Fractional photothermolysis: an alternative to facelift

For those looking for an alternative to surgical methods of face lifting, an excellent option has appeared - photothermolysis, which can eliminate obvious defects and age-related skin changes. What is the essence of the procedure, indications, contraindications, what must be taken into account during the recovery period and other interesting facts that you will find in our article.

frakizonny laser rejuvenation of the skin of the face

What is the principle of the technique?

The procedure for the fractional laser rejuvenation of the skin of the face and other areas of the body was developed in 2004 and involves the creation of separate areas on the skin, treated with a high-temperature laser beam, bordering intact areas. Due to such unaffected areas, the surface of the epidermis quickly begins to recover.

The fractional thermolysis devices have been improved, which allow to modify the energy of the laser beam and the characteristics of the micro-thermal zones (areas of the skin treated). Due to this, the procedure helps to achieve various tasks in the field of cosmetology.

The action of fractional photothermolysis is the use of microscopic beams of laser radiation, which are precisely directed to the problem areas of the epidermis.

This irradiation increases the temperature of the individual areas of the skin surface and of the dermis itself, which in turn causes the heating of the intercellular fluid and the destruction of the cells. These processes activate all the reparative and regenerative mechanisms that favor the synthesis of hyaluronic acid, collagen fibers and the subsequent appearance of new epithelial cells with an increase in the density of the epidermis and relaxation of wrinkles.

The surface layer of the skin is restored within 2 days and the destroyed cells are completely exfoliated within 2 weeks.

Due to the point laser effect on the skin, a supply of healthy and intact cells is preserved, which serve as the main source for the appearance of new epithelial structures.

The great advantage of this procedure is the elimination of the formation of pigmentation in people with dark skin due to the fact that the melanocytes are not destroyed, but redistributed, making the complexion uniform and uniform.

The main advantages of the technique

Dermatologists identify a number of benefits of fractional photothermolysis, including:

  • the minimum number of side effects and the safety of handling;
  • the absence of punctures of the skin surface and the impossibility of contracting dangerous infections (HIV, hepatitis and others) during the session;
  • comfortable conditions for the patient and ease of carrying out the procedure for the beautician;
  • the ability to select an individual skin treatment program for each individual client;
  • lack of painful sensations;
  • the possibility of a targeted effect on areas of the epidermis with pronounced defects;
  • no contraindications for people with any type of pigmentation;
  • high efficiency of the procedure without age limits;
  • short rehabilitation period.
photos before and after fractional laser rejuvenation

Who is the procedure recommended for?

The fractional thermolysis technique is shown to all those who have such problems / defects of the skin surface:

  • age-related changes in the epidermis;
  • the presence of wrinkles and deep folds;
  • pigment spots of various sizes and nature of the formation;
  • mimic wrinkles, including in the eyelid area;
  • excessively dilated pores;
  • the consequences of acne and acne;
  • scars, scars, patchy relief.

When the technique is not performed

Not everyone can perform such a manipulation, since there is the following list of contraindications:

  • During pregnancy and breastfeeding;
  • the presence of oncological processes in the body;
  • epilepsy;
  • long-term use of antibiotics, glucocorticoids, cytostatics, immunosuppressants;
  • taking drugs of the retinoid group (precursors of vitamin A);
  • the presence of rough keloid scars on the skin (for example, after severe burns, operations), which indicate a low regenerative capacity;
  • periods of exacerbation of psoriasis;
  • acute infectious, fungal and viral lesions, especially those in the acute stage.

The conditions listed above are associated with a slow recovery of the skin and can also be accompanied by the formation of scars, there is a risk of infection, accompanied by serious complications.

The order to perform the manipulation

This procedure must be performed by a cosmetologist with an appropriate diploma and permit.

2 weeks before the day of the scheduled session, it is necessary to stop the use of agents that damage the surface epithelium (peeling, scrub).

Temporarily, it is not possible to use drugs with retinol, salicylic and glycolic acids. The session proceeds as follows:

  1. Initially, the beautician cleans the skin surface of the patient's face with a cotton swab, followed by the application of an anesthetic cream containing anesthetics.
  2. Then a layer of ointment is applied to the epidermis, facilitating the sliding of the attachment of the apparatus.
  3. In addition, the fractional photothermolysis process begins, which involves exposing the skin to a laser beam generated by the device's nozzle. The treatment takes place along the target grid and is accompanied by a slight tingling sensation in the epidermis. The duration of the procedure depends on the area of the treated area and is about half an hour.

If the manipulation is performed on the Fraxel apparatus, it can be performed in 4 modes, which differ in different depths of penetration of the laser beam under the surface of the skin:

  1. Fine - with a mild surface effect, ideal for restoring the skin of the eyelids and other areas with sensitive and thin skin.
  2. Repair - affecting the dermal structure, triggering the regeneration of the entire inner layer of the skin. Helps get rid of enlarged pores, varicose veins, deep wrinkles, scars.
  3. Restore is the most popular treatment for superficial wrinkles, small acne scars, and incipient age-related changes.
  4. Restore Dual is a double action mode thanks to the simultaneous use of thulium and erbium lasers for safe use in all defects.

The maximum result is obtained with the passage of 3 - 8 sessions every month. The number of necessary procedures is determined by the doctor for each patient, depending on the degree of damage / changes in his skin surface and in the treated area.

Features of the recovery period

The beautician who performed the manipulation is obliged to tell the patient in detail the rules of skin care after laser treatment.

During the recovery period, the following precautions should be observed:

  • it is forbidden to sleep face down for 5 days after the procedure, that is, on your stomach. During the same period, a panthenol moisturizer should be applied to the treated skin three times a day.
  • Avoid direct sunlight for 2 months after the procedure, and be sure to apply high-factor sunscreen to your skin.
  • Stop smoking, as it slows down the process of tissue repair and regeneration.