Fractional thermolysis (Fraxel) is a method of laser "resurfacing" of the face and body, which helps to cope with age-related and stressful skin problems.
This procedure is almost as effective as surgical braces, and, after thermolysis, skin cells begin to actively, as in puberty, produce collagen and elastin, that is, beneficial changes occur simultaneously in several layers. , not just in the outer epidermis.
The procedure is very effective, but at the same time painful. It can be done only in specialized clinics.
What is it - fractional photothermolysis, what is the essence of the method and effectiveness, indications and contraindications for procedures on the face and body using the Fraxel technique, before and after photos, results and reviews about the laser procedure, approximate price andWhat tools are used - all this we will try to tell you more.
General Information
Thermolysis refers to the process of structural destruction of tissue under the influence of high temperatures. The concept was coined and mediated by physicians, and then put into use by cosmetologists.
And photothermolysis is also the process of thermolysis, but it is caused by exposure to light energy. In cosmetology, it is used for photoepilation of scars and scars, and during laser "resurfacing".
Fractional photothermolysis is a technique in which photothermolysis does not affect the entire surface of the skin, but only individual areas of it. This means that we are talking about focal destruction of tissues with the help of laser (light) energy. can.
Abstract and other names of the process
The fractional photothermolysis procedure is classified as a method of negative stimulation of the skin, since a certain type of injury is performed during the session, in this case a burn.
To get the expected cosmetic result, you need to start the regeneration process, which restores the skin after damage.
This type of thermal burn resembles a "column", which forms in the thickness of the dermis under the targeted action of a laser beam. In cosmetology this "column" is called a "micro-treatment zone", or abbreviated - MLZ.
In diameter, they can reach no more than a tenth of a millimeter: from about 0. 1 to 0. 4 mm, with a depth of up to 0. 5 mm. Depending on the type of process chosen, ten to severalUp to a thousand such microtraumas can be located on one square centimeter of surface, while the impact rate is 3000 mlZ / s.
If we analyze the mechanism of action of fractional photothermolysis, it is similar to mesoscoot therapy, but when using a roller, microscopic damage is applied mechanically using needles.
In cosmetology practice, the concept of fractional thermolysis has several synonyms:
- dermal optical thermolysis;
- dot therapy;
- fractional laser "polishing";
- LAF Rejuvenation;
- fractional laser nanoperforation;
Ablative and non-ablative method
Laser ablation is the vaporization of a substance using a laser pulse. When using ablative fractional photothermolysis, choose a type of laser radiation whose energy is mostly absorbed by water molecules.
During a short-term impact on a local area, the laser beam almost instantly heats the water contained in the tissues to 300C. Due to this, the entire "column" evaporates, and in its place a microscopic wound of an open typeis formed, which is surrounded by layers of thermally deposited cells.
After ablative photothermolysis, recovery will be much slower and longer than with the non-ablative method.
But the results of the procedure will be objectively better, and the lifting effect will be obvious. It is best to use a course of 2 to 6 sessions. But during such procedures, the patient has a certain risk of infection of the tissues in the deep dermal layersIs.
Non-ablative fractional thermolysis can be attributed to more gentle microtrauma techniques. A laser beam is used, which practically does not damage the epidermis, burns beneath it.
The destroyed tissue does not evaporate, but remains within the "column", naturally, open wounds do not. Lifting is not as obvious as in the first ablative method, since the products of cellular decay were not removed at the time of the procedure, which means that there is no effect of "tightening" of the skin.
It is recommended to use courses of 3 to 10 sessions. For the patient, there is practically no risk of infection of the deep dermal layer, since there is no violation of the integrity of the surface.
signal, effect
Indications for the appointment of a procedure using the Fraxel technique can be the following reasons:
- the need to stimulate faded and aged skin;
- Treatment of pigmented/pigmented wounds;
- get rid of scars, post-acne and small scars;
- The need to remove stretch marks.
Not suitable for getting rid of keloid formations.
the profit
How does this method differ from the classic "polishing" with a laser? With the traditional approach, the burn affects a large area, and with partial exposure, it has a localized and point character.
There are spaces between burn wounds with intact skin, and this makes photothermolysis less painful and speeds up healing time.
This method is suitable for the treatment of any part of the body, but in most cases it is used exclusively for the face. When using the Fraxel technique, the beautician can also work with the skin on the eyelids.
A feature of this optical thermolysis of the dermis is the innovative design of the DOT device itself, which makes it possible to avoid missing areas of the skin or overlapping of one area over another.
mechanism of action
At the initial consultation, the cosmetologist determines the goals that the client wants to achieve, explores possible contraindications to the procedure, talks about possible consequences and compliance with the client's expectations.
The doctor will certainly set a point regarding the risk and development of post-procedural complications, as well as how to care for the skin after undergoing a course of photothermolysis.
It is necessary to discuss in advance and choose the appropriate method for pain relief, and the client should definitely report the allergic reaction, if any, to the drugs.
A few hours before the session, superficial peeling is performed, aimed at smoothing out the thickness of the stratum corneum of the skin.
During the operation, the patient may experience moderate pain and discomfort. Their severity may in no way depend on the model of equipment used. The level of pain is based on the depth and intensity of the laser beam, andThese parameters are set by the specialist himself, focusing on the therapeutic goals.
The more neglected the problem, the deeper the layers need to be affected.
But usually, simple creams with anesthetic effect are used as anesthetic, which are applied to the work areas no more than 40 minutes before the start of the session.
During the session, the cosmetologist rotates a nozzle over the surface, which emits a targeted laser beam. If such a need arises, the same area is repeatedly treated within the same procedure.
