Pigment & Elevated lesion    Nevus, Melasma, Lentigo etc. - Pigment & Elevated lesion removal

◈ Pigments that is widespread on both right and left area and symmetrical are likely to be melasma
• generally aim to remove about 70% of pigments
• usually repeated treatment of laser toning+whitening material intrusion using eletrophoresis at 1~2 weeks interval. Other treatment may be needed
• no treatment mark, almost no pain
• prediction of definite treatment numbers is impossible
• In case that repeated treatment is impossible, for one time treatment, CO2 fractional laser, Nd-Yag laser, CO2 laser, laser toning, whitening material intrusion using eletrophoresis may be possible.
• recurrence is possible

※ Everyday life managements for melasma
• moisturizing cream and sunblock application everyday
• if you want to apply whitening material on the face or take oral medication, consult a doctor
• take vitamin C everyday

◈ Pigments that is not symmetrical, circumscribed and flat are likely to be nevus, freckle, lentigo, cherry angioma, Ota nevus, etc.
• generally aim to remove about 90~100% of pigments
• one time treatment removes about 30~80% of pigments
• at 1st treatment, usually combination treatment of CO2 laser+ Nd-Yag laser is needed. From the 2nd treatment, Nd-Yag laser only is needed
repeated treatment of laser toning+whitening material intrusion using eletrophoresis at 1~2 weeks interval. Other treatment may be needed
• no treatment mark, almost no pain
• prediction of definite treatment numbers is impossible
• In case that repeated treatment is impossible, for one time treatment, CO2 fractional laser, Nd-Yag laser, CO2 laser, laser toning, whitening material intrusion using eletrophoresis may be possible.
• the reason that use both CO2 laser and Nd-Yag laser is faster and more removal of pigments and prevention of postinflammatory hyperpigmentation(PIH).
• repeated procedure of CO2 laser is possible after over 1 month and repeated procedure of Nd-Yag laser is possible after over 2 weeks
• treatment after anesthesia cream about 30min.
• scabs during 7 days after CO2 laser and red spots during 7 days after Nd-Yag laser.
• prediction of definite treatment numbers is impossible, generally over 5 sessions are needed.
• recurrence is possible

※ Everyday life managements after laser treatments
• dryness and mild pruritis of face and resolve with time
• moisturizing cream and sunblock application everyday
• do not apply sunblock when there are scabs
• if you want to apply whitening material on the face or take oral medication, consult a doctor

◈ Pigments that is elevated, not flat, various colors (black, brownish and skin color) likely to be wart, soft fibroma, milia, syringoma, seborrheic keratosis, etc.
• generally one time treatment removes about 80~100% of pigments.
• CO2 laser only is needed generally, but Nd-Yag laser may be needed.
• additional treatment is possible after over 1 month.
• treatment after anesthesia cream about 30min.
• scabs during 7 days after CO2 laser and red spots during 7 days after Nd-Yag laser
• prediction of definite treatment numbers is impossible, generally over 5 sessions are needed
• recurrence is possible

Cost information and event introduction

Dark Circle is not a medical terminology, but is an expression of a symptom caused by a various causes. The symptoms include hyperpigmentation, prominent veins beneath the eyes and dark-looking phenomenon due to protruding fat lower eyelids. In most of cases, removal of melanin pigment using lasers shows satisfactory results.

◈Treatments
1) Removal of melanin pigment

Characteristics
• Nd -Yag Laser • treat dark circles due to melanin pigmentation.
• requires multiple procedures for complete removal.

Downtime and pain
• Pain: 20-60 (0: no pain, 100: severe pain)
• Treatment time: anesthetic cream 40 minutes, treatment 30 minutes
• Downtime: Red spots and scabs for about 5-7 days
• Effect: 30 to 80% elimination after 1 session
• Treatment interval: more than 1 month

2) Removal of a vein
It is generally not recommended due to the risk of side effects.

3) Lower eyelid fat removal
JD Clinic does not perform surgery .

4) Hyaluronic acid filler injection
Few patients shows good effects. Generally filler injection is not recommended due to unnatural results.

◈ Daily Life Management of Dark Circles
• Moisturizer and UV cream are essential. Apply that every day.
• Do not apply functional cosmetics to the lesion area.
• Before applying whitening materials, consult your doctor and use the appropriate product.

