The use of laser to treat acne scars has been around for decades. Initially, it is recommended that you use pulsed dye lasersto reduce the redness associated with acne scars. With the advancement of technology, however, it became clear that major improvements in the shape and depth of acne scars could be achieved through fractional photothermolysis. Don’t be afraid of it, co2 laser before and after acne scars have a good success rate.
Originally made by Mensteinet_al. Fractional Photo-thermolysisis a technology that removes fragments of skin by creating micro-areas that are sensitive to heat. Eliminates fragmented ablative skin fragments, heats non-fragmented skin columns. Untouched skin is then used to remove necrotic impurities and help with the healing process.
In fractional thermolysis, thermal damage includes epidermis and superficial skin diseases. Depending on the energy source used, the stratum cornea can be relatively saved. Finally, the amount of energy used determines the depth and diameter.
Since its role in skin surface treatment has been recognized, in addition to scars from surgery and traumatic injuries, ablative and non-ablative laser has been used to treat acne scars. In addition, a variety of complementary therapies, such as growth factors, cellulite and other types of laser, combined with fractional thermolysis, have led to a new era in the treatment of acne scars.
Initial treatments for skin scars include subcutaneous injection, trichloroaceticacid (TCA) and surgical correction, while the newly developed laser promises safety and effectiveness where acne scars can be significantly improved.
Since the last issue is , recent research and advanced technology have led to the use of laser in the treatment of acne scars. This chapter reviews the latest information and looks at some of the future trends. Restoration of body parts, rehabilitation of non-disabled fractions, and the combination of these treatments with other models are considered.
Cost – $ 1500 – $ 2000
Area of treatment– Face, Neck, arms, Back
Risks – Redness. Swelling, pain.
Success rate– 60-80%
CO2 laser before and after acne scars –
It’s nothing more than a small sensation, most of us feel scared. Just sit back and apply the CO2 laser before and after acne scars result and you will see it within few weeks.
It did not look beautiful
You could feel heat on your face but not pain,
Recovery looks uncomfortable, but it does not feel so bad
Apply gauze pads soaked in a vinegar solution on my face (if instructed by your doctor)
Swelling is common while the skin heals
Redness pink face – This means that your skin is turning new cells
Fractional Ablative Resurfacing
CO2 laser surface treatment has been used to treat skin for over 20 years. Although the first laser was used to treat images, it has since been used to treat scars caused by trauma, surgery, burns, and pimples. Ablative resurfacing uses light-based energy to destroy poles in the skin. Around the extinction zone, there is a zone of thermal tissue. After an injury, there is a repair process that produces new collagen, elastic skin, and skin.
New versions of CO2 use split laser beams rather than non-splitting devices. By doing so, the cells remain intact. These untreated bars help rejuvenate the skin. When used on acne scars, the formation of new collagen and epithelium can improve their appearance. Over the past few years, the use of laser to treat acne scars has undergone many improvements. Acne scars have been greatly improved with the help of a combination of techniques.
There are many manufacturers of CO2 laser. Each has its own advantages and disadvantages. Many of the best manufacturers produce CO2 laser, and each has its own set of settings. It uses Lumenis CO2 laser at the Dr Beer Office and the specified settings are provided for this device.
Use active FX craft for some surface scars. It has a surface area of 1.3 mm, which is the size of many small pimples, and can be available in a variety of styles and sizes. This allows the laser to adjust the amount of energy to reach different densities.
Active FX creates a “low, wide valley that can extend to the upper papillary dermis.” After anesthesia, settings of 85 to 125 mJ can be used in a density of 2 to 4. Different shapes and sizes are used for laser design, depending on the size and distribution of the arenas. When using Active FX, Ramsdll supports settings between 2 and 4 with the maximum strength used for “acne scars” in the range of approx. 100 – 125 MJ.
After this procedure, new collagen and epithelial scars are strongly affected. Deep scars can be treated with a DE12 FX brace with a 0.12 mm beam. When using this tool, the DEEP FX settings create from 15 to 22.5 narrow, deep destruction columns that are adjusted by the new collagen, elasticity and epithelium. The depth of this module is estimated to be 416 μm at 15 mJ, which is well related to the depth of many acne scars.
The gap between treatments has long been a major problem. A group of authors compared the treatments performed in 1 month with the treatments performed in 3 months. Patients selected for this treatment received CO2 laser treatments for skin.
The Lumenis UltraPulse laser used with DEEP FX was 17.5-22.5 mJ at 3rd density. There is no difference between bad events in both groups. Although it is a small sample size (13 people), data show that both groups improved with radiation therapy. This study confirms the effectiveness of CO2 laser for skin formation
Combination Treatments for Acne Scarring
A combination of several models uses 20% TCA, subcisionand fraction CO2 laser surface treatment. This compound has been used in 114 patients with mostly acne scars. After these treatments, 90% of the treated patients were “satisfied” with their results. Since this study was not blind, it used a simple four-point scale rather than image analysis to determine improvement. However, it is significant that 90% of patients see improvement.
