Age-related changes in the skin become more pronounced over time. The epidermis loses elasticity over the years, so wrinkles may appear on the surface of the face, dark spots as well as scars and scars. There comes a time when creams and light cosmetic procedures no longer work, so you have to resort to more advanced methods. The latter can be safely attributed to laser resurfacing of the face.

Laser resurfacing: indications and contraindications

Laser resurfacing is an innovative method of healing and skin. A positive effect can be achieved using a laser beam, which evaporates the upper layers of the epidermis and makes the relief more even.

With the help of a laser, it is possible to influence the processes that occur even in the deep layers of the skin.

Laser resurfacing requires maximum precision in the treatment area and depth dosage. The procedure is used in cosmetology and medicine quite often. It will help you:

• eliminate scars, scars (post-traumatic and acne) and other skin deformities;
• rejuvenate aging skin.

An interesting fact: at the moment, laser resurfacing is recognized as the most effective method of combating acne scars.

The procedure is carried out exclusively in specialized centers, clinics or salons.

Indications for the procedure:

• age-related changes skin;
• dull complexion;
• an abundance of irregularities on the surface of the skin;
• wrinkles of various depths;
• stretch marks;
• photoaging of the skin;
• low skin tone;
• scarring.

List of contraindications:

• epilepsy;
• inflammation of certain areas of the skin of the face;
• increased blood sugar;
• the tendency of epithelial cells to increased scarring;
• tuberculosis;
• herpes;
• dehydrated and dry dermis;
• oncology;
• problems with blood clotting;
• pregnancy or breastfeeding;
• the presence of a pacemaker.

Types of procedure

The procedure is carried out in various ways (depending on the type of laser). The choice of the type of impact is the prerogative of a specialist. The individual characteristics of the patient's skin and the problem that needs to be eliminated are taken into account.

Types of lasers:

• carbon dioxide. The beam comes into contact with the skin and provokes the process of cell evaporation. At the same time, the dermis successfully gets rid of the “worn out” cover. "New" skin does not contain defects or wrinkles;
• erbium. The procedure, which is characterized by a gentle effect, therefore, cannot boast of a pronounced result. However, the recovery period in this case is minimal;
• low intensity. This type of correction does not involve evaporation of cells, so there is no recovery period. The effect of the procedure does not become noticeable immediately, so this type of laser resurfacing is rarely used. The method is painless, but with its help it will be possible to get rid of only minor wrinkles or small defects.

Differences between laser resurfacing and other types of laser facial rejuvenation

Laser resurfacing has several differences from other procedures that are also related to the use of a laser beam. When peeling or lifting, the penetration depth of the latter does not exceed the limit of 30 microns (micrometers). During laser resurfacing, radiation can be conducted to a depth of 100–150 µm. In this case, destruction of some part of the dermal cells occurs. Damaged or "old" elastin-collagen framework is replaced by a new one, more integral and stronger. Laser resurfacing provides a pronounced anti-aging effect. Sometimes it is comparable to a facelift performed surgically.

Laser resurfacing is a procedure that requires preparation and a long recovery period.

With the help of laser resurfacing, scars and small scars can be easily eliminated, including keloids (tumor-like proliferation of rough fibrous connective tissue of the skin). Peeling can only reduce the severity of skin changes.

Non-ablative laser irradiation also cannot be an alternative to laser resurfacing. In this case, the epidermis is treated with long laser beams. The procedure is quite complicated and is used in exceptional cases, when the damage is deep and serious. Pointing is not provided here, so the entire face is processed.

Table: advantages and disadvantages of laser facial resurfacing

Advantages	disadvantages
Short session duration.	High price.
The ability to customize the device for individual skin characteristics.
Gentle effect on the skin (erbium laser).
Activation of collagen production.	The inability to carry out the procedure at home.
No thinning of the dermis.
Point impact.
Versatility. With the help of the procedure, you can rejuvenate any part of the body.	Long-term rehabilitation, which requires strict adherence to the instructions of a specialist (carbon dioxide laser).
Long-term effect (3-4 years).
Painless procedure.
Clear lifting effect.	Potential for blemishes or burns during deep sanding.
Lack of demarcation (separating) lines along the border of cultivated and uncultivated areas.

Preparation for the procedure

Proper preparation will help enhance the expected effect and shorten the recovery period.

Important: Before a resurfacing session, a doctor's consultation is required. The specialist may recommend chemical peeling skin and prescribe antiviral drugs.

The preparatory process consists of the following points:

• 14 days before laser resurfacing, saturated UV procedures must be excluded;
• 2 days before the procedure, the use of antispasmodics, anticoagulants and painkillers is prohibited;
• 14 days before a laser resurfacing session, it is undesirable to use antibiotics or hormones, as well as systemic retinoids or other photosensitizing medications;
• immediately before the procedure, the specialist is obliged to apply a special soothing agent to the treated area of ​​\u200b\u200bthe skin. Laser resurfacing can be started after 10-20 minutes.

The plan of the preparatory period is made by the doctor, taking into account the characteristics of the patient's condition. Preparation should include a blood test (HIV and hepatitis, biochemistry, as well as a general one).

Facial laser resurfacing procedure

The duration of the procedure is a purely individual indicator. It can be affected by the type of laser used and the localization of work. A session can end in as little as 15 minutes or take over an hour.

Important: Before starting the procedure, general anesthesia is mandatory. If the session includes local treatment with a laser beam, then local anesthesia is used.

Usually the procedure is carried out within the hospital. In some cases, the patient may be under the supervision of specialists for 1-3 days.

Before the procedure, the doctor must familiarize the patient with the principle of operation of the equipment, the methodology and give documents for signing confirming his desire to cooperate.

Procedure algorithm:

1. The patient assumes a vertical position. The skin is cleansed and a special agent is applied to the surface of the dermis that can lower the pain threshold.
2. After 20-40 minutes, when the anesthetic begins to act, you can start the procedure. During laser treatment, a slight tingling sensation will be felt. If the patient feels pain, then this condition is not the norm. The reason often lies in the increased sensitivity of the skin or the poor quality of the anesthetic drug.
3. Upon completion of the procedure, the skin surface is treated with Bepanten foam and the patient is left for 5-10 minutes. After that, he can go home.

