Cosmetic Lasers

Lasers are often described as photon emitting beams in a coherent and consistent way via an optical source. They were invented many years ago and were not designed for commercial usage as the technology was in its infancy. Technological advancements in all fields of science have helped in improving the functioning and scope of lasers in recent years. Lasers are now being used in different sectors such as science, industry, medicine, and consumer electronics.

Lasers can be classified according to the type of application for which they are used. Lasers are increasingly being used in different branches of medicine such as dermatology, surgery, plastic surgery, dentistry, ophthalmology, and cosmetic procedures. Lasers used for skin treatments are often referred to as cosmetic lasers that produce an intense beam of light with insignificant dispersion over a short distance.

One of the most common uses of cosmetic lasers can be seen in resurfacing of skin that may have been damaged due to scars and wrinkles. The laser removes thin layers of irregular skin in multiple sessions. Another common use is related to the removal of bodily hair. Tattoos can also be removed using cosmetic lasers in multiple sessions depending on color and depth of pigment used in tattooing.

Cosmetic lasers are also used for the treatment of various skin conditions such as Port Wine Stains, spider nevi, warts, acne scars, moles and nevi, and Lentigenes (age spots). They are used for precise tissue destruction of skin lesions without affecting the skin tissue in the surrounding areas. The water present in naturally occurring pigments such as melanin and hemoglobin absorbs laser beams used in non-invasive cosmetic surgical procedures.

The desire to look good is inherent in every human being, which is the reason why an increasing number of people are opting for cosmetic laser surgeries that are safer and less painful than traditional abrasive methods of skin rejuvenation.

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Cosmetic Lasers: An Overview

The word 'laser' conjures up very strong emotions in many of my patients: ranging from pure elation to extreme aversion. This comes from a lack of understanding of the very concept of laser, not to mention the fact that many have strong misconceptions about lasers.

Quite a few think they are a cure-all, while others tell stories of someone who was sidelined for weeks to nurse scarring from a laser blast.

What is LASER?

The truth is, Lasers are not at all that magical. They are, simply, machines which emit light.

The difference is that unlike conventional light sources, lasers emit intensely bright light of a fixed wavelength, which is in phase. (Think of a scenario where 3 children are on swings in a playground. If all of them are moving in tandem, they are in phase. If they way they move bears no relation to each other, they are out of phase).

By using different materials, the wavelength of the light emitted can be controlled. You have heard terms like Ruby Laser, Nd:Yag Laser, etc. These refer to the laser medium which is housed in the laser machine. They are the ones which determine the wavelength of the emitted light.

Now why is the wavelength important?

Different lasers target different skin component

Our skin has different components and each of these components absorb light in different ways with different wavelengths. By using different lasers and the appropriate settings, different structures in the skin can be targeted and selectively destroyed. One can target the melanin (pigmented component), the haemoglobin (in blood vessels), the hair follicles, or the water in the skin with different lasers.

With this simple yet important principle, lasers have become an important tool in cosmetic dermatology. Pigment Lasers target pigment in the skin to break down the melanin and lighten pigmentation. Similarly, vein removal lasers target the hemoglobin in the blood, to cause the veins to coagulate and be removed from the skin. Rejuvenation lasers target the water and collagen in the mid layer of the skin - the dermis - to induce new collagen formation.

It is important to remember, however, that lasers are not a cure all. Many a time, alternative treatment methods may actually be superior to lasers. You should consult your doctor for more information.

Common cosmetic uses for lasers today include:

Treatment of small blood vessels on the surface, such as spider veins

Treatment of birthmarks associated with abnormal blood vessel formation (e.g. port wine stains)

Treatment of pigmentation

Treatment of acne

Removal of tattoos

Hair reduction

Skin resurfacing for wrinkles, scars, and rejuvenation

Post treatment downtime

The downtime associated with each laser is also different. This can range from none (just mild redness of skin) with non-ablative lasers, to 4 weeks with ablative laser resurfacing. Scabbing and pinpoint bleeding of the skin sometimes occur with some laser treatments, and these usually resolve very soon after (less than a week). Newer fractional lasers, commonly used for treating acne scars, are in between - the downtime usually ranges from 1 to 2 weeks.

