Author: Tushar Mengal

The youthful radiance and health of skin gets stripped away with time, resulting in dull and problemed skin filled with blemishes, fine lines or pigmentation. There are many invasive cosmetic treatments available that can help you deal with these skin concerns but it might also have some harsh side-effects. However, there is one particular treatment that shows extraordinary results when it comes to skin rejuvenation and that is Tempsure Envi, an RF treatment to tighten, brighten and revitalise the skin. 

What is Tempsure Envi?

The Tempsure Envi is one of the most effective treatments that uses RF technology to promote cell rejuvenation, as well as improve the appearance and natural state of the skin. It is one of the safest (with well-known risk profile) health techniques known today, to the point that many describe it as a gentle means to be rid of lines, wrinkles, blemishes and tighten the skin. In short, it is painless, highly effective and does not require any downtime.

How does it work?

In order to understand all the brilliant effects that this treatment can bring you, let us first understand the functioning of the skin briefly. 

The skin is the largest organ in the body and its sole function is to keep us protected and isolated from the environment around us. This consists of three layers:

Epidermis: it is the visible part and the first protective layer that we have, and its purpose is to defend ourselves against external aggressions.

Dermis: it is the intermediate layer, and it is formed of elastic fibres such as collagen, whose main function is to keep skin smooth, elastic and young.

Hypodermis: this is the deepest layer of subcutaneous tissue and where all fat accumulates. Its main function is to provide consistency to the skin in order to keep it in place.

As time goes by, our skin experiences various physical-chemical reactions that ultimately make it age, which leads to wrinkles and prominent loss of elasticity. All of this is due to loss of three fundamental components.

Collagen: it is the protein element that provides firmness to the layers of the skin, while its loss makes it thinner and weaker.

Elastin:  protein present in cartilage, connective and bone tissue that helps body tissues regain their initial size.

Glycosaminoglycans:  set of unbranched long chains among which are hyaluronic acid, keratin sulfate or chondroitin.

Tempsure Envi applies radiofrequency waves in the skin, which, in the form of heat produces energy on the hypodermis and subcutaneous tissue, thus stimulating the transport of fibroblasts and the retraction of collagen fibres. The collagen responsible for tightening the lower layers of the skin thus reducing the appearance of wrinkles and lines.

When this treatment is carried out, the blood circulation is noticeably improved, thus contributing to the supply of a large amount of nutrients as well as oxygen molecules to the cells. In addition, it also promotes the toning of deeper tissues of the skin and making it look younger, radiant and healthy.

Another of its great advantages is that it participates in the activation of the mechanisms that promote localized fat loss, so its efficacy in fighting body cellulite can also be confirmed.

The combined effect of Tempsure Envi is visible in our patients, post treatment.

What does radiofrequency do on the face?

When we apply radiofrequency on the face we apply a treatment that increases the temperature of the dermis and tissues of our face, managing to increase the production of collagen in our skin layers. The generated collagen helps tighten the skin and reduce the appearance of creases and lines such as frown lines, smile lines, crow’s feet, etc. naturally so that our skin gets a younger and more energetic appearance.

What are the steps involved in Temsure Envi treatment?

• Once the patient arrives at the clinic, the nurse begins cleaning the skin in order to remove any remaining makeup, cosmetics or dirt from the face.
• Then, using a surgical marker, the doctor delimits the area in question and smears it with a conductive gel, so that, afterwards, the procedure is easier to stop.
• Then after adjusting the settings on the Temspsure Envi machine, the RF wand is messaged in the face, that causes a warm tingling feeling.
• Once the treatment is over, a soothing gel is applied in the skin to calm it, followed by a high SPF sunscreen.

What are the benefits of facial radiofrequency?

• Bright and toned skin.
• Face and neck lifting effect.
• Less flaccidity and more softness on the skin.
• Nasolabial grooves and smoothed wrinkles.
• More elasticity in the skin.
• Increased collagen production.
• Decreased dewlap size.
• Elimination or reduction of dark circles and bags.
• Stretched expression wrinkles.

Use of laser technology in aesthetic treatments have provided numerous possibilities to remove scars, wrinkles, pigmentation and other skin concerns without causing any pain or side-effects. Fraxel laser is one such innovative laser which has gained immense popularity because of its innumerable benefits. But, there are so many facts about Fraxel Laser that might help you understand fraxel laser therapy better, so, let us find out more.

What is a dual fraxel laser system?