The tariff for the procedure can vary from 3,000 to 60,000 rubles per session. Various factors can affect the cost:

• salon prestige;
• used laser;
• amount of processing;
• skill level of a specialist performing laser resurfacing.

Video: resurfacing of the face and the area around the eyes with a laser for wrinkles

Effect after the procedure, potential complications

The effect of laser resurfacing of wrinkles will not appear immediately, it has a progressive and growing character. Visible results will be noticeable in 2-3 weeks after the procedure. The final result will depend on the number and duration of the procedures, it will appear after 3-6 months. The skin will become more elastic and smooth, pores - narrower, age spots, post-acne and scars - less pronounced or completely disappear. The effect usually lasts for several years.

Photo gallery: face before and after laser resurfacing

Laser resurfacing reduces the severity of deformations and growths on the skin to a minimum value. Laser resurfacing is effective method fight pigment spots on the skin Laser resurfacing makes age-related skin changes and various deformations less pronounced Laser resurfacing is the most effective way to get rid of the effects of post-acne

However, not everything is so smooth. The specialist and the patient may face a number of problems after the resurfacing procedure with a laser beam. Among the most common are the following:

• prolonged erythema (severe reddening of the skin, which is caused by the expansion of capillaries). It can be stored for 3-4 months;
• slow re-epithelialization (healing process);
• dispigmentation (loss of skin properties of pigmentation);
• uneven contours. The complication is most often the result of processing small areas of the dermis. The demarcation line passes over time.

These effects are temporary. The most serious complications include:

• atrophic scars (deep damage to the dermis);
• hyperpigmentation (excessively intense coloring);
• infection. Laser resurfacing can awaken bacteria in the epithelium (staphylococci, pseudomonads and candida).

After the procedure, the skin acquires a characteristic red hue, over time it will become less pronounced, and then completely disappear.

After the session, the patient may feel slight discomfort for some time. It usually goes away after a few days. If the sensations are strong, the doctor prescribes an anesthetic. Edema may also develop. Over time, it will pass. Usually 3-20 days are enough for this (depending on the area of ​​treatment and the type of laser used).

rehabilitation period

After the procedure, discomfort is often almost not noticeable. The crusts will disappear in 7-10 days. Experts recommend lubricating laser-treated areas with antiseptics. Redness of the dermis will be noticeable for several weeks (minimum 10 days). During this period, the use of decorative cosmetics is allowed. You can return to an active lifestyle after 3-4 weeks.

After a laser resurfacing session, it is desirable:

• do not touch the surface of the skin that was exposed to the laser during the day. In every possible way protect the treated areas from aggressive physical, chemical and mechanical influences. Wetting the dermis is also prohibited. Such caution is essential, as it will eliminate the development of inflammatory processes. Complete sterility is important;
• on the second day, it is permissible to wash your face with cold running water and apply moisturizers to the skin surface (Actovegin or Solcoseryl is suitable). Cold compresses, irrigation of areas with thermal water and rubbing the skin with ice cubes will also prove useful at this stage. The described procedures will help the dermis recover faster;
• on the 3rd–4th day, continue moisturizing and washing the skin with thermal water;
• do not remove the crusts during the first 7 days, otherwise the rehabilitation period may last up to six months, since spots and scars will heal longer;
• avoid UV radiation for a month. Various means can be used for this purpose. The same applies to the harmful effects of cold. The "new" skin is very delicate, so it is not able to properly cope with negative impact. This circumstance can complicate and delay the recovery process;
• stop drinking alcohol and smoking. They tend to slow down recovery processes;
• sleep exclusively on a high pillow. This applies to the first days. Thus, swelling can be reduced.

Please note: with a pronounced pain syndrome, anti-inflammatory and analgesic drugs are allowed, but under the strict supervision of a specialist.

Beauticians love to show their patients impressive photos before and after deep traumatic peels, but often "forget" to mention that the time difference between them is at least a month. And this month needs to be experienced, because immediately after the procedure, the face is one continuous wound.

From how skin care is organized after laser resurfacing or peeling largely depends on the final result of the procedure. In fact, it is about the treatment of burns. This is a complex and responsible event that requires patience and persistence, especially in the first two weeks.

What exactly should the patient prepare for? What medications will you need to take? Is it worth buying professional cosmetics for home care or you can do with ordinary Vaseline? Do you need to remove the crusts? This site answers these questions and more:

Features of the recovery period after laser resurfacing

• Immediately after the procedure, the skin has an intense red color, actively becomes wet due to the release of serous fluid, it is sore, and hot to the touch. Can appear brown spots in the places where the plots were previously located. Small red holes are visible throughout the treated surface, which are located at a certain distance from each other - these are traces of the laser beam.
• During the first day, edema is actively growing, which is especially pronounced in the eyelid area. Also, due to the influx of tissue fluid, the volume of the lower third of the face increases. Wrinkles and folds become more visible. Puffiness reaches its peak on the second day after the procedure. In the next 3-4 days, the swelling gradually subsides.
• During the first week, crusts will form on the surface of the skin. They will need to be actively softened and carefully removed. In fact, this is the most difficult recovery period, as there is a high risk of scarring and impaired epithelialization of laser-damaged skin areas.
• Redness to one degree or another can last for about a month. Its intensity depends on a number of factors: the depth of exposure to the laser beam, the characteristics of the blood supply to the skin, the quality protection of the skin from ultraviolet radiation and other irritating effects.
• Restoration of the skin begins approximately 24 hours after the procedure and takes from 1-2 weeks to a month or more - depending on how deep the peeling was and on individual features organism. This process can be slightly accelerated, but it will not be possible to significantly affect its timing, it remains only to wait and try to make it as comfortable as possible.

The nuances of preparation: how to minimize adverse effects?

