ECO2 Carbon Dioxide Fractional Laser
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While many methods can be used in treatment of acne scars, facial and neck wrinkles, skin rejuvenation, stretch marks and scars on the body; at the same time many laser systems are also used for this issue. These are Erbium Glass laser with 1.540 nanometer wavelength (Er:Glass), Erbium YAG laser with 2.940 nanometer wavelength (Er:YAG); in our clinic, Asclepion brand Er:YAG laser and Er:YAG fractional laser are used for this purpose. Carbon dioxide laser (CO2) with 10.650 nanometer wavelength, in our clinic Lutronic ECO2 fractional laser is used for that purpose.
Especially by the Erbium Glass system, wrinkles, scars, pores and wound scars on the skin are treated; however the efficiencies of these systems are more limited due to their wavelengths are short, and sometimes despite numbers of application, it is not possible to reach to the desired point.
Erbium Yag laser can be used more easily due to being with deeper wavelength compared to Erbium Glass. The last point reached all around the world for the purpose of going beyond the efficiency degrees is the fractional version of CO2 laser systems. In carbon dioxide fractional laser, as in the other fractional laser systems, some points pass the beam in the skin, in other words laser beam is not sent to whole skin area; therefore this system is not ablative (damaging), it is a microablative system and does not create wound or permanent damage in the skin.
Thus, the patients do not stay away from their daily lives. Thickness of the skin treated during ECO2 Fractional carbon dioxide laser application is not eyeball estimate or based o experience as in the chemical peel or dermabrasion; the descended depth is known for certain. In spite of being strong, due to its fractional characteristics, the speed of healing after application is very high, and the healing time is short.
And its effect is much clearer than of similar systems. While dermabrasion and deep chemical peel are applied under anesthesia, there is no need for any anesthesia for the fractional carbon dioxide laser application; sometimes topical anesthesia can be used. Top layer of the skin is peeled by providing voparization by increasing the temperature of the skin with the CO2 fractional laser beams.
Each fractional micro point generates a thermal area. And in the healing period, the undamaged cells around the region treatment applied in help the region to recover. This process accelerates the cell renewal. And a week after the application, tightening in the skin and improvement in the general appearance are noticed. By increasing the temperature in top layer of the skin, the natural wound healing process is accelerated. Fibroblasts, glycosam, elastin and collagen which provide immediate skin resurfacing;
ECO2 carbon dioxide fractional laser, provides treatment opportunity extending to epidermal or dermal depths (until 50 micron and 2.4 mm) in the skin with three different head systems (120m 300m and 1000m). By the Controlled Chaos Technology of ECO2, each laser beam is pulsed areas different from each other so as not to create thermal heating zone. Thus, the complication of hyperpigmentation which appears in the classical carbon dioxide laser treatments is not observed in the ECO2 applications.
Moreover, it provides faster and painless treatment due to controlled chaos technology.
Classical Skin Resurfacing
CO2 lays the foundations for a new and excellent operation by enabling the laser beam to be spread properly on the tissue in the Fractional laser system. So, application in fotoaging on the facial region and in other skin disorders is easier with its overachievement. Also, it activates homogeneous and normal epithelium formation without causing tissue destruction. Moreover, it increases the beneficial effects such as collagen shrinkage, rejuvenation, and neocollagenesis.
Skin Resurfacing By ECO2 Fractional Carbon Dioxide
The technique of ‘fractional’ ablative skin resurfacing presented together with the traditional method, due to the point emission, areas that were not treated line up one after the other with the small points created by thermal damage. In conclusion, healing period is much quicker, and this provides you to return your normal life in the shortest time.
Due to the quick re-ephitelialisation, less erythema, rapid clinical results (tissue shrinkage based on the selective heat dissipation), and healing of epidermal walls are provided.
High Power Feature Of ECO2 Carbon Dioxide Fractional Laser On Ultra Pulse Mode
The innovative design and easy use of the heads of CO2 Fractional laser provide opportunity for the system to be used most properly by the operator. Due to its reliability and performance continuity, the surgical procedures are provided easily with full control of the voparization depth and advanced surface ablation on many skin lesions.
