Why Does the Skin Age?
Skin is different from other organs because it ages not only genetically but also due to external factors. While the skin that ages not only internally but also externally is genetically caused at a rate of 20%, aging due to environmental and external factors occurs at a rate of 70% - 80%.
Characteristics of Aged Skin
Over the years, many changes occur in the upper layer of the skin, which we call "epidermis", and the deeper layer, which we call "dermis", due to the influence of both genetics and environmental factors such as sunlight, smoking, working outdoors, make-up, and irregular lifestyle. The epidermal layer thickens and becomes a rougher surface. Pigmentation distribution becomes abnormal; Spots, sometimes dark and sometimes light, begin to appear. The skin becomes more dull and yellowish. Collagen synthesis in the dermis layer decreases and its alignment becomes more irregular. Elastic fibers that provide flexibility to the skin decrease. The decrease in hyaluronic acid and its derivatives, which surround collagen and elastic fibers and provide moisture to the skin, causes dryness and wrinkling in the skin. As a result of all these epidermal and dermal changes, a skin that is dry, thin, loses its elasticity and shine, turns yellowish, has a rough and rough surface to the touch, and is accompanied by wrinkles, abnormal pigmentation, and capillary expansion.
A series of surgeries are performed for facial rejuvenation. Rejuvenation of facial skin is an indispensable part of facial rejuvenation procedures. Not only the facial skin, but also the treatment of aging-related changes in the skin of other areas of the body, such as the neck, décolletage, back of the hands and forearm skin, is also on the agenda.
Skin Peeling Techniques
Skin peeling in general. The process is performed with mechanical tools (classical dermabrasion), chemical peeling (peeling) or laser.
The first of the most important points in skin rejuvenation is to correctly analyze the skin type and structure and determine the appropriate treatment option. There is no standard treatment; Treatment must be customized for each patient and for different areas of the same patient.
The depth of the skin peeling (h Regardless of which method is used, there is a directly proportional relationship between the pain felt during the procedure, the redness, edema that occurs after the procedure or the time it takes for the wound to heal completely, the possibility of complications and the clinical outcome. The more superficial the peeling process, the less pain, redness, edema and recovery time. The possibility of complications also decreases. However, the improvement achieved in the treated skin will be less. As the peeling process deepens, wrinkles on the skin are treated more effectively. However, since the upper layer of the treated skin is completely removed, an open wound forms and pain, swelling and redness are greater. It takes more time to return to social life. The likelihood of undesirable effects such as dark or light staining of the skin, poor wound healing, or prolonged redness increases. For this reason, the ideal method for that person is determined according to the person's skin type, the extent of skin damage, how long the person can afford to stay away from work and social life, and his expectations from the procedure.
Due to the increasing pace of work and social life in recent years, the Non-radical methods that do not leave excess edema, redness or scarring on the face are more preferred.
Laser Skin Rejuvenation
A laser treatment method developed in recent years that targets both the epidermis and dermis and has less recovery time and side effects than classical methods is "fractional photothermolysis". . In this method, cylindrical wells with an average depth of 1.4 mm and a diameter of 250 microns are opened on the skin using the Erbium laser, the skin tissue inside this cylinder evaporates, and in the following days, while these micron-level wells heal rapidly, a renewal and tightening is observed in both the epidermis and dermis.
The patient returns to normal life in approximately 1-3 days. However, in order to treat the entire targeted skin surface, 3-6 sessions are required every 3 weeks.
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