- Best Results1-2 treatments
- Treatment Recovery2-6 days
- Procedure Time20 minutes
- Skin SpecialistLaser nurse, dermal therapist
- Duration of Results12 - 60+ months
- AnaestheticNumbing to sedation
- Back to Work1-4 days
LaseMD Ultra Fractional Laser Resurfacing
The LaseMD Ultra is my Fraxel replacement. We still have 3 Fraxel devices at Clinic Cutis, however this laser provides faster treatments, with less discomfort than Fraxel. Additionally LaseMD Ultra has unique spot sizes & delivery modes to treat stubborn sunspots, requiring far less treatments compared to Fraxel. This laser can treat conditions such as sun damage, pigmentation, melasma & wrinkling.
FactsFacts on 1927 LaseMD Ultra
- This laser uses the same 1927 Thulium as Fraxel Dual
- The LaseMD is a decade newer than the Fraxel
- LaseMD provides 3 times the speed of treatment over Fraxel
- This laser can also ‘spot treat’ more stubborn areas
- 1927 Thulium is one of the best wavelengths to treat pigmentation, ageing, sunspots & wrinkles
- I usually combine this laser with fractional CO2 for even better results
- Majority of patients will require only one session
- Downtime varies from 1 to 6 days, depending on the settings
What is fractional laser resurfacing?
Fractional laser resurfacing, as the name suggests, uses laser light to treat a predetermined portion of the skin’s surface. This allows for great results, with a controlled recovery time. By selecting a specific laser wavelength, I can ‘tune in’ laser light to different targets in the skin, at different levels.
Lasers are tools to complete a job as efficiently & as safely as possible. Fractional lasers give me & my clinical team complete control over most (not all) conditions, including different skin concerns, downtime as well as optimal wavelengths depending on skin colour & ethnicity.
What conditions can fractional lasers treat?
Fractional lasers can be specially ‘tuned’ to treat a multitude of skin conditions ranging from superficial pigmentation, through to deep wrinkles. As a guide, lasers can treat-
- Sun Damage & wrinkles. My favourite wavelength I employ include the 1927 Fraxel, 1927 LaseMD (My favourite), 1927 Diode, 1540, 1550 non-ablative, CO2 10,600 nm Mixto, Ultrapulse, CORE, & eCO2 (My preferred)
- Pigmentation from sunspots & age spots. 1927 as above, coupled with picosecond fractional lasers.
- Melasma. Third line treatments with LaseMD 1927, Diode 1927, Fractional Focused Picosecond lasers.
- Laxity & elastosis. Best with erbium & CO2 fractional lasers.
- Scars including acne, burns, surgical & traumatic. I employ CO2, erbium, & picosecond fractional lasers for these jobs.
What is the difference between LaseMD & Fraxel laser?
12 years of development and refined scanning. Fraxel is still a great laser. My favourite wavelength is Thulium 1927 from the Fraxel Dual. Off label treatments with higher density and passes can still give outstanding results.
The LaseMD from Lutronic has the advantage of faster more accurate laser delivery with a specialised scanner. This completes the treatment THREE times faster than Fraxel. Faster treatment means less pain. Additionally, the LaseMD has the ability to provide better on label treatments with stamping technology. This allows on label treatment of darker sunspots, pre-cancerous cells & age spots.
How long does it take to heal following fractional laser resurfacing?
1-6 days. Healing time depends on treatment parameters. This will be discussed with you prior to the treatment. As a rule, higher density treatments with more power will give better results. As a guide-
- Low density treatment: 24 to 48 hours recovery
- Medium density treatments: 48 to 72 hours recovery
- High density treatments: 4-6 days
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When will I see the results following fractional laser treatments?
2-8 weeks. The first change you will notice is a marked reduction of skin pigmentation, including age & sunspots. This is evident within the first week of fractional laser. Wrinkles & enlarged pores will decrease from week 2 to week 8 as more collagen is generated. In some cases (especially if fractional CO2 is added to your treatment), skin tightening can be seen after 4 weeks. Results will continue to improve up to the 3- 4 month mark.
How many laser sessions will I require?
90% of our laser treatments for rejuvenation will require only ONE treatment. This is because we employ bespoke ‘densities’ & power levels. In most cases we combine two, sometimes three wavelengths in the one sitting. My favourite combination is to treat superficially with the LaseMD. This addresses skin quality including brown spots, age spots, sunspots & fine wrinkling while simultaneously providing gentle controlled heat to the deeper dermal layers. This first part of Hybrid Resurfacing takes 6 to 8 minutes to complete. The second part of resurfacing is done with a fractional CO2. This laser treats the deeper dermal tissue, resulting in more collagen production & contraction. The whole procedure takes 20 minutes to perform.
Hybrid laser resurfacing is the way forward, as it combines two of the best wavelengths especially suited for the skin concerns of Queenlanders- namely to address solar keratosis, pigmentation, & medium to deep wrinkles caused by extensive sun exposure.
Which is better, chemical peeling or fractional laser resurfacing?
I employ both chemical peels & lasers, depending on the job!