To speed up healing and alleviate your condition during the rehabilitation period after grinding or peeling, a set of procedures aimed at preparing the skin for laser exposure helps. They are selected by a beautician, individually. The general principles are:

• for at least a month, you need to protect your face from ultraviolet radiation. At a minimum, do not sunbathe, and ideally, apply a protective cream with SPF 50 on it daily;
• in the presence of purulent-inflammatory elements on the skin, mechanical cleaning is carried out, care products, medicines, physiotherapy procedures are prescribed;
• common foci of hyperpigmentation require the use of bleaching agents, glycolic or retinoic peels;
• dehydrated skin needs additional deep hydration. Ideally, this should be a course - it significantly speeds up the regeneration process and increases the efficiency of grinding or peeling.

For laser procedures, you need to choose the right time:

• Firstly, it should be a period with little solar activity - in Russia, the "season" of laser procedures begins in October and lasts until the end of March. Even a small amount of ultraviolet radiation can cause the development of intense pigmentation, and constantly, for several weeks and even months, use creams with high level SPF can be difficult.
• If the patient has periodic pustular rashes on her face before menstruation, then it is better to set the date for laser resurfacing at the very end of menstruation so that the skin has time to return to normal.

In addition, for the prevention of complications of bacterial and viral infection, in particular exacerbation of the herpes simplex virus, antibiotics and antiviral agents may be prescribed a few days before the proposed procedure.

How to care for skin after laser resurfacing: a calendar of events

We will consider the main recommendations of doctors, but in each case, depending on the type and depth of exposure, they may vary slightly - the precise instructions should be given directly by the cosmetologist conducting the procedure.

First 1-3 days: treat the burn

In many clinics, after deep laser peeling, patients are offered to stay at least a day, or even more, in a hospital. This is convenient, but, unlike more serious operations (such as or ), it is not vital. If there is no desire to pay for the stay in the clinic, and there is an opportunity to devote all free time only to yourself - you can go home.

It will be necessary to stock up on sterile bandages or other types of dressings, purchase cosmetical tools recommended by the doctor, and choose an easy-to-use gel cooling pack (heater) that can be cooled in the freezer before use. The main components of skin care during this period will be:

• Bandages. They will be needed if the most traumatic types of resurfacing were performed, for example, deep peeling with a CO2 laser. As a rule, special nets impregnated with petroleum jelly are used, less often - ordinary sterile bandages. They need to be applied to the treated areas of the skin and changed 4-5 times a day.
• Cold. Apply ice to face necessarily wrapped in a towel) or a cooling pack is needed several times a day for 15-20 minutes, right on top of the bandage. One of these sessions should be carried out closer to the night, since swelling increases much faster in the supine position than in any other.
• In parallel, with the help of an acetic solution, you need soften crusts and remove dried ichor. Take a tablespoon of white vinegar in a glass of water, then wet wipes in the solution and apply them to the burned areas of the skin. Change wipes every 5 minutes or as they heat up. Cold and softening compresses should be done until the skin cools and stops sore and sore. Damaged areas should stop bleeding and secrete ichor, and the crusts should soften and be removed easily and without pressure.

• Medications. Rawness and soreness can be removed with any painkillers such as Tempalgin or Baralgin. They are sold in a pharmacy without a prescription and do not affect the result of laser procedures. In addition, the doctor may prescribe broad-spectrum antibiotics to prevent pyoinflammatory complications. Another frequent companion of the first days of rehabilitation is chlorhexidine, which will need to treat the skin every time after performing cold compresses. But washing is absolutely impossible.
• Moisturizing cosmetics. For oily and combination skin the ideal protection against overdrying will be ordinary cosmetic petroleum jelly. For dry and / or sensitive, you can choose a cream, serum or ampoule concentrate with a moisturizing and revitalizing effect. It is best to store them in the refrigerator to further cool the skin with each application.
• Special position during sleep. It is desirable to sleep on a high pillow, and even better on two, so that the head, neck and upper chest are raised relative to the body. Here it is important to control yourself in order to stay lying on your back all night and not roll over on your side or stomach. This is not as difficult to do as it seems: our brain does not turn off completely even during the deep sleep phase, and if we give ourselves the necessary setting in the evening, it will try to fulfill it.

The use of decorative cosmetics in the first days after laser resurfacing is undesirable, since its application and removal irritates the skin, increases swelling and redness. Sunscreens also not applied: this time should be spent indoors and not expose the face to ultraviolet radiation at all. In addition, exposure to additional harmful environmental factors, such as dust, cold or too hot dry air, can provoke dehydration and also contribute to infection.

The first week after the procedure: actively moisturize

Gradually, the skin will stop oozing with ichor, become covered with crusts, and then begin to peel off. During this period, the focus should be on intense hydration and UV protection. It is no longer necessary to wear bandages, but vinegar and saline compresses can be continued.

The course of antibiotic therapy is usually 7-10 days. Vaseline can be replaced with an ointment or serum with a regenerating effect. It is necessary to apply such funds to the skin up to 5 times a day. In no case should you:

• try to tear off the skin, which begins to peel off;
• use products with acids and other irritating components;
• actively rub your face although it will itch a lot);
• pull out hairs on it.

The less stress the skin is exposed to, the better. You can even replace the usual washing with irrigation of the face with special means from a spray bottle.

Second week after the procedure: maximum protection

At this point, the exfoliation process comes to an end and the face is more or less back to normal. You can gradually return to your daily skin care products. If the skin reacts calmly to them, you can gently and gradually add makeup. Ideal for removing redness Foundation with a greenish tint.

The main thing to keep in mind is regular moisturizing and mandatory use of sunscreen. Even better, when going outside, completely cover the treated areas from the sun - for example, with a scarf or a wide-brimmed hat.

Third-fourth week: the worst is over

At this point, it will be possible to draw the first preliminary conclusions about the results of the procedure. Specialized care, as a rule, is no longer required, but it is worth taking care that the skin remains sufficiently moisturized. It’s too early to sunbathe and, in general, open your “new” face to the sun: you should wait at least another 2 months ( ideally 3-4) so that all the efforts of the previous weeks were not in vain.

Usually, it is during this period that a face-to-face examination by a cosmetologist is scheduled, at which he will evaluate the effect obtained and, possibly, offer additional procedures, such as biorevitalization, or another peeling session.

