I do always get questions about laser for skin. It is defenetly worth to read and think about it. If you have any queastions, please send us email to firstname.lastname@example.org
Many clinicians believe that laser resurfacing is the most successful way to rejuvenate facial skin. We don’t. Why destroy the epidermis of the face to make it look smoother? Laser, like peeling, destroys the epidermis only so that the tissues of the papillary and reticular dermis can be destroyed and thereby instigate the normal post traumatic inflammatory reaction. The extensive damage eventually leads to the dense production of collagen and elastin with subsequent skin tightening. There is no doubt that laser has made a lot of people happy… in the beginning. It is now time to look for a more physiological way of inducing collagen andelastin.The epidermis is a most complex highly specialised organ and while it is only 0.2 mm thick, it is our only protection from the environment. We should never, ever damage the epidermis unless the risk of leaving the epidermis intact is greater than removing it. Wrinkles are not a good excuse to destroy this wonderfully
complex interface that we have with the environment. To rejuvenate facial skin and look really young, we need a perfect epidermis. We need the horny layer to be intact and compact (as in a young skin). The stratum corneum is our main defence against UV rays as well as being the barrier protecting us from harmful chemicals. A thick stratum spinosum will add protection from UV rays. Basal keratinocytes must be as fresh and active as they can be with minimal deposition of excessive melanin. We need a thick layer of collagen in the papillary and reticular dermis and functional elastin with a good blood supply. If you look at the skin of any photo-damaged person under the microscope, then you will see that each of these main points have been compromised by sun damage. Destruction of the epidermis is not the way to correct that problem. Topical applications of vitamin A and the antioxidant vitamins C, E, and carotenoids, on the other hand, are effective, safe and will largely restore the skin to a more youthful appearance. Of course, the real problems of wrinkled, sagging skin lie in the dermis. The collagen has been damaged and the thick layer of collagen in the dermis has become thinner. Topical vitamin A will not produce dramatic changes in the elasticity of the dermis.