Peels such as glycolic, lactic, mandelic, salicylic acid & retinoic acid peels are still relevant in today’s tech world of lasers. For example, patients with acne, congested skin, & blackheads do best with peels. If you have wrinkles, pigmentation & enlarged pores, lasers, including fractional laser resurfacing provides better results.
To understand what are the best treatments for your skin condition, book an appointment with either myself or one of my clinical nurses or dermal therapists at Clinic Cutis.
Can fractional lasers treat acne scars?
Superficial scars respond best to laser resurfacing, whilst deeper scars respond best to a procedure known as surgical subcision. Though the LaseMD can address smaller, superficial scars, lasers including the eCO2, Ultrapulse, Mixto, & ProFractional Erbium are best employed for most forms of acne scarring. Additionally, treatments such as Genius RFM or Infini coupled with TCA CROSS will give better results than Fraxel or fractional laser resurfacing.
Fractional lasers are only one of many scar revision methods we employ. Remember, always treat the scar type with a modality, and never try to fit a device for acne scarring.
Can fractional lasers cure melasma pigmentation?
Melasma is a persistent form of facial pigmentation. Fractional laser resurfacing can improve some forms of melasma, however lasers including Spectra & Pico are better at treating this condition compared to Fraxel lasers. The LaseMD in super low settings can be used to treat recalcitrant dermal melasma.
*In my practice I reserve fractional laser resurfacing (in the context of melasma treatments) as third or fourth line therapy. Spectra & pico are more effective & more cost-effective treatments for the majority of patients. Fractional lasers may be more effective in dermal melasma. To understand what is the best treatment for your melasma, book a consultation with my clinical nurses @cliniccutis
Is a fractional laser better than microneedling?
Fractional lasers stimulate more collagen production than microneedling. Additionally lasers can improve pigmentation, enlarged pores, acne scars & wrinkles to a higher degree than microneedling. At Clinic Cutis we often perform hybrid laser resurfacing, meaning we combine different lasers in the one session to address both superficial and deeper concerns. A favourite combination of lasers is the use of LaseMD Ultra for surface concerns such as pigmentation, & CO2 for deeper lines & wrinkles. This treatment provides better results than 4 or more sessions of microneedling.
Do we still use microneedling? Yes! Microneedling is best for providing microchannels in the skin & is especially useful for ‘transdermal topical delivery.’ Microneedling is my favoured treatment for mild forms of hypertrophic scars, in combination with anti-inflammatory topicals.
Does fractional laser tighten skin?
Yes, but to a limited extent. Lasers, including fractional lasers, can contract a limited amount of collagen. This is due to bulk heating in the dermis. The best wavelengths are CO2 & erbium, hence why I normally combine LaseMD Ultra or Fraxel with fractional CO2 laser. Adding a conservative CO2 fractional laser with fractional 1927 laser only adds & additional 24-48 hours to the downtime of laser, however the results are exceptional.
Does fractional laser reduce pore size?
Yes. Fractional laser is my preferred method of shrinking enlarged pores in lighter skin types. Darker ethnic skin responds better to Pico lasers. The LaseMD Ultra can give wonderful results with as little as one to two sessions. Fractional laser reduces pore sizing by collagen contraction around the enlarged pore – hair follicle. Laser also regenerates new collagen over 4-8 weeks, in turn shrinking the size of pores. Use of AHAs as well as retinol post procedure can keep pore sizing down.
Is fractional laser painful?
This form of laser resurfacing is well tolerated. We employ a Zimmer cooler to pre-chill the skin prior to laser. Additionally, we apply specialist strength numbing gel with all cases. If you have a low pain threshold, we have pain-aesthetic gas on hand.
What are the side effects of fractional lasers?
Side effects are uncommon with this treatment as we only treat ‘portions’ of skin. A realistic side effect profile is as follows-
Infection: 1-3%. Higher rates seen in patients who have atopic eczema (staph carrier) as well as cold sore virus history. The latter can be prevented with anti-viral tablets starting the day of treatment.
Pigment flare: 2-4%. More common in patients treated for melasma, higher in ethnic skin types-darker skin.
Rosacea flare: 2-4%%. More common in fair skin patients with a history of rosacea. Easily treated with pulse dye lasers.
Scarring: Extremely rare <0.1%. Most often secondary to cold sore virus infection.
Davin’s Viewpoint on LaseMD Fractional Laser
This is THE laser I have been looking forward to. Why? Because the first laser by Fraxel was a cracking great laser. The LaseMD Ultra is another 12 years of development newer. Lasers are like mobile phones. Can you remember the iPhone 1? That was ten years ago. The LaseMD allows me and my laser team the ability to treat extensive areas with higher densities at least 3 times faster than Fraxel. The stamping mode also allows us to treat on label for more stubborn & resistant areas (such as age spots).
At Clinic Cutis, 90% of patients require only one, that’s correct, one treatment. Acne scars, enlarge pores, resistant melasma will require more sessions. Most of our treatments combine CO2 low density with the LaseMD. The former treats deep, whilst the LaseMD treats superficially. Combining both wavelengths gives what is termed ‘Hybrid Laser Resurfacing’– less treatments, better outcomes, & less overall downtime for patients.
Book a consultation with either myself or the clinical team @cliniccutis to see what is the best solution for your skin’s needs.
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