Duration ranges from 15 minutes to 1 hour. It all depends on how much leather is being treated. Upon completion of partial photothermolysis, a cream with a calming effect is applied to the "polished" surface.
To obtain the desired result, it is necessary to conduct a course of several procedures - from 3 to 10, depending on what type of exposure was chosen. You can do sessions once a month.
Recommendations (Training and Rehabilitation)
A few days before the prescribed procedure, the patient should begin to take a prophylactic course of antibiotics and antiviral agents. Naturally, if there is objective evidence for this.
On the day the fractional photothermolysis occurs, one should abstain from alcohol and should completely abstain from doing any sports.
After the procedure of non-ablative photothermolysis, the recovery process lasts three days, after the ablation type - at least a week.
If the "polishing" was based on ablation, then for several more days the patient's skin would be reddened, swollen, burning and uncomfortable.
After consulting a specialist, you can apply cooling compresses or apply local pain relievers to the skin, available as a spray.
After at least three days have passed, the color of the "polished" dermis may change slightly. For example, due to increased decomposition of pigment-containing residues from previously necrotic cells, it may become pseudo-tanned.
Dryness will appear, peeling will begin and the person may even have slight itching for a short time. All these manifestations are not dangerous and will go away on their own in about a week. Scratching itchy skin is strictly prohibited!
In order for rehabilitation after Fraxel to go without complications, you need to follow some basic recommendations:
- You need to be sure to take care of the skin and apply the recommended external products. In most cases, these are drugs that are prescribed for the treatment of thermal burns and moisturizing sprays;
- The crust that forms on the surface as the wound heals should not be removed artificially, only falling off naturally;
- If before the procedure the patient took antimicrobial and antiviral drugs, then their course should be continued according to the instructions;
- In order not to develop hyperpigmentation, it is necessary to isolate the treated skin from direct sunlight for a period of at least one month. Usually use sunscreen with SPF 40+;
- During the recovery period, it is forbidden to use scrubs and other mechanical methods of cleaning the skin.
Possible side effects and complications
Despite the fact that fractional photothermolysis is one of the most modern and safe methods, it also has a number of side effects:
- bacterial infection, the development of streptoderma or staphyloderma;
- erythema lasting more than three days;
- edema on the surface of the treated skin with a duration of more than two days;
- hyperpigmentation after the inflammatory period;
- the appearance of burn blisters, erosive cracks;
- HSV1 or exacerbation of acne;
- Microscopic bleeding under the skin.
Contraindications (general and local)
Fractional photothermolysis is not performed with the following general contraindications:
- oncological tumors;
- lactation period;
- HSV1 and HSV2 in the acute phase;
- infectious disease;
- chronic diseases in the stage of manifestation;
- any type of diabetes mellitus;
- defects and insufficiency of the cardiovascular system;
- disturbances in the work of the organs of the hematopoietic system, impaired blood clotting;
- the presence of autoimmune diseases;
- tendency to form deep scars of the keloid type;
- status epileptic or convulsive syndrome;
- mental disorder;
- taking isotretinoin for six months;
- Recent tan or solarium visit.
and the following local differences:
- all inflammatory processes localized in the intended working area;
- poor integrity of the skin;
- any neoplasm of unknown origin;
- Dry cleaning of the skin or any other procedure that may injure the skin.
Where and on what equipment is done, approximate cost
The cost of a Fraxel procedure depends on the area being treated, so approximate values for fractional laser resurfacing vary.
Only qualified specialists in a cosmetology hospital can conduct photothermolysis sessions.
For the Fraxel rejuvenation procedure itself, equipment with a CO2 or erbium laser is used. Ordinary beauty salons for the most part do not have the necessary equipment or trained staff.
The use of lasers for cosmetic purposes is still controversial. However, procedures based on the action of a laser beam are the most popular, effective and safe.
Wait
We invite you to read some reviews about Fractional Laser Facial Skin Rejuvenation:
- First review: "I am 35 years old. Went in for 2 sessions of fractional photothermolysis. The second visit took place 30 days after the first visit. As a result, I noticed that my pores, usually slightly enlarged, tightened, and my foreheadAnd the skin on the cheeks became even more visible. I was satisfied. The only thing that bothered me was the peel that appeared after the second visit. But after three days it disappeared without a trace. Now I look in the mirrorI look and enjoy my face. "
- Second review: "I want to tell you about my effect of this method, because I felt a positive result. After three procedures, I noticed that my face brightened, pigmented spots on some parts of the face brightened, scars reducedBegan to notice, and skin tightened. These changes did not happen all at once, but gradually. After about 4 months I started looking 5-6 years younger than my age. I recommend this to all those who love this wonderful thingTake care of yourself to try.
- Third review: "I was very afraid of such procedures, believing that they have more undesirable consequences than pluses. However, when the first wrinkles appeared, the idea of "magical skin transformation" was more and more in my headbegan to come more often. So I decided to do a photothermolysis session. In the process, there were a little painful, but tolerable sensations. After some time, joyful changes began to appear on the face: wrinkles around the eyes became smoother, The color became lighter, the contour tightened. In general, I liked the effect. I will use this process again if necessary.
- Fourth review: "I consider this method indispensable for any woman who wants to stay young and attractive. I discovered something new for myself and was extremely satisfied. There are many positive moments and they all reflected on my face: fine wrinklesAnd the pigmentation is gone, the skin is not so flaky, there is less inflammation, and most importantly, I like myself much more. I want to advise everyone to love themselves, not to lose their beauty. Save and use effective procedures to preserve your youth.