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CO2 Laser skin rejuvenation

CO2 lasers are mainly used for 'laser resurfacing'. The light produced by these lasers is absorbed by water. Since the skin consists of about 80% water, the energy is absorbed quickly and remains confined to the point where the laser is aimed, provided the duration of the exposure is short.

The CO2 laser is applied in two ways, focused (focused) or unfocused (defocused). With a focused beam, blood-rich tissue can be cut without causing it to bleed. The blood vessels that are cut with the laser beam are immediately burned closed. Defocused, the CO2 laser can theoretically 'vaporize' or 'atomize' any skin condition. In this way, CO2 lasers are mainly applied to the top layer of the skin. The wounds that result are very similar to minor burns. Similar to other forms of peeling the wound with pink skin heals in a week or two and the pink color gradually disappears over the course of three months. Typical of CO2 laser resurfacing is that this technique not only removes tissue, but also creates a thermal effect on the collagen, resulting in a shortening of the tissue (shrinkage).


What is a CO2 laser treatment?

The CO2 laser infiltrates deeper into the skin layer through two different modes: Deep FX and Active FX. The larger the spot size (size of the laser beam), the less deeply the laser beam infiltrates into the skin layer. The Deep FX (small spot size) is therefore often used for deep scars. Active FX is similar to fractional laser therapy, but goes just a little deeper than regular fractional laser therapy. Often a combination of both is done during 1 treatment, this is called the Total FX. The effect is maximum here.

CO2 laser therapy for wrinkles

Deeper wrinkles are treated with CO2 laser therapy. This laser is suitable for deeper wrinkles, grooves, smoker's lines and sun damaged skin. The Deep FX is therefore often used for deep wrinkles.

CO2 laser therapy for scars

Deeper scars are also treated with the CO2 laser. CO2 laser therapy is suitable for scars that look like deep pits, holes, grooves, and deep scars. The Deep FX is therefore often used for deep scars. The CO2 laser is also used for scars for a dark skin type, with very successful results.

CO2 laser therapy for acne scars

Deeper acne scarsWe often treat   with the Co2 laser. CO2 laser therapy works for acne scars that look like deep pits, holes, grooves, and deep scars. The CO2 laser infiltrates deeper into the skin layer through two different modes: Deep FX and Active FX. The larger the spot size (size of laser head/laser beam), the less deeply the laser beam infiltrates into the skin layer. The Deep FX is therefore often used for deep acne scars. Active FX is similar to fractional laser therapy, but goes just a little deeper than normal fractional laser therapy.

CO2 laser therapy for rhinophyma, rhinoplasty

Rhinophyma is a skin condition that is often treated surgically. The excess tissue on the skin is cut away by doctors, but often returns. A rhinophyma nose often has large bulges on the nose. With the CO2 laser treatment, this excess skin (soft tissue) is carbonized. Part of the skin evaporates, the rest becomes a crust that falls off by itself. The result is a nose in its original shape. Before de rhinophyma treatments  can be started, the inflammations on the nose must be cured. You can of course discuss this with the skin therapist. Through our cooperation with doctors, we can discuss and, if necessary, refer you to a doctor.

CO2 laser therapy for warts

Our skin therapists treat warts successful through CO2 laser therapy. A laser treatment is the most effective treatment for warts because the laser can specifically target the wart. In contrast to using nitrogen or cutting the wart away, there is less chance of a scar or dimple or re-infestation with laser treatment. The CO2 laser cauterizes the capillaries around the wart, so that it is no longer supplied with oxygen and nutrition. This will kill the wart.