Laser resurfacing of the face is based on the effect of a laser on the facial skin. The leveling of the relief of the epidermis is achieved by evaporation of soft tissues.

During the procedure, the emitter diffuses into the skin deeper than with.

This eliminates the keratinized layer of the epidermis, and through dynamic cell division, a healthy skin surface is formed.

At the same time, the laser resurfacing technique frees the client from many problems. What is the procedure capable of?

Characteristics of laser resurfacing of the face

Laser resurfacing of the face (in other words, laser peeling) is a cosmetic procedure that is performed by a laser device and is aimed at removing the dead layer of the epithelium.

This is a fairly serious procedure that can cause irreversible consequences: scarring, hypo- or hyperpigmentation of the skin, loss of fat, etc.

That is why laser resurfacing should only be carried out by an experienced specialist.

In addition to minimizing unwanted age-related transformations and eliminating scars, the laser event activates collagen production.

This happens due to the intensification of natural processes caused by the procedure.

Laser rejuvenation can be safely attributed to progressive methods. Every year more and more people undergo this procedure.

Plastic surgeon Barry Weintraub

Manipulation leads to increased strength of blood flow. The difference between gentle laser resurfacing is that the layer of the epidermis is removed only from certain areas skin.

Exposure to the beam only on microzones reduces the time period allotted for recovery at the end of the skin covering procedure.

The cosmetological laser technique in terms of performance and effectiveness can compete with a surgical measure aimed at correcting defects on the face.

Which laser is used (CO2 or Erbium)?

For resurfacing, 2 types of laser are used:

1. Carbon dioxide (CO2). Remarkably grinds scars, stretch marks, eliminates skin neoplasms. The disadvantage of its use is a strong heating (10 microns) of the processed micro-sections. As a result, occasionally the skin suffers from burns, which affects the prolongation of healing.
2. Erbium. It emits (5 microns) several microbeams at once, so the outgoing heat is dissipated and does not cause burning on sensitive skin. Such a beam contributes to obtaining a lifting effect on the delicate skin surface of the eyelids and neck.

The rehabilitation period after an erbium laser is two times shorter when compared with a CO2 laser. In addition, it is allowed to use for the treatment of thin dry skin.

Dermatological Surgeon Corey Frucht

The procedure for laser resurfacing on the face is practically painless for the patient, as gel anesthesia or pain relief with the use of the drug inside is chosen.

Advantages and disadvantages of laser resurfacing

Its excess affects the discoloration of the skin. During the procedure, the stained spots are melted. Instead, cells are formed that produce and accumulate the natural amount of pigment.

As a rule, after 7-10 days after one session, the patient becomes the owner of an even skin color.

To get rid of pronounced spots, freckles, a second procedure may be required. But even after the initial grinding, their color turns pale.

Rehabilitation after manipulation provides for the rejection of sunbathing, the use of creams to acquire a tan.

The result after grinding increases with time. This will take about a month.

Beautician Sean Patel

Question answer

It is worth waiting about 1.5-2 months.

From such a flaw, laser resurfacing fights well.

Negative effects of laser resurfacing

The skin surface on the face after laser resurfacing, it happens, does not please the patient with the view. This happens if, before the manipulation, the skin with a scar was in a deplorable state.

Affects the result and depth of wrinkles, the size of the pigment formation. But a professional will choose the right technique for processing the epidermis and hold the event at a high level.

It upsets patients that after resurfacing with a carbon dioxide laser, spots and burns sometimes appear on the skin. But there is an erbium laser, and it is safer and more reliable.

At the end of the procedure, you should put up with the imperfect appearance of the skin for a week. Puffiness, wounds, peeling will go away, and the effect of grinding will please.

If the healing of the skin has taken place, and the result worsens, you should consult a doctor. Communication with a specialist should not be postponed when:

1. They take out burns and blisters. They are formed when intense laser exposure is exceeded in sensitive areas.
2. Pigmentation develops. This rarely happens due to reasons not fully understood. One of the assumptions is damage to the staining by the laser.
3. Purulent inflammation occurs. And the patient is guilty of this, who, at the end of the grinding, ignored proper care behind the skin. Therefore, it is forbidden to scrape off the crusts that have appeared: they are eliminated naturally. And they will not allow infection of the tissues of the ointment - they will accelerate healing.

Information about the type of laser will be given to the patient before the start of the session by a professional cosmetologist. He is obliged to provide the client with recommendations for the recovery period, which will avoid a negative result after grinding.

Positive results from the procedure

At the end of a well-conducted event, patients note:

• noticeable smoothing of scar tissue, reducing the depth and lightening of scars, the disappearance of age-related irregularities on the skin;
• leveling wrinkles on the face and increasing the elasticity of the skin;
• improvement of the general condition of the skin in the form of narrowing the pores, evening out the color, destroying age spots and returning a healthy glow to the dermis.

The transformation will occur after 7-10 days after the end of laser resurfacing.

To speed up rehabilitation, many doctors will advise you to undergo a plasmolifting procedure. This is the introduction of platelet-rich plasma, which is obtained from the plasma of the person himself.

Dermatologist Brian Chen

Rejuvenation cost

Several positions are included in the price of laser rejuvenation: the type of laser, the level of resurfacing, the number of procedures, financial policy and the location of the clinic in a particular region.

So, in the capital of the Russian Federation, 1 procedure costs, starting from 20 thousand rubles. In the provinces, for example in Voronezh, 1 session will cost at least 10 thousand rubles.

For full face resurfacing with a laser for 1 manipulation, you will have to pay an average of 25 thousand - 60 thousand rubles.

Laser resurfacing of the face is a procedure that accelerates skin restoration and allows you to remove dead epidermal cells and various skin defects, including age spots, tattoos, post-acne and scars, using laser radiation. In the process of resurfacing on a problem area, a surface layer is removed with a laser or microscopic holes are made in the skin, arranged in rows at an equal distance from each other. Through these holes, under the influence of elevated temperature caused by a laser beam, the water of the epidermal cells evaporates, and the dead layers of the skin are “burned out”.

