Treatment against marks, facial or neckline rejuvenation
Marbella and Alhaurín de la Torre
What is the Fractional CO2 Laser?
The CO2 laser has a wavelength of 10,600 nm, which belongs to the infrared spectrum, it has a moderately high absorption capacity by water. This laser beam targets intracellular and extracellular water. When this energy is absorbed by water-containing tissues, it vaporizes the surface of the skin. Depending on the temperature at which you expose the fabric, different effects will be achieved. If the temperature is less than 50 °C, it is called photothermostimulation, and collagenogenesis is favored. On the contrary, when we increase the laser temperature above 60º-80 °C, we are talking about selective photothermolysis, which entails tissue destruction and coagulation. Above 80º-100 °c, tissue ablation occurs. Currently, the most used CO? laser is the fractional type.
The FRACTIONAL CO? LASER does not completely eliminate the entire surface of the skin, but rather only a percentage of the epidermal surface, leaving untreated tissue. This is the great advantage of fractionated lasers compared to the old ones, since previously known lasers produced ablations in all the tissue to be treated, had a longer recovery time, and a greater risk of complications. Thanks to the fractional use of the laser, side effects are practically nil, and recovery time has been drastically shortened (Palacios et al., 2019).
The fractionated CO? laser began to be applied in the field of dermatology in the 2000s, in facial rejuvenations, offering very good results. In dermatology, CO?, or erbium, ER: YAG ( yttrium, aluminum , garnet) lasers are used , each of them reaches a different depth, so depending on the area to be treated there will be an indication for one or the other. The CO? laser reaches a depth of 20 to 60 μm, while the Erbium laser remains at 3 to 5 μm. Holmium lasers are also used in urology to perform prostate resections in the treatment of benign prostatic hyperplasia (Verma, 2020). In gynecology, its use is focusing on three main areas. The first of them is in the surgical area. In this area, the non-fractionated laser is used, focusing the light beam to section or vaporize the tissue while it coagulates. It is mainly used to promote tissue elimination and tissue turnover. An example of this process is the use of lasers to eliminate certain condylomas (Peñalver Gaspar & SEGO, 2022). Another area in which the CO? laser is used in gynecology is aesthetics, here the so-called resurfacing, or remodeling, is used. To achieve the desired effects, the fractional CO? laser is used, which produces ablations and coagulations in sections of the epidermis and variable portions of the dermis, achieving the remodeling of the layers and promoting tissue regeneration with better quality layers (Peñalver Gaspar & SEGO, 2022).
Faser CO? Laser Gynecologically
The last use of the laser in gynecology is functional. It is used to try to recover sensitive capacity and improve sexual capacity, it is called LADD (LASER ASSISTED DRUG DELIVERY). This treatment consists of creating pores that promote the penetration of active ingredients that are applied topically after the treatment (Jones & Simpson, 2022).
It is extremely effective for the treatment of genito-urinary syndrome, vaginal dryness, stinging, itching, burning and pain or discomfort during sexual intercourse, as well as vaginitis due to alterations in the vaginal flora.
Lesions caused by the human papillomavirus (HPV) can be treated, such as condylomas and dysplasias in the vulva, vagina and cervix.
Other areas to be treated are postpartum vaginal hypermobility, lichen sclerosus, treatment of scars in the perineum, postpartum, low-grade genital prolapse, among others.
The laser can be used as a surgical instrument for certain gynecological surgeries such as lipplasties of the labia minora of the vulva, vaginoplasties, colpoperineoplasties, removal of vulvo-vaginal warts, among many others; due to its excellent effectiveness, greater healing capacity and reduced risk of complications.
There are multiple advantages of this treatment, because it is performed without hospital admission, it does not require medical leave, it is not painful, it does not require anesthesia, it does not require special preparation before or after the treatment and when it is used to perform surgeries, these are with minimal bleeding, better healing and better recovery after treatment (postoperative).
Studies confirm that the CO? laser technique used in gynecology is effective, safe and comfortable, with a high degree of patient satisfaction.
Dr. Inmaculada Matas
Graduate in Medicine from the University of Cádiz , Diploma in Nursing from the University of Granada , Master in Dietetics and Nutrition from the Complutense University of Madrid. ; Master in Hair Surgery.
Master of Aesthetic and Anti-Aging Medicine from the Complutense University of Madrid.
Registered by the illustrious College of Physicians of Granada.
How can we help you?
Choose our Clinics and trust in the professionalism of our team. You will have a free medical consultation with us in which, after taking a medical history with its corresponding physical examination, we will give you a personalized diagnosis and treatment.