CO2 laser therapy in actinic keratosis

Actinic keratosis is a precursor to skin cancer, which in some cases can develop into malignant cells. Usually this is caused by too much exposure to sunlight over the life course. Preferred areas for actinic keratosis are therefore the sun-exposed areas of the body, such as the face, scalp, ears, décolleté, and backs of the hands. In most cases it can be recognized by the scaly, rough surface with a red background.
Actinic keratosis is often treated by general practitioners and dermatologists using nitrogen. This is an effective method to treat actinic keratosis, but gives an increased risk of scarring or pigment shifts.
With the help of a CO2 laser, a skin therapist can accurately vaporize the top layer of skin after approval from a doctor. The restless cells are thus destroyed.
After the treatment, scabs can be seen on the skin, where it is important that they fall off on their own. In some cases we advise to apply antibiotic cream, this prevents the development of inflammation.
To allow the skin to recover faster kan Repair Cream
  carefully applied to the treated areas. In addition, it is always important, at least in the summer, to met sun protection to lubricate.

For the CO2 treatment

It is important not to be exposed to the sun for 4 weeks prior to laser treatment. That means no sunbed or extensive sunbathing during a sun holiday. Of course you can just walk outside. When the sun shines brightly, it is important that you apply good sun protection. If you have acne scars on your face, you should come to the treatment with a cleansed face.

Other important things to keep an eye on for a CO2 laser treatment:
– Do you have a history with Herpes Simplex (cold sores)? Please report before the treatment, you can then request an anti-viral agent from your GP and apply cold sore ointment one week prior to the treatment.
– Are you sensitive to inflammation? Depending on the intensity of the treatment, your practitioner may prescribe a cream that you may need to apply thinly 2 to 3 times a day from 3 days before the treatment to 1 week after the treatment. This cream prevents inflammatory reactions.

During the CO2 laser treatment

This CO2 laser is an ablative laser with a wavelength of 10600nm. With this laser, the top layer of the skin is evaporated and at the same time the skin underneath is warmed up, stimulating the formation of collagen and elastin. This laser is the most innovative laser in the field of skin improvement / skin rejuvenation. Due to the precise operation of this laser, there is minimal heat damage to the surrounding untreated tissue. The natural healing process ensures that the skin is renewed. Depending on the area to be treated, you should spend between fifteen and forty-five minutes on the treatment couch. The pain depends on the area being treated. The tip of the nose and the upper lip are considered the most sensitive. The CO2 laser goes deeper into the skin than a fractional laser treatment and is therefore a more intense treatment. A CO2 laser treatment feels more burning than a fractional laser treatment. Depending on the stand, anesthetic can be applied in advance in consultation. Both a fractional and CO2 laser treatment use a cooling system to make the laser treatment less painful and more pleasant.

After the CO2 laser treatment

After the CO2 laser treatment you will receive a cooling pack from the skin therapist. By properly cooling the skin, the swelling disappears after a few days. After 1 or 2 days, scabs will form on the treated area. It is important to leave the scabs on until they fall off on their own. Attempting to remove the scabs with scratching risks creating new scars. If the skin feels very dry and flaky, you may want to purchase a neutral greasy cream. You can ask your skin therapist for this. After about 2 days the skin will turn brown, then the skin will start to peel after 5-7 days. During the treatment process, UV protection should always be taken into account. The skin should not be exposed to the sun or tanning bed without protection for up to a month after the treatment. Otherwise, pigmentation may exist on the treated area. After the treatment we advise you not to exercise and not to go to the sauna.

Expected result after a CO2 laser treatment

How many CO2 laser treatments are needed depends on the type of skin condition you come for. On average, 3 to 6 CO2 laser treatments are required. With CO2 laser therapy, fewer laser treatments are needed than with fractional lasers because the CO2 laser goes deeper into the skin. The disadvantage, however, is that the recovery time is longer from a CO2 treatment. During the intake interview, our skin therapists will draw up a personal treatment plan with you. This will give you all the advice you need about the number of treatments, aftercare and costs. The final result of the laser treatment takes time and will not be immediately visible after one treatment. The result also differs per person and per type of skin condition. The expected result is discussed in detail during the intake interview. The skin therapist will give a realistic picture. In general, laser treatments reduce the blemishes, the depth of the wrinkles and scars and improve the skin structure.

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