FRACTIONAL C02 LASER TREATMENT

The newer generation of physically conscious youngsters (both girls & boys) besides young moms refuse to live with a physical appearance, which demotivates them to wear the clothing of their taste. CO2 facial resurfacing is one of the treatments of choice in stretch marks with excellent laser toning and tightening effect. Fractional CO2 laser skin resurfacing in Chandigarh,Punjab or fractional CO2 laser treatment in Chandigarh is one of the latest advances in the stretch marks reduction treatments. The CO2 laser is the laser with the longest wavelength. CO2 face treatment can be used safely for darker skin type with appropriate settings. It gives optimum results in the hands of an expert dermatologist.

MECHANISM

• Laser energy in ablative fractional lasers like Fractional CO2 LASER is fractionated either optically (by subdividing the conventional bulk laser beam into many microscopic beams) or through scanner.
• This pixilated form of energy passes vertically downward into the skin as microscopic channels and is absorbed by target chromophore water in the tissue (epidermis and dermis), to generate heat which thermally damages or destroys it.
• Multiple vertical microscopic three-dimensional small columns of coagulated and necrotic tissue are created and are referred to as microthermal/microscopic treatment zones (MTZs).
• Each MTZ is substantially surrounded by undamaged skin. Thus, only fraction of the skin (fractional) is exposed to light (photo) to thermally damage or destroy (thermolysis) small treatment zone and hence named Fractional Photothermolysis (FP).
• The MTZs induce a wound healing response consisting of rapid eipthelialization, tissue repair through neocollagenesis, and dermal remodelling from the surrounding viable tissue.

PATIENT INFORMATION:

Patient should be well informed about the following facts -

• Realistic expectation of the outcome - 40-70% improvement (Results vary from patient to patient) and not complete elimination. Multiple (3 to 6) sittings may be required at 1 month gap.
• Postoperative sequelae, side effects, and complications.
• Postoperative sun protection for 3 to 6 months if striae are present on sun exposed areas.
• Younger the patient, lesser the number of sessions required.

PREOPERATIVE WORK:

• Complete work: CBC, blood sugar etc.
• Consent and photographs.
• Preoperative preparation (cream programme) to prevent or reduce postoperative adverse reactions (sunscreens, topical creams for 4-6 weeks before the surgery).
• Preoperative medications (Oral & Topical) to be started 15 days before the procedure and to be continued for 7-10 days postoperatively.
• Close shave, removal of excess hair just before the procedure in case of thigh and lower abdomen.
• PROCEDURE :​

1. Gloves and goggles
2. Topical anesthesia (TA) - cream applied under occlusion for 1-2 hours before the procedure.
3. Preparation for the laser
4. The parameters of the laser are set.
5. Technique for Laser resurfacing for Stretch marks: The laser is set in desired mode and its parameters are set to moderate-to-high density of MTZ/cm2 along with high energy in a small circular or square geometrical shape. Skin surface is laser impacted once or twice depending on the indication and site to be treated.