Cost information and event introduction

ND-YAG Laser: Treatment Process
▪ Anesthetic cream: 40 minutes
▪ Treatment time: 10-30 minutes
▪ Sedation management: 20 minutes

ND-YAG Laser Progress
▪ After ND-YAG laser treatment, red marks will last for about 3-7 days. Sometimes scabs may form. Once a scab has formed, it is best to keep it on for as long as possible (5-7 days) to get better results, so please be careful with the scabs.
▪ During the period when red marks and scabs are present (0-2 days), apply the ointment provided by our clinic after treatment twice a day, morning and night, to the treatment area for 2 days (4 times in total). For the 2 days, apply the ointment first after washing your face, and then apply a moisturizer.
▪ During the period when red marks and scabs form (3-7 days), apply only a moisturizer without applying sunscreen.
▪ After the red marks and scabs have disappeared, apply moisturizer + sunscreen thoroughly.
▪ If you have been recommended to use a whitening ointment, apply it thoroughly after the red marks and scabs have disappeared. From this time on, it is okay to wear makeup.
▪ For your daily care, apply whitening ointment + moisturizer + sunscreen thoroughly. If you want to use other cosmetics in addition to the above, please do so 15 days after the procedure.
▪ Any type of moisturizing cosmetics, such as toner, cream, lotion, mask pack, etc., are okay as long as they are intended for moisturizing.

※Summary of care procedures after ND-YAG laser treatment
① 0-2 days immediately after treatment (when red marks and scabs are present): Ointment + moisturizer (twice a day, morning and night).
If your skin is dry, you can apply moisturizer more than twice a day. ② 3rd to 7th days (red marks and scabs are present): Moisturizer (twice a day, morning and night)
③ 8th to 15th days (after red marks and scabs disappear):
▪ Morning: After washing your face (whitening ointment +) moisturizer + sunscreen
▪ Night: After washing your face (whitening ointment +) moisturizer
We usually recommend applying whitening ointment once a day at night. If it doesn't hurt too much, you can apply it twice a day, morning and night.
④ From the 16th onwards: You can add other cosmetics, but be sure to apply moisturizer and sunscreen.

CO2 laser, CO2 fractional laser
Treatment process
▪ Anesthetic cream: 40 minutes
▪ Treatment time: 10-30 minutes
▪ soothing management: 30 minutes

CO2 laser, CO2 fractional laser
▪ After CO2 laser treatment, the scab will last for about 5-7 days. Once the scab has formed, it is best to maintain it for as long as possible, so please be careful to manage the scab.
▪ During the scab period (0-2 days), apply the ointment that we will give you after treatment to the treatment area twice a day, morning and night, for 2 days (4 times in total). For 2 days, apply the ointment first after washing your face, then apply moisturizer.
▪ During the scab period (3-7 days), do not apply sunscreen, but only apply moisturizer.
▪ After the scab has disappeared, apply moisturizer + sunscreen thoroughly.
▪ If you are recommended to use a whitening ointment, apply whitening ointment + moisturizer + sunscreen thoroughly in the morning after the scab has disappeared. You can wear makeup from this point on.
▪ For your regular skin care, be sure to apply whitening ointment + moisturizer + sunscreen.
If you want to apply other cosmetics besides the above, please do so 15 days after the procedure. ▪ Any type of moisturizing cosmetics, such as toner, cream, lotion, mask pack, etc., are fine as long as they are intended for moisturizing.

※ Summary of CO2 laser and CO2 Fraxel laser management procedures
① 0-2 days immediately after the procedure (when scabs are present): Ointment + moisturizer (twice a day, morning and night).
If your skin is dry, you can apply moisturizer more than twice a day.
② 3rd to 7th days (when scabs are present): Moisturizer
③ 8th to 15th days (after scabs are gone):
▪ Morning: After washing your face (whitening ointment +) moisturizer + sunscreen (+ makeup)
▪ Dinner: After washing your face (whitening ointment +) moisturizer
It is usually recommended to apply whitening ointment once a day at night. If it does not sting too much, it is okay to apply it twice a day, morning and night.
④ From the 16th onwards: You can add other cosmetics, but be sure to apply moisturizer and sunscreen.

Combination witn CO2 laser and ND-YAG laser
Treatment process
▪ Anesthetic cream: 40 minutes
▪ Treatment time: 10~60 minutes
▪ Soothing management: 10 minutes

When combination treatment with CO2 laser and ND-YAG laser is done
▪ When using CO2 laser and ND-YAG laser at the same time, the scabs and red marks will last for about 5 to 7 days. Once the scabs form, maintaining them as long as possible will lead to better results, so please be careful to manage the scabs.
▪ During the period when the scabs and red marks are present (0 to 2 days), apply the ointment provided by our clinic after treatment to the treatment area twice a day, morning and night, for 2 days (total of 4 times). For 2 days, apply the ointment first after washing your face, and then apply a moisturizer.
▪ During the period when the scabs and red marks are present (3 to 7 days), do not apply sunscreen, but only apply a moisturizer.
▪ After the scabs and red marks have disappeared, apply moisturizer + sunscreen thoroughly.
▪ If you have been recommended to use a whitening ointment, continue to apply the whitening ointment + moisturizer + sunscreen in the morning after the scabs and red marks have disappeared. From this time on, it is okay to wear makeup.
▪ For your daily care, apply whitening ointment + moisturizer + sunscreen thoroughly. If you want to apply other cosmetics in addition to the above, please do so 15 days after the procedure.
▪ Any type of moisturizing cosmetics, such as toner, cream, lotion, mask pack, etc., are okay as long as they are intended for moisturizing.

