Laser medicine

Leg telangiectasias

Many people, especially women suffer leg telangiectasias or so called spider veins. Probably every other woman notices a few or few hundred enlarged capillary on the leg skin, which causes an aesthetic discomfort especially in summer time. Spider veins look like bluish lines or a spider net, which is formed by enlarged capillaries. For many years laser treatment has been the standard procedure to treat leg telangiectasias.  Recently, using the modern laser equipment it is possible to remove small spider veins and the capillary enlarged up to 4 mm. Laser energy focused on the vessel raises the temperature inside up to 70ºC. The lumen of the vessel is coagulated without any damage to the surrounding tissue. Some blood components spread inside the skin and form dark lines, which disappear in 4-6 weeks. The walls of the vessels are not removed, so the body needs about 6-8 weeks to destroy non-functioning tissue. The laser procedure is not invasive and requires no special arrangements.

 

After the procedure

For 2 weeks after the laser procedure: sport, hot baths and sauna are not recommended. Also the patient should avoid direct sun exposure and use sunscreen for protection. Compressing stockings are not required. Often, a second procedure is needed after 8 weeks to remove the remaining parts of the spider veins or continue the treatment due to some vessels not being treated during the first procedure due to large amounts of them.

 

Who performs it?

G.Pošiūnas, M.Kaupienė

Acne

Acne – a common disorder that predominately occurs among teenagers and young adults. The development of acne lesions is characterized by hypercornification of the pilosebaceous duct with the formation of the microcomedo, increased sebum production, proliferation of Propionibacterium acnes, and the development of inflammation. The classic lesions observed in acne include closed (white) and open comedones (black) and inflammatory papules and pustules. Later skin scaring occurs. Acne is also a psychosocial disease and is associated with depression and social isolation.

 

Although there are a lot of traditional medical therapies they are not always successful.  In Posiuno clinic besides traditional treatment administered by dermatologists, intense pulse light and laser treatment is used. These methods are very popular due to more rapid improvement, low incidence of side effects and good tolerance of the procedures.

 

Who performs it?

N.Jarušina, I.Šaferienė, M.Kaupienė, G.Pošiūnas

Laser epilation

Nowadays millions of women and men from all over the world are removing hair in unwanted places. Some people use conventional methods such as shaving, waxing or creams.  This is only the removal of hair from the surface of the skin (depilation), the hair follicles remain intact and the regrowth of hair is quite fast. Some people, due to cultural, aesthetic reasons and lack of time want a long lasting effect and choose more effective methods of hair removal. Laser hair removal is an effective, not painful and modern method. Laser energy is absorbed by the hair shaft melanin, which heats and destroys the bulb of hair (epilation).  Even after the first procedure the hair grows slowly, the amount of hair diminishes. It is recommended to perform 4-6 procedures every 6-8 weeks depending on the location of unwanted hair, then about 85-95 % of hair follicles are destroyed and a long lasting effect is achieved even for a few years. Side effects such as edema, hypo/hyper pigmentation of the skin, scaring or lack of results are rare.

 

Before the procedure:

10-14 days before the laser epilation no other method of depilation except shaving is allowed. That way the hair bulbs remain intact and ready for the laser. For 2-3 weeks sun exposure (in the areas of epilation) should be avoided. 1-12 hours before the procedure you need to shave the hair, which you would like to remove by laser. Skin should be clean and without any damages.

 

After the procedure:

For 2 weeks sun exposure should be avoided on the site of epilation. Cosmetics are not forbidden.

 

Contraindications:

– Pregnancy

– Use of photosensitive medication

– Cancer; in particularly, skin cancer

– Skin infection

– Active infection of herpes simplex in the treatment area

– History of keloid scarring

– Mental disorders

 

Who performs it?

N.Jarušina, S.Lavinskienė, N. Slapšinskienė, M.Kaupienė

Facial telangiectasias, redness, rosacea

Facial telangiectasias and facial redness – one of the most common skin problems in adults. These frequently appear around the nasal ala, nasal dorsum, chin and cheeks. Genetics, long sun exposure and lifestyle have a high influence on the dilatation of facial vessels. This problem often gradually transforms into rosacea, and then acne like rash appears.   

In Posiunas clinic telangiectasias, facial redness and rosacea are treated by intense pulsed light (IPL) and lasers. In order to achieve good results from the treatment, devices are chosen individually for every patient and a few procedures are performed every 4-6 weeks.

 

After the procedure mild edema and redness of the skin appears which do not disturb daily activities. IPL and laser treatment is not possible if the face is tanned or the patient has a history of scarring. After the treatment, sun exposure is not recommended for 4 weeks.

 

Who performs it?

G.Pošiūnas, N.Jarušina, I.Šaferienė, M.Kaupienė

Fractional skin rejuvenation

The CO2 laser has been used for the treatment of skin lesions and skin rejuvenation for many decades now. Although classical skin resurfacing is the most effective method for treating wrinkles, scars and improving skin elasticity due to typical associated length of recovery and high risk of complications it remains unpopular with patients. Development of new technologies and methods are a determining factor for the patients to choose less invasive procedures with a shorter recovering period and lower risk of complications.

 

Fractional skin resurfacing by the CO2 laser is less invasive but very effective method, which we are able to combine it with the classical one if needed. In fractional resurfacing, a fraction of the skin surface is treated with the laser, resulting in small zones of thermal injury bridged by surrounding areas of untreated skin. Since only a fraction of the skin is treated the process of natural regeneration is induced, it stimulates the production of neocollagen and skin contraction. After the skin damaged by the laser heals, the wrinkles are less deep, solar and aging pigmented spots and telangiectasias disappear.

 

The procedure is performed under local topical anesthesia. After the procedure skin edema, crusting of damaged zones and redness occur, which gradually goes away in 5-10 days.

 

Who performs it?

G.Pošiūnas, N.Jarušina, I.Šaferienė, M.Kaupienė

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