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Treatment Options
Fractional ablative lasers
Which skin conditions can be treated with ablative lasers and what types of lasers are used?
Ablative lasers such as the carbon dioxide laser were a major advance in dermatology providing new treatment options for scars, sun damage, fine lines and wrinkles. Ablative lasers remove the surface layer of the skin allowing the natural healing process of the skin to regenerate the skin. I use the Lumenis Ultrapulse at OneWelbeck. I will use the laser in full ablative mode for conditions such as keloid scars, rhinophyma or for removal of harmless skin growths however generally for resurfacing and acne scarring I will use in fractional mode.
Fractional mode has faster recovery and significantly lower risks of scarring and pigmentary change. The Lumenis Ultrapulse permits precise control of fractional energy delivery.
Non-ablative lasers are an alternative treatment that carries less risk and downtime, however they require more treatments and may be less effective.
Indications for Fractional Ablative Laser Treatment
Fractional ablative lasers are primarily used to treat skin conditions that require resurfacing or collagen stimulation. Some common indications for this treatment include:
Fine lines and wrinkles
Acne scars
Surgical or traumatic scars
Sun damage, age spots and actinic keratoses
Skin texture irregularities
Enlarged pores
Skin tightening and rejuvenation
What to Expect During Treatment
When you attend for treatment, your skin will be cleaned, and a topical anaesthetic may be applied. In some cases local anaesthetic injections may also be required.
Following treatment an ointment will be applied ot your skin and you should carefully follow aftercare instructions.
The initial healing process typically takes 1-2 weeks, during which your skin may appear red, swollen, or crusty with weeping of fluid or bleeding. It's essential to follow aftercare instructions, such as avoiding sun exposure and using gentle skincare products, to minimize the risk of complications. Afterwards it is common that the skin can be red or pigmented and this can last for weeks to months.
Risks
It is common to experience some pain or discomfort during the procedure as well as afterwards. Other risks include increased or reduced pigmentation or redness (which rarely can be permanent), infection and unslightly scarring. Please read the following consent for for a full list of risks:-
Questions about fractional ablative laser treatments
What is ablative fractional laser treatment?
Ablative fractional laser treatment is a laser treatment that targets skin concerns, such as deep wrinkles, scars, sun damage, and skin texture irregularities. The treatment removes the outer layers of the skin, promoting skin regeneration and stimulating collagen production.
How does ablative fractional laser treatment work?
The carbon dioxide laser emits controlled pulses of light that create microscopic columns of thermal injury in the skin, removing the outer layers and promoting collagen production. This process stimulates skin regeneration, improving the appearance of the skin.
Is ablative fractional laser treatment painful?
Topical or injected anaesthetic is used, however some patients may experience moderate discomfort during the treatment, often described as a sensation of heat or burning. Pain medication can be prescribed for post-treatment discomfort.
How many treatments are needed for optimal results?
The number of treatments required varies depending on the specific skin concern and the individual's response to the treatment. On average 1-2 treatments are required
What should I expect during the recovery period?
After an ablative fractional laser (carbon dioxide) treatment, patients may experience redness, swelling, oozing, and crusting in the treated area. These side effects usually resolve within 1-2 weeks, but the redness may persist for several months. It is essential to follow aftercare instructions, such as avoiding sun exposure, using sunscreen, and keeping the area moisturized, to minimize the risk of complications.
Are there any risks or side effects associated with ablative fractional laser treatment?
As with any medical procedure, ablative fractional laser treatment carries some risks and potential side effects. These may include infection, scarring, temporary or permanent changes in skin pigmentation, and delayed healing. Dr Lynch will discuss these risks with you in detail prior to the procedure and will advise that a small test area is treated first to assess healing.
How long do the results of ablative fractional laser treatment last?
The longevity of the results varies depending on the specific condition being treated. For many patients the results are long lasting.
Is ablative fractional laser treatment suitable for all skin types?
Ablative fractional laser treatment can be performed in all skin types but is safer in lighter skin types due to the higher risk of pigmentation changes in darker skin types. Dr Lynch will help you to weigh up the risks and benefits of treatment during your consultation.
Can ablative fractional laser treatment be combined with other treatments?
Yes, ablative fractional laser (carbon dioxide) treatment can be combined with other treatments such as subcision or punch excision for acne scars.
How much does ablative fractional laser treatment cost?
The cost of ablative fractional laser (carbon dioxide) treatment varies depending on factors such as the size of the treatment area and the number of sessions required. You will be provided with a quotation for treatment after your consultation. A guide to prices is available here.
Book Consultation
To book an in person consultation, enter your details below and my practice management team will contact you to schedule the appointment. Alternatively call
0203 389 6076 (calls are answered during working hours) or email: contact@drmagnuslynch.com.