※ Summary of the procedure for care after CO2 laser + ND-YAG laser treatment
① 0-2 days immediately after treatment (when scabs and red marks exist): Ointment + moisturizer (twice a day, morning and night).
If your skin is dry, you can apply moisturizer more than twice a day. ② 3rd to 7th (when scabs and red marks are present): Moisturizer
③ 8th to 15th (after scabs and red marks are gone):
▪ Morning: After washing your face (whitening ointment +) moisturizer + sunscreen (+ makeup)
▪ Night: After washing your face (whitening ointment +) moisturizer
We usually recommend applying whitening ointment once a day at night. If it doesn't sting too much, you can apply it twice a day, morning and night. ④ After the 16th: Moisturizer and sunscreen must be applied, and other cosmetics may be added.

Cost information and event introduction

-CO2 laser
- Could be used to remove pigmentation on superficial skin.
The superficial skin pigmentations include black spot, freckles, and others.

CO2 laser enables removal of superficial skin pigmentations individually in entirety, this procedure is crucial for the successful treatment.

- It is difficult to target individual pigmentation with IPL
- Generally, IPL is done simultaneously with CO2 laser and CO2 fractional laser to achieve best result.


- Even a single combined treatment can make conspicuous improvement.

Cost information and event introduction

- It is used for the elimination of deep tissue pigmentations.

The types of pigmentation include birth marks to all kinds of colored spots.


Nd-Yag Laser is also used for toning and other procedure such as removal of pigmentations on arms and legs.
Usually, 3 treatments are required for a satisfactory outcome.

The skin pigmentation is widely spread both on the superficial and deep tissue skin areas that the treatment is usually carried out to address problems in both.
The possibility of side-effects intensifies when trying to achieve a satisfactory condition in deep tissue pigmentation with single procedure.

Cost information and event introduction

IPL is used for the treatment of superficial skin pigmentations.


IPL can also be applied to protruding vessel removal, surface pigmentation removal, epilation and whitening.


IPL has effect against dark-colored pigmentations, but not the light-colored ones.

IPL can remove most of dark-colored surface pigmentations in single treatment, but if used on the high energy level setting, there is risk of skin burn.


Cost information and event introduction

CO2 fractional laser is used for the treatment of superficial skin pigmentations.



Whereas CO2 laser removed pigmentations piecemeal, CO2 fractional laser does this on the whole surface of face.
CO2 factional laser is used simultaneously with CO2 laser to achieve an optimal result.

- Even a single combined treatment can make conspicuous improvement.
This procedure will leave scabs and crusts for up to 7 days.

Cost information and event introduction

These are applied to remove deep tissue pigmentation.



Laser toning or spectra toning alone has limits in removing deep tissue pigmentation, therefore it is advised to use these with other methods of treatments.

Cost information and event introduction

Features
Agnes is a treatment method that selectively reduces unwanted tissues (sebaceous glands, sweat glands, subcutaneous fat, etc.) by inserting micro-insulated needles into or under the dermis and using high-frequency energy generated from the tip of the needle. The upper part of the needle is insulated to minimize damage to the epidermis. Therefore, compared to when using a laser, the incidence of post-inflammatory hyperpigmentation and scarring is significantly lower, and scab formations are minimal, making post-treatment management simple and reducing downtime.Agnes can be a safe and effective treatment tool for the removal of syringomas around the eyes, sebaceous hyperplasia, and trichoepithelioma around the nose.

Indications
▪ Non-inflammatory acne (whiteheads, blackheads)
▪ Inflammatory acne
▪ Syringoma
▪ Pore reduction
▪ Sebaceous hyperplasia
▪ Xanthelasma
▪ Lip Fordyce spots
▪ Trichoepithelioma
▪ Depressed scars
▪ Osmidrosis
▪ Moles
▪ Removal of fat of lower eye bags, lipomas, double chin fat
▪ Others

Treatment time and process
In case of syringomas, sebaceous hyperplasia and trichoepithelioma ▪ Numbing cream 40 minutes or local anesthesia
▪ Treatment time: More than 30 minutes

Pain
40~70 (0: no pain, 100: severe pain)

Treatment interval
2~3 months

Number of treatments
1~5 times (individual differences exist)

Post-treatment progress and side effects
▪ In cases of syringoma, sebaceous hyperplasia, xanthelasma, Fordyce spots, trichoepithelioma, it takes about 2 to 3 months for the effects to appear. Since the effects appear gradually, it is recommended to decide whether to have a repeat treatment after about 2~3 months.
▪ After the procedure, inflammation may worsen at the site of the procedure. It is recommended to take antibiotics as a preventive measure.
▪ After the procedure, pores may appear enlarged for about 1 to 2 months. They will shrink over time.

Post-procedure precautions
▪ Avoid contact with water on the treated area for about 24 hours after the procedure.

Cost information and event introduction