Kkeuthan Clinic's Dual Laser Treatment

Moles are skin lesions caused by the abnormal proliferation of melanin pigment in the epidermis or dermis.

While they may appear to be simple pigmented spots, the appropriate treatment method can vary depending on the location and depth of the mole.

The Erbium-YAG laser is advantageous for precisely ablating shallow skin layers, which can help remove superficial moles in the epidermis while minimizing damage to the surrounding skin.

It can lead to cosmetic improvement while reducing the risk of scarring, making it a viable option particularly for mole removal on the face. Subsequently, the process of cauterizing the root of the mole with thermal energy using a CO2 laser can destroy melanin cells that may remain deep in the skin, contributing to a reduced risk of mole recurrence. This approach helps minimize the possibility of recurrence even if the mole appears to be removed but its root remains.

It is recommended to consider combining CO2 laser treatment in the following situations:

-When the mole is slightly raised or feels thick upon palpation

-If you have a history of moles recurring in the same area

-When diagnosed as a nevus located in the deep dermal layer (e.g., blue nevus, gray-brown nevus, etc.)

Flat warts are viral skin diseases caused by human papillomavirus (HPV) infection. They typically spread widely in the epidermal layer and are often observed as thin, flat, small lesions that are skin-colored or brownish. They tend to appear when immunity is weakened and can spread to other parts of the body, so prompt treatment is advisable.

The Erbium-YAG laser is suitable for uniformly ablating the epidermis, effectively treating widely distributed flat warts.

It can be used for efficient removal. The goal is to evenly remove lesions while reducing the burden on surrounding skin. However, viral lesions may recur if only the superficial part is removed. In such cases, a finishing treatment using a CO2 laser to apply thermal energy around the lesion can further cauterize remaining virus-infected cells in the epidermis and surrounding areas, which can positively impact reducing the risk of recurrence.

Especially in the following cases, combined CO2 laser treatment can be considered:

-When the borders of the lesion are not clear, or it feels widely spread upon touch -When immune function is compromised (e.g., stress, lack of sleep, etc.)

-If there is a history of the lesion recurring multiple times

-When the lesion is located in areas of frequent contact or easy spread, such as the hands or face

Milia are lesions that occur as small, white cysts when keratin (a type of skin protein) becomes trapped within the skin. They are commonly observed around the eyes, on the cheeks, and forehead. Unlike sebaceous cysts, they are less associated with infection or inflammation but can cause cosmetic discomfort.

The Erbium-YAG laser can be effectively used for milia removal. It precisely ablates the skin surface to remove the thin epidermal layer of the milia, creating an opening for the safe expulsion of the internal keratin material. After removal, a light finishing cauterization with a CO2 laser can positively impact reducing the potential for residual keratinocytes to proliferate and preventing milia from recurring in the same area. However, excessive thermal stimulation to the skin can cause hyperpigmentation, so precise intensity control during the procedure is crucial.

The CO2 laser finishing process may be particularly recommended in the following cases:

-When milia tend to recur repeatedly in the same area

-If there is a history of lesions re-elevating during the regeneration process after previous treatment

-When desiring more uniform skin results during recovery after removing multiple milia

Syringomas are benign lesions that appear due to the abnormal proliferation of sweat gland tissue (eccrine glands) within the dermis, characterized by multiple small, raised, bead-like lesions typically found under the eyes, on the cheeks, and forehead. They can have a genetic background and are often found in women in their 20s and 30s.