Scanner Control Adjustable From Head
It fulfils all traditional and fractional skin resurfacing needs, and provides opportunity of choosing different scanning forms, sizes, and methods to the tissue.
Sequential Or Scattered Pulse Options
It provides scanning the treatment area in desired level between 5% and 100% with microsecond intervals, along with the opportunity of optimizing the application time of laser on each point. In addiotion, it also provides to increase the patients’ adaptation to the severity of operation and the healing processes.
Treatments Applied By ECO2 Carbon Dioxide Fractional Laser
Skin Resurfacing, Facial Rejuvenation
It is very successful in removing the wrinkles and lines in facial, eyelid, neck and décolleté regions. It treats especially fine lines and deep wrinkles that botox could not correct.
It is the strongest and most effective method in the acne scars and pores formed on face, back and breast, varicella (chickenpox) scars, wound and burn scars, and skin stretch marks! Treatment of acne scars: Acne scars are classified in two main groups as superficial and deep:
Superficial acne scars: They are the scars affecting upper layer of the skin. These scars appear more especially after the acne treatment, and seem in the form of slight pits and pores on the redness ground. Treatment of superficial acne scar, and nonhealing acne scars is easily possible with CO2 fractional laser.
Deep acne scars: Acne scars on skin may be in form of areas pitted by icepick, round-oval shaped or deep pits. This type of acne scars that are generally deep derive from the upper layer of the skin to be pulled inwards by the lower layers. Great improvement is observed in this type of acne scars of which treatments are the most difficult by the fractional CO2 laser.
Removal large pores and rough appearance of the skin
Treatment Of Spots
Removal of the sun spot, age spot, spots that occur after birth, and superficial pigment disorders which are formed on the skin is possible also by the Carbon dioxide laser. However in Private Miaplast clinic, in spot treatment Spectra Q-Switched Nd Yag laser is preferred more fort his purpose.
Reduction of hypertrophic scar and keloids
Intractable swollen scars, keloids are softened and reduced to level of the skin by fractional laser.
In surgical cutting procedures
Carbon dioxide laser is used in aesthetic eyelid surgeries, surgical procedures on face, and correction of injuries due to it special application head:
Treatment of skin lesions
Treatment of skin cancers
Treatments of mass lesions in hair, brow, and bearded region
Pyogenic granuloma treatment
Rhinophyma and otophyma treatment
Treatment of congenital or post-emergent nevi
Treatment of cholesterol deposits on eyelids (xanthelasma)
Treatment of masses occurred in areas such as hand, foot, genital region (verruca-wart, condyloma)
Difference Of ECO2 Carbon Dioxide Laser Than The Other Fractional Lasers
Wavelength of the laser beam is among the most important factors determining the efficiency of laser. The wavelength shows what depth the laser penetrates in, and consequently how much it is effective.
Because the Er. Glass and Er: YAG systems have low wavelengths, their efficiencies are more superficial. CO2 laser creates unique results by penetrating in the deepest parts of the dermis that is the middle layer of the skin with its 10.600 nm wavelength, and in our day it is the gold standard method in skin tightening, resurfacing, rejuvenation, and all types of scar treatments.
Although the first used CO2 lasers were quite effective, some side effects were seen due to reasons such as being long of their pulse duration, being deep of the peeling and thermal effect they create, and the prolonged redness. Because the peeling and thermal effect of Er:Glass lasers is quite superficial, their side effects are fewer, but skin rejuvenating effects are less than the carbon dioxide laser.
Difference Of ECO2 Carbon Dioxide Fractional Laser From The Other Carbon Dioxide Fractional Lasers
Its fractional property is not originated from the lens as in the other fractional lasers and all laser point pulses are not made at once, and each laser pulse point is made separately within microseconds. And this reduces the damage that laser may give to the skin almost to zero.
Smart pulse feature: When this option is used, in fact each laser pulse consits of two separate pulses: The heat damage in surrounding tissue is reduced by an effective and strong pulse in first 20-30 microseconds, and a pulse in lower power in the remaining time (150 or over microseconds).