The Fraxel Dual system, or dual fraxel laser, is a treatment capable of completely renewing your skin without having to undergo a traumatic post treatment. Recovery is fast because it is not an ablative laser although it is as effective as it is.

This Fraxel laser treatment has TGA approval for the treatment of spots, pigmentation and for the regeneration of tissue damaged by acne, accidental or surgical scars, including body stretch marks both the red ones of current origin and the white ones with many years of evolution. 

How does it work?

The Fraxel Dual is a fractional Laser that acts to form microscopic columns that penetrate the skin, leaving the surrounding tissue intact, which promotes very fast healing, stimulating the natural regeneration process of the body itself and getting a speedy recovery of damaged or aged tissue.

It is the ideal therapy to show off a radiant skin, without scars or spots as when it was in its thirties.

How do the different wavelengths of the fraxel laser work?

The Fraxel Laser has two types of wavelengths depending on their depth, one at 1550 nm and another at 1927 nm. In the first place, the 1550 nm wavelength works at a greater depth and is the one used for injuries installed in deeper areas that are the cause of facial ageing producing wrinkles, furrows, scars, etc. Therefore, this wavelength is in charge of facial rejuvenation.

On the other hand, the 1927 nm wavelength acts more on the surface eliminating the lesions that affect pigmentation and goes from the treatment of actinic keratosis, post inflammatory spots, solar lentigines or melasma.

How many sessions are necessary?

Several sessions might be necessary depending on the type of skin concern and the required result. Tissue regeneration occurs from the inside out and the new fully restored tissue becomes visible within a few weeks of treatment. It depends on the severity of each case, but the sessions must be done every 6 or 8 weeks and as many sessions as the patient wishes can be repeated.

Do you apply the laser beam all over the targeted area?

Fraxel laser is a fractionated laser, that is, it does not affect the entire treated area, as is the case with ablatives, but instead it acts only on the affected area by leaving intact parts of healthy skin, which causes a rapid healing process.

What to expect during the fraxel laser treatment?

A brief sensation of heat or a stinging sensation can be felt during the treatment and subtle redness or sensitivity can be expected after the treatment. Applying cold air during the treatment to counteract the heat helps a lot.

What is the recovery time after the treatment?

It depends, if we talk about treating scars or stretch marks, we use the shorter wavelength, then the recovery is immediate, a slight redness might stay for a few hours but it ebbs within the day. To heal the skin faster, physicians generally apply emollient on the skin after the laser treatment. It soothes and hydrates the skin after the treatment. 

Can the fraxel laser treatment be done in the summer?

It is necessary to protect yourself from the sun in an effective way, by applying total screen protection factor cream every 2 hours for a couple of weeks and then every 4 hours if you are going to be exposed to the sun continuously.

There are many patients who fear being treated in the hot months due to the harshness of the sun. But, no matter whether it is summer or winter, Fraxel laser treatment can be done at any time of the year. In Australia, this laser therapy is used throughout the year.

How much does one session of Fraxel laser therapy cost?

The price of the fraxel laser varies according to the conditions of the patient’s skin, as well as the area to be treated. Therefore it is not possible to give a fixed price for the treatment. To help you, it is best to contact us, or visit us to study your conditions and give you a diagnosis to suit you.

However, if you have any other queries, get back to us at admin@nitai.com.au.

Do you often observe sudden redness due to broken facial capillaries in your cheeks, chin and forehead? Do your eyes become bloodshot red and blood vessels become visible during that time? Do you also suffer from solid or puss-filled bumps in the face? 

Then it may be rosacea that you are suffering from. Let us find out more about rosacea and its treatment. 

Causes of Rosacea:

The exact cause behind rosacea is not known, however, doctors rely on the history of your symptoms and a physical examination of the skin. In some cases, the doctor may suggest you to perform certain examinations to rule out other conditions, such as other forms of acne, psoriasis, eczema or lupus. Sometimes, these conditions can cause signs and symptoms similar to those of rosacea.

If your eyes are involved, the doctor may refer you to an eye specialist (ophthalmologist).

Treatment of Rosacea:

The treatment for rosacea focuses on controlling the signs and symptoms. More often, this requires a combination of skincare and prescription treatments. Nowadays, laser therapy is also widely used to heal broken facial capillaries. 

The duration of treatment will depend on the type and intensity of the symptoms 

Medicines:

The type of medication prescribed by the doctor depends on the signs and symptoms you have. There are several medicines such as brimonidine, etc. that is applied as a gel on the skin to heal the broken capillaries and reduce the redness. But, the effect of such medicine on the blood vessels is temporary, so the medication should be applied regularly to keep seeing the improvements.