The Erbium-YAG laser can precisely and thinly remove the epidermis, making it a viable option for treating syringomas in sensitive areas like around the eyes. It refines the skin surface while removing the upper part of the sweat gland lesions, and the low risk of scarring or pigmentation during recovery can lead to high patient satisfaction in terms of cosmetic results. Subsequently, using a CO2 laser to deliver thermal energy can

a finishing treatment that induces subtle thermal damage deep within the lesion can help weaken the activity of sweat gland tissue in the dermis and

can play a positive role in 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, combined CO2 laser treatment can contribute to improved results:

-When there are relatively deep and multiple syringomas located under the eyes or on the cheeks

-If lesions have recurred despite multiple previous laser treatments

-When desiring a greater recurrence prevention effect with a single treatment

Skin tags are benign skin lesions that appear due to the excessive proliferation of fibrous tissue and blood vessels within the dermis. They primarily occur in skin folds such as the neck, armpits, under the breasts, and on the eyelids, and are observed as small, protrusive formations similar to skin color or slightly brownish. While generally painless, they can become irritated by friction. Typically, CO2 lasers are mainly used for skin tag removal, efficiently eliminating multiple lesions with excellent cutting and hemostatic effects. However, for small or thin skin tags, precisely ablating the lesion first with an Erbium-YAG laser, followed by a finishing cauterization of the root with a CO2 laser, can help remove the root tissue of the skin tag and reduce the likelihood of recurrence in that area. This thermal stimulation can affect fibroblasts and microvessels within the tissue, helping to inhibit the recurrence environment.

Situations where combined CO2 laser treatment can be considered are as follows:

-When skin tags are located in areas of frequent friction, such as the neck or armpits

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

-When the root of the lesion is determined to be deep or widespread (e.g., types that may leave a raised mark even after removal)

Thus, tailored to the depth and characteristics of the lesion,

applying two types of laser treatments together

the 'Dual Laser Technique'

is a method that can contribute to increasing treatment satisfaction.

After mole removal, for how long should DuoDerm (stickers) be applied?

The procedure for removing moles involves a gentle exfoliation of the skin's surface. This may cause a minor physical irritation to the skin.

Therefore, protecting and managing the treated area well after the procedure is a crucial factor for recovery.

Maintaining a moist environment in the treated area, in particular, can aid skin regeneration and contribute to reducing the likelihood of scarring.

For this purpose, we recommend applying a hydrocolloid bandage like DuoDerm as one method.

DuoDerm creates a moist environment to prevent the wound from drying out, which can support natural cell regeneration. This can help delay scab formation and reduce the likelihood of scarring.

It is recommended to apply DuoDerm immediately after mole removal, and to consistently manage the area for at least 7 days, replacing the patch every 3 to 5 days.

Generally, the total management period can be considered around 10 days.

If using DuoDerm causes discomfort or skin issues, other management methods can be considered. Please ensure the area does not dry out by frequently applying a regenerating cream or moisturizing gel, and it is important to carefully apply SPF 50+ sunscreen. Additionally, please avoid directly touching the treated area.

Post-care after mole removal goes beyond merely protecting the wound; it can significantly influence the final outcome of the procedure.

If proper care is not maintained, there is a possibility of unwanted marks remaining, so it is advisable to continue paying close attention even after the procedure.

We provide detailed explanations about post-procedure care methods to help our patients recover healthily.

Recommended For

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• 1. Individuals bothered by moles, sunspots (seborrheic keratosis), milia, syringomas, or skin tags.
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• 2. Individuals who had moles removed previously, but they reappeared.
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Procedure Steps

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• STEP 01. Cleansing
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• STEP 02. Numbing Cream Application
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• STEP 03. Mole Removal Procedure
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Post-Procedure Precautions

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• ㆍIt is advisable to be careful to avoid direct contact with water on the treated area. (Cleansing is possible while DuoDerm is applied.)
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• ㆍDuring the skin's recovery period, it is recommended to consistently replace and apply the regenerative patch for approximately 10 days.
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• ㆍMoles may reappear in the removed area. In such cases, re-treatment can be considered after approximately 4-6 weeks.
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• ㆍFor moles with deep roots, multiple treatment sessions may be required.
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• ㆍIt is important to avoid excessive exposure to UV radiation as much as possible. Sunscreen is essential, and we recommend applying it even over the DuoDerm patch.
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