CO2 Laser: Operation & Applications Guide
Translated by
ScribdTranslationsCO2 Laser: Operation & Applications Guide
Translated by
ScribdTranslationsKLGO. JUAN BRAVO V.
TOPICS
• CO2 LASER
• Operation
• Indications and contraindications
• Instructions for use
What is laser?
• Light
• Amplification by The emitted beam is electromagnetic radiation similar to the
natural light, but generated through stimulated emissions.
The generated light is monochromatic and coherent.
• Stimulated It is emitted at the same wavelength, time and
especially in phase. (2016, p. 143, REV CHIL OBSTET
• Emission of GYNECOLOGY
• Radiation
WHAT IS LASER?
• Light
• Amplification by
• Stimulated
• Emission of
• Radiation
GENERATING SYSTEMS
SOLID STATE SEMICONDUCTOR LIQUID GAS
WHAT IS CO2 LASER?
CO2 LASER is a technology (Kumar Patel, 1964) that is
characterized by emitting rays with a wavelength of 10.600 nm
strongly absorbed by tissue water.
The emission of this laser produces boiling and vaporization of the
water due to rapid warming, and this is responsible for
to provoke the ablation and denaturation of proteins
(collagen)
This exothermic reaction releases heat, causing the 'effect
"residual thermal" that stimulates collagen creation.
WHAT DOES IT MEAN TO BE FRACTIONATED?
The fractional photothermolysis method (Manstein and Anderson,
2004) is developed to provide effective results and without the
disadvantages of other techniques for skin rejuvenation.
MTZ (Microthermal Zone)
Cytokine Stimulation:
• TGF-b
• bFGF
• EGF
• PDGF
• VEGF
HOW IS THE REJUVENATION EFFECT PRODUCED?
Each laser column The remodeling of A second treatment Each session reaches
produce a micro zone collagen is produced in the create zones again approximately 30%
smaller thermal than micro thermal zone and micro thermal and others from the surface of the skin and
a hair free tissue to be new process it is recommended to do 3
deleted sessions.
LASER DEPTH
The depth of the injury is determined by the
amount of energy configured and absorbed by the tissue
of the patient
SOFTWARE
Selection of work mode
• Skin Mode
• 3D Mode - Pulsed Mode
• 4D Mode - Lattice Mode
• Intimate Mode
LATTICE MODE
Lattice mode - 4D
• Facial rejuvenation
• Melasma
• Removal of wrinkles and expression lines
fine
• Blepharoplasty
• Acne
• Stretch marks
COMPARISON BLEPHAROPEELING VS CO2 FRACTIONAL
Comparative study between blepharop peeling and
fractional CO2 laser in the treatment of periorbital
rejuvenation.(Dr. Fernanda Ayres, 2010)
When comparing effectiveness,
both are effective, but the effect of the
Fractional CO2 Laser treatment.
APPLICATIONS
Protocol for facial treatment:
• Application of 2.5% lidocaine and 2.5% prilocaine topical cream or application of
lidocaine 2% without epinephrine injectable 1 hour before the treatment.
• Parameters considering square 20 x 20 mm:
• Power: 8 W (8 to 15 W)
• Residence Time: 1.0 ms
• Interval Time: 1.0 ms
• Point Spacing: 1.0 mm
• Scan Mode: Random
• End Point: Area with inflammation, marking of the applied points and even
you can see bleeding points
APPLICATIONS
Protocol for stretch mark treatment:
• Application of topical cream 2.5% lidocaine and 2.5% prilocaine or application of
2% lidocaine without epinephrine injectable 1 hour before treatment.
• Parameters considering square 20 x 20 mm:
• Power: 15 W (15 a 20 W)
• Residence Time: 1.0 ms
• Interval Time: 1.0 ms
• Point Spacing: 1.0 mm
• Scan Mode: Random
• End Point: Area with inflammation, marking of the applied points, and even
bleeding points can be seen
RECOMMENDATIONS
Use:
• Cold compresses
• LED light
• Sunscreen
• thermal water
• Never use alcohol or alcohol solutions
POST TREATMENT RECOMMENDATIONS
• Use or apply gotu kola (1 to 3 days) depending on the feeling.
of ardor.
• Apply the regenerative cream of your choice in a tapping motion.
(Bepanthol, Cicaplast, or Aquaphor by Eucerin) every 2 to 3 hours
while the peeling process occurs.
• Creams with Vitamin C, Tretinoin, and Acid can also be used.
Glycolic
• Avoid any product with alcohol
• Use sunscreen factor 50 or higher
• Do not expose yourself to the sun during the peeling period.
• Do not manipulate the scabs.
• Do not use makeup during the peeling process.
POST TREATMENT EFFECTS
• Edema, the most affected area is the periorbital region the next day and it
presents up to 2-3 days after the treatment
• Erythema: All patients present erythema after treatment and the
intensity depends on the configured parameters
• Hypopigmentation: Very rare and can appear 6 months after the
treatment
• Hyperpigmentation: Very common mainly in phototypes IV and V, it presents
during the first month. Sun and heat exposure should be avoided because
increase the reaction
• Itching: Very common but it's important to pay attention as it can also
it can be secondary to infection from scratching the wounds
• Scars: Uncommon
PULSE MODE
Pulsed Mode–3D
For the use of cutting or sectioning LASER,
with an energy delivery
concentrated in a smaller area.
• Labiaplasty
• Condylomas - Warts
In the case of warts, it can be applied
between 3-5 watts with movement
circulars. (Victoria Prada, 2020)
The surgical mode is activated continuously to
an intensity of 15 to 20 Watts.
PRIVATE MODE
Private Mode
• Urinary Incontinence
• Urogenital Syndrome
• Vaginal Rejuvenation
• Sclerosing lichen
The vaginal wall has four different
layers (epithelial mucosa, lamina propria,
muscularis and adventitia), it is an environment
rich in water, which helps to improve the
collagen of the same, stimulating the
formation of new vessels to improve the
vascularization of the vaginal tissue, which
leads to the formation of new collagen.
APPLICATIONS
Protocol for Vaginal Rejuvenation Treatment:
• Parameters considering circle 15 x 15 mm:
• Power: 19 W (12 a 20 W)
• Residence Time: 1.0 ms
• Point: 10
• Row Spacing: 1.0 mm
• Scan Mode: Midsplit
• Scan Time: 1st
• Scan Line Number: 5
TREATMENT FOR LICHEN SCLEROSUS AND VAGINAL ATROPHY
Fractional CO2 Laser Treatment for Vaginal
Atrophy and Vulvar Lichen Sclerosus.
Baggish, 2016
The study demonstrated effective treatment for
vaginal atrophy and how to improve it as a better alternative
for lichen sclerosus.
For both, it was done in 3 applications.
with a 30-day difference
PARAMETERS
• Power point
• Coverage Rate (tasa de cobertura)
• Power (1-30 Watts)
• Residence Time (0.1–10 ms)
• Interval Time
• Point spacing
• Scan Mode
• Scan Time
Thank you very much