Pigment & Elevated lesion    Nevus, Melasma, Lentigo etc. - Facial flushing

모공 & 탄력 소개
Facial flushing
There may be so many causes of enlarged pore (or depression of skin around pore). But clinically 3 kinds of factors may be important. That is increase of sebum production, decrease of skin elasticity around pore and increase of hair follicle volume including thick hair.

Other related factors are acne, sex hormone, comedon inducing chemicals (cosmetics, etc.) washing habits, chronic exposure to UV rays, aging, genetic factors

According to the causes, various treatments including PDT (photodynamic therapy), microneedle RF (radiofrequency), hair removal, CO2 fractional laser, skin botox, IPL may be needed
1CO2 Fractional Laser
CO2 fractional laser usually offers a high level of satisfaction if applied to address individual needs of the patient.
The highest possible energy should be used for the improvement of pores, elasticity, wrinkles, skin texture within the tolerance level.

Under the intensified treatment condition, the procedure will take 20+ minutes and after care over 30 minutes.
The penetration depth of CO2 fraction laser is 1mm, so in order to make improvement in deep tissue area, Microneedle Radiofrequency (DeAge, Scarlet) is recommended as an additional measure.
2Microneedle Radiofrequency (DeAge, Scarlet)
Microneedle Radiofrequency (DeAge, Scarlet)

Features and principal
Microneedle radiofrequency treatment works by precisely delivering radiofrequency energy to the lower layers of the dermis using microneedles. This treatments stimulate collagen production and reshape skin elastic fibers gradually and continuously, restoring skin firmness and tone. It is also used effectively for the treatment of moderate to severe inflammatory acne vulgaris. It is suggested that the mechanism of action is mainly a reduction of sebaceous gland activity and the promotion of dermal architecture remodeling by thermal stimulation.


Effect
• Acne (recommend combination treatment with PDT)
• Scars (burn, postoperation etc.)
• Striae
• Skin lifting
• Elasticity
• Fine wrinkle
• Whitening
• Enlarged pore
• Skin texture


Time of procedure
• Anesthetic cream 30 min
• Procedure 20~30 min
• Post care 30 min


Pain
• none~mild


Progress and possible side effects
• Hot flushing for about 3 hours after the procedure
• Edema for about 3 hours (mild)
• Desquamation for about 7 days (mild)
• Dryness at the procedure sites for about 1 month
• Pruritis(itching) for about 14 days (mild)
• Allergy
• Postinflammatory hyperpigmentation (PIH)
• Infection
• Contact dermatitis
• Folliculitis
• The complete effect is observed around 8-12 weeks after treatment


Cautions before the procedure
• Avoid the medications and creams that affect skin condition profoundly for at least 1 month, for example isotretinoin


Cautions after the procedure
• Cold massage after the procedure for about 2 days for the fast recovery
• Moisturizing cream and sunblock
• Avoid rubbing the treatment area excessively for about 7 days
• Avoid irritating cosmetics and non-prescription cream for about 1 month
• In case of suspected infection or allergy, contact the clinic
3Cross (Chemical reconstruction of skin scars)
CROSS(Chemical Reconstruction of Skin Scars)

Features
Application of TCA to the skin causes precipitation of proteins and coagulative necrosis of cells in the epidermis and necrosis of collagen in the papillary to upper reticular dermis. Dermal collagen remodeling after chemical peel may continue for several months. There are reorganization in dermal structural elements and an increase in dermal volume as a result of an increase in collagen content, glycosaminoglycan, and elastin.

Indications
• Enlarged pore
• Depressed scar(acne, postoperation, chicken pox, etc.)

Time
• Anesthesia: 30 min • Procedure :10~60min

Pain
• mild~moderate

No. of treatments
• Generally 3~6 courses

Interval
• 1~3moths

Progress and possible complications
• scabs for about 5~10 days
• mild erythema (if it occurs, 2–8 weeks)
• postinflammatory hyperpigmentation (if it occurs, 1~2month)
• focal skin infections (mild pustular eruptions)
• gradual increase in dermal volume through 6 months
• dryness and mild pruritis of face and resolve with time

Cautions after procedure
• apply only moisturizing cream until scabs fall off (do not apply sunblock when there are scabs)
• after detachment of scabs, apply moisturizing cream and sunblock everyday
• if you want to apply whitening material on the face or take oral medication, consult a doctor
• avoid irritating cosmetics and non-prescription cream for about 1 month
• if you want to wash using soap while there are scabs, make enough bubbles with both hands, gently apply the bubble to your face. After washing out your face with water, remove the water gently with towel.

• Final result
About 6 month after final procedure

Copyrights ©2014 JD Clinic Myeong-Dong. All rights reserved.