What is fractional photothermolysis Fraxel (Fraxel)

Fractional laser thermolysis is performed in different clinics using different devices. In our clinic we work using high-level laser equipment from leading European manufacturers.
Of the many devices, we chose the most high-tech - innovative. Erbium laser of the latest generation Dermablate MCL 30 from Asclepion, made in Germany.

FRACTIONAL THERMOLYSIS or FRACTIONAL ABLATION is a controlled laser removal of micro-areas of skin not in a continuous spot (as with laser resurfacing), but in hundreds of microtunnels in the form of a mesh.

Principle of procedure

Specialists at prestigious cosmetology centers use high-quality devices certified by the FDA - they combine safety and effectiveness. To carry out fractional thermolysis at EsteLab, doctors use the SmartXide DOT laser. Important characteristics:

  • thanks to the SmartPulse program, controlled impulses are generated that provide an optimal level of heat exposure to the problem area;
  • the SmartStack function allows the device to determine the required depth of instant pulse vaporization;
  • The Hi-Scan system ensures uniform energy distribution throughout the entire treatment area.

Thus, areas subjected to evaporation alternate with intact tissues - the rehabilitation period is simplified and reduced to 3-7 days.

Old generation lasers gave good results (reducing wrinkles and scars, correcting post-acne and increasing elasticity), many patients refused the procedure due to high trauma and the impossibility of treating sensitive areas. Both problems were solved by DOT rejuvenation (dermal optical thermolysis), which is considered one of the new techniques and allows you to achieve a lot of positive effects:

  • lifting the skin of the whole body - even the periorbital zone (upper and lower eyelids);
  • increasing the elasticity, firmness and density of tissue without significant side effects;
  • lightening dark spots and removing light pigment spots;
  • elimination of skin imperfections.

In addition, the patient receives a comprehensive improvement in all skin structures for a long period of time, and not simple visual rejuvenation, which will fade in the coming weeks, like the effect of home care treatments.

It is important that changes are noticeable after the first targeted pulse treatment - the face becomes fresher, wrinkles become less deep.

The principle of operation of the technique

Fractional skin rejuvenation is characterized by a fairly simple principle of action. The laser beam used to treat the problem area creates microscopic cracks in the surface layers of the dermis. Healing over time, they stimulate the activation of internal recovery processes and mobilize all the body’s forces.

Components such as elastin and collagen are produced in large quantities at the site of tiny wounds. They are responsible for the level of elasticity and firmness of the skin, as well as for the production of new, younger and healthier cells.

Indications for thermolysis

As a rule, laser thermolysis of the face and other areas is recommended for patients who wish to get rid of:

  • fine wrinkled mesh or deep wrinkles;
  • benign skin tumors - nevi, papillomas and warts;
  • stretch marks, postpartum stretch marks;
  • hyperpigmentation;
  • scars;
  • enlarged pores.

Also, with the help of the SmartXide DOT CO2 laser platform, a specialist will be able to restore lost skin turgor, increase elasticity and firmness. The lifting effect of Fraxel will allow you to abandon surgical blepharoplasty in favor of fractional thermolysis - the drooping eyelid will lift, and the look will become more expressive.

Features of thermolysis

During the consultation, the specialist will definitely tell the patient how to properly prepare for fractional thermolysis of the skin. Basic recommendations:

  • do not carry out various exfoliative procedures (for example, chemical peels) 3 weeks before laser treatment;
  • sometimes a preliminary course of biorevitalization is prescribed, which will speed up the subsequent period of rehabilitation after thermolysis;
  • Minimize exposure to sunlight and avoid solariums two weeks before the procedure.

The thermolysis platform will solve the problems of patients from 18 to 75 years old, and the skin treatment will be quite comfortable. To minimize any discomfort, the doctor will apply a local anesthetic cream to the laser area. As soon as the anesthesia takes effect, the cosmetologist begins the procedure - it will last approximately 20-30 minutes, and during the treatment the patient will feel a slight tingling and heating at the site of application of the device nozzle. At the end, the doctor applies a protective cream, which will speed up recovery and have an anti-inflammatory effect.

Complete safety is achieved by combining laser operation with a wavelength of 10600 nm and radio wave energy. The combination of two techniques allows you to enhance the effect of rejuvenation and reduce rehabilitation. The principle of operation of the device on the skin:

  1. The point impact forms MLZ - microthermal treatment zones in the form of evaporated funnels, invisible to the naked eye.
  2. The surface area of ​​the skin is reduced.
  3. Neighboring, undamaged tissue areas are heated, which stimulates neocollagenogenesis.

