elos and Laser Hair Removal. How to DO It?

Minimally invasive procedures to tighten and lift skin give natural results with minimal risk and recovery time. Monopolar radiofrequency delivers a high-frequency electric current—tissue resistance to electrical current results in volumetric heating to the deep dermis and underlying tissue. The resulting heat leads to immediate collagen contraction and a delayed wound healing response, with new collagen formation up to 4 to 6-month post-treatment. INITIALLY, the FDA approved monopolar radiofrequency (RF) devices to treat periorbital wrinkles. Since then, they have been used to treat laxity of the forehead, cheeks, nasolabial folds, marionette, lines, jawline, and neck. Although the results of RF are not as dramatic as a facelift, over 90% of patients obtain noticeable tightening of the treated areas, and it never looks “pulled.” Another benefit of radiofrequency is reducing fat and tightening the skin by directing energy to target collagen. For example, a patient with flabby upper arms may have more loose skin than fat in this area. In this instance, Prof Moawad might use radiofrequency to tighten the skin first and then remove excess fat. However, if he determines that there is fat mainly in an area, he will remove the fat first and then tighten the skin afterward. “Radiofrequency is a versatile procedure that can be used on any area of the body – from large areas like the abdomen to minimal areas such as the chin – with the same degree of success.

attoo laser removal results are magnificent. Why shouldn't you be able to eliminate unwanted tattoos? Modern tattoo removal involves the use of Q-switched lasers to remove tattoo pigments. Or fade them to prepare the area for a different tattoo. You don't have to live thanks to the only available tattoo removal specific laser machines at MSI "Q-switched Nd: YAG laser 1064nm infra-red laser" and frequency-doubled 532nm green KTP laser with an unwanted tattoo. This laser sends precise pulses of high-energy light into the skin, vaporizing some tattoo inks and fragmenting other inks into thousands of tiny particles, safely eliminating them from your skin. I should also consider test spots for cosmetic, medical, traumatic, or decorative tattoos with light colors. Paradoxical darkening is likely to be encountered in these tattoos. After laser treatment of tattoos, skincare is quite similar to skincare after having a tattoo. Gentle cleansing of the skin and applying an antibiotic ointment will help tattoos heal quickly after treatment. Protect the treated area from sun exposure until the skin is completely healed and the skin color has returned to normal. Your tattoo usually fades over 4-6 weeks. Other non-laser methods of tattoo removal include surgical excision (cutting the tattoo out), dermabrasion (scrubbing away the skin), Sal abrasion (using salt to rub the tattoo), and chemical peels (using acid to burn away layers of skin). These methods are painful, expensive, and may result in scarring.

Removal of red skin spots (vascular) skin lesions without scarring was unthinkable a few decades ago. In the past thirty years, advances in laser technology have revolutionized the treatment of cutaneous vascular disorders and expanded the dermatologist's therapeutic armamentarium. Based on thousands of treatment sessions and follow-up evaluations, I can safely and effectively treat these vascular lesions in infancy, early childhood, or in adults with minimal pain, textural changes, pigment changes, scarring, and minimal postoperative wound care. Birthmarks such as port-wine stains (PWS), hemangiomas, lymphangioma, venous lake, cherry hemangioma, pyogenic granuloma, and warts are successful treatments. Furthermore, acne rosacea, facial erythema, facial telangiectasia, spider veins, red scars, and red stretch marks are markedly improved. Condition. We use selective lasers, fractional radiofrequency, and elos light technology. We mix and match different technologies to give the best possible results.

ELOS and laser hair removal result in long-term hair reduction. After four to six laser treatments, the total amount of hair is significantly reduced, generally from seventy to ninety percent. Hair grows much more delicate and lighter in color. You can expect these changes to last for many years. Hirsutism is the abnormal growth of terminal hair in women in male-pattern (androgen-dependent) sites, such as the face and chest. Hypertrichosis refers to excess hair growth in any body area that is not androgen-dependent. Although hypertrichosis is often a primarily cosmetic problem, it may also represent a cutaneous sign of an underlying systemic disease. To ensure long-term hair reduction in these conditions, we combine three technology, light, laser, and radiofrequency. Electro-Optical Synergy (ELOS) or, in short, E-light technology combines electrical (conducted radiofrequency (RF)) and optical (laser/light) energies. The general idea of this method is to reduce the intensity – and thus, the potential side-effects of optical power (laser or light) by combining it with bipolar radiofrequency (RF). Based on this combination, E-light technology is more tolerated in all skin phototypes and more effective in removing lightly pigmented hair and thin hair. The large spot size of the light energy makes it easy to treat large surface areas such as the back, chest, and legs. The result is long-term hair reduction,” 

Fractional radiofrequency (FRF) is the newest in the nonabrasive approach. FRF uses an array of microneedles arranged in pairs between which bipolar RF energy is delivered. The fractionally delivered energy creates zones of thermally damaged skin adjacent to unaffected areas. The damaged skin stimulates wound healing and deposits new collagen, elastin, and hyaluronic acid formation. The unaffected areas serve as a reservoir of stem cells that accelerate wound healing.  FRF improves acne scars, large facial pores, and skin quality. FRF devices are safe, tolerable, and effective modalities for wrinkles and facial laxity reduction. I may use a topical anesthetic cream before the treatment to minimize pain. Fractional radiofrequency is combined with PRP with significant amounts of growth factor and heal promoting factors to fasten healing. Recently, Nanofat has been combined with fractional radiofrequency to enhance skin quality and stimulate hair follicles. Fractional radiofrequency gives a wake-up call to your skin to remove injured collagen and elastic fibers, encouraging your fibroblast to synthesize new collagen and stimulate hair follicles to stem cells.

