Some stories are too good to be true...
Some are short-lived, like first love...
Still, we are attracted to the impossible, our soul cannot find peace until we taste it, even though our mind tells us otherwise..
Medical LASERs, the ancestors of energy-based facial rejuvenation applications, entered medicine very coolly and are still used successfully in many fields of medicine. However, the story in plastic surgery was a little different...
Come hear this story from me;
The period is the 1980s, the Star Wars movie series is playing in the cinema, lightsabers, laser guns, everyone is familiar with the concept. . We don't know exactly what it is, but we are sure that it is something very technological, and technological things cannot be bad...
Laser devices took their place in the field of plastic surgery in a very short time, while it was still in the mid-80s. The skin is treated with laser, a controlled burn is created, and after a few weeks of healing, the skin renews itself, resulting in a refreshed, healthier-looking and wrinkle-free skin. Medical lasers are still one of the most important tools we have in the treatment of skin spots, unwanted hair, and vascular lesions.
However, our experience in the field of facial rejuvenation was not what we expected in the long run. Over the years, patients began to complain that the skin in the application area became thinner, dried out and gained an unhealthy appearance. What happened was that in the months and first years following the treatment, while everything was so good, the spell was broken. Patients who were very satisfied with the treatment and had it repeated on the same area several times became even more aggrieved in the long run.
This phenomenon is very important for the candidate patient seeking facial rejuvenation, so focus your attention. Go and get some tea. I will go into the medical part a little more and try to explain it in an understandable language.
This is what we learned in the research conducted over the years. The laser beam creates controlled heat damage - that is, burn - in the deep, vascular and living layer of the skin, which we call "dermis". There is a healing process in this burn area, as we observed in other burns. exceeds. During the healing process, the blood supply to the area increases, the cell cycle on the surface accelerates, and the healing cells migrating to the burn area produce abundant amounts of the protein we call "collagen". In fact, this tissue production occurs to such an extent that during the healing phase, the skin looks thicker, livelier and healthier than before. The key point here is; Since recovery is a process that takes a very long time, these effects that we observe from the outside continue for up to 18 months as long as the healing process continues. In fact, when we repeat the application before the 18 months are up, we re-create the damage and restart the process.
Problems begin when the healing process ends. Vascularization decreases, skin thickness decreases, and the number of sweat glands and sebaceous glands that regulate the skin's moisture and oil balance decreases. Most importantly, the protein called "elastin", which provides the skin's elasticity, decreases permanently and the skin loses its elasticity permanently. We mentioned that the body deposits the "collagen" protein into the damaged area. However, this “collagen” is not organized like in healthy skin. If the collagen in healthy skin is a “lambswool” sweater, the newly produced collagen in the skin in the healing process can be compared to two sweaters of wool left on the table. In the final stages of recovery, specialized cells make a coarser and finer weave from this ball of wool than the original, but this new weave never reaches the quality of the original. The result, unfortunately, is a skin that has permanently lost its vitality... Losing its vitality is called "atrophy" in medicine. These are the reasons why I am skeptical of all technological devices that cause "heat damage" to the skin or subcutaneous tissues and do not include them in my practice. The observation that forms the basis of my skepticism remains valid even in “sunburns”, which are the simplest and most basic example of the heat damage mechanism.
Remember and imagine that you went on vacation and got a tan. That summer, your skin will shine brightly in the mirror and look tighter, brighter, voluminous and healthier. This effect is so satisfying that the high society beauties of a period went to winter months. They would also go to the solarium and continue tanning. Research and observations have shown that signs of aging appear earlier and skin damage occurs to a more severe extent in individuals who are more exposed to sunlight during their youth. When two twin sisters, one living in sunny "Miami" and the other in "London" where the sun rarely shines, come together at the age of 50, the twin from Miami, who is more exposed to the sun, will look at least 10 years older than his twin sister from London. .
While plastic surgeons and dermatologists all over the world recommend protecting ourselves from the sun and using sunscreen for our faces even when there is no sun in the environment, on the other hand, the cosmetic industry's efforts to rejuvenate the skin with technologies that cause heat damage to the skin are a modern contradiction of plastic surgery. I see it as…
My advice is not to be a candidate for any application whose long-term results have not been filtered by science and which do not have sufficient evidence to show its effectiveness and reliability. You are welcome to follow technology a little behind.
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