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1. What is Laser Skin
Resurfacing?
2. How is the procedure performed?
3. Is there much scarring with Laser Skin Resurfacing?
4. At what age is Laser Skin Resurfacing performed?
5. Will Laser Skin Resurfacing rid me of my wrinkles or acne scars?
6. What should I expect post-operatively?
7. When will I be able to go out into the sun?
8. When will I be able to see the results?
9. What are the risks involved
with Laser Skin Resurfacing?
10. What is Arnica montana, I have heard that it reduces swelling and
bruising? Which is the best kind to take?
11. What type of laser is used?
12. Will it be painful? What kind of anesthesia is used?
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1. What is Laser Skin Resurfacing?
Laser Skin Resurfacing (aka Laser peel) is the technique of using a carbon dioxide
laser (CO2) -- Coherent
5000 with a Computer Pattern Generator (CPG), a erbium or pulse dye laser -- to remove areas of sun or
trauma damaged or wrinkled skin, layer by layer. This technique literally evaporates the first three of the six layers of
the skin. Laser Skin Resurfacing
is most commonly used to minimize the appearance of the superficial, fine lines around the
mouth (smoker's lines) and the eyes (crow's feet, smile lines). Laser Skin Resurfacing is
also used to treat scars or hyper-/hypo- pigmentation. Laser Skin Resurfacing is sometimes
performed on the entire face or only in problem areas like the cheeks for acne scarring or
wrinkled areas like the eye and lip area.
Consequently with Laser Skin Resurfacing, after the skin is
treated with the laser, it tightens an has a youthful appearance. Reason
being, the action of the laser actually
causes the collagen to thicken and the elastic fibers in the skin to increase in number.
This means that the skin will have properties more similar to an earlier time in your
life.
Laser Skin Resurfacing is usually performed using Light Sleep IV sedation.
The procedure takes approximately 30 to 90 minutes. The
laser is passed over the area of treatment in short computer controlled bursts which
literally evaporate layers of damaged skin. A lubricant or moist membrane is
placed on the skin at the end of the procedure to protect it from any further drying and
environmental factors..
There may be redness and hyperpigmentation and sometimes even hypopigmentation but there are usually no real scars if performed by a qualified surgeon.
Care should be taken to evaluate your skin for possible hypertrophic or keloid scarring possibilities.
There is a possibility of an obvious demarcation (line) where the laser passes and where it does not, so care should be taken by the surgeon to make light sweeps instead of deep passes.
Unfortunately there are risks that unusual scarring may result if you are not truthful or do not have knowledge of your heritage or family's scarring background.
Laser surgery is normally done when we begin to see obvious damage from aging, the sun, the elements, although if needed in lesion removal younger patients are accepted.
Although 18 is the limit unless a parent or legal guardian signs for them.
However, many children have undergone laser surgeon for different ailments and not just for cosmetic reasons although port wine stains, birthmarks and pigmentation lesions may be reason enough for many developing children.
Yes it can. Sometimes it may take more treatments to
remove deeper acne scarring but for the most part lasers evaporate the top
layers of skin and incorporate more collagen growth
for smoother, tighter, younger
looking skin!
You should expect to be quite red and raw
resembling a major sunburn. You will care for the treated area with extreme caution as to
not upset the natural healing process. A special ointment is applied to the treated area
several times a day, very lightly. One week post-operative you will go in for a
follow-up visit. Ointment is to be used for 10 to 14 days continuously after the day of
surgery.
One must, protect the skin from the sun for
8 to 12
months using total sun block (sunscreens rated #45 or greater). One also should
stay out of direct sun exposure during this time. The skin will have a shade of pink to it
for approximately three to five months. This is generally not too bothersome, as it is
covered by make-up and is far outweighed by the benefits of the procedure in most patients
minds.
Laser resurfacing is a very effective tool in the
improvement of aged skin, acne scars and other scars. In aged skin one treatment will have
significant effects, rejuvenating the skin. In severely sun damaged and aged skin
sometimes a second treatment will be helpful. In significant acne scars, the procedure is
sometimes performed twice. The first operation causes about a 30 to 50% improvement.
The
second operation causes a 20% to 30% improvement. Unfortunately, there is no way to create a
100% elimination of acne scars.
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There are minor risks and complications
involved
with Laser Skin Resurfacing which include but are not limited to prolonged hyperpigmentation. In
5 to 10% of patient
darkening or brown discoloration will occur requiring bleaching creams. This will
generally resolved the discoloration in 2 to 3 months. Prolonged redness occurs in 3-5% of
patients and this delays the fading to normal color by about 2 months.
There may be more intense burns associated with laser
resurfacing. Take care in choosing your surgeon wisely. A specialist should be
sought as the surgeon who is not experienced with the technique and light touch could very well burn you rather deeply, making matters worse.
Patients with olive skin, brown skin or black skin (ethnic skin tones) may be at
risk for pigmentation changes (hypo-/hyper- pigmentation) no matter what type of
resurfacing method is recommended. Your surgeon should evaluate your skin
characteristics and family history before making any diagnosis for treatment.
*Warning: Patients having used
Accutane in the past 12 to 18 months, those who are prone to abnormal scarring or Keloids and
those with frequent skin eruptions such as psoriasis and eczema may not be good
candidates for Laser Skin Resurfacing. Consult with your doctor for more on this subject.
also
known as: Mountain Tobacco, Mountain Arnica, Common Arnica, Leopard's Bane
and Sneezewort
plant family: Asteraceae
type: Herbaceous perennial
parts used: Roots and flowers
description: Arnica montana or Leopard's Bane is a perennial herb,
growing close to the ground. The leaves form a flat rosette, from the center of
which rises a flower stalk, 1 to 2 feet high, bearing orange-yellow flowers. The
rhizome is dark brown, cylindrical, usually curved, and bears brittle wiry
rootlets on the under surface.
habitat: Indigenous to Central Europe, in woods and mountain pastures,
although it has been found in England and Southern Scotland.
warning: This herb should NEVER be taken in raw form. This plant, like
many medicinal plants if ingested, can cause intestinal bleeding, abdominal
cramping and sickness. Homeopathy is the medicinal use of tinctures and
suspensions using herbs and other plants and should never be consumed without
proper preparation. Only respectable homeopathic remedies and tinctures should
be consumed.
Read more on Arnica
Montana?
For CO2 Laser Skin Resurfacing,
a carbon dioxide laser (CO2) -- Coherent 5000 with a Computer Pattern Generator (CPG) for
precise control of the laser itself.
12. Will it be painful? What kind of
anesthesia is used?
You will be asleep with the help of Light Sleep IV
sedation. Sometimes a topical anesthetic or local anesthetic is used for ease of
discomfort when you wake up. You doctor should prescribe you an oral medication and/or
topical anesthetic for pain relief once you are home.
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