Benefits Skin Rejuvenation:

  • Anti-Ageing: improves overall texture and tone – excellent results around the mouth and eyes
  • Skin tightening and refines pores
  • Reduction of deep wrinkles
  • Lightening of sun spots
  • Severe acne scarring: pitted and deep scarring

General

  • Carbon Dioxide Laser
  • Wavelength of 10600nm
  • Invisible infrared beam of light
  • Delivers a concentrated energy in a small focal point to vaporise the tissue (instantly removing superficial layers of the skin, scars and wrinkles)
  • Effectively treats skin’s surface, middle and deep dermal levels
  • Doctor can choose between 4 types of settings depending on skin problem
  • Treat superficial and deep skin layers simultaneously
  • CO2 laser absorbed by water in tissue
  • Enables collagen shrinkage, hence tightening, improved texture etc.
  • Laser beam scanning system:
  • – Emits pin-point laser beams adjacent to each other to form a laser spot
  • – Spots form a pre-defined pattern
  • – Doctor can control distance between spots (% coverage) (the higher the % coverage, the more ablative the treatment)

Difference between traditional Ablative CO2 Resurfacing Laser, Candela Carbon Dioxide Fractional Laser Resurfacing Laser:

Traditional CO2 Resurfacing

  • Full Ablative Laser (removing epidermis and even dermis) by vaporising tissue
  • Longer downtime
  • Potential Hypopigmentation (white marks – melanin/ pigment destroyed) – irreversible
  • Greater risk of scarring
  • Once off treatment

Candela® Carbon Dioxide Fractional Laser Resurfacing

  • Scattered pattern of small spots
  • Vaporises the skin tissue, instantly removing superficial layers of skin
  • An immediate skin tightening effect is observed
  • No major wounds, just crusting
  • 2 to 5 days healing time
  • Minimal pain
  • Possible hyperpigmentation (more post-inflammatory hyperpigmentation) – treated with hydroquinone
  • Once off for certain indications, otherwise 2 to 3 treatments for deep wrinkles and pitted acne scarring
  • Suitable Candidates
  • Men and women wanting top of range treatment.
  • Skin types I to III
  • Doctor to assess patient’s medical history before commencing treatments
  • Safe on face, neck, chest and hands
  • In some cases, doctors could alternate CO2 and Mosaic Fractional Lasers

Contraindications

  • Melasma/ Chloasma (pigmentation)
  • Active acne
  • Tendency to hypertrophic or keloid scars
  • List of prescription drugs and diseases (doctor to assess)
  • Permanent make up (doctor / assistant to protect areas if needed)

Pre-Treatment Guidelines

To prevent fever blisters/ herpes, patients will be given a script for 2 Elitrex tablets (start 24 hours before treatment and continue for a few days after)
Stop Retacnyl/ Retin-A/ Hydroquinone 5 days beforehand
No laser hair removal or waxing one month prior to treatment
No chemical peels one month prior to treatment
Minimal sun exposure (cannot treat a tanned skin)

Treatment

Patient to arrive with clean skin 1 hour before
30% Lidocaine is applied an hour before treatment
Assistant to blow cold air onto skin during laser procedure to make the patient more comfortable

Post Treatment Care

Immediately afterwards, a thick layer of Vaseline will be applied
Patient is to use Vaseline at home for 2 to 5 days, depending on the healing time
Once scabs/ crusting has fallen off, patient can use a bland moisturiser and sun block
Men should not shave until the scabs have fallen off

Post Laser Side Effects

Erythema (redness of skin)

Treated area has distinctive redness representing increased blood flow due to growth of superficial tissue and collagen
Redness will gradually fade within 5 to 15 days
Make-up can be applied to cover red areas, once scabs have fallen off

Inflammation (swelling)

Minimal
Can last up to 24 hours
Hyperpigmentation (tanning)
Presents after 3rd day of procedure, then begins to shed and reveal younger healthier looking skin

Itching

Sometimes after day 2 as you would experience after sunburn.