There are other topical products as well that have been shown to reduce redness and papules caused by mild rosacea. However, their pace of action is quite slow and it requires continuous application for evident results. 

Oral antibiotics: 

Antibiotics help to reduce some types of bacteria, but it is likely that they mainly fight inflammation when used for this disease. Antibiotic is taken as a pill for the treatment of moderate to severe rosacea with bulges and pustules, however, there are not enough studies to support its effectiveness.

Isotretinoin: 

If you have severe rosacea that does not respond to other therapies, your doctor may recommend isotretinoin. It is a potent, oral medication for the treatment of acne that also helps the acne-like lesions of rosacea disappear. Although, it is recommended not to use this medicine during pregnancy because it can cause serious birth defects.

Therapies:

Laser therapy can help reduce redness caused by enlarged blood vessels. Broken facial capillaries are also healed with the sessions of laser therapy. At Nitai Medical and Cosmetic Centre, we have helped numerous patients suppress the symptoms of rosacea by reducing redness. Here, we use Gemini Laser, which is known to show an effective response against broken capillaries. (Will include Before/after images of patients with broken facial capillaries)

Lifestyle and home remedies:

The following practices can help you decrease signs and symptoms, or prevent exacerbations:

• Avoid exposing yourself to triggers: Try to find out what things tend to provoke your exacerbations and avoid exposing yourself to those triggers.
• Protect your face. Put on sunscreen daily: Use a broad-spectrum sunscreen with a sun protection factor of at least 30. Take other measures to protect your skin, such as wearing hats and avoiding the midday sun. On cold, windy days, wear a scarf.
• Treat your skin carefully: Do not rub or touch your face too much. Use a soap-free, mild cleanser and a moisturizer frequently. Avoid products that contain alcohol or other skin irritants.

Alternative medicine:

• A gentle daily facial massage can help reduce swelling and inflammation. Make a circular movement with your fingers starting from the central part of the face towards the ears.
• Consult with your doctor if you are considering dietary supplements or other alternative therapies to treat rosacea. He can help you evaluate the advantages and disadvantages of each alternative therapy.

The vivid redness caused by rosacea may hurt a person’s self-esteem at times and might make the person feel a bit embarassed. But, don’t let such things impact you. Remember, you always have an option to eliminate its appearance.

For any further discussion on the laser treatment for broken capillaries or rosacea, get in touch with us at admin@nitai.com.au.

Being an Australian, it is much possible that you have already heard a lot about melanoma or skin cancer because of its high manifestation rate in our region but still a lot about it remains unheard of. 

So, at Nitai Medical and Cosmetic Centre, we have taken the initiative to assemble all the crucial facts on melanoma because in case of this skin issue, proper knowledge is the best measure of prevention. Let us explore all the intricacies of this type of skincare and learn one or two ways to avert it from appearing. 

Understanding the Origin of Melanoma:

The melanoma is a type of skin cancer that appears when the cells called melanocytes become malignant. These cells make a pigment called melanin, responsible for the colour of the skin, hair and iris of the eyes. Melanin, on the other hand, works like a photoresistor, preventing solar radiation from damaging the structures or tissues of the body. When the skin is exposed to the sun, melanocytes produce more melanin as a defence against the action of ultraviolet rays (UV). Moles or freckles appear when the melanocytes grow in groups.

A person usually has between 10 to 40 moles or freckles and scientifically, they are called nevus. These are classified into two groups: congenital nevus, which may be from birth or appear over the years; and acquired nevi, which develop from the year of birth and can be typical or atypical. Melanocytes multiply and sometimes spread to other parts of the body over time.

The metastasis (the stage when cancer starts spreading) starts when a small group of cells of the primary tumour is transported to another area and stops in an organ which grows and produces a tumour similar to the original. To clear up possible doubts about the malignant nature of the tumour, a biopsy is used, which consists of extracting a sample of the tumour tissue to analyse it. In this way, you can confirm the diagnosis and establish an appropriate treatment.

Causes of Melanoma:

Although there are many factors that cause it but, what appears to be the most predominant reason of all is to have taken in excess of sun during childhood, although it can occur in people of all ages. Melanoma is manifested by new moles or freckles that change size and appearance. There are a number of factors that increase the risk of melanoma in people. Among them, some of the reasons that are worth mentioning:

• Having clear skin or hair.
• Presence of atypical nevi (non-cancerous but unusual looking moles).
• Presence of nevus in an amount greater than 40.
• Presence of congenital nevi (moles that are present since birth).
• Have a family history of atypical nevi, melanoma, or both.
• Have suffered one or more severe sunburns, especially if they have occurred in childhood, because the effect of solar radiation is cumulative.
• Been exposed to ultraviolet rays for many hours (sun, UVB, UVA) even if your skin is completely tanned.