Conveniently, the method does not create open wounds, and there is no risk of infection. And so that the result is easily predictable, experts advise carrying out such skin treatment in autumn and spring, when there is practically no sun.

When is fractional photothermolysis effective?

To smooth out wrinkles

Wrinkles can be static, dynamic (expression wrinkles), gravitational and combined. The appearance of all types of wrinkles (with the exception of large expression lines) directly depends on the aging process in the skin. Collagen and elastin, the structural proteins of the skin that provide firmness and elasticity, lose their properties over time, and the cells that synthesize these proteins are less active in old skin than in young skin.

Fraxel is able to destroy old collagen while simultaneously activating skin cells to produce new one. Collagen restructuring occurs in the reticular layer of the dermis, which is the basis for most wrinkles. The old collagen frame is replaced with a new one, wrinkles are smoothed out, and the skin becomes dense.

The attachments of the device allow you to renew the collagen framework even in the most delicate areas - in the eyes, neck, and décolleté.

For the treatment of pigmentation

Pigmentation is not always a sign of age-related fading. This is just an attempt by our body to protect itself from sunlight by producing excess melanin. The likelihood of spots developing is higher in people with fair skin and directly depends on the number of hours spent in bright sunlight. Often the pigment appears after a vacation in warm countries.

Pigment spots do not pose a threat to the body, but they are an obvious skin defect that makes a person look older.

The principle of the Fraxel laser's effect on age spots and areas of hyperpigmentation differs from all common methods. Fraxel does not act on melanin, but on the cells that synthesize and accumulate this pigment. It destroys these cells. Fraxel effectively treats all forms of hyperpigmentation. In place of the destroyed micro-area of ​​the skin, young cells appear, which synthesize and accumulate an amount of pigment adequate to external solar exposure. Thus, old cells in which melanin formation is impaired are replaced with new ones. In place of the pigment spot, skin of a natural shade is formed. In addition, the process of skin rejuvenation occurs. Fraxel is recommended for the treatment of pigmentation on the hands, neck, and décolleté.

For correction of scars

Scars appear when the skin is damaged deeply enough - deeper than the papillary dermis, or when an extensive wound heals by surface tension. At the same time, the body tries to close the wound as quickly as possible and synthesizes fairly coarse connective tissue. As a rule, scars remain for life.

The Fraxel laser destroys the “wrong” scar tissue and stimulates the synthesis of new collagen and elastin in this area and in surrounding tissues. In place of rough, incorrectly formed tissue, a new one appears. After 4-5 procedures, scars, for example, after plastic surgery, disappear completely.

For the treatment of stretch marks

Stretch marks or stretch marks are a fairly common cosmetic defect that most often appears on the chest, abdomen and thighs. In fact, stretch marks are thin scars formed in places where skin fibers are torn and separated. Such ruptures can occur during prolonged stretching of the skin, when the connective tissue is under severe stress, or during certain hormonal changes in the body, when the tissue becomes less durable. Stretch marks very often appear in women during pregnancy, when the volume of the abdomen and breasts sharply increases, and changes in hormonal levels contribute to a weakening of the bond in the collagen framework of the skin. If a woman tends to gain weight and then lose weight, then this is also stress for the skin and a reason for the appearance of stretch marks.

Increasingly, stretch marks can be observed in men who, while playing sports, quickly increase muscle mass. The skin simply cannot keep up with the growth in volume, and tears occur. For many, stretch marks become a cause for severe discomfort, especially on the beach or in the gym, when you want to show off a beautiful figure. Fraxel is capable of destroying scar tissue at a depth of up to 1.5 mm and stimulating the growth of normal tissue at this site.

It is important to remember that in the treatment of stretch marks, success largely depends on their “age”. For example, stretch marks that appear during pregnancy are best treated immediately after the woman has finished breastfeeding. The result is achieved in 4-5 procedures. Fraxel safely removes stretch marks from any area of ​​the body, including the chest and inner thighs.

Zadiran Alina Valerievna

Dermatovenerologist, cosmetologist. Candidate of Medical Sciences

For the treatment of post-acne

Post-acne is a complex of skin defects remaining after acne. Acne most often occurs on young skin. This is an inflammation in the hair follicle, which is clogged with the secretion of the skin glands and in which pathogenic bacteria multiply. The body directs all its energy to remove these bacteria. As a result, inflammation often ends in the formation of a scar - irregularly structured rough connective tissue. Fraxel removes microparticles of scar tissue, and normal skin begins to form at the site of exposure due to the production of new collagen. Evens out skin color and texture.