About the procedure

On the this moment The most popular are the following procedures:

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What gives this type of grinding?

The procedure stimulates the synthesis of collagen, so the regenerating skin acquires a more even relief and elasticity. The pores are narrowed, wrinkles are smoothed out, the face acquires a tightened appearance, and large defects are significantly reduced in size.

How long do results last after laser skin resurfacing?

The effect of laser resurfacing of the face is increasing, which is confirmed by patient reviews. The first results appear already 2-3 weeks after the procedure, and the final effect, depending on the number of procedures, can be assessed after 3-6 months. The state of elasticity and smoothness of the skin lasts up to several years. Age spots, scars and post-acne become less noticeable or disappear.

Pros and cons of different types of grinding

Types of grinding	Mechanical (microdermabrasion)	Diamond	laser	Fractional Laser
What layers of the skin does it affect?	Surface exposure	superficial	Deep	The depth of laser exposure is adjusted
Advantages	Well eliminates age-related changes, sparing effect, it is possible to use at home	Soft impact, no pain, short period recovery	Mechanical injury, complications are unlikely.	The healing process is better than with full laser resurfacing, the risk of side effects is minimal
disadvantages	Repeated application is required to eliminate defects	High cost, leaves microcracks	Impossible to make at home, the pink tint of the face lasts a long time	Rehabilitation, from 2 to 5 days
Recovery period	up to 8 days	day	1-2 weeks	2-5 days

Contraindications and complications

Laser resurfacing has no age restrictions for the procedure, but there are medical contraindications:

• Scleroderma, in which the small vessels of the whole body become inflamed;
• Impaired pigmentation (vitiligo);
• The appearance of neoplasms on the skin;
• Diabetes;
• Infectious diseases;
• Exacerbated chronic diseases.

A low percentage of the negative effects of laser resurfacing have been studied in detail. Side effects of the procedure include:

• Severe reddening of the skin (erythema) caused by inflammation and immaturity of the new epithelium. Depends on the type of laser used and can last up to 4 months;
• Hyperpigmentation, more common in dark-skinned patients, and reduced pigmentation caused by local death of melanocytes;
• The appearance of scars;
• Activation of an infection dormant in the layers of the skin (frequency of manifestation - about 5%). Provocative tests and prophylactic antibiotic therapy allow avoiding infectious complications.

Do I need to prepare for laser skin resurfacing?

To achieve the maximum result of grinding and reduce the risk of side effects, preliminary preparation for the procedure is required. Individually assigned:

1. Antibiotics (Sumamed 500mg, Azitsin, etc.);
2. Antiviral drug famciclovir;
3. Creams containing glycolic acid, retinol and tretinoin.

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  The sequence of actions for laser resurfacing

  1. A moisturizing cream is applied to the face, which includes an anesthetic;
  2. Laser treatment of the skin takes place, which removes the stratum corneum and does not injure young cells. The procedure lasts from 5 minutes to an hour, depending on the treated area;
  3. The recovery stage consists in applying panthenol-containing ointments to the laser-treated areas, which accelerate healing. The face after laser resurfacing acquires a reddish tint, a slight swelling is possible, which increases on the third day and gradually disappears. The skin at the sites of laser exposure is covered with small crusts, which should dry out on their own - their forcible removal will leave small scars. Rehabilitation lasts from 3 to 5 days. During this period, it is contraindicated to use cosmetics.

  The cost of laser resurfacing of the face at the DasClinic clinic (Perovo metro station)

  Laser area	Price for one procedure, rub.	Price for 3 or more procedures, rub.
  face	10 000	8 000
  face, eyelids and 1/3 of the neck	13 500	9 900
  upper or lower eyelid area	3 000	2 000
  crow's feet	3 000	2 000
  forehead	5 000	4 000
  Temple area	3 600	3 000
  cheekbone area	3 600	3 000
  brow area	3 600	3 000
  nose	3 600	3 000
  nasolabial triangle	3 600	3 000
  chin	3 600	3 000
  cheeks	7 000	5 000
  neck	8 000	6 000
  neckline	8 400	7 000
  Hands	6 000	5 000
  forearms	12 000	9 000
  belly 1/3	6 000	5 000
  full belly	14 000	11 900
  hands completely	24 000	21 800
  back 1/3	10 000	8 000
  chest (for women)	8 000	6 800
  buttocks	14 900	11 900
  complex (upper, lower eyelids and crow's feet)	6 500	5 000
  complex (face, eyelids, neck)	18 000	15 000

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  Equipment used for laser resurfacing

  The safest and most effective is laser resurfacing using a fractional CO2 laser. Resurfacing occurs through the generation of "point" radiation ("DOT"), creating microthermal zones that alternate with intact tissue. This technology:

  1. Promotes rapid tissue regeneration, which allows you to lead a normal life immediately after the procedure;
  2. The effect is noticeable immediately after the first session;
  3. Reduces the risk of complications;
  4. Allows you to remove scar tissue thanks to a computer-controlled depth of exposure.

  Lasers of this type do a good job with wrinkles, pigmentation, help restore the elasticity of the skin and are optimally suited for removing post-acne.

  Laser resurfacing in cosmetology

  Laser resurfacing of the face rightly leads the market for cosmetic services. Although the name of the manipulation sounds a little intimidating, its popularity is growing, as the results of the procedure are good. We will conduct a short educational program and explain in detail how the laser can change the condition of your skin and what the procedure gives at the end.

  

  How does laser resurfacing work?

  Laser resurfacing is carried out using a special device - carbon dioxide fractional CO 2 laser. The procedure is performed by an experienced cosmetologist. You will be in the office from 20 to 90 minutes.

  With the high-temperature action of the laser beam, the process of the so-called ablation (evaporation, disappearance) of old cells in the surface layer of the dermis begins. After their disappearance, the restoration and renewal of cells is activated, but this does not mean at all that you will immediately leave the doctor's office with young and even skin. Be patient, because after grinding you will need special rehabilitation.