Dr Siew Tuck Wah
Aesthetics, Health & Wellness, Anti-aging Physician
The Sloane Clinic, Singapore

Learn about the latest news in Cosmetic Dermatology (Botox, Fillers, Lasers), Wellness, Weight Management and Anti-Aging Medicine at Dr Siew's blog:
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Cosmetic Applications for Seniors Are Easy With Lasers

When you use the phrase laser removal it can cover many different medical procedures. To just name a few - you have tattoo laser removal, scar removal, mole removal, freckle removal, wrinkle removal and more! Lasers are constantly evolving with more sophisticated advancements in technology which is helping to expand their uses to cover a larger range of medical procedures.

The benefits gained with laser treatment have made the instrument more and more popular. The cosmetic field is one branch of the medical field which has benefited greatly from laser technology. Medical clinics have a strong presence in most cities and offer laser related treatments to advance a person's attributes, eradicate some age lines, or even to help erase acne scars.

Lasers have enabled doctors to offer a large range of new beneficial laser treatments as well as improving on current procedures. For instance, many types of surgeries are now performed primarily using laser technology. This makes for a more precise procedure with less bleeding and faster healing for the patient.

Many cosmetic procedures that were formerly only able to be accomplished with major surgery are now performed with minimal duress to the individual. Laser treatment for stretch marks and cellulite are two very popular laser procedures. These are both conditions that are easily treatable with laser removal. Laser removal really translates into laser improvement. Lasers cannot entirely erase all traces of stretch marks or cellulite but it can result in a much improved look. Lasers are able to be focused on the targeted area enabling more positive results with a much quicker healing time.

Baby boomers are the age group that most benefits from cosmetic procedures performed with laser. They are more likely to be in a position to afford laser treatments and they are the generation looking to live and play their way into old age. They are a generation of active healthy people that in many cases want to look as young on the outside as they feel on the inside. Although lasers can target and treat small aging lines very well, deep folds of skin are not treatable with laser and will require a real facelift. Laser light treatment allows individuals to easily get a small procedure which is easy to recover from to take a handful of years off their image.

As science advances and the sophistication of lasers increases, more medical aspects and advantages are sure to be found and offered by the medical field.

Angela Smithers is a non-staff writer for Fix It With Laser. If you're searching for more guidance related to wrinkle removal then you'll come across exemplary information about cosmetic procedures using laser on our website.

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Combined Fractional Laser Skin Resurfacing - New Cosmetic Laser Treatment For Wrinkle Removal

All of us over 30 begin to see distressing signs of facial aging and sun damaged skin. Sun worshippers and smokers see these skin aging changes sooner. Fractional laser skin resurfacing, a non-surgical anti-aging skin rejuvenation method was introduced several years ago as an improved method for wrinkle removal and facial skin rejuvenation. 

Fractional laser skin resurfacing was developed to eliminate many of the problems associated with traditional old time laser skin resurfacing. Traditional laser skin resurfacing was very effective at wrinkle removal, but recovery was long and difficult and the skin often turned white, called hypo pigmentation, 6 months after treatment. Fractional laser skin resurfacing was developed to remove wrinkles and rejuvenate the skin with minimal downtime, quick recovery and normal skin color and texture after the skin rejuvenation procedure. 

Recently, a new technique called combined fractional laser skin resurfacing has been developed to improve wrinkle removal and skin rejuvenation results. This new technique provides much better wrinkle removal and skin rejuvenation, but also plumps and improves the texture of aging skin much better than previous techniques.

How Does Fractional Laser Skin Resurfacing Remove Wrinkles and Rejuvenate the Skin?

The basic cause of skin wrinkles and skin aging changes is loss of collagen in the skin. Collagen in the deep layer of our skin provides moisture, nutritional support, skin plumping and elasticity which is the firmness and skin tightening component of our skin.

