoos, treatments of keloids, lupus erythematosus of the skin.

Q-switched Neodymium- YAG-laser
Emission spectrum: 1064 nm
Target structure: blue and black pigments
Scarless removal of blue and black tattoos, and dirty tattoos after injuries


Long-pulsed Neodymium- YAG-laser
Emission spectrum: 1064 nm
Target structure: middle-sized red vessels, dark pigments
Suitable for removal of fine and middle-sized spider veins, telangiectasias, couperose (rosacea), hemangiomas and for depilation.


Q-switched Rubin laser
Emission spectrum: 694 nm
Target structure: brown, black and green pigments
Ideal for removing green colour in tattoos, also suitable for other tattoo colours and for removal of lentigines as well as for removal of abnormal excessive hair growth in long-pulsed mode.


Ultra-pulsed carbon dioxide laser
Emission spectrum: 10600 nm pulse length 2 ms
Target structure: for a gentle removal of doubtlessly benign surface skin changes such as for example dermal nevus cells nevi, seborrheic and solar keratosis. Actinic elastosis with skin wrinkles as well as acne scars can be treated especiallyefficiently due to the shrinking effect of the skin.


Q-switched erbium YAG laser
Emission spectrum 2940 nm
Target structure: water. For an especially gentle “cold removal” (ablation) doubless benign surface skin changes as for example dermal nevus cells nevi, seborrheic keratosis. A good extension to an ultra-pulsed carbon dioxide laser, a faster healing, less tissue damage, a lower risk of scarring.


Photoderm/Epilight
Emission spectrum 550-1200 nm
Target structure: various pigmented structures and vessels of the epidermis, similar to laser effects due to an incoherent high-energetic flashlamp with an emission spectrum. A big advantage is a high variability of the system; a disadvantage is a large number of parameter adjustments. Best effects achieved during depilation and spider veins treatments, an extensive experience of the doctor is prerequisite.


Diode pumped Argon laser
An old system, which should be used only in exceptional cases because of a high scarring risk! Only a thorough selection and combination as well as availability of the appropriate laser equipment secure the best possible success.