One session only!
Skin science: Lasers provide controlled heating upregulating HSP or
heat shock protein. This is the main advantage over microneedling. In
contrast I use microneedling when I DON”T want heat in the epidermis / dermis – think deep drug delivery. Heat results in effective collagen remodelling.
The choice of laser: CO2. Fractional. Used 3 different settings.
In order of increasing joules- periocular, cheeks, & perioral . Downtime
of just over 4 days
Crazy as fully ablative vs conservative fractional: When elastosis is
mild to moderate, sensible fractional lasers can give outstanding results for the fraction of the costs, complexity, downtime & risks cf deep fully ablative lasers. I still employ CO2 & erbium full ablation, however only to cases of severe rhytids & elastosis. In many cases conservative settings can yield 80% of the results of full ablation.
Post time: Nov-12-2021