As we age, exposure to years of ultraviolet (UV) radiation from sunlight, toxins in our diet and environment, and unhealthy lifestyles such as smoking and tanning all contribute to the destruction of collagen in our skin. When collagen is lost, our skin looses texture, elasticity and fullness, and wrinkles and sagging skin result. For an analogy, think of a plump juicy plum with smooth skin. Place the plum into the sun for a period of time, water (like collagen in the skin) is lost and the plum turns into a wrinkled prune.

In an effort to protect itself, our skin surface responds to these aging changes by producing pigment to block the UV sunlight, and our skin thickens with extra layers of dry old looking skin.

All cosmetic laser skin rejuvenation methods attempt to restore skin to a youthful state by stimulating the skin to grow new collagen to replace lost skin collagen to plump and tighten loose skin.  In addition, many cosmetic laser skin rejuvenation methods strip away the damaged surface skin cells to remove pigment and dead thickened skin and stimulate new healthy looking skin cells to grow.

Fractional laser skin resurfacing is a skin rejuvenation technique which removes dead surface skin cells and pigment and stimulates the deep layer of the skin, the dermis to produce new collagen to replace the collagen that has been lost by facial aging changes. In summary:

Skin aging is results in:

       Loss of collagen in the skin=wrinkles and loose skin
Skin surface changes=dry, pigmented, course skin

All cosmetic laser skin resurfacing methods rejuvenate skin by:

Removing aged skin surface cells and promoting new skin cell growth
Promoting new deep skin collagen to plump wrinkles and tighten skin

Why is Fractional Laser Skin Resurfacing Better?

Older CO2 laser resurfacing, called flat beam laser resurfacing produced excellent wrinkle removal and skin tightening, but recovery was very difficult, requiring weeks for the skin to heal. In addition, traditional laser skin resurfacing damaged pigment cells in the skin which caused the skin to turn white. These problems were caused by the fact that the older lasers treated the entire surface of the facial skin, thus healing required new skin cells to be produced by hair follicles and sweat glands in the skin. This was a very slow process requiring up to two weeks for new skin cells to cover the surface of the face.

New fractional laser skin resurfacing is effective but much safer than traditional CO2 resurfacing. The fractional laser resurfacing beam is broken up into many small beams so that the laser affects only small focused areas of the skin. Fractional laser resurfacing leaves skip areas on the skin that are left normal and undamaged. These untreated skin cells are able to rapidly heal the treated skin with new skin cells. The treated areas, called micro treatment zones are healed in 6 hours with the fractional Lux2940 Erbium laser on the Starlux laser. CO2 fractional lasers like the Fraxel Repair and Lumenis ActiveFX and DeepFX take a little longer, up to 48-72 hours.

Fractional lasers are also able to penetrate the skin into the dermis much deeper than flat beam techniques. Deeper penetration causes more effective new collagen production. This characteristic results in improved skin plumping and better skin texture.

Fractional laser skin resurfacing is better than old time flat beam laser resurfacing because skin healing is much quicker, and the risk of white skin, hypo pigmentation is much less.

The benefits of fractional laser skin resurfacing are:

Quicker skin healing
Deeper penetration for better collagen production
Less risk of hypo pigmentation
Improved skin texture
More gentle, quicker recovery
Improved wrinkle removal, pigment removal and skin tightening

What Is Non-ablative Fractional Laser Skin Resurfacing-Fraxel, Starlux Lux1540, Affirm

The first fractional lasers were introduced 3-4 years ago and are non-ablative 1450nm and 1540nm (nm=nanometers or one millionth of a meter, and are the units used to measure the wavelength of a particular laser) Erbium lasers. Non-ablative laser skin treatments go deep into the dermis of the skin to promote new collagen, but non-ablative lasers to not ablate or remove the surface skin cells.

Thus the non-ablative fractional skin resurfacing lasers remove wrinkles by building new collagen in the skin, but do not remove the surface aging changes of the skin.

The benefit on the non-ablative technique is that there is less recovery time for healing as the skin is not broken. You are pink after a treatment, but can wear makeup and no recovery time is required.

