Laser skin resurfacing glasgow
Considered by some to be milder than CO2 laser, Erbium resurfacing is an excellent alternative which offers the advantages of increased precision and variability in resurfacing depth.
Recovery tends to be quicker and it is more commonly used in darker skin-types.
Erbium resurfacing, like CO2 is performed in order to:
- Completely renew facial skin
- Tighten the skin to help reduce the consequences of laxity
- Remove wrinkles
- Improve elasticity and skin thickness
This facial laser surgical procedure is performed under a special type of local anaesthetic. Treatment of skin laxity and wrinkles around the eyes can also be incorporated into the treatment.
Not all Erbium laser is the same. This is a fully ablative Erbium laser procedure that is only performed by a handful of experienced laser surgeons worldwide. It requires a surgical grade laser that uses 2 different types of Erbium which, in combination, provide optimal resurfacing. Dr Cormac is one of the few laser surgeons worldwide who has the knowledge and the experience to offer this procedure and has performed numerous cases. He uses the Sciton Profile laser which is one of the most powerful and advanced Erbium laser available.
Dr Cormac is capable of performing what few others worldwide are capable of. The level of skin rejuvenation is simply outstanding.
This degree of improvement requires 7 days of downtime (As the procedure is usually performed on the Friday list this translates to 1 week off work). In order to fully understand the nature of the recovery period Dr Cormac has included a comprehensive photo diary of a case he performed.
Depending on the individual patient’s wishes, requirements and agreed treatment plan, Dr Cormac can treat specific facial areas to different depths. This may involve a full face or part face treatment – a common example will be periorbital treatment (around the eyes only). Eyelid tightening treatment with fully ablative Erbium laser is a very effective technique. The result is similar to that seen following CO2 treatment, though the tightening builds over a 3 month period following treatment. For clients who are not keen on surgical blepharoplasty, fully ablative Erbium eyelid treatment will give a considerable improvement for eyelid skin laxity and wrinkles.
The greatest benefit of this procedure is that the results are permanent. Once healing is complete the skin you are left with is your new skin. The procedure doesn’t have to be repeated like other cosmetic treatments such as dermal fillers or BotoxTM. As long as the client takes good care of their skin results will last for many years before the need to consider doing anything further.
Aggressive procedures can be performed on lighter Fitzpatrick 1-3 skin types (Caucasian, Mediterranean, Very light Asian). Treatment for darker skin types (Fitzpatrick 4 – 6) must be delivered less aggressively due to potential for pigmentation side effects.
What happens during a laser resurfacing treatment?
You will have a consultation with Dr Cormac to make sure that the laser resurfacing treatment is suitable for you. If all is ok, a time and date will be scheduled for the procedure. During the consultation, Dr Cormac will issue you with a prescription for prophylaxis medications. These medications are to be used as instructed during the immediate post-procedure period. Taking these medications minimises the risk of harmful side effects such as infection following this type of aggressive skin laser surgery.
Before the procedure takes place, Dr Cormac will confirm your understanding of the procedure and aftercare, answer any final questions, and then ask you to sign a consent form. Antiviral tablets will then be administered and a sedative offered. Pre-procedure photos will be taken and the face will then be cleansed and prepared with a special type of topical, local anaesthetic gel. From time to time, additional anaesthetic techniques such as tumescent anaesthesia or nerve blocks may be used which involve small injections of local anaesthetic under the skin. The anaesthetic preparation will last approx 45 mins.
You will now be moved into the procedure room and fully prepared for the laser procedure. If you are only receiving facial treatment then adhesive eye-shields that stick over your eyes will be applied. If treatment around the eye area is to be performed then you will have already had anaesthetic eye drops applied and metal contact lens style eye-shields will be inserted. In most cases, clients who opt for full face treatment will want to incorporate the benefits of eyelid treatment as well and they can both be performed in the same session.
The laser skin resurfacing treatment takes place lasting approx 45 mins.
what does laser resurfacing do?
Laser resurfacing is a facial laser surgical treatment performed under a special type of local anaesthetic to reduce facial wrinkles and skin irregularities such as blemishes or acne scars.
The technique directs short, concentrated pulsating beams of light at irregular skin, precisely removing skin layer by layer. Treatment of skin laxity and wrinkles around the eyes can also be incorporated into the treatment.
LASER RESURFACING IS DIFFERENT FROM FRACTIONAL RESURFACING WHICH IS A MUCH MORE COMMON, AND MILDER TREATMENT.
Is laser resurfacing safe for pigmentation?
Laser resurfacing is one of the most advanced treatments for removing pigmentation on the skin such as age spots, sun spots and freckles. It is performed in order to: completely renew facial skin, tighten the skin to help reduce the consequences of laxity, remove wrinkles and improve elasticity and skin thickness.
What laser is best for wrinkles?
Erbium Yag fully ablative lasers as used by Dr Cormac are the best lasers to treat wrinkles. They promote collagen remodelling making them popular for treating fine lines, wrinkles, skin laxity and age spots.
Is laser treatment safe for the face?
Laser skin resurfacing is safe for the face as long as the Doctor performing the treatment has the knowledge and experience to offer the procedure, and they use the appropriate laser. Laser skin resurfacing may help your skin look younger and healthier if ageing, acne or too much time in the sun has left your face with blotches, scars, wrinkles or lines.
How long do laser resurfacing results last?
Dr Cormac will provide you with the necessary skin care routine to ensure you get the maximum time from the benefits of the treatment.
How long does it take to recover from laser skin resurfacing?