Skin rejuvenation laser peel involves the removal of the outer layer of damaged skin. Many ablative skin resurfacing techniques are available at MSI, broadly grouped as mechanical, chemical, and laser abrasion. All ablative techniques result in upper to the mid-dermal wound. Dermabrasion relies on mechanical 'cold steel' injury, acid peels result in a 'caustic' injury, and lasers result in a thermal injury. All ablative resurfacing treatments work the same way. First, the outer layers of damaged skin are stripped away. Then, as new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears. Superficial or medium resurfacing is limited to the epidermis and papillary dermis. For deeper resurfacing, I can also remove the upper levels of the reticular dermis. Unlike chemical peels and dermabrasion, laser skin resurfacing (LSR) with the CO2 laser generates heat, which results in immediate tightening because of the shrinkage of collagen, which forcefully shortens the collagen fibers by 30%. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, nevi, epidermal growths, and even tumors, and a tightening effect that improves the skin's overall appearance. The laser stimulates the growth of healthy new collagen and elastic fibers in the skin continuously for six months after resurfacing. Therefore, any wrinkles or scars will continue to improve for up to one year. Nonablative or minimal ablative fractional CO2 holds great promise in both treatments of skin textural abnormalities (acne scarring, wrinkles, and skin mottling associated with photoaging) and pigmentary variation (melasma, hyperpigmented scars, lentigines, and dyschromia

Acne inversa or hidradenitis suppurativa (HS) is a disease that usually begins as pimple-like bumps on the skin. The pimple-like bumps tend to develop in places where everyday pimples do not appear. HS is most common on the underarms and groin. Getting treatment for HS is important. Early diagnosis and treatment can prevent HS from worsening. If HS worsens, the pimple-like bumps can grow deep into the skin and become painful. They can rupture, leaking bloodstained pus onto clothing. This fluid often has a foul odor. As the deep bumps heal, scars can form. Some people develop tunnel-like tracts under their skin. As the skin continues to improve and scar, the scars thicken. When thick scars form in the underarm, moving the arm can be difficult. Thick scars in the groin area can make walking difficult. Because HS can look a lot like acne, folliculitis, or boils, it is best to see a dermatologist for a diagnosis.

A dermatologic surgeon usually does plantar warts removal. Plantar warts are small growths that usually appear on your feet' heels or other weight-bearing areas. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by HPV. The virus enters your body through tiny cuts, breaks, or other weak spots on the bottom of your feet. Dermatologists have many treatments for warts. The procedure used depends on the patient's age and health. I prefer to cut the callus by scalpel. Then I use a curette to remove the viral material. Then I use a vascular laser to burn or cauterize tiny blood vessels that feed the virus. Then it cauterizes the base using an ablative laser or chemical TCA. A topical antibiotic is applied, and a special dressing is applied. The patient can walk without any pain immediately

There has been a 70% increase in minimally invasive cosmetic procedures and a 50% increase in dermabrasions over the past decade. Dermabrasion has many applications as a skin resurfacing technique and is used to treat fine perioral rhytids and many scars, including acne scars. It is done under local anesthesia with the option of sedation. The area to be dermabraded is marked. The appropriate diamond fraise tip is chosen, the skin is held taut, and the dermabrader is moved across the surface with constant, gentle pressure. A back-and-forth motion is used for the diamond fraise tip. The borders of the treated area are feathered to prevent any noticeable transitions. The depth of skin that is dermabraded is one of the most critical factors that will determine the outcome. Punctate bleeding is visualized when entering the papillary dermis. The papillary reticular junction is the ideal endpoint of Dermabrasion and is identified by increased, confluent bleeding. Immediately following the procedure, saline-soaked gauze moistened with dilute epinephrine may be temporarily placed on the open wounds to achieve hemostasis. A moist environment is necessary to promote wound healing. Dermabrasion is a useful skin-resurfacing tool; when performed correctly, it can achieve dramatic results and can be more effective than chemical peels or lasers, with a low risk of complications in patients with darker complexions

Hair loss treatment is mistakenly thought to be a strictly male disease, women make up a significant percentage of American hair loss sufferers. Hair loss in women can be devastating for self-image and emotional well-being. Unfortunately, society has forced women to suffer in silence. It is considered far more acceptable for men to undergo the same hair loss process. Unfortunately, the medical community pays little attention to the issue of women's hair loss. Since hair loss doesn't appear to be life-threatening, physicians often overlook women's complaints about hair loss and essentially tell their patients that" it's no big deal" and that "you'll just have to live with it." Of course, these physicians don't realize that the psychological damage caused by hair loss and feeling unattractive can be just as devastating as any severe disease. It can take an emotional toll that directly affects physical health. The most recent available hair preservation and restoration treatment is the newly introduced combination of mesotherapy, infrared technology, and oxygen therapy only at the MSI hair care unit. A tiny amount of active ingredients of minoxidil, and finasteride together with all vitamins and trace elements are injected via computerized mesogun into the mesoderm of bald areas. It gives excellent results in both Androgenic and pseudo androgenic alopecia.