Because non-ablative treatments are weaker, you need 4 treatments scheduled 4-6 weeks apart for a good result.

I use the Starlux Lux1540 non-ablative laser; other models are the Fraxel and the Affirm. The best applications are acne scar removal, scar improvement, skin plumping, pigment removal and mild to moderate wrinkle removal

Because the skin surface is not ablated, wrinkle removal is less effective with the non-ablative lasers, thus new ablative fractional laser resurfacing technology has been developed in the past year and a half.

What Is Ablative Fractional Laser Resurfacing

For ablation, different laser wavelengths, the 2940nm Erbium laser and the CO2 laser are used. These laser wavelengths are more powerful and vaporize the skin cells on the surface as well as causing inflammation deep into the dermis.

Because surface skin cells are removed, the ablative fractional lasers are more effective at removing wrinkles, pigment, and old dead skin cells. The downside is that some recovery is required for skin healing, however the down time is much less, about a third of the time required recovering from old time flat beam laser skin treatments.

The other benefit is that ablative fractional laser skin resurfacing requires only one treatment, as opposed to the 4 treatments required for non-ablative techniques.

I use the Starlux lux2940 fractional ablative laser resurfacing method. The Starlux Lux2940 is an Erbium laser and heals faster than the fractional CO2 lasers, the Fraxel Repair, the ActiveFX and DeepFX ablative machines. 

What is Combined Fractional Laser Skin Resurfacing and Why is It Better?

The newest and most effective cosmetic laser skin rejuvenation treatment I combined fractional laser skin resurfacing. After two years of research and over two hundred treatments, we have learned that combining the Starlux Lux1540 non ablative treatment with the Starlux lux2940 ablative treatment provides the most effective wrinkle removal and skin rejuvenation treatment.

The Starlux Lux1540 and Starlux Lux2940 are done in the same treatment session. The results in terms of wrinkle removal, skin plumping, improved skin texture, pigment removal and general skin rejuvenation are excellent and better than either treatment done alone.

This is a very new technique; I just presented our findings in Dallas, Texas at the Palomar Medical Advanced laser seminar on January 24, 2009. We have been working on this project for over two years.

How Is Combined Fractional Laser Skin Resurfacing Done?

The combined fractional laser skin resurfacing treatment is done in my office with a topical local anesthetic cream. Your face will be cleansed and a topical numbing cream applied. I also give you a tranquilizer and an analgesic to help you relax and be more comfortable during treatment.

The Starlux Lux1540 treatment is done first by my medical aesthetician and takes about 30 minutes. Numbing medicine is re-applied, and I or my plastic surgeon associate do the actual Starlux Lux2940 ablative treatment.

After your treatment we apply cold wet compresses to the skin. Then a soothing ointment will be placed on your skin, and you will go home. During the first 24 hours you will place soothing soaks on your skin and apply ointment every few hours.

By day 2 or 3 you will finish the soaks and only apply ointment as you need it.

You will be given analgesic tablets in case you need them and Valtrex to protect you from a Herpes Skin outbreak. We also give you prophylactic antibiotics to protect against skin infection during healing.

What Will I look Like After Treatment and How Long Is Recovery?

Your skin will be pink to red after treatment. The first 24 hours your skin will be moist and old skin cells will peel off and be removed by the soaks.

Your new skin will cover your face in 2 to 3 days, very different from the 2-3 weeks required for skin healing after the old time float beam laser treatments.

Your face will remain pink for 5-7 days, but you can wear make up by day 4. This is about a third or fourth of the recovery time from a deep chemical peel or an old time flat beam laser treatment. 

When Do I See My Final Result?

You will see a remarkable improvement in wrinkles and skin texture with fresh new skin starting at 10 days and for the first 3 weeks. However, new collagen production, the main goal of this treatment does not begin for 6 weeks and continues for one year after treatment.

The initial benefits are due to swelling of the skin which subsides at about 3-4 weeks so expect to see your wrinkles return initially.

