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Fractional Carbon Dioxide (Co2)
Laser Treatment in Turkey

Radiofrequency Fractional CO2 Laser

Radiofrequency Fractional CO2 Laser

Radiofrequency Fractional CO2 Laser; The term “Fractional” originated from the firearms industry and transitioned to the field of aesthetics, meaning “hole” or “opening.” CO2 lasers, which belong to the category of powerful laser devices, have a very long wavelength of around 10,600 nm. The fractional feature enhances effectiveness while minimizing side effects and accelerating the recovery process.

Radiofrequency is an electrical wave. By stimulating fibroblasts and promoting elastin-collagen production beneath the skin, radiofrequency can enhance the effects of Fractional CO2 Laser. Together, Radiofrequency and Fractional CO2 Laser can allow the electrical energy to penetrate much deeper layers through 120-micrometer holes.

Through a synergistic effect that generates high heat to vaporize tissues, Radiofrequency Fractional CO2 Laser can simultaneously impact both the skin surface and the deeper layers of the skin. While the skin surface becomes smoother, the subcutaneous connective tissue can tighten and rejuvenate.

Co2 fractional with Dr. Arif Eroglu
CO2 Fractional with Dr. Arif Eroglu

What is the feature of Radiofrequency Fractional CO2 Laser?

Due to advancements in computer and optical technology, the use of ‘Fractional Laser’ has started. This fractional feature allows CO2 lasers to create pinpoint effects on the applied area by making perforations in the form of holes, leaving intact tissues in between.

The interaction of laser beams, each much smaller than a millimeter in size, with the skin can yield significant benefits. This approach of leaving intact tissues in between instead of affecting a broad area can enhance the effect, reduce side effects, and expedite the healing process.

Radiofrequency is a form of electrical energy that might not penetrate the epidermis. The epidermis is a superficial layer of skin that lacks the ability to retain water and therefore acts as a surface barrier against electrical conductivity. Radiofrequency energy can easily pass beneath the skin through the fractional openings created by CO2 lasers.

This synergistic effect can lead to the formation of youthful tissue. While surface blemishes like spots, moles, warts, keratoses, and acne scars can be eliminated, new fibroblasts can be stimulated beneath the skin, allowing for pore reduction and the attainment of a silky texture.

(Note: This translation is provided for your convenience, but please be aware that complex technical terms and concepts may not always have direct translations, and the accuracy of the translation could be influenced by the context and nuances of the original text.)

What should be considered after the procedure?

After Radiofrequency Fractional CO2 Laser treatment, it is important to apply moisturizing cream several times a day for 4-5 days following the procedure. Intermittent cold compresses can be applied for redness and swelling.

One of the most crucial considerations after the procedure is sun protection. Therefore, when exposed to sunny environments, the use of high SPF sunscreens may be necessary.

In which situations is Radiofrequency Fractional CO2 Laser used?

  • It is the gold standard treatment for acne scars.
  • Sunspots,
  • Age spots,
  • Keratoses,
  • Post-pregnancy residual spots,
  • Reduction of enlarged pores and rough skin texture,
  • Diminishing fine and moderate wrinkles,
  • Reducing deep wrinkle lines,
  • Removal or reduction of scars,
  • Treatment of scars due to burns or surgery,
  • Reducing stretch marks caused by childbirth or other reasons,
  • Removal of colorless moles,
  • Removal of warts.

What are the considerations before Radiofrequency Fractional CO2 Laser treatment?

Since Radiofrequency Fractional CO2 laser treatment is a potent therapeutic method, there are certain considerations to be taken into account before the treatment. To avoid various issues after the treatment, precautions should be observed.

Firstly, due to the potent nature of the treatment, it might be necessary for the patient to refrain from sun exposure and tanning beds for a month prior to the procedure.

If the use of certain medications is involved, it might be advisable to avoid the procedure. The application could be problematic if blood-thinning medications such as aspirin, heparin, or medications containing retinoids (such as Roaccutane, Tretin, Acnelyse, Differin, Zoretanin) are being used.

Additionally, caution should be exercised if taking medications like tetracycline, estrogen, progesterone, or chloroquine. If procedures like chemical peeling or microdermabrasion, which involve skin exfoliation, have been performed, the laser treatment might need to be postponed for a short period.

Radiofrequency Fractional CO2 laser treatment should not be administered if there are active herpes infections or open wounds/infections on the skin.

How many types of fractional lasers are there?

There are two main types of fractional lasers:

– Non-ablative fractional laser (Er:Glass, Nd:YAG)
– Ablative fractional laser (Er:YAG, CO2)

The first fractional lasers were developed as Er:Glass systems. Since this system is non-ablative, it doesn’t cause skin peeling; it merely lightly affects the collagen fibers beneath the skin. Fractional Er:Glass Laser and Nd:YAG Laser haven’t been preferred due to their limited impact on the skin’s surface and weak stimulation of the underlying connective tissue.

The philosophy of laser use in non-ablative systems has opened a new era in skin rejuvenation procedures. By combining the ablative effect with fractional application, devices like Er:YAG systems with fractional laser characteristics have been developed.

As the latest technological advancement, Radiofrequency Fractional CO2 Laser has been produced. SmartXIDE DOT is the most advanced Radiofrequency Fractional CO2 Laser. Currently, it is the most professional ablative laser skin rejuvenation system. Fractional application of CO2 laser strengthens the penetration of Radiofrequency energy into the skin while minimizing side effects.

The application of Radiofrequency Fractional CO2 Laser initiates the body’s natural repair processes in the skin where microscopic columns are vaporized. This leads to the tightening of collagen fibers and the formation of new collagen fibers.

What is the application of Radiofrequency Fractional CO2 Laser like?

Application of anesthetic effective cream approximately 30 minutes before the laser application can make the procedures comfortable and minimize the possible discomfort to be felt.

The application time for the face can usually take around half an hour. Mild edema, redness and microscopic punctures may be seen after the application.

After about 48-72 hours, the renewed baby-like skin texture can start to show itself. During this period, it can be easily found in social environments by using concealer. New skin formation; Tightening and rejuvenation of the skin tissue can continue for 3 months. The result can be permanent as it activates the natural repair mechanisms. Erased spots or removed moles, warts, keratoses do not return, but it may be necessary to take care of sun protection in order to prevent new ones from forming for a while.

Radiofrequency Fractional CO2 Laser treatment is a single session, but a few more sessions may be required for skin with deep scars and pits.

Arif Eroğlu

Surgeon Arif Eroğlu was born in 1971 in İzmir. He graduated from Ege University Faculty of Medicine in 1993. In 2001, he qualified as a surgeon of Aesthetic and Plastic Surgery in0 Ankara Dışkapı Training and Research Hospital. Since 2003, he has developed new techniques in body shaping especially with laser lipolysis and has achieved major success in this field.

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