  

  Contraindications to the laser resurfacing procedure

  There are categories of the population who are prohibited from any laser exposure, including cosmetic ones. Read the list carefully, and if you had the misfortune to find yourself in it, you can not read our material further, it is definitely not for you. So, absolute contraindications:

  • Eczema, psoriasis, sun allergy and sunburn.
  • Decompensated diabetes mellitus.
  • Oncological diseases.
  • Psychiatric pathologies.
  • Severe hypertension, presence of a pacemaker.
  • Reception of some medicines(vitamin A, tetracyclines, hormones, sulfonamides).
  • Pregnancy, breastfeeding.

  As you can see, the list of contraindications is not so small.

  

  What can be done with laser skin resurfacing?

  Fractional laser skin resurfacing is indicated if you want to leave:

  1. With age spots;
  2. Post-acne;
  3. stretch marks;
  4. Small and deep wrinkles;
  5. Flabbiness and reduced skin tone.

  The face after laser resurfacing is tightened, acquires a clear relief, even color. Small wrinkles disappear completely, deep ones are significantly reduced. It is especially pleasing that the effect after the procedure is quite long and lasts up to 4 years.

  For your information, deep resurfacing can be used not only on the skin of the face. Very often, cosmetologists recommend doing the procedure on the décolleté area, as well as on the hands. Many women seek to remove postpartum stretch marks with the help of deep laser resurfacing. And they succeed quite well.

  

  Reviews of patients who underwent the procedure using the CO 2 apparatus are mostly positive. Since the procedure is not performed without local anesthesia, most women did not experience pain. Only a few noted tingling in the area of ​​laser exposure during deep resurfacing.

  Preparation for the procedure and some features

  What kind of manipulation you figured out. And, looking at ourselves in the mirror, we decided that you need laser resurfacing. We chose a cosmetic clinic. We met the doctor, he instilled confidence in you. Well, you can prepare for the procedure. And how to prepare? Go to the reception, they will tell you.

  

  You may not need any special preparation. But, perhaps, having assessed the condition of your skin, the doctor will suggest that you take a course of preparatory cosmetic procedures(usually bleaching).

  

  laser resurfacing: photo of the patient before and after 3 procedures

  Another nuance - laser resurfacing is best done on a cloudy day. season, so as not to be under the open sun .. And it's better if you take a short vacation, 5-7 days, to take care of yourself as much as possible.

  Restoration and rehabilitation of the skin after laser resurfacing

  Rehabilitation after laser resurfacing is carried out at home. You may not really like the reflection in the mirror in the morning. The face is reddish, edematous, crusts have formed in the places where the laser has been applied… The main thing now is not to touch anything with your hands, and not to wash your face for 2 days. Lubricate your face with bepanthen 6 times a day, and everything will gradually pass. After 3-5 days, there will be no trace of all the troubles on the face.

  The maximum result, judging by the reviews, comes after 6 months. The skin is young, fresh, elastic.

  The cost of the procedure in cosmetology clinics and beauty salons?

  The price of polishing is not small. And our post-Soviet mentality strives to save money. We offer this table for comparison.

  Procedure name	skin contact	Effect Duration	Number of procedures
  Laser resurfacing, Fractional laser resurfacing	Contactless	Long lasting, several years
  Mechanical grinding	Contact, manually (a cutter or brush is used)
  Dermabrasion	Contact (sandblasting method)
  Diamond	Contact (special nozzles)	3 - 4 months
  Chemical peel	Contact (use of acid compounds)	3 - 4 months

  So think, now about quantity and quality. And about those who pay twice.

  We wish you to always be well-groomed, cheerful and young!

  Laser resurfacing of the face: what is it?

  The procedure for laser resurfacing (peeling) of the face involves the removal of the epidermis layer (sometimes the upper layers of the dermis) in order to rejuvenate the skin, even out its tone and texture, provide tightening and other necessary effects. Now deep laser resurfacing is a worthy alternative to plastic surgery that does not require invasive manipulations.

  The principle of operation of laser peeling is as follows: to remove the dead layer of cells and correct skin defects, the laser beam evaporates water from the tissues in layers, as a result of which they are peeled off the surface of the face. The required depth of exposure to the skin is set by a specialist after assessing the existing aesthetic problems.

  What effect is achievable after laser resurfacing?

  The result of the procedure carried out with the help of a laser is a complete renewal of the upper layer of skin cells. In addition, the created thermal effect helps to accelerate the synthesis of collagen fibers in the future, which contributes to prolonged facial rejuvenation within 3-6 months. The specific result largely depends on the type of grinding performed:

  Type of procedure	Recommended execution age	results
  surface grinding	Up to 35 years, or in the absence of deep wrinkles, acne scars	The disappearance of fine wrinkles, freshness of the complexion, noticeable rejuvenation of the skin, narrowing of its pores
  Medium grinding	35-50 years old	Reducing the severity of scars, the effects of acne, pigmentation, noticeable skin lifting, smoothing wrinkles, including deep ones
  deep grinding	From 50 years old, or in the presence of deep skin defects	Disappearance of scars, any wrinkles, stretch marks, scars, pigmentation, tightening and improvement of skin tone, significant facial rejuvenation
  Fractional resurfacing (point laser treatment)	At any age according to indications	The formation of small channels in the epidermis, which, during regeneration, lead to rejuvenation, increased elasticity, turgor and freshness of the skin. More often recommended for fixing the effects of other types of grinding

  Based on the foregoing, indications for resurfacing with a laser:

  • Flabbiness of the skin
  • wrinkles
  • acne scars
  • scars
  • Blurred facial contours
  • Photoaging of the skin
  • Large pores
  • Pigmentation, freckles

  Are there any differences between laser resurfacing and other methods?

  If we compare the laser peeling procedure from mechanical dermabrasion, it has the following advantages:

  1. Absence of microtraumas and skin wounds, which inevitably occur after face treatment with crystals, diamond chips, brushes, etc.
  2. Stimulation of collagen production, focus on long-term preservation of results.
  3. Minimum side effects, rapid restoration of the appearance of the skin.
  4. Much more pronounced results.
  5. Painless due to the use of anesthesia.