Scanning feature is another factor reducing heat damage in the surrounding tissue. Due to this feature, each pulse can be performed separately and in points away from each other, thus the heat damage in the skin that can be occurred because of close pulses is prevented.
Due to the scanning feature, the number, form and frequency of the laser pulse points can be adjusted in accordance with need of the skin to be applied, and the laser point pulses are not in fixed number, frequency and form. And this increases the maneuverability, consequently the success rate in the treatment.
In CO2 fractional laser, the diameter of pulse points is 120 micron, thin approximately as the size of half a hair. For this reason, these laser pulses reach the skin very thinly. While after CO2 laser application shortening in 30% in the subcutaneous collagen lymphs and tightening in the skin suddenly occur; in the Er:YAG and Er:Glass systems, this rate is low so as not to be compared.
The skin is treated in 10-250 micron depths according to the patient’s need (this depth is between 2-50 microns in Er:YAG lasers, it is more superficial in the Er:Glass lasers). Due to these differences, CO2 laser system is still the gold standard in the skin resurfacing applications.
What Are The Differences Occurred In The Skin As Result Of Fractional CO2 Laser?
After CO2 laser application, shortening in 30% in the subcutaneous collagen lymph occurs suddenly. And in the following 1-3 month period, new collagen formation under the skin and rearrangement in the subcutaneous connective tissue occur.
As a result of all these, skin tightening called skin rejuvenation, high level of reduction in roughness, spots and scars on the skin occur. By tightening the pores on skin, the skin structure turns back in state it was 10-15 years before.
Is The Fractional CO2 Laser Application Painful?
During the application a slight beating feel occurs as in the laser hair removal. This feeling can be reduced much more by using local anesthetic creams or cold air.
How many times ıs the fractional CO2 fractional laser application performed?
The session number in fractional CO2 laser system varies depending on the problem intensity, and power and depth settings of the application. Healing in average 40% is observed after each application. While one-two sessions are sufficient in mild-moderate wrinkles and scars, the treatment in very deep acne scars and wrinkles is arranged as a few sessions (3-5). The frequency of sessions change according to the depth of application: the treatment is repeated once in 1-1.5 months in superficial applications, and once in 2 months in deep applications.
What Are The Characteristics Of Healing Process?
There is no need for dressing after fractional carbon dioxide laser application. Any complaint does not happen except a rednees lasting for 3-7 days and sometimes slight peeling on the skin. The patient can put on meke-up after the first day. This advantage of the CO2 fractional laser provides opprtunity for the patient to continue her daily life.
What Should Be Considered Before The Application?
The patient should stay away from the sun and solarium for 1 month before application. Medications preventing blood clotting (aspirin, heparin…), retinoid containing medications (isotretinoin), and medications causing photosensitivity (tetracycline, naproxen, chloroquine) should not be taken. If skin corrosive treatments such as dermabrasion, and peeling, or skin lifting operation were performed before the application, it should absolutely be stated to the doctor performing the application. If the patient has herpes story in the past, definitely he/she should take medication before the application.
What Should Be Considered After The Application?
It can be taken warm shower 1 day after the application. To reduce oedema and inflammation, it can be applied a cold compress. To avoid from crusting that may occur after application, the skin should be kept moist and clean. By using sterile gauze, the skin should be cleaned with saline solution. Antibiotic or epitelizan creams should be used often especially after each cleaning and shower.
This cleaning and moisturizing procedure should be repeated 3-4 times a day in the first week. Make-up can be put on after healing. Depending on the type of patient’s skin and environmental conditions, after healing sun protections should be used, and skin peeling creams should not be used at least 1 month.
According To What Do Carbon Dioxide Fractional Laser Prices Vary?
The prices of carbon dioxide fractional laser vary firstly depending on what treatment will be performed. Prices of fractional laser wrinkle treatment and the prices of acne scar treatment will be different from each other. Also, the cost of treatment to be performed for stretch mark (stria) treatment differs even in itself. How many sessions the treatmen will take, the width of area to be applied (i.e. scar treatment, burn treatment), and whether package price is prepared or not are the factor affecting the carbon dioxide fractional laser prices. For the most accurate price information, you can get examined by your doctor.