FRACTIONAL ABLATIVE SKIN REJUVENATION (DOT) THERAPY

DOT technology, or fractional photothermolysis, is the latest laser skin rejuvenation technique that can significantly reduce patient recovery time after the procedure. DEKA has developed fractional lasers SmartXide DOT and SmartXide2 DOT/RF with a wavelength of 10600 nm. These laser systems are recognized as the “Gold Standard” in eliminating aesthetic problems caused by the aging process of the skin.

After laser radiation for fractional rejuvenation and its penetration under the skin, the tissue is heated by absorbing light energy. When absorbed, energy is converted into heat. The layers of tissue are heated at different depths. The depth of optical absorption can be controlled depending on which layers of skin we want to reach. By absorbing laser radiation energy (light energy), the formed microzone is heated to a certain temperature, water evaporates, vaporization occurs, and in places of damage, cells are destroyed without injuring healthy skin. In each microthermal zone, tissue coagulation occurs throughout the entire depth of exposure. The technique of fractional dermal ablation involves a violation of the integrity of the integument during the formation of ablative MTZ. The protein in the coagulated tissue cells is destroyed (collapsed), along with it the old collagen and elastin are destroyed. Undamaged cells promote rapid regeneration in injured microzones. Due to the impact on the skin in a point mode, the created fractional ablation affects only twenty percent of the skin, the remaining eighty remain untouched. Only this ratio promotes rapid tissue healing. During the healing process, cells are completely renewed. New collagen and elastin are formed. When using Fractional Ablative Thermolysis with DOT technology on the SmartXide DOT laser, healing time and the risk of skin scarring are minimized compared to the results obtained with traditional ablative photothermolysis. The effectiveness of the SmartXide DOT fractional laser with DOT technology is characterized by a short rehabilitation period, painless procedures, and easy tolerability.

DOT technology is performed using the SmartXide DOT laser system, which features a unique scanner for ablative skin rejuvenation.

Fractional ablative thermolysis is a method of controlled, gentle and safe treatment of the skin, which allows you to eliminate various cosmetic defects using a CO2 laser.

CO2 laser energy applied in a fractional mode creates very thin and spaced thermal injury columns (THI) that penetrate deep into the dermal layer of the skin, coagulating the tissue and stimulating the synthesis of new collagen. The tissue between the columns is not affected by thermal damage, as a result of which the process of cell regeneration and restoration of the skin proceeds much faster.

The method of using dermal optical thermolysis is to apply laser (thermal) radiation to the skin in a targeted mode (“dot” radiation “DOT”), generating microthermal zones of damage alternating with untreated tissue.

What is DOT rejuvenation?

DOT facial rejuvenation is a modern laser technology based on the principle of selective (point) exposure to the skin and gives a pronounced result with complete safety for the patient.
The method involves the use of an innovative CO2 laser for non-surgical tightening, smoothing out wrinkles, increasing skin elasticity and firmness. DOT rejuvenation is suitable for treating the face, eyelids, décolleté, neck, etc. The effect of fractional photothermolysis is as follows:

• the laser generates point radiation;
• local microthermal damage zones arise;
• old cells are destroyed with stimulation of the formation of new ones;
• neighboring unaffected structures, under the influence of natural regeneration processes, begin to actively restore the damaged area.

How does fractional thermolysis work?

The laser operates in strictly controlled bursts. After each of them, microscopic damage remains on the skin. Around the area of ​​laser action, completely untouched cells remain, which immediately join the recovery process and begin to reconstruct the damaged micro-areas. On the treated surface, the skin is literally formed anew - while it has all the qualities and advantages of youth.

Effect after the procedure

Laser facial rejuvenation at the Bionics clinic allows you to achieve pronounced results using the body’s natural resources without compromising the integrity of the skin or traces of imperfections. During one session, approximately 25% of the cells in the treated area are renewed.

A course of 3-6 procedures allows you to achieve complete rejuvenation and eliminate all defects in the surface layer of the skin. The interval before each next stage is 1 month.