  The disadvantage of deep laser resurfacing is the need to perform this procedure under general anesthesia, which will require a hospital stay and longer rehabilitation. But according to the results, it is more correct to compare this manipulation with surgical techniques, and in comparison with them, it also has a lot of advantages in terms of cost, recovery period, trauma, etc.

  What equipment is used for grinding?

  The following types of lasers are used in aesthetic cosmetology clinics:

  • Erbium
  • carbon dioxide

  For deep resurfacing, a carbon dioxide laser is more often used, which intensely heats the tissues, which is very important for rejuvenating sagging skin. The erbium laser is considered less traumatic and modern, and also allows you to accurately set the desired depth of exposure.

  How to prepare for grinding?

  After choosing a clinic, studying reviews and choosing a type of resurfacing, the doctor may recommend taking vitamins, antiviral drugs (if there is a history of herpes), sometimes antihistamines, antibiotics. If deep resurfacing is to be performed, all contraindications to general anesthesia are taken into account. Before such a session, you will have to do several tests (general, biochemistry, hepatitis and HIV, blood clotting).

  How is the procedure?

  Superficial and median peeling differ from deep peeling in stages of implementation. In the first two cases they are:

  • Make-up removal, antiseptic skin treatment.
  • Application of a cream, gel with an anesthetic, or the introduction of drugs subcutaneously.
  • Putting on goggles for the patient.
  • Primary treatment of the skin, after which its whitening is observed.
  • Reapplication of anesthetic.
  • Further processing of the skin with a laser beam until the defect is eliminated, or until small droplets of blood appear (in this case, the beam has reached the middle layers of the dermis, where many capillaries are located).
  • Applying special soothing masks.

  The duration of the session is 1-2 hours, with fractional skin treatment - from 30 minutes. Depending on the type and severity of the problem, 1-5 laser resurfacing sessions may be required at intervals of 1-6 months.

  Deep resurfacing is performed in a hospital under general anesthesia, and also requires a longer laser treatment of the skin. For another 2-3 days, the patient is in the clinic, where he is dressed, given the necessary medicines, closely monitored for the general condition and behavior of the skin.

  What does laser resurfacing give?

  Skin renewal is noticeable immediately after the session. Pigmentation fades, the face becomes smoother, pores narrow, local defects disappear or decrease. Subsequently, blood circulation is optimized, skin elasticity and its cellular structure increase. In addition to the first pleasant impression, the face after laser resurfacing will please in a week: most cosmetic flaws disappear or become less noticeable. Over time, the results only intensify, and after 3-6 months they reach a maximum. On average, they last up to 3-5 years.

  Are there any contraindications to the procedure, and how can it be complicated?

  Do not grind when:

  1. Inflammation on the skin
  2. Herpes recurrence
  3. Cancer tumors
  4. In the acute phase of dermatitis
  5. During pregnancy
  6. With epilepsy
  7. For diabetes

  Among possible complications procedures - erythema, whiteheads, exacerbation of herpes, local darkening or lightening of the skin, which, however, is observed infrequently.

  How to care for the skin after the session?

  Primary restoration of the skin lasts 7-10 days, and after deep polishing - 14 days. After 5-6 days, crusts will begin to separate, in place of which reddish spots will remain. The full rehabilitation period will be 1-3 months, which depends on the depth of face treatment.

  At home, you need to take care of the skin according to the doctor's recommendations. These may include the application of moisturizing, anti-burn, regenerating creams, oils, washing with thermal water, skin treatment with antiseptics, saline solutions. It is imperative to protect your face from the sun with the help of special means and wearing glasses (up to 60 days).

  Network of cosmetology clinics

  The operator will help you choose the nearest branch to you, as well as orient you according to the available time intervals. At the moment, there are 2 clinics, in the Eastern Administrative District and the Western Administrative District.

  We will help

  FACE CARE

  BODY CARE

Dermabrasion or skin resurfacing is a procedure deep peeling when there is a complete removal of the upper layer of the skin and part of the dermis. The most modern way of polishing is made by means of the laser. Skin resurfacing with a laser differs from the laser peeling procedure in the depth of impact. Laser peeling is carried out at an interval of 30 microns, and polishing reaches the level of the basement membrane, which means 150 microns. Thanks to this intensive action, it is possible to achieve an even skin without deep wrinkles and scars.

1. Carbon dioxide (CO2). This laser leads to the maximum effect, but you can easily get complications with a long rehabilitation period.
2. Erbium laser of softer impact. Therefore, there is less risk for getting complications, and the recovery period is shorter.
3. A low-intensity laser is the most gentle, but the result is ineffective.

Classical laser resurfacing consists in the complete removal of the skin to a predetermined depth. Therefore, it is accompanied by significant skin injuries and a long period of rehabilitation, and multiple complications are not uncommon. No less effective, but more gentle effect fractional laser resurfacing. It removes the epidermis not from the entire surface, but from individual areas of the skin. This significantly reduces the wound surface area, and intact skin leads to faster healing and a reduction in the unpleasant effects of damaged micro-sites.

Fractional resurfacing is performed using a carbon dioxide or erbium laser. The first works by significantly heating the treated areas of the tissue, which can lead to burns, which will increase the healing period. Therefore, the resurfacing of delicate areas with such a laser should be done very carefully. Carbon dioxide laser is an excellent tool for removing neoplasms and polishing stretch marks and scars.

The most technological tool for resurfacing is an erbium laser. Its radiation is divided into several mini-rays, which, during the processing of the skin, create the smallest depressions on it. Due to the fact that undamaged tissues are pulled together over damaged there is a lifting effect. This procedure is painless and does not carry the risk of side effects. With the help of the soft effect of the erbium laser, it is possible to treat areas of delicate areas - the eyelids and neck.

Laser radiation sends out photons that are absorbed by the skin - this is how it heats up. To change the depth of exposure, they resort to regulating its power or changing the duration of exposure to its radiation. The skin heats up, with the evaporation of its fluid, vaporization and cell death. At the depth of the microthermal zone, the process of tissue coagulation starts with the destruction of protein, old collagen and elastin. Since healthy cells are located around the damaged area, this fact ensures their rapid recovery.