However at 3 months you will really start to see the improvement in your skin and at 6 months results are very dramatic.

In my experience, wrinkle removal, skin tightening and improvement in skin plumping and skin texture are most obvious at one year following treatment.

How Do I Find A Doctor Who Uses This Technique?

Board certified plastic surgeons and dermatologists are the experts at laser skin rejuvenation treatments. Ablative laser resurfacing is more commonly done by plastic surgeons because of the complexity of skin care after the procedure.

The new combined technique is so new that it will be some time before it is widely practiced.

Be certain that your physician is board certified and has experience in laser surgery-there are many new users of lasers who simply do not have the experience required for these advance laser treatments.

Check the websites of the organizations below for credible information and guidance:

American Board of Plastic Surgeons

American Society of Plastic Surgeons

American Association of Aesthetic Plastic Surgeons

See before and after pictures [http://drseckel.com/fractional-laser-skin-resurfacing/before-and-after-pictures-of-fractional-laser-resurfacing-for-skin-rejuvenation/] of fractional laser resurfacing. Read my free newsletter to learn more about facial and body rejuvenation.

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Effective Cosmetic Surgeon SEO Content

The Internet today provides instant access for the majority of people who have a personal computer and Internet connection in their home. The Internet is used for online shopping, researching information, fun and games, banking, and for those looking for a professional service provider like medical services, and legal services at their leisure. This in turn makes the Internet the highest rate of converting internet browsers into customers, patients, and clients, more than any other marketing sources like TV and radio. This makes the Internet a gold mine for Internet marketers. A cosmetic surgeon needs to create a webpage and post it on an Internet website. The work doesn't end with a webpage and website; it's only the beginning. The next step is getting a large number of website visitors to come to the website creating traffic for the surgeon website.

To achieve this goal the surgeon needs to apply a large amount of cosmetic surgeon SEO content on their website. SEO content is known as Search Engine Optimization or keywords enter into an Internet search engine like Google. Keywords are the most popular words use for conducting webpage searches. When a SEO word or phrase is enter into the search engine it quickly returns lists of web pages with SEO content. The goal of the surgeon is to get their web page rank in the top ten choices on the first page. Because most web page searchers will not go beyond the first page of web page choices. To achieve the goal of getting a webpage listed on the first page requires effective SEO content posted on the surgeon's webpage.

Effective cosmetic surgeon SEO will benefit the surgeon compared to ineffective SEO that may hurt or have negative consequences on the surgeon's webpage. There are two methods for creating SEO one method is known as white hat SEO, and the second method is known as black hat SEO. The difference between these two methods of SEO is:

White hat cosmetic surgeon SEO: 1) Follows the rules 2) White hat SEO doesn't risk the webpage being penalize. 3) There's only one minor problem with white hat SEO is that it can be time consuming. 4) White hat SEO involves intelligent optimization of a lot of content. Black hat SEO entails: 1) doesn't follow the rules, and black hat SEO can be effective; however, there may be consequences involve with black hat SEO. 2) The surgeon's website can be penalized. 3) Even worse, the website can be removed from the search engine. Examples of black hat SEO strategies are: 1) Hidden text 2) Doorway pages 3) Cloaking

Two goals of white hat cosmetic surgeon SEO are: 1) Bring as many prospective patients to the surgeon website. 2) Convert as many of prospective patients to actual patients using the following white hat SEO steps: a) Provide a clear, brief and professional browsing experience. B) Focus on important points that make the difference between browsing and leaving or staying to commit to become an actual patient of the surgeon. Accomplishing this goal is to present the cosmetic surgeon with a positive image, and focusing on the cosmetic surgeon skills that makes the cosmetic surgeon different or more skillful than another surgeon.

Before you decide to pursue any kind of online marketing venture, please do yourself a favor and make sure to check out these great resources that will be sure to assist you in creating a successful online marketing strategy to promote your business Cosmetic Surgeon SEO, and Cosmetic Surgeon Videos. You can also reach me at 1-323-851-3825 or phillipguy@hotmail.

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