The result of fractional photothermolysis of the face:

• refreshed, clean and smooth skin;
• natural tightening without radical interventions;
• elimination of pigmentation and other age-related changes;
• smoothing out fine and deeper wrinkles;
• noticeable lifting effect that lasts for a long time;
• quick recovery without discomfort.

Medical (St. Petersburg) offers affordable prices for DOT rejuvenation and guarantees professional performance of the procedure. We employ highly qualified specialists who constantly undergo training and improve their skills; you can fully trust their professionalism and experience.

What are the advantages of SmartXide DOT?

Before offering patients the fractional laser rejuvenation procedure, specialists at the PRAGA clinic considered a number of options from manufacturers of cosmetology equipment. Our choice was the Italian device SmartXide DOT. The presence of a unique scanner makes it possible to monitor the duration and power of the pulse, adjust the distance and intensity of the impact. This means that fractional rejuvenation with SmartXide DOT takes place:

• fast - only one session is needed to achieve a noticeable result, and the procedure itself is carried out 4 times faster than with a traditional laser;
• exactly - areas of injury and the possibility of overlaps are excluded.

No long recovery period required! Even if you have delicate and sensitive skin, the fractional laser beam will not harm it. They can be used to treat hands, décolleté and neck areas. The radiation will be uniform and completely safe.

The latest generation laser removes only the top layer of skin, the thickness of which is no more than 1.6 mm. At the same time, the highest efficiency of laser resurfacing is maintained.

ELOS hair removal: frequently asked questions

How does the eLaser remove my hair?

The eLaser device uses optical energy (diode laser) and electrical energy to destroy the hair follicle. As a result, hair can no longer grow from the destroyed follicle, and gradually, after several procedures, a persistent decrease in hair growth is observed on the treated area of ​​the body.

Is treatment with the eLaser device safe?

This type of treatment is very safe for the skin. There are many innovations in the technology of the process that is used in the eLaser device, and this fact makes this method of hair removal one of the most reliable and safe, and also suitable for almost any skin color. Moreover, there is no danger of serious damage from optical or electrical energy emitted by the eLaser device. For decades, these two types of energy have been used in traditional medicine, surgery and anesthesiology, without causing any harm to the human body.

Can permanent hair removal be achieved in one session?

No. Hair grows in cycles and can therefore only be processed in certain phases. All follicles that were not in the treatment (active) phase during the last session must undergo further treatment. The number of subsequent sessions again depends on the area of ​​the body.

What results can I expect after a series of procedures using the eLaser device?

After each procedure, the amount of newly growing hair on the body will decrease, in addition, the rare hair that appears again on the body will become thinner and thinner and gradually lighten, and its growth will slow down after each subsequent procedure. In order to affect all follicles of the treated area of ​​the body, more than 1 procedure is necessary.

Most people achieve satisfactory clear skin after 4-8 treatments. However, individual results can vary greatly depending on the health status and genetic predisposition of the individual patient.

How often should I repeat the procedures?

Treatment usually needs to be repeated every 1-3 months, but this period depends on the individual characteristics of the patient’s body. It is this question that will be discussed with you during the initial consultation by the doctor who will subsequently treat you with the eLaser device.

Are these procedures painful?

The sensation during the procedure is usually perceived as a “hot pinch” or “click”. This feeling lasts only a fraction of a second. Most people tolerate these sensations easily. When epilating legs, arms, abdomen, etc. patients can read magazines or books, wearing safety glasses, of course. Most of the patients interviewed feel almost nothing.

What happens after each procedure?

If redness appears on the skin after the procedure, it will be observed for a very short time, so most people immediately return to work or their normal activities after the session. Hair on the treated area of ​​the body will gradually disappear over the next 3-4 weeks, and your skin may remain clear until your next treatment.

Can hair really be removed forever?

Yes it is. ELOS technology (electro-optical synergy) allows you to completely get rid of annoying hair, as it uses not only the energy of light or laser (like photoepilation or laser hair removal), but also radiofrequency radiation, acting together, they allow you to achieve thermolysis and destroy hair follicle.

