Customized Dual Laser Treatment for Lesions

*Moles are lesions caused by an excessive accumulation of melanin pigment in the epidermal or dermal layers of the skin.

Although they may all appear to be the same type of mole, the treatment method can vary depending on their depth or location.

Erbium-YAG laser is effective in precisely ablating the skin surface. When treating superficial moles located in the epidermal layer, it can help remove the lesion while minimizing irritation to surrounding tissues.

This procedure is often used for facial mole removal because it can reduce the risk of scarring and promote natural skin improvement. Subsequently, delicately cauterizing the root of the mole with a CO2 laser can help remove deeply embedded melanin cells. This can help reduce the possibility of 'recurrent moles' that disappear from the surface but regrow from the root.

In particular, CO2 laser finishing may be considered in the following cases:

-If the mole is slightly raised above the surface or feels thick to the touch

-If there is a history of mole recurrence in the same area

-If it is determined to be a nevus located deep in the dermal layer, such as a blue nevus or grayish-brown nevus

*Flat warts are viral skin diseases caused by human papillomavirus (HPV) infection. They primarily spread widely in the epidermal layer and appear to the naked eye as small, thin, flat, brown or flesh-colored lesions. They are prone to occur when immunity is weakened and can spread to other areas through touch, so prompt action is recommended.

Erbium-YAG laser is used to uniformly remove epidermal lesions. It is particularly effective for flat warts spread over a large area.

It can be effective in managing them all at once. It is possible to evenly remove lesions while minimizing irritation to the surrounding skin. However, due to the nature of viral diseases, there may be a possibility of recurrence if only the superficial lesions are removed. In such cases, finishing with a CO2 laser to deliver subtle thermal stimulation around the lesion can help cauterize virus-infected cells that may be hidden in the epidermal layer and its surroundings, thereby lowering the chance of recurrence.

In particular, CO2 laser finishing may be considered even more important in the following situations:

-If the lesion's borders are unclear, it feels spread out to the touch, or immunity is weakened due to stress or lack of sleep

-If there is a history of multiple flat wart recurrences

-When lesions are in areas with frequent contact, such as hands or face, where they can easily spread

*Milia are small, white cysts that form when keratin, a skin protein, becomes trapped beneath the skin surface. They are typically observed around the eyes, cheeks, and forehead, and unlike sebaceous cysts, they are cosmetic lesions unrelated to infection or inflammation.

Erbium-YAG laser is highly effective for milia removal. It precisely ablates the skin surface to remove the thin covering of the milia, creating an opening for the trapped keratin to be easily expelled. The process of lightly cauterizing with a CO2 laser after the procedure can help reduce the possibility of residual keratinocytes regenerating and prevent milia from recurring in the same area. However, delicate intensity control is necessary, as excessive thermal stimulation to the skin could lead to hyperpigmentation.

CO2 laser finishing is particularly recommended in the following cases:

-If milia repeatedly reappear in the same area

-If there is a history of lesions reappearing during the recovery process after treatment

-If a more uniform recovery outcome is desired after removing multiple milia

*Syringomas are benign skin lesions caused by the abnormal proliferation of sweat glands (eccrine glands) in the dermal layer of the skin. They are characterized by multiple small, bead-like lesions appearing mainly under the eyes, on the cheeks, and on the forehead. They are often influenced by genetics or frequently found in women in their 20s and 30s.

Erbium-YAG laser is suitable for treating syringomas in delicate areas like the periorbital region because it can precisely and finely remove the epidermis. It refines the skin surface and carefully removes the upper part of the sweat gland lesions, reducing the concern of scarring or hyperpigmentation after recovery, leading to satisfactory improvement. Subsequently, by applying heat with a CO2 laser

the finishing process, which involves delivering subtle stimulation deep within the lesion, can help weaken the excessive activity of sweat glands in the dermal layer, and

is clinically expected to have a positive impact on preventing syringomas from recurring in the same area. However, due to the depth of the lesions, multiple treatment sessions may be required.

