Cosmetic dermatologists

Cosmetic dermatology is a branch of medicine that specializes in the diagnosis and treatment of skin, nail, and hair disorders, and cellulite. It is a combination of medical and surgical elements. The mechanisms of dermatitis improve the appearance of the skin by treating various conditions such as hyperpigmentation, acne, scars, and wrinkles. Only for liposuction surgeons.
Types of Cosmetic Dermatology Procedures

=Laser Skin Resurfacing

= You love the sun, but the sun doesn't always look at your skin with love. Exposure to the sun is harsh on the skin, the effects of age and damage can be caused by serious skin conditions. These forces can conspire to create unsightly scars on your skin that can detract from your appearance and undermine your confidence. Laser skin resurfacing is a procedure that uses a laser to remove the outer layer of skin cells, revealing younger, less damaged skin underneath. Laser skin resurfacing provides results in treating fine lines and wrinkles, acne scars, and sunburn.

Types of procedure

The two most commonly used lasers in laser resurfacing are carbon dioxide (CO2) and erbium. Each laser evaporates damaged skin cells at the surface level.
CO2 Laser Resurfacing
This method has been used for years to treat various skin problems such as wrinkles, scars, pimples, enlarged oil glands in the nose, and other conditions.

The latest version of CO2 (differential CO2) laser resurfacing uses very little pulsed light energy (called ultra pulse) or beams of continuous light, which are distributed in a scanning pattern to remove thin layers of skin with minimal loss of heat. Recovery can take up to two weeks

Erbium Laser Resurfacing

To remove moderately deep scratches and wrinkles at the surface level of the face, arms, neck, or chest Erbium laser resurfacing is used. One of the advantages of erbium laser resurfacing is that it burns the surrounding tissue less. This laser causes fewer side effects, such as swelling, bruising, and redness, so recovery time should be faster than the CO2 laser reset. In some cases, recovery can take up to a week. Ask your doctor how long it will take for you to recover.

If you have darker skin, erbium laser resurfacing works best for you

What to expect after the procedure
After laser ablation rejuvenation, the treated skin becomes rough, inflamed, and itchy. Your doctor will apply a thick ointment to the treated skin and cover the area with an airtight, water-based dressing. You can take pain relievers and use cold compresses. New skin usually covers this area in a week or two. Do not use products that irritate your face like cosmetics and sunscreen at this time. And avoid conditions that increase the risk of infection, such as swimming.

After non-ablative laser resurfacing, recovery time is shorter. You may have some redness, swelling, and discomfort. Use cold compresses as needed. You can immediately resume your normal activities and skincare routine.

Risk factors

Although skin rejuvenation may not produce flawless skin, it does improve the appearance of your skin. Possible disadvantages of the process:

Burns or other injuries from laser heat
Scar
Changes in skin pigmentation, including areas with darker or lighter skin.
Reactivation of cold sores
Bacterial infections

Chemical Peel

Similar to laser skin resurfacing, the goal of a chemical peel is to remove the top layer and improve the appearance of the skin by exposing the young skin underneath. However, instead of using a laser to achieve this goal, a peel uses a mixture of chemicals that remove the epidermis. Chemical skins are used to treat roughness, darkening, sun damage, scars, fine lines, and wrinkles.
Types
Alpha Hydroxy Acids (AHAs)
Beta Hydroxy Acids (BHAs)
Trichloroacetic Acid Peels (TCA)
Phenol peels

What to expect after the procedure?

Chemical peels may be popular, but they don't hang around the park. Great care must be taken after the procedure after the chemical peel.

To properly treat your chemical skin, you need to know what to expect. For example:

Reddened skin is completely normal after chemical peel procedures.
You may also experience a sensation of movement on your face. These symptoms disappear after a few hours.
It is also common for your skin to break during recovery. Don't worry if this happens to you. This is natural because the outer layers of the skin no longer clog the pores.
The most common occurrence of chemical peels is the peeling of the skin. The experience of riding dead skin is similar to the effects of sunburn. The amount and duration of the peel on the skin depends on the severity of the chemical peel.

Risk factors

Chemical peels can cause several side effects, including:

Redness, tingling, and swelling. The usual curative treatment of chemical peel involves the reddening of the skin. After a medium or deep chemical peel, the redness lasts for a few months.
Scar. In rare cases, a chemical is released, usually on the lower part of the face. Antibiotics and steroid medications can be used to smooth the appearance of these spots.
Changes in skin color. Chemically treated skin can be darker than normal (hyperpigmentation) or lighter than normal (hypopigmentation). Hyperpigmentation is more common after superficial peels and hypopigmentation are more common after deep peels. These problems are more common in people of color and are sometimes permanent.
Infection. A chemical peel can lead to a bacterial, fungal, or viral infection, such as inflammation from the herpes virus, the virus that causes colds.
Damage to the heart, kidneys, or liver. The deep chemical peel uses carbolic acid (phenol), which damages the heart muscle and causes the heart to beat irregularly. Phenol can also damage the kidneys and liver. To limit phenol exposure, a deep chemical peel is done at a time for 10 to 20 minutes.

Laser Therapy

Lasers have different uses in cosmetic dermatology, but they are all made possible by the properties of a bright beam of light. The light and the energy that goes with it can be used to treat many skin conditions, such as acne scars, age spots, birthmarks, keloids, psoriasis, unwanted growth, and nail fungus. The uses are extensive and the results are substantially proven.