How long should you not sunbathe after the procedures?

It is not recommended to sunbathe for 7-10 days after the procedure, also not to visit the bathhouse, sauna for 2-3 days, and avoid heavy physical activity.

If for some reason you interrupt the cycle of hair removal procedures, will it grow back even more or become even thicker?

Considering that each procedure destroys follicles that are in the anagen stage, over time, less and less hair remains, and if the procedure is interrupted for any reason (pregnancy, lactation, etc.), no more than 5% of hair grows back from the original quantity.

Three scanning modes:

1. The normal mode is the mode of sequential passage (exposure) of a laser beam through the skin tissue.
2. Interlace mode is a sequential mode of exposure of the laser beam to the skin with an offset through the row (first the beam passes through odd rows, then even ones). Interlace mode reduces sensitivity, reducing pain.
3. Smart-Track is a mode in which the beam is exposed in a random order, without repeatedly hitting the same place. Reduces pain as much as possible.

3D SCAN MODE:

DOT technology, thanks to the Standard and DOT scanning systems, combines the advantages of traditional ablative and fractional ablative skin rejuvenation methods. SmartXide DOT gives you the ability to select scanning methods, allowing you to change the shape of the scanning area, the size and extension of the scanning area.

DOT POINT MANAGEMENT:

Thanks to a wide variety of coating densities (with 36 exposure levels), DOT technology provides the ability to select the treated area from 5-100%, as well as the ability to optimize the laser exposure time at each individual DOT point (from 0.2 ms to 20 ms in steps in 100 microseconds).

This makes it possible to individually adjust parameters for each patient, as well as adapt the level of complexity of the procedure and the healing time of the patient’s skin to all professional requirements.

When can the procedure be performed?

There are no seasonal restrictions for laser resurfacing. However, for three months after the procedure, you need to protect yourself from direct sunlight: do not sunbathe, use creams with UV protection. This recommendation should be followed especially strictly if you have dark skin.

You can visit the PRAGA Aesthetic Medicine Clinic at any time convenient for you from 9:00 to 21:00. Here everyone is met by highly professional specialists with solid experience, certificates and diplomas for working with Fraxel and SmartXide DOT cosmetology devices. You will also be able to receive all the necessary information on choosing procedures and skin care.

Rehabilitation period

With this method, a small percentage of tissue is damaged, so the recovery period does not last so long: from 4 to 14 days. Although cosmetologists say that the patient does not experience discomfort during rehabilitation, reviews of DOT rejuvenation, namely the period after the procedure, show the opposite. Clients report pain both during and immediately after the session. After 2 hours, the surface of the skin becomes red and swollen. The next day, a crust forms on it from the oozing ichor, which protects the dermis from various irritating factors and infection. You can't tear it off. After a week, the crust softens and then falls off, the swelling disappears. It is very important to take care of the skin during this month, which during this period is very sensitive to various unfavorable factors.

How does the DOT rejuvenation procedure work?

1. The doctor conducts a thorough examination of your skin, as a result of which he identifies your skin type, its condition, level of pigmentation and tanning, and also determines with you the range of cosmetic tasks and discusses contraindications.
2. At the second stage, the doctor selects personal parameters in the settings of the fractional laser SmartXide DOT (“DEKA”, Italy), taking into account the desired duration of the rehabilitation period.
3. The cosmetologist applies an anesthetic to cleansed facial skin to make the procedure more comfortable.
4. With a targeted effect, a slight tingling sensation may be felt.
5. The procedure ends with abundant moisturizing of the skin, as well as detailed recommendations from the doctor for further care during the recovery period.

Laser resurfacing result

• collagen fibers grow rapidly;
• sagging skin is eliminated;
• pigmentation becomes lighter and disappears;
• stretch marks disappear, the surface of the skin in the places where they are located is leveled;
• scars, acne scars, warts and papillomas are removed forever;
• a healthy glow returns to the skin.