Symptoms of Melanoma:

It is pretty difficult to differentiate the cancerous melanoma from the innocuous moles, so here we have mapped a few details that might help in figuring out the melanoma better.

• Although melanoma can appear at any age and is increasingly diagnosed in young people, the highest frequency occurs between 40 and 50 years, which is common to different skin cancers.
• As for sex, melanoma occurs more frequently in women than in men, although it generally has a better prognosis than for men.
• Blondes, redheads and clear eyes are more likely to have melanoma. White people also have more possibilities than those with dark complexions.
• The professions carried out outdoors and the outdoor sports are also a risk factor.
• The people with very sensitive skin that always burns and never tans in his first exhibition constitute a risk group.
• The people at some point in their lives have been affected by melanoma are at risk of relapse or develop new melanomas. For this reason, medical follow-up and maintenance of preventive measures is very important.
• People in a situation of immunosuppression (leukemia, lymphomas , organ transplantation, AIDS, etc.) have a higher risk of developing melanoma.

Prevention against Melanoma:

The sun is the main risk factor to develop melanoma, so it is advisable to take a series of basic measures when exposed to sunlight. People with melanoma should follow with special attention the general rules to protect themselves from radiation, since they are at a higher risk of developing new tumours. To protect the skin, consider the following tips:

• Apply sunscreen before exposure: Apply sunscreen before sun exposure and renew your application frequently, especially if you are on the beach or in the pool, after each bath.
• Avoid the most intense hours: Sun exposure should be progressive and should be avoided between 12h and 16h.
• Protect children: Do not expose children under three years of age to direct sunstroke and protect them with a high protection sunscreen in the hours of weak sunlight in order to preserve their solar capital as long as possible. Keep in mind that the skin retains the memory of all the radiation received during childhood. The more important the dose of radiation has been, the higher the risk of cancers in adulthood.
• Use protection in outdoor activities: Outdoor activities can also cause burns. Use sun protection on walks both on foot or by bicycle, when playing sports or in gardens or terraces, and so on.
• Do not let your guard down before factors that lessen the sensation of heat: Do not trust the circumstances that entail a supplementary risk or a false security: altitude, cloudiness, reflecting surfaces (snow, sand, grass, water), fresh wind, and so on.
• Protect yourself with sunglasses, a cap and dry clothes: Use cap and sunglasses with approved glasses capable of filtering UVA and UVB rays. Children also protect them with a dry and opaque T-shirt: a wet T-shirt lets UV rays through.
• Dry well after each bath: The magnifying effect of water droplets promotes sunburn and decreases the effectiveness of sunscreens even though they are water resistant.
• Drink plenty of water and often: The sun dehydrates the body. Watch especially the elderly, whose sensation of thirst is attenuated, and children, whose need for water is important and their thermoregulation centers still immature.
• Avoid tanning sessions with UVA lamps: They contribute to the appearance of skin cancers and accelerate the aging of the skin.
• Check your freckles and moles: If you notice the appearance of a new freckle or mole, or that one of those who already have changes shape, size or color consult your dermatologist.

We all know that Skin loses its youthful charm with the passage of time. But, do you know why? It is because dust, dirt and dead cells together form an impenetrable layer on our skin that eclipses its natural glow and coagulates the pores, resulting in acne, blackheads and pigmentation. It is then your skin requires special attention and care to regain its lost blemish-free and plush look. 

Our solution from Nitai Medical and Cosmetic Centre is to indulge in a few effective aesthetic facial treatments from time to time to get rid of all skin disorders. Facial treatments revitalize the skin and lend it a healthy sheen.

We have assembled the 4 most effective facial treatments here, illustrating their benefits. Read through and learn everything that you need to know.

1. Chemical and Lacto Peels for a Radiant Skin: 

Peels provide excellent results for a variety of aesthetic problems on the face. They are classified according to their intensity, namely:

Light Peels for Radiant Skin: This type of skin peels perform a gentle and moderate exfoliation, offering a deep facial cleansing, smoothening the fine lines of expression, eliminating minor spots, helping to control the sebaceous secretion and softening the complexion. This type of peels are mild on skin and does not cause any irritation, so they can be used on sensitive skin as well.

