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Many patients shy away from surgery, either because as anxious patients they generally want to avoid surgery, or because they cannot afford to be absent for too long for private or professional reasons. Since the introduction of modern laser technology in plastic aesthetic surgery, there are now solutions to perform a wide range of cosmetic procedures without surgery, which even in these cases can provide lasting results. In the USA, treatment with Fraxel lasers or other fractional CO² lasers has established itself as the gold standard for non-operative skin rejuvenation and tightening or treatment of acne scars.Continue reading
It has been possible with the introduction of the fractionated CO² laser to offer a and scalable therapy for a wide range of problems where precise doses can be given. In Berlin, patients also have the opportunity to be treated with this innovative and gentle method.
Duration of the procedure: approx. 10 to 60 minutes (depending on the procedure)
Length of stay in the clinic: 2 hours
Anesthesia: local anesthesia
Nachbehandlung: pflegende Hautcreme
Resumption of social activities: depending on intensity after 4 – 14 days
As with all aesthetic treatments, a consultation is absolutely necessary in the case of laser treatment. This is the only way to create an individual treatment plan for your desired goal.
In case you have a darker skin type, you should make sure when scheduling your appointment that you do not expose yourself to intensive direct sunlight for four weeks before to four weeks after the treatment.
The treatment at the Sinis Clinic Berlin with the fractionated CO² laser takes between 15 and 60 minutes, depending on the size and nature of the area to be treated. After the application of an anaesthetic cream and an appropriate cleaning and disinfection of the skin, the laser device is activated its special hand-held device, and the individual laser pulses follow at relatively short intervals. The device is then gradually guided over the entire treatment area.
This is followed by a further cleaning, cooling and application of a soothing and disinfecting cream.
The laser treatment with the fractionated laser is perceived by most patients as painless. At most, short, slightly burning sensations may occur.
Since the vaporization of the small spots of skin during the treatment results in a slight smoke and odor, which is reminiscent of the smell of burnt hair, aromatherapy can be used in addition to ventilation, if the patient so desires. The smoke development itself is normal and harmless.
For safety reasons, you should keep your eyes closed during treatment and additionally wear protective goggles provided by us.
The appearance after treatment depends mainly on the intensity of the laser beam. If a low strength is used, only many tiny whitish dots in a checkerboard pattern will be visible on the skin immediately after the treatment. The first reaction to the treatment is a reddening of the treated area, similar to sunburn.
This redness will subside within one to five days. A slight swelling may occur for one to two days. Sometimes the treatment spots are visible for a few days until they heal. As soon as new skin replaces the dead tissue, scaling of the skin occurs. This is a clear sign that the desired healing process is underway and new skin substances are being formed accordingly.
It is normal for the skin to feel a little rough during this time.
After about 10 – 14 days the visible phase of healing is usually complete. However, the formation of new collagen and elastic fibres takes several weeks, so that progress of skin improvement appearance can be assessed after 4 – 8 weeks.
If the adjustment is strong, the small dots can also bleed slightly, leaving a slightly bloody scab on your skin for 7-10 days. Most patients have the treatment on a Thursday and take Friday off. The worst should be over by Monday. How strongly they react to the treatment also depends on how intensively they have been treated.
We will determine the necessary intensity in a detailed consultation with you, as in addition to the desired result, the individual circumstances must also be taken into account.
The technique of fractional CO² lasers is based on shooting several hundred tiny holes into the skin by means of a special laser head. Depending on the setting, these extend to a depth between 0.1 and 2.5 mm. This allows 2 effects to be achieved simultaneously. On the one hand, the collagen fibres are ‘vaporised’ in the treated areas and thus contract. As a result, a first small tightening effect can already be seen immediately after application. The micro-injuries produced subsequently stimulate the production of the body’s own collagen and elastic fibres from the untreated skin ridges over a period of 4-6 weeks. As a result, after the healing process is completed, the skin appearance is significantly fresher and firmer, and small and medium wrinkles are significantly reduced. As a rule, 2 – 4 treatments at intervals of about 4 weeks are necessary for satisfactory success.
In case of larger defects or deeper wrinkles, it may be necessary to increase the power of the laser treatment accordingly. Although these are still much easier to tolerate compared to surgical measures, a ‘downtime’ of 7-14 days before returning to full social activities, since the external appearance is impaired by corresponding incrustations and redness. In contrast to the gentler version, however, 1-2 sessions are often sufficient for a good treatment result.
In principle, treatments with a fractionated laser are extremely low-risk and have few side effects. Occasionally, the treatment can cause pigment shifts (light or dark spots on the skin), which disappear after weeks or months. Only in very rare cases do these pigment spots not completely recede and remain clearly visible. These risks are especially pronounced if you are exposed to too much sunlight before and after the treatment. For this reason, you should not expose the affected areas directly to the sun or visit a solarium four weeks before or four weeks after a treatment. If sun exposure cannot be avoided, you should use a sunscreen product with a protection factor of at least 50, applying it several times a day.