Signs of aging are reduced after the first procedure. The skin becomes more elastic, pigmentation brightens, the functions of collagen fibers are activated - the natural framework of the skin, which is responsible for its elasticity and firmness.

If fractional optical thermolysis was carried out on the face, then the skin will completely recover in 3-7 days, if on the body, then in two weeks. In the first days, slight swelling and redness may occur. After a week, it will be noticeable that the wrinkles are smoothing out. Patients do not require special care: after two days you can return to your normal lifestyle.

Indications for fractional rejuvenation

• Abundant pigmentation on the body;
• Pigment spots (melasma) on the face, which appear as a result of hormonal changes in women (pregnancy, menopause);
• Wrinkles around the eyes, in the neck, décolleté;
• Post-acne scars;
• Stretch marks (striae), sagging skin;
• Dry and flaky skin caused by too much sun exposure.

The procedure is prohibited if you have cancer, acute skin diseases (seborrhea, eczema, etc.), any type of herpes, or mental illness.

Obvious advantages of DOT therapy

• If the procedure is performed by an experienced cosmetologist, you can achieve results in just ONE procedure
• the result lasts for several years and disappears only due to the natural aging processes of the skin
• no direct contact with skin during the procedure
• high effectiveness of DOT therapy for all skin types
• has no age restrictions
• the ability to use personal settings for the SmartXide DOT laser to solve exactly the problems you specify and achieve results

For several years, cosmetologists at the MedLine clinic have been successfully using the DOT therapy procedure for their patients using the modern SmartXide DOT fractional laser from the Italian manufacturer DEKA.

Advantages of the method

• The result is visible immediately;
• The skin recovers quickly;
• No anesthesia is required - the effect is painless;
• The procedure is suitable for patients with all skin types;
• The laser is individually adjusted for each patient;
• Fractional rejuvenation can be performed in delicate areas such as eyelids, neck and hands;
• The area of ​​influence is clearly limited;
• There is no need to undergo a long course - one to three procedures are enough.

The duration of the procedures and, accordingly, the cost of the procedure is determined by the attending physician during a preliminary consultation. Typically the session lasts 10-30 minutes. The number of procedures depends on the condition of the skin and age.

Possibilities of DEKA fractional laser systems in the field of rejuvenation

Working with DEKA fractional laser systems, the doctor can adjust the radiation parameters (power, pulse duration, distance between points) in accordance with the skin characteristics of each patient to ensure maximum safety of the procedure.

• Thanks to the unique Hi-Scan scanning system, the energy of the laser pulse is evenly distributed throughout the treated area. The laser penetrates deeply into the skin layers without loss of energy in the affected area and does not injure surrounding tissues.
• The unique SmartStack mode allows you to make from 1 to 5 passes hitting one point, increasing the laser exposure time and the energy density supplied to the skin. This mode helps reduce rehabilitation time and increase the comfort of the procedure for the patient.

The SmartXide DOT system can be used for both fractional and traditional laser skin rejuvenation, the doctor can choose the optimal method to solve specific aesthetic problems. Thanks to the developments of DEKA, DOT therapy has become one of the most modern skin rejuvenation procedures that use laser.

Unique capabilities of DOT technology

When forming microthermal zones (MTZ), the DOT scanning system redirects the laser beam to each of these points or to each MZ. This sets DOT Technology apart from technologies that use a special lens that scatters the laser beam, while losing energy density.

THIS ALLOWS:

• Regulate energy density
• Control the pulse duration (from short-pulse mode to long-pulse mode)
• Do not lose power when laser beam penetrates
• Maintain Focus
• Do not change the flux density

The scanner allows you to adjust the distance between MTZ and the density of application of the degree of tissue damage, thereby affecting the quality of the procedure and the rehabilitation period.

DOT scanning modes allow you to change the treatment area, treat the skin evenly without leaving gaps and creating positions for a single pass of the light beam to another. The energy density varies depending on the exposure time and the power of the beam. It is also possible to adjust the pulse duration.