Indications

Laser resurfacing is indicated for photoaging of the skin, when the skin is affected by ultraviolet radiation. This leads to wrinkles, a decrease in the elasticity of the skin, as its thickness increases, the accumulation of fibrous tissue and a decrease in the amount of interstitial fluid.

This procedure is effective for scars and scars resulting from injuries, burns, uneven healing of wound edges, a long recovery period, as well as a tendency to keloid formation. A new layer leads to the formation of scars, which is formed as a result of the penetration of connective tissue into the intercellular space. The laser beam, acting on the connective tissue, destroys it, which stimulates the division of neighboring cells.

Other indications for laser resurfacing of the face are enlarged pores, age spots, stretch marks and age-related changes.

Laser resurfacing of the face carried out for the purpose of:

• Removal of scars, scars and age spots.
• Rejuvenation.
• Stretch marks removal.
• Post-acne correction.

Contraindications

Laser resurfacing of the face can be performed at any age. However, if there is an allergy, poor wound healing, dark skin and other phenomena, then this imposes some restrictions. A swarthy skin tone can lead to the formation of dark pigmentation during healing, so it should be treated with bleaching agents before the procedure. Also, these people need to carry out whitening after laser resurfacing of the face.

If treatment was carried out with retinoids, then before the laser facial resurfacing procedure, you should wait 3 months from the last dose.

Preparing for a session

If the procedure is required on a vast territory, then the following must be preliminarily surrendered: general analysis blood and biochemistry, detection of hepatitis B, C and HIV, blood microreactions.

Before the procedure of laser resurfacing of the face, you need to carry out superficial chemical peel. This is done in order to avoid the development of pigmentation.

Anesthesia is administered immediately before the session. It can be general or local, it depends on the depth and area of ​​impact. Apply superficial using anesthetic creams or intravenous. This will reduce the discomfort of the procedure by reducing the sensitivity of the skin. Before the procedure, the doctor removes traces of cosmetics, treats the skin area that will be corrected with an antiseptic and puts glasses on the patient's eyes in case of working with the face.

Stages of laser treatment

The doctor performs primary treatment with a laser beam, removing superficial layer of the epidermis. After treatment, the skin of the face becomes whitish. This means that the laser beam has touched the basement membrane. If local anesthesia was performed, then the anesthetic cream is reapplied. After 5-10 minutes, the procedure is repeated.

The procedure is carried out until the damaged areas of the skin of the face are removed or until drops of blood appear. This will indicate that the laser beam has penetrated the papillary or papillary layer of the dermis, which is located under the basement membrane and contains a large number of blood vessels and capillaries. It is at this level that an excellent effect is achieved, and the risk of complications is minimal.

After the procedure is performed soothing mask, consisting of absorbent, basalmizing and epithelializing components. With it, the recovery process will be much faster. If classical deep resurfacing of the face is performed, then the patient can be left in the hospital for 2-3 days under the supervision of a doctor.

Duration and number of sessions

When treating the entire face, the duration of the laser resurfacing procedure can take two hours. If only fragmentary processing is carried out, then the session reaches only 45 minutes. On the patient's body, the duration depends on the area of ​​the treated surface. Time can also be delayed depending on a certain type of skin, its condition, individual characteristics, age and other factors that the doctor takes into account.

The number of sessions depends on the nature and severity of the defects. Can appoint from 1 to 6 sessions with a waiting period of at least 6 months for traditional resurfacing and 1 to 3 months for fractional resurfacing.

Skin care after the procedure

The face after laser resurfacing is in a state of second-degree burns. The surface is an open wound on which exudate is formed. The skin after treatment should not be touched with hands and touched with various objects. For 2-3 days the surface is covered with crusts, which pass on the 7th day. They should not be touched, when they disappear, reddish spots appear in their place, which disappear after 6 months. The recovery period takes 2-3 months.

With fractional facial resurfacing, the rehabilitation period takes less than 2 weeks.

Immediately after laser resurfacing, the treated areas are covered with a sterile dressing, which is removed after three days. The skin requires careful care, since its condition is equivalent to a 2nd degree burn. Affected areas should be treated with moisturizing, antibacterial, anti-burn, and wound-healing agents up to 5 times a day.

You need to wash yourself with a spray bottle with sterile thermal water. If the pain is very severe, then take painkillers.

Remember! It is impossible to remove the formed crusts, since their independent removal can form foci of increased pigmentation.

Skin after laser resurfacing should be treated with cold acetic or saline solution. such care should last about three weeks. It depends on the condition of the skin.

The treated area must be protected from ultraviolet rays. This condition should be carried out until the skin is completely restored. Often this period lasts up to 1 year. Recommended for the first 2 months sun protection with an indicator of at least 35. That is why this procedure is most often carried out in the autumn-winter period, when the sun is not so active.

After a session of laser resurfacing for three months, and with a strong treatment up to six months, red or pink areas may be visible on the skin. To disguise them, you can apply low-fat makeup in green shades. This color neutralizes red well. Remember that reddish spots in people with blond or red hair will be visible on the skin for an even longer time.

the effect

After the first procedure, you can already expect the primary result, it appears in the second week. You will not see small defects, wrinkles, the pores will noticeably narrow, the skin will tighten, its tone and texture will even out, large defects will become less deep and decrease in size, the edges will become smooth. The effect will increase over time and the final result can be observed after 6 months, when the skin is visibly renewed, becomes even and smooth, the oval of the face is tightened, and the effects of gravity will disappear. The result of rejuvenation with the help of laser resurfacing lasts for several years. If you removed scars and stretch marks, then the effect will be permanent.

This procedure in cosmetology has become one of the most popular. Since face resurfacing before and after the procedure causes genuine delight in patients. Today, laser resurfacing can be performed at home. Since the manufacturers have released different types of cosmetic equipment. Of course, the result of independent manipulations will be noticeably weaker than professional processing, but minor defects will leave you. The main rule in observing hygiene is to avoid infection.