Today Fraxel is one of the most popular hardware procedures for treating post-acne in Europe and the USA.

Recovery after the procedure

When planning to visit fractional laser thermolysis of the face in Moscow, very often patients hesitate not because of the choice of clinic or affordability of prices, but because of fear of rehabilitation. “Will it be possible to continue my normal lifestyle after the procedure? What will the skin look like immediately after treatment? — these questions come first. However, EsteLab cosmetologists immediately inform you about possible side effects and how to care for your skin afterwards.

Rehabilitation

The duration of rehabilitation will depend on the intensity of skin treatment. For example, if you just needed to refresh your skin and correct its tone, then recovery will take only 2-4 days. When a patient signs up for facial thermolysis to eliminate deep wrinkles or post-acne, the specialist needs to set other treatment parameters, and rehabilitation will last from 4 to 7 days.

In any case, restoration of the area after DOT rejuvenation occurs much faster than after classical laser resurfacing. The doctor individually selects laser parameters to suit the needs of each patient in order to achieve the best effect and ensure the safety of the procedure.

Side effects

After laser thermolysis of the face or other areas, swelling of the skin may occur - this is a normal reaction to the impact of targeted impulses, which will quickly pass (usually within 3 days). Redness and peeling go away a little longer, within 10 days.

Another side effect that sometimes occurs after resurfacing is the so-called “gauze” effect, where a faint imprint resembling this material is left on the patient’s skin. Firstly, it does not form in everyone (only if strict parameters were used on smooth or thin skin). Secondly, it is temporary, so it will go away along with redness and swelling.

Patients with thick/porous skin or those undergoing light rejuvenation should not be afraid of gauze. Weak parameters, as a rule, never leave such a side effect.

Care and additional procedures

After the doctor has carried out fractional thermolysis, he also uses plasma therapy, which is included in the cost of the procedure. The treated skin is covered with its own plasma, which allows:

  • speed up healing;
  • protect the surface of the skin;
  • strengthen blood vessels.

Home care is prescribed by a cosmetologist depending on how intense the laser treatment was. The general rule: during the rehabilitation period, you should regularly use sunscreen when going outside, even if it is cloudy.

In order to get maximum information about the procedure and sign up for resurfacing, you can contact our representative in any convenient way: through the hotline, online form, WhatsApp messenger or by ordering a call back. We will reply to you as soon as possible.

Price for services

FRACTIONAL LASER PEELING LASER COMPLEX MULTILINE, ERB
(when purchasing a course of 3 procedures - 10% discount)
NameDurationprice, rub.
1Full face60 min5000
2Forehead30 min1000
3Cheeks30 min2000
4Chin30 min1000
5Eyelids (upper, lower)30 min2000
6Upper lip20 minutes1000
7Neck30 min3000
8Face + neck60 min7000
9Cleavage30 min3000
10Face + neck + décolleté60 min9000
11Hands30 min3000
FRACTIONAL LASER TREATMENT OF STRETCH MARKS (STRETCH MARKS) LASER COMPLEX MULTILINE, ERB
12Stomach60 min5000
13Hips60 min5000
14Breast30 min3000
15Back30 min5000
161 sq. cm 10 min500

Result: what will thermolysis please you with?

The effect of the procedure should be assessed a month after skin treatment. Thanks to the pulse effect on the skin, you can achieve the following results:

  • correction of scars - post-acne, atrophic and hypertrophic, stretch marks, traumatic;
  • narrowing pores and increasing skin smoothness;
  • evens out facial skin tone;
  • improvement of relief due to the disappearance of fine wrinkles and smoothing of deep folds.

This procedure should only be carried out by an experienced cosmetologist using a certified device in order to reduce all risks of side effects to zero. We are ready to help our patients every day from 9:00 to 21:00!

Main characteristics of the Sellas fractional laser (Dinona inc., South Korea)

Laser source: fiber optic erbium laser, wavelength 1550nm. The density of creation of microthermal zones ranges from 100 to 3025 MTZ per 1.sq.cm. in one pass.

The maximum optical energy of one microbeam is 30 mJ, which provides the depth of exposure necessary for therapy and, with an adequate choice of energy density, timely thermal relaxation of the exposed tissues.

The Sellas laser uses a “selective beam distribution” system - a pseudo-chaotic process of forming MTZ with the resulting uniform application of a given number of MTZ on the treatment area. This technical solution reduces the thermal effect on adjacent tissues, makes the procedure more comfortable for the patient and reduces the risk of adverse events2.

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