As already mentioned, depending on the strength of the laser setting, the smallest superficial injuries and punctiform tiny bleedings may occur. The formation of crusts or blisters is much less frequent. In such cases you should use an antibacterial ointment for a few days. If crusts persist for more than 10 days, the treating physician should carry out an appropriate check in order to rule out a skin infection. Such infections can usually be treated with a cream and only in exceptional cases do they require the administration of antibacterial medication.
In rare cases, the treatment can cause cold sores or shingles of the face if you are carrying the virus in question, as these viruses, which are dormant in the body, could be activated by the treatment. Superficial scars may occasionally develop, which shine brightly through the epidermis and may look like a pigment deficiency. Extremely rarely, thick, bulging, discoloured, painful and/or itchy scars (scar proliferation, keloid) or even scarred skin retractions can develop as a result of the treatment if you have a corresponding predisposition. Timely treatment of such scars usually provides considerable relief. Please inform us before the treatment if you are known to have a tendency to excessive scarring.
When treating the lower eyelids, it is extremely rare for the skin to shrink too much, causing the lower eyelid to protrude (ectropion), which leads to irritation of the affected eye and increased tear flow. Such an ectropium usually resolves itself within a few weeks. Only in a few exceptional cases is an operative correction necessary.
While almost all patients are very satisfied with the results, there are a few people who do not respond to this treatment. In such cases one will try to intensify the treatment, combine it with other procedures or choose other treatment options.
Laser treatment is a highly effective method to improve the appearance of the skin in the long term and thus achieve a more positive radiance. However, the procedure is not always and not for everyone a suitable solution. Before a planned laser treatment, you should inform us about any existing intolerances. You should also inform us about diseases such as diabetes and regular or irregular medication intake. Before you even decide to undergo laser treatment, you should first and foremost rule out any possible pathological changes in the skin. If you have squamous cell carcinoma (spinalioma) or black skin cancer (melanoma), laser treatment should not be performed. Laser treatment is also counterproductive for hemangiomas with a strong central vessel (hemangioma). Laser therapy is also not possible if you suffer from stage II or higher rosacea or acute cold sores. In the case of a compound nevus, pigmented or low-pigment nevus, consultation with a specialist is required first. Laser treatment is also unsuitable for people who have an acute bacterial or viral infection or are otherwise seriously ill. Also, people who are convalescing after an illness or surgery should not be treated. To minimize complications, we perform laser treatment only on healthy people.
CO2 laser therapy is suitable for almost every patient, as it is gentle, low-risk and virtually pain-free. Experience has shown that most patients tolerate the treatment very well. In the case of laser treatment of particularly sensitive skin areas, a local anesthetic can be administered prior to application. In principle, you can receive pre-treatment with a local anesthetic if desired.
When it comes to lower eyelid lifting, a significant improvement in the lifting result can be achieved by the additional use of the fractionated laser. The combination of removing excess skin and subcutaneous fat pockets on the lower eyelids using laser treatment properties for wrinkle reduction and skin rejuvenation leads to a significantly rejuvenated and wrinkle-free skin appearance. Since the surgical procedure is performed under anesthesia, the laser can be applied at maximum power, so that in most cases the one-time laser treatment is sufficient for an optimal treatment result. The additional use of the fractional laser can support the treatment result in a variety of other surgical procedures (such as vaginal rejuvenation and constriction as part of a mummy makeover). We would be happy to inform you about this in a consultation.
The price for a treatment is determined individually before the first treatment and depends on the expected effort. However, in principle you can orient yourself by the following guide prices.
|CO2 – FRACTIONAL LASER TREATMENT||Per Application||Package price for 4 treatments|
|Forehead||250,00 €||800,00 €|
|Eye Region||250,00 €||800,00 €|
|Mouth Region||250,00 €||800,00 €|
|Cheeks||250,00 €||800,00 €|
|Facial Peeling||300,00 €||960,00 €|
|Upper Lip||150,00 €||480,00 €|
|Face Complete||700,00 €||1.900,00 €|
|Acne Treatment||300,00 €||960,00 €|
|Neck||300,00 €||960,00 €|
|Décolleté||400,00 €||1.280,00 €|
|Hands||250,00 €||800,00 €|
|Stretch Marks||300,00 €||960,00 €|
|Upper Arms||350,00 €||1.120,00 €|
|Forearms||300,00 €||960,00 €|
|Scars||150,00 €||480,00 €|
The fractional laser treatment costs are not covered by health insurance, as this is a cosmetic service. Payment is made immediately for each individual treatment, either in cash or by card. In the case of package offers, the package price must be paid at the first treatment.