Ablative lasers: the gold standard for dermatological treatments

The ablative lasers are the “gold standard” of lasers for dermatological treatments. They ablate the skin with a degree of precision that can be measured in microns. This makes it possible to safely and gently remove a wide variety of lesions from the skin at epidermis and dermis level. Due to their ease of absorption in water, both the Erbium:YAG (2,940 nm) and the CO2 (10,600 nm) wavelengths are highly suitable for this purpose.
The skin is disinfected before the treatment is carried out. Then, depending on the size and/or depth of the lesion to be dealt with, the dermatologist decides whether anesthesia is required and what type of anesthesia is appropriate (most of the treatments are very well tolerated without any anesthesia!).

Gentle and effective treatments

Treatments using lasers are gentle on the skin and eliminate bothersome skin lesions very effectively and in a matter of minutes. The Erbium laser works very precisely and can selectively remove skin areas to a predefined depth with little pain. At the same time it stimulates skin renewal. The results are impressive: tangibly smoother, softer skin.
After treatment, it normally only takes a few days for the wound to heal. It is recommended not to expose the treated area to sunlight or sunbeds for at least 10/15 days prior to/following treatment. The use of sunscreen is recommended in summertime and in general when treating areas exposed to sunlight (e.g. the face).
Studies show that the Erbium laser is also very effective in treating scars, for example acne scars, and for skin rejuvenation. The success results from the highly precise removal of tissue during treatment, softening and smoothing of tissue during wound healing and collagen neogenesis during the first year post-op.

What kind of skin lesions can be treated?

The Erbium and CO2 lasers can safely and effectively remove the following lesions:
• Becker naevi
• Naevi spili
• Epidermal naevi
• Xanthelasma
• Syringomas
• Sebaceous adenoma
• Milia palpebrarum
• Actinic keratosis
• Seborrheic keratosis
• Favre–Racouchot syndrome
• Lentigines
• Café-au-lait spots

Is laser treatment safe?

Laser devices have been utilized in cosmetic surgery for over twenty years, demonstrating a high degree of reliability and effectiveness when used by qualified specialists on carefully-selected patients. Lasers have taken over from the old traditional alternatives such as chemical peeling and dermo-abrasion, where the depth of action cannot be controlled and are more painful and uncomfortable for the patient.

How many sessions are necessary?

One single treatment is normally enough to remove superficial lesions. Depending on the depth and size of the lesion, more sessions may be needed.

How long is the healing time?

The recovery time is usually very short. During the first 48 hours, there may be a sensation of heat or burning similar to sunstroke – discomfort that will vanish thanks to the use of creams indicated by the physician. For 10-15 days afterwards, the skin will have a smooth appearance with a reddish color that can easily be covered with light makeup and without affecting your daily activities or social life.

What are the post-treatment instructions to be followed?

During the first 48 hours, moisturizing antibiotic and anti-inflammatory creams can be applied. The use of vaseline-based preparations is also recommended for eight days after the operation in order to prevent the formation of unsightly scabs. Following this, it will still be necessary to protect your skin from the sun’s rays for about two months.

Is the treatment painful?

The treatment is not painful and is well-tolerated by the patient. A local anesthetic may be used for particularly sensitive areas.

Are there any undesirable side effects?

There may be some unsightly dark marks, which always disappear within a few weeks, either on their own or by following your physician’s instructions.

What results are achieved?

Many lesions can be easily removed without the formation of scars. After laser therapy, the skin will be tighter, smoother and more polished.

Asclepion Laser Technologies is working closely with physicians, clinics and universities to improve technologies to assess their effectiveness and safety as well as to improve its application. In clinical studies, scientific questions are answered in a controlled environment. This ensures the best possible results for both the users and patients.

Erbium YAG laser treatment of periorbital syringomas by using the multiple ovoidshape ablation method.
Kitano Y. J Cosmet Laser Ther. 2016 May 12:1-6.

 

Ablation of cutaneous lesions using an erbium:YAG laser.
Khatri KA. J Cosmet Laser Ther 2003; 5:1-4

 

Erbium:YAG Laser Therapy of Skin Lesions
Kaufmann R, Beier C.. Med Laser Appl 2001;16:252-263

 

Treatment of melanin-induced benign dermal lesions by an Erbium-YAG laser system
Doi H, Ogawa Y, Hatoko M. J Plast Reprod Surg 2000; 0:90-95

 

Treatment of common warts and actinic keratosis by Er:YAG laser.
Wollina U, Konrad H, Karamfilov T. J Cutan Laser Ther 2001;3:63-66

 

Efficacy of erbium:YAG laser ablation in Darier disease and Hailey-Hailey disease
Beier C, Kaufmann R. Arch Dermatol. 1999; 135(4):378-80

 

Treatment of Striae Distensae Using an Ablative Erbium-Yag Fractional Laser versus a 585nm Pulsed-Dye Laser
Gerd G. Gauglitz, Markus Reinholz, Peter Kaudewitz, Jürgen Schauber, Thomas Ruzicka Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany J Cosmet Laser Ther. 2014 Jun;16(3):117-9. doi: 10.3109/14764172.2013.854621. Epub 2013 Nov 18.

Professional therapy

With its extensive range of services, Asclepion sees itself as a competent partner for dermatologically and aesthetically oriented practices, institutes and clinics. Decide now for the treatment with the most advanced laser technology and discover a new world of professionalism and quality.

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