Further Information

Laser Treatment Procedure

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.

How will I look after the treatment?

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.

How long do the results last?

The results of such treatment usually last for several years. However, this is highly dependent on your lifestyle, especially whether you smoke and/or are frequently exposed to the sun.

Technical Principles of Fractional CO² Laser Treatment

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.

Do you have any questions or would you like to make an appointment? Give us a call!

030 – 678 28 181

Risks / After the operation

Risks of Laser Treatment

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.

What do I have to consider after the treatment at the Sinis Clinic Berlin?

Min. 4 weeks no direct sunlight
After the crusts have fallen off, sun protection with sun protection factor 50
Ideally no hot environment in the first 5 days (sauna, hot shower…)
not using colouring make-up, as long as a scaling is present (otherwise there is the danger of a tattoo
No rough removal of the crusts, no rubbing with a towel
In case of severe swelling, take bromelin or wobenzym to reduce the swelling, 3 times daily 2 tablets for 1 week,

Using the ‘Hello Professor!’ function, you can directly forward your questions or images to Professor Sinis via WhatsApp.

Types of Treatment with a Fractional CO² Laser

The fractional CO² laser can be used for the following treatments:

Wrinkle Treatment
Laser Lift
Scar Correction
Skin renewal, skin rejuvenation and skin tightening (skin rejunivation, skin resurfacing) in all body regions
Vaginal Rejuvenation
Removal of Coarse-pored Skin
Elimination of Acne Scars
Reduction of stretch marks

Possibility of Combining Laser Treatment with Other Conservative Therapies

In order to support faster healing, but also to significantly extend the duration of effect of fractional laser treatment, it is usually advisable to carry out PRP treatment in combination with laser treatment. The laser treatment stimulates the areas of increased cell activity, which are particularly good and sensitive to prolonging and

Possibility of Combining Laser Treatment with Surgical Procedures

However, laser treatment using the CO² laser is not only applicable in the context of conservative treatment. Additional treatment with the fractional CO² laser offers a good possibility to significantly enhance and support the positive surgical result, also with regard to the skin appearance and especially in the context of surgical interventions. In addition, laser treatments can be performed with higher power because of the surgical procedures performed under anaesthesia. Likewise, the corresponding downtime caused by the operation is sufficient to cover the healing from laser treatment too, so that the patient achieves an optimal result with only one operation. Examples of the combination of surgical procedures and laser treatments are, for example, lower eyelid lifting or liposuction

Laser Treatment in Combination with a Lower Eyelid Lift

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.