In the following situations, combining CO2 laser finishing may be even more effective:

-If multiple syringomas are deeply formed under the eyes or on the cheeks

-If there is a history of multiple laser treatments but recurrence was experienced

-If the goal is to enhance recurrence prevention with a single treatment

*Skin tags are benign lesions formed by an excessive proliferation of fibrous tissue and blood vessels in the dermal layer. They primarily occur in areas where skin folds, such as the neck, armpits, under the breasts, and eyelids, appearing as small, skin-colored protrusions. They are usually painless but can become irritated due to friction. CO2 laser is commonly used for skin tag removal. This is because it can quickly remove multiple lesions due to its excellent cutting ability and hemostatic effect. However, for small and thin skin tags, it can be helpful to first precisely ablate the lesion with an Erbium-YAG laser and then cauterize the root with a CO2 laser. This approach helps remove the root tissue of the skin tag and reduces the likelihood of recurrence in that area. Thermal stimulation can also denature fibrous cells and microvessels within the tissue, offering advantages in inhibiting the environment for recurrence.

Particularly, combining with CO2 laser finishing is recommended in the following cases:

-If skin tags appear in areas with frequent friction, such as the neck or armpits

-If there is a history of skin tags recurring in the same spot after removal

-If the lesion's root is deep or wide, potentially leaving a thick mark even after removal

By considering the depth and individual characteristics of the lesions,

effectively combining two laser treatments,

this 'dual laser approach'

can contribute to increasing satisfaction with treatment outcomes.

For how long should DuoDERM (hydrocolloid dressing) be applied after mole removal?

Mole removal procedures involve a delicate approach to the outermost layer of the skin. This can leave a small mark on the treated area.

Therefore, it is important to carefully protect and manage the treated area, which may be vulnerable after the procedure.

Keeping the treated area moisturized can help aid the skin's healing process and reduce the risk of scarring.

For this reason, using Duoderm, a hydrocolloid moist dressing, is an excellent method.

Duoderm provides appropriate moisture to the wound area, helping new skin tissue form. It can prevent excessive scabbing, thereby reducing the likelihood of scarring.

It is recommended to apply Duoderm immediately after mole removal, replacing it every 3-5 days, and maintaining this care for at least 7 days.

Generally, it is good to expect the total care period to be around 10 days.

If Duoderm use is uncomfortable or causes an allergic reaction, other care options can be considered. It is recommended to frequently apply a regenerating cream or moisturizing gel to prevent dryness. Thoroughly using sunscreen with SPF 50 or higher and avoiding touching the treated area as much as possible are also important.

Post-mole removal care means more than just protecting the treated area. It is an important process that can affect the overall outcome of the procedure.

If care is neglected, scars may remain, so it is advisable to continue to pay attention even after the procedure.

To aid recovery, we provide detailed guidance on post-procedure care methods.

You may consider the procedure in these cases

• 
  
• 
  
• 1. Those who have experienced discomfort due to skin concerns such as moles, lentigines, milia, syringomas, or skin tags.
• 
  
• 
  
• 
  
• 2. Those who have had moles removed in the past but are bothered by their reappearance.
• 
  
• 
  

Procedure Steps

• 
  
• 
  
• STEP 01. Self-cleansing
• 
  
• 
  
• 
  
• STEP 02. Anesthetic ointment application
• 
  
• 
  
• 
  
• STEP 03. Mole removal procedure
• 
  
• 
  

Post-Procedure Precautions

• 
  
• 
  
• ㆍCare should be taken to prevent water from directly touching the treated area. Washing your face with Duoderm applied may be helpful.
• 
  
• 
  
• 
  
• ㆍDuring the period of skin regeneration, it is advisable to consistently replace and apply the regenerative tape. This period is approximately 10 days.
• 
  
• 
  
• 
  
• ㆍOccasionally, there is a possibility that moles may reappear in the treated area. In such cases, re-treatment can be considered after 2-3 months.
• 
  
• 
  
• 
  
• ㆍFor deep-rooted moles, it may be difficult to achieve desired results with a single treatment. Please note that multiple treatments may be necessary.
• 
  
• 
  
• 
  
• ㆍIt is best to avoid UV exposure as much as possible. We strongly recommend using sunscreen and applying it over the Duoderm as well.
• 
  
•