An example of such light peeling is the lactopeel treatment that can be applied throughout the year without erupting any dire side-effect.

Moderate Skin Peeling: These peels act at a greater depth than the previous ones and are commonly used to combat signs of photo-ageing, acne lesions, moderate intensity spots, marked wrinkles, etc. 

Mandelic acid, retinoic acid and trichloroacetic acid in concentrations between 20% and 35% are some examples of medium peels.

They cause a slight peeling of transient skin and redness, but they do not alter daily activity. It is better if they are carried out during winter, since these peels may photosensitize the skin.

Deep Skin Peels for Clear, Smooth Skin: These deep skin peels are only done by a trained professional at a skin clinic. They are used to eliminate the deep wrinkles, scars, marks and precancerous skin elements. They require a recovery period of approximately 2 weeks and can be performed every 2 months or more.

2. Dermarollers:

Dermaroller is a very effective aesthetic tool, it is used to treat various alterations in the skin of both the face and the body. It consists of a roller with titanium microneedles or surgical steel that vary in size depending on the problem and the area to be treated. 

It is used for the smoothening of wrinkles, stretch marks, acne lesions and scars, as well as to combat sagging and remove blemishes. The effectiveness of this facial treatment is that the microneedles temporarily open the pores of the treated area generating the release of growth factors, the production of collagen and elastin and cell regeneration.

3. Radio-Frequency Treatment / Tempsure Envi:

It is the ideal treatment to eliminate fine or moderate wrinkles and flaccidity in the face, recover the volume lost over the years, model the contour of the jaw, submental region and neck. It also gives excellent results in the treatment of post acne scars and dilated pores.

Unlike conventional radiofrequency, the Tempsure Envi targets precise skin lesions within the tissue and causes a healing response, increasing the collagen fibres of the skin. From the first session, the skin feels much more fresh, revitalized and plush. It is prescribed for the rejuvenation of mature skin, and also for delaying the signs of ageing in people 30 years and older. Here is an image displaying the result of the treatment.

4. Microdermabrasion Diamond Tipped:

It is a type of exfoliation that is done with the help of a dermabrasion wand consisting of diamond microcrystals cutter and suction technology. This treatment can be used alone or can be combined with other practices, everything depends on the problem to be treated. It has the ability to stimulate the regeneration of the skin, eliminate dead cells, help in the production of collagen and elastin, and soften fine lines. From the first session, the results are noticed, the skin feels much smoother and more luminous. Here is an image that reflects how effective Microdermabrasion can be:

All of these aforementioned facial treatments are really effective and if you are genuinely looking out for your skin, consult a skin doctor first and start taking care of your skin in a proper manner.

Always remember, Beautiful skin requires your commitment, not a miracle!

A mole or a spot even though looks very minute but over time may turn malignant, causing a huge threat to life and health. In case of skin cancer, the fast response at the right moment is crucial. But mostly, people are unaware of what signs to look for or what primary treatments to follow if something appears amiss. So, here we have assembled some facts to assist you in detecting even the slightest signs or symptoms of skin cancer as the best way to ward off skin cancer is to maintain a strict vigil on the growth of the moles.

Signs and symptoms of melanoma skin cancer:

Any mole, sore, bump, imperfection, mark, or unusual change in the appearance or sensation of an area of ​​skin may be a sign of melanoma or other skin cancer or a warning that it may occur soon in the upcoming future. So, it is advised to have mole check in Melbourne from time to time at regular intervals.

Normal moles: How do they differ from suspicious moles?

Usually, a normal mole is a brown, cinnamon, or black coloured mole on the skin. It can be flat or prominent, round or oval. Generally, polka dots are less than 6 millimetres (about 1/4 inch) wide, which is approximately the width of a pencil gum. Some moles may be present at birth, but most appear during childhood or youth. On the appearance of a sudden new mole of big size, it is best to go for a mole check in Melbourne.

Once a mole has originated, it will usually retain the same size, shape and colour for many years. Eventually, some moles can disappear.
Most people have moles, and almost all are harmless. However, it is important to recognize changes in a mole (such as its size, shape or colour), which may suggest that melanoma is developing.

Possible signs and symptoms of melanoma:

The most important signal for melanoma is a new mole on the skin or an existing one that has changed in its size, shape or colour. Another important sign is a mole that looks different from the others on your skin and is irregular in shape. If you have any of these signs, see your doctor for a mole check.

