Laser in Shrewsbury - laser rejuvenation, laser facelift, laser resurfacing and skin tightening!

Laser rejuvenation offers a customisable approach to improve skin appearance. It can be used alone or in combination with other treatments. Both traditional and fractional lasers provide different benefits and considerations. Careful management before and after the procedure is crucial for achieving optimal outcomes and minimizing complications. 

When considering laser rejuvenation, patient expectations play a vital role in determining suitability for treatment. Patients must understand that treatment responses can vary and may fade over time. Multiple sessions are often required for non-ablative treatments. You should also be aware of the risks and potential complications, which are higher for non-fractional ablative lasers. Patients should avoid sun exposure before and after the procedure for at least three months and be mindful of factors that can impair healing, such as a history of isotretinoin use, diabetes, connective tissue diseases, and so on.

Combine Laser treatment And Microfat volume restoration as a minimally invasive CLAM facelift

Laser types available include:

- IPL for rejuvenation with our new Lynton IPL! Not technically a laser... IPL is great alone or combined with a chemical peel. Wait at leat 4 weeks if having concurrent dermal filler treatment. A wonderful facial rejuvenation awaits - and when combined with microfat transfer the appearance change can be really quite dramatic.

- PDL and ND:YAG for vascular malformations and facial rejuvenation. Arguably mummy bear's porridge, the superb Cynergy Multiplex can give really great results. 

- CO2 for resurfacing, resistant vascular malformations and removal of skin lesions. This more powerful laser can give excellent rejuvenating results, but risks dyschromia. The downtime is also greater, even with modern non-ablative fractionated systems, will be around a week.

Important Risks

- Infections are a common complication following laser treatment, typically occurring within the first 10 days. Herpes simplex virus infections (cold sores) are the most frequent, with fractional lasers having lower rates (0.3-2%) compared to traditional lasers (2-7%). Bacterial infections are less common (0.1-2%), and wound occlusion (complete dressing) can contribute to bacterial overgrowth. Various management techniques, such as open, closed, or semi-open approaches, can be used to reduce infections. Antiviral and antifungal prophylaxis, topical steroids, and regular follow-up are important for postoperative care.

- Acneiform eruptions (bad spots) can occur after laser treatment, particularly with non-fractional lasers. The use of non-comedogenic products and tetracyclines can help manage this issue.

- Prolonged erythema (redness) is a normal part of the healing process but can cause distress if it persists for longer than four days (non-ablative procedures) or one month (ablative procedures). Rates of prolonged erythema vary depending on the type of treatment.

- Scarring can occur, especially in infected or repeatedly treated areas. Hypertrophic scarring can often be reduced with various modalities such as corticosteroids, silicone gel products, and laser therapy.

- Hypopigmentation (pale areas or spots) typically presents as a late complication and can worsen over time. Incidence rates of up to 16% have been reported, with hypopigmentation being most common in previously abraded areas. Pigment loss is permanent and attributed to deep follicular melanocyte death. This can be over 50% with CO2 laser.

- Hyperpigmentation (dark areas spots) is an inflammatory process with variable rates of incidence. It is more likely to occur in patients with darker skin types. Topical treatments such as hydroquinone, tretinoin preparations, and glycolic acid peels can be used to address hyperpigmentation.

- Other potential complications of laser rejuvenation include ectropion, eruptive keratoacanthomas, heat recall phenomena, delayed pinpoint purpura, and cold-induced urticaria.

Mitigation strategies for complications include antiviral and antifungal prophylaxis, topical analgesia, regular follow-up, and postoperative care involving topical steroids, zinc or petroleum-based ointments, and sunlight avoidance and protection.