Another integrated treatment of the role of the laser in the treatment of acne scars compares the automatic treatment of fatty acids with platelet-rich plasma (PPP) with or without CO2 laser. These authors measure self-efficacy with PPP for the treatment of atrophic acne scars in 30 patients and measure improvement in the FACE-Q scale. FACE-Q is a Patient Reporting Process (PRO) tool used to measure facial satisfaction. It contains 40 additional scales and checklists designed to measure adverse effects, appearance, and health-related quality of life.
PRP was collected using the RegenLab THT tube. Combined with this, it was not helpful to use CO2 laser compared to the group that did not receive the laser. The authors found that both groups benefited from micrograph / PRP as they had no need for lasers.
Ramsdale supports the use of punch removers before treating ice pickers with CO2 laser. For this treatment, ice pack scarsis treated with an anesthetic of 1% lidocaine, and small fist biopsies (2-3 mm) are used to cut the arenas.
Using the knees, the scar is raised and then placed in place so that it has a _at layer with the adjacent skin. After approx. In 7-10 days, the stitches can be removed and a CO2 laser is used to reset the area using the previously described settings. With this combination, significant improvements can be made to real scars.
In combination with CO2 laser, PRP has been used to treat acne scars. One study compared 16 patients with CO2 laser  acne scars. During the treatment, laser was performed on both sides and then half of the face was treated with PPR. One is added and the other is injected with salt. The authors conclude that scarring on the two sides has a similar effect, but in P.R.R. Prolonged erythematosus and edema have very serious side effects.
Non-fractionated laser is useful for treating acne scars. For patients with acne scars or those who do not have time to fully recover, non-pilot resuscitation is a good option. Typically, these devices are used to treat scarring in a variety of treatments over a few weeks or months.
Intact leather does not touch the skin with steam. Instead, they warm the tissues and stimulate regenerative processes. Laser damage is less common and faster than Almora laser.
Non-radiation treatments have been used to treat skin on dark skin. One study evaluated the use of nonablativelaser for Fitzpatrick type IV – VI. These authors used non-invasive fractional laser to treat acne scar IV-VI patients.
To be eligible for the examination, you must have at least one acne scar. To qualify for treatment, scars must be balanced. The researchers used a Fraxel laser at 1550 nm to treat patients at 450 intervals using the same _uence (40 mJ) using different density settings (200 and 393 microthermal treatment zones [MTZ]).
Patients who completed all four treatments noticed significant differences in the appearance of scars in both settings, as there was little difference between the strains used. They concluded that this laser was safe and effective in treating acne scars. However, they noticed a significant reduction in blood pressure after the procedure. This negative phenomenon was very high at high density settings.
Fractional Ablative vs. Fractional Non-ablative
The re-flare of fractions on fractionated scars is known to provide significant improvements. However, this treatment is associated with a number of side effects, including persistent erythema, scarring, infection and discoloration. If the risk of complications is significant for acne scars, researchers have investigated.
One group of authors compared the fractionated CO2 with the bone CO2 (undivided), is: YAG and fraction erbium 1550 nm. Researchers in this group reviewed 58 patients with acne scars. The settings used for destructive fraction lasers were “50 mJ, 30 W power and 150 spot / cm2 density”. Generally, three to two sessions were held.
The laser settings for the non-destructive fraction were as follows: “30 mJ / MTZ and at a density of 2500 MTZ / cm2. Treatment levels range from 4 to 6. ”Each patient is treated with treatments between three and _. ER-Yag and undivided CO2 lasers were also used in this study, but are not listed here because they are no longer in common use.
Although these authors acknowledged that all groups benefited from the treatments, some had to be repeated after 6-12 months. Evidence suggests that a fractional laser has a much smaller erythrocyte mass than an undivided CO2 laser. Interestingly, non-fractionated resuscitation patients received very little improvement and were less satisfied than patients treated with lasers.
Based on this study, it seems reasonable to use a resuscitation of primary fractions as a primary treatment for moderate to severe skin lesions. These authors believe that three treatments at two-month intervals are the best treatment for these types of skin symptoms.
Treating acne scars can be complex and require a balanced understanding of skin types, classification of acne scars, wound depth, laser settings and sensitive and invasive laser interactions between different skin types. Non-abrasive and non-abrasive lasers are involved in the treatment of acne scars.
Different methods are combined with laser fractions such as PPP and TCA peels, but further research is needed before concrete recommendations can be made. Current studies are difficult to compare with each other due to different study parameters.
As a result, many low-setting treatments for Asian patients appear to be effective in lowering the risk of low-grade hyperpigmentation. In physiotherapy skin types IV – VI, regeneration of non-invasive fractions is effective and treatment of acne scars; However, precautions must be taken to control high blood pressure. Low temperatures and precautions are necessary to prevent postpartum hypertension.