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Today, fractional lasers (including the brand name Fraxel lasers) come in ablative and non-ablative forms. Early lasers were ablative, meaning they removed the top two layers of the skin.
Resurfacing can be ablative, which vaporizes tissue and creates wounds, or non-ablative which keeps the skin intact. Laser resurfacing is usually done with a 2940 nm Er:YAG laser or a 10,600 nm CO 2 laser. Complete resurfacing was first done with a CO 2 laser. Both erbium and CO 2 are used to treat deep rhytides, sun damage and age spots.
Fraxel Restore employs a 1,550nm erbium glass laser, which is categorized as a non-ablative laser, meaning it does not remove the outermost layer of skin. This characteristic positions it as the gentlest Fraxel laser and is used for improving skin texture, fine to moderate wrinkles, photoaging, and mild acne scaring. [3] [5]
Microneedle radiofrequency is the latest form of delivery and devices include Profound by Candela lasers, Fractora, Intensif, Thermia Ablative RF Fractional by Melorin Group and Genius by Lutronic. Alternative techniques include Laser Resurfacing and certain Ultrasound alternatives. Novel non-invasive versions of radiofrequency delivery include ...
Aggressive, heat-based devices work great for some, but not for all. This is what piqued my interest in the “cold” ablative laser device, UltraClear, which launched in 2022.
Laser-assisted drug delivery (LADD) is a drug delivery technique commonly used in the dermatology field that involves lasers. As skin acts as a protective barrier to the environment, the absorption of topical products through the epidermis is limited; thus, different drug delivery modalities have been employed to improve the efficacy of these treatments.
Er:YAG laser rod. An Er:YAG laser (erbium-doped yttrium aluminium garnet laser, erbium YAG laser) is a solid-state laser whose active laser medium is erbium-doped yttrium aluminium garnet (Er:Y 3 Al 5 O 12). Er:YAG lasers typically emit light with a wavelength of 2940 nm, which is infrared light. [1]
Dermabrasion is a mechanical surgical skin planing method which has remained popular partially because it may afford an overall lower cost and may provide similar or superior results as newer laser methods for certain skin conditions.