This is an aggressive medical procedure. Recovery, and regrowth of the epidermis will take some time.
Following completion of the procedure the client’s face will feel very hot. It is best described as a sunburn sensation. This burning sensation will last for up to 24 hours before settling. The skin will continue to heal day by day and after 9 – 10 days most clients can return to work. There will be some ongoing redness that will take a few weeks, or sometimes months, to settle.
Recovery is monitored by serial ‘selfies’ on day 2, 4 and 6, with additional contact on an as required basis.
Is laser treatment for the face painful?
What laser resurfacing treatment feels like depends on the laser, the depth and area of treatment and an individual’s tolerance to pain. The level of discomfort experienced during the procedure is typically a prickly burning sensation that usually can reach up to a 5 out of 10 subjective severity. We have never encountered anyone who has been unable to cope with the procedure from a pain or discomfort point of view. Pain or discomfort from this type of laser surgery is best described as moderate at the most.
What are the side effects of laser resurfacing treatment?
Fully ablative resurfacing is the most aggressive type of skin resurfacing procedure Dr Cormac performs. Because of the level of expertise however, the incidence of side effects is low. With any laser resurfacing treatment, complications are possible and in fully ablative laser these include the following;
Post Inflammatory Hyperpigmentation (skin darkening)
Although more common on darker skin types, this is the most common side effect. If the aftercare instructions are strictly adhered to, you are more likely to avoid this type of complication. If you do suffer from skin darkening as a result of laser resurfacing, it will usually spontaneously improve; however it can be expedited by the addition of topical treatment which we will advise on. Depending on the severity of the initial inflammation, it can take anything from a few weeks to 6 months to completely disappear. Sun exposure is the most common aggravating factor and this is why strict sun avoidance is important in the first few weeks.
True Hypopigmentation and Pseudo-Hypopigmentation (skin lightening)
True hypopigmentation occurs when there has been damage to melanin producing cells following the laser treatment. This is rare with fully ablative resurfacing as the new skin is repopulated with new melanin producing cells from the deeper structures of the skin. If True Hypopigmentation occurs, it can take many months to recover and can indeed be permanent.
Pseudo-Hypopigmentation is not actually hypopigmentation, rather is an apparent skin lightening that we appreciate due to the light reflection form newly formed collagen. This typically reduces as the new melanin is produced following (hopefully) cautious sun exposure.
If only part of your face is treated with laser resurfacing, the new skin may be subtly different in shade to the surrounding skin, leading to a visible line of demarcation between treated and untreated areas. Although less likely in lighter skin types, we usually prefer to avoid part treatment for this reason and prefer to treat the whole face. It is important to note that if lighter, freckled skin is part treated there will also be a demarcation between untreated freckled skin and treated freckle free skin.
Infection can occur in any kind of laser skin resurfacing however it is preventable through early detection and management. Dr Cormac monitors the skin resurfacing healing closely with the use of ‘selfie’ photos on days 2, 4 and 6. It is very important to minimise the chances of uncontrolled infection as this increases the risk of hypertrophic scarring (raised bumps).
The most common form of infection is the cold sore virus (HSV) but it can usually be prevented by taking an anti-viral medication daily for seven days during the recovery period. Bacterial infection prophylaxis is also issued in the form of a once daily antibiotic tablet taken for 7 days after the procedure. Fungal infection is a possibility and Dr Cormac will include medications in the aftercare pack to treat this should it occur.
Scarring is very rare but is of course a possibility. The most likely cause of scarring would be from uncontrolled infection which is highly unlikely due to the photo monitoring during the first week of post treatment healing. A less common cause of scarring would be from direct thermal injury from the laser (burn) However, because of the level of experience and expertise by Dr Cormac, the likelihood of this happening is extremely unlikely.
Prolonged Redness (erythema)
Every client will experience redness to a degree after having the CO2 laser treatment and as such is not really a complication. The redness tends to progressively settle and generally tends to take upto 3 – 4 months to completely reduce. It is important to understand that whilst the redness remains, the likelihood of developing browning/tanning of the skin (post inflammatory hyperpigmentation) still exists. It is therefore important to take sun avoidance precautions and use SPF 50 sun block until the redness disappears.
Post-Resurfacing Contact Dermatitis
Post resurfacing contact dermatitis is a form of increased sensitivity of the skin that is encountered by a percentage of individuals post laser resurfacing. In some cases it can be quite severe and is more likely in aggressive forms of laser resurfacing such as fully ablative CO2 resurfacing. Mild irritants can trigger a disproportionately large irritation of the skin (burning and itching) that can then result in prolonged redness and darkening of the skin. If it does occur, it is usually treated by topical steroid ointment and eventually spontaneously settles down. Triggering of the contact dermatitis can be reduced by the use of mild, perfume free cleansers and skin products after treatment and Dr Cormac can advise on suitable products.
Erosive Pustular Dermatosis
There are only a few case reports world wide of erosive pustular dermatosis. It is an extremely rare dermatological condition that can be triggered by any type of skin injury including laser. It effectively amounts to the failure of the skin to completely heal after treatment. If this was to occur, management would be undertaken in a specialist dermatology unit and the consequences could be permanent scarring.
Can I wash my face after having laser resurfacing treatment?
Although it is extremely important to keep the face clean to minimise the risk of infection post treatment, you should wait at least 12 hours to wash your face and then only use a very mild cleanser. You should also avoid using warm/hot water for at least 2 – 3 days post laser resurfacing. Detailed aftercare instructions will be discussed at the time of treatment and issued to you in a written format.