Types

Ablative versus non-ablative lasers
Two basic types of lasers are used for cosmetic purposes: ablative and non-ablative1

Ablative lasers evaporate the layers of damaged skin, while ablative lasers penetrate deeper into the skin without removing or damaging the epidermis. For this reason, there is no real patient performance associated with cosmetic procedures that use only non-ablative laser technology.

Tattoo Removal

Lasers can also be used to remove tattoos that patients no longer want. The laser is used to target the tattoo ink rather than the surrounding skin, causing it to begin to break down into smaller particles. Once the ink breaks down, it can be easily removed from the body naturally with no ill effects. It does not harm the surrounding tissues.

1. Salabrasion & Dermabrasion

The oldest tattoo removal method that is still used today is the salute. Contains epidermis and skin abrasion with saline solution.

Dermabrasion is very similar to having a mechanical device that erases the epidermis and skin unless you use a mechanical method.

Salvation and dermabrasion are very painful and can cause chronic damage to the epidermis.

2. Skin excision
Skin excision refers to the surgical removal of the tattooed skin.

This method leaves a scar, this size can vary depending on the size of the tattoo.

Excision is a perfect method for small tattoos, but for larger areas, it can be difficult or impossible. Skin grafts can also be done with skin excision.

3. Subcutaneous injections of solutions
Subcutaneous injections of glycolic acid-based solutions or other liquid solutions affect the tattoo ink by injecting these solutions under the skin.

These solutions often affect the epidermis and skin and can leave chronic scars or burn-like marks.

Furthermore, the effect of this method is not consistent, as the mixture cannot easily expel the ink solution from the skin to the epidermis.

4. Tattoo removal cream
Tattoo removal cream is attractive for its low cost and ease of use.

However, it is very difficult to remove the ink from the skin with a cream (peel, TCA, or other) regardless of the type. At best, they dull the surface of the veins in the epidermis.

5. Laser tattoo removal after the pre-removal method

If you've already tried removing your tattoo with a laser‌ and the tattoo is still there, don't worry. The MEDermis team is very experienced in treating clients with the latest type of removal, which may have damaged or scarred skin. We can remove any visible ink and in some cases, we can reduce scar tissue with a laser and use a microdermabrasion treatment to help the skin regenerate collagen.

what to expect after the procedure ?

Your treated skin will be very smooth within the first few days of receiving your laser tattoo removal procedure in New York. Your doctor will place a bandage over the treated area and will not irritate the treated skin in such a way that it becomes irritated.
You may want to wait until the second day or at least 24 hours before bathing or soaking your skin. When showering, try to keep the treated skin away from the flow of water.

After the first day of keeping the bandage securely on your skin, you may want to keep the skin as exposed as possible on the second day. It is a place to heal. It is a place to breathe. Try to keep the treated area as clean as possible.

Blisters form on the treated area one to three days after your procedure. This is normal. However, do not pick or irritate these blisters, as they will fall into the scabs. It is a good idea to avoid unnecessary contact with the scabs to avoid skin irritation. These scabs usually fall off between 10 and 14 days after your treatment.

Risk Factors

Your tattoo removal site is at risk of infection. And you have the possibility of having a permanent scar.
Your tattoo is unlikely to be completely removed. In many cases, some colors are removed more effectively than others. Laser treatment responds well to blue and black tatoos.
You can end up with hypopigmentation, which means that the treated skin is lighter than the skin around it. You may also have hyperpigmentation, which darkens the affected skin more than the rest of your skin.
Cosmetic tattoos such as lip liner, eyeliner, and eyebrows may turn darker after treatment. They fade with extra sessions.

Laser Vein Treatments

Many people suffer from pronounced veins, which are considered uncomfortable, especially on the legs or face. Cosmetic dermatologists use lasers to help reduce the appearance of such veins. For example, varicose veins appear as blue spider spots on the legs of sick patients. Varicose veins can be attacked by a laser, resulting in scar tissue that closes off the small veins in the bloodstream. It leads to their demise.
Types
Simple laser treatment. A simple laser vein treatment is performed on the outside of the skin. It can treat spider veins and small varicose veins below the surface of the skin. Generally, more than one laser session is required. . (If you don't have adequate blood circulation to feed these small veins, the large "feeder" vein must first be treated with surgery, endowment laser, or radiofrequency therapy or sclerotherapy).

Endovenous laser treatment. Endovenous laser treatment treats large varicose veins in the legs. The laser fiber is passed through a thin tube (catheter) into a vein. In doing so, the doctor sees the vein on the duplex ultrasound screen. The laser is less painful than venous thrombosis and stroke and has a shorter recovery time. Only local anesthesia or mild sedation is required for laser treatment. (For ligation and removal, general anesthesia is used to put you to sleep.)

What to expect after the procedure?
Approximately 30 to 60 minutes, it is recommended that you walk correctly after the procedure.

There may be some injuries to the leg. The lesions disappear in about 2 weeks.

Someone needs to drive you home after surgery.

Risk Factors
All surgeries have some risks. Some risks of laser vein surgery are:

Infection
Pain in the vein
Bleeding
Injuries
Nerve damage
Redness or swelling of the vein.
Blood clots
Changes in the color of the skin of the treated vein.
Burns
You may have other risks depending on your general health. Be sure to talk to your healthcare provider if you have any problems before surgery.

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