The easy way to remember all these pointers is to follow the ABCDE rule to identify the usual signs of melanoma. Stay alert and notify your doctor if you notice moles that have any of the following characteristics:

Asymmetry:

If you try to draw an imaginary line through the centre of the mole, then one half of the mole or birthmark does not correspond to the other half.

Boundary:

Boundary or the edges of malignant moles are irregular, uneven, jagged or poorly defined.

Colour:

The colour of the mole is not uniform and may include shades of brown or black, or sometimes with pink, red, blue or white spots.

Diameter:

The carcinogenic mole is more than 6 millimetres wide (about ¼ inch or about the size of a pencil eraser), although melanomas can sometimes be smaller than this.

Evolution:

Over time, the size, shape or colour of the mole changes.
However, some melanomas do not follow the rules described above. It is important to inform your doctor about any changes in your skin, or growths that you see as something different from the rest of your moles or even better try getting a mole check in Melbourne.

Other warning signs are:

• A sore that does not heal.
• Propagation of the pigment from the edge of a stain to the surrounding skin.
• Redness or a new inflammation beyond the edge.
• Change in sensation (itching, sensitivity or pain).
• Change in the surface of a mole (scaling, exudation, bleeding, or the appearance of a lump or nodule).

Be sure to show your doctor any areas that concern you. It is sometimes difficult to distinguish the difference between melanoma and an ordinary mole. At Nitai we have an Accredited Skin Cancer Doctor who is well-trained in detection potential skin cancers. Therefore, it is important to have a mole check on a yearly basis, just to be on safer side.

If you have any further query, please contact us at admin@nitai.com.au, we will get right back to you.

Have you heard about photodynamic therapy? It is one of the most trusted treatments against skin cancer and severely impaired skin. But very less is known about this vital treatment. So, why not take out some time from your busy schedule and learn a bit about photodynamic therapy in Melbourne?

Harmful UV rays have the potential to damage our skin in an unrepairable manner. Perpetual exposure to the sun may cause skin cancer, premature ageing, sun spots, rashes and many other skin issues. To reverse these grave impacts of UVA and UVB rays on skin, at Nitai Medical and Cosmetic Centre, we suggest resorting to photodynamic therapy.

Photodynamic therapy can be used in the treatment of certain types of skin cancer, such as basal cell carcinoma, squamous cell carcinoma and Bowen’s disease. Also, for the management of lesions with malignant potential such as actinic keratosis and porokeratosis this treatment is used. Other situations in which we use photodynamic therapy as an excellent therapeutic alternative is in the management of acne, acne rosacea and photo-ageing.

How is it performed?

On the day of treatment, the skin is gently cleansed and the crusts are removed, the sensitizing cream is applied on the area to be treated, leaving it covered for 1-3 hours (depending on the indication). After this period the illumination is performed with a special diode lamp for a few minutes, between 7 and 10 minutes, depending on each case. Once the session is over, the patient may return to his normal life without any problem. The number of sessions is defined by the skin cancer doctor depending on the therapeutic indication.

What risks does it involve?

This treatment does not carry any severe risk but a few side-effects may be seen during or just after the treatment, which involves itching, burning, heat and even pain during the application of light, especially when treating the face or extensive areas. Such side-effects are relieved by the application of cold pack or cold water spray.

Also, in a few cases, after the treatment, scabs and redness may appear that resolve on its own in a few days without any sequelae.

What precautions should be taken after the procedure?

After the procedure, we recommend using a sunscreen with a high protection factor for at least the first 48 hours. Additionally, we recommend covering wounds in the case of treatment of cancer or precancerous lesions.

Photodynamic therapy is prohibited in patients with lupus, porphyria and in pregnant women.

The photodynamic therapy is usually carried out in the cases of:

• Skin cancer: basal cell carcinoma, squamous cell carcinoma, Bowen’s disease,
• Precancerous lesions: actinic keratosis, porokeratosis
• Acne
• Acne rosacea
• Photo-ageing.

  This photodynamic treatment shows effective results after each session. If you have any other skin concern or you are willing to know more about skin cancer treatments, contact us at admin@nitai.com.au.

Dermatologists often recommend laser therapy to treat the signs of ageing or dermatoses, such as hyperpigmentation and acne scars. This article explains how laser therapy works and describes the different types of laser treatment. We explore what could be the possible alternatives and the best way to care for the skin and help regenerate it after laser treatment.

What is laser therapy?

The word LASER is an abbreviation for Light Amplification by Stimulated Emission of Radiation. This definition describes the way in which the laser works: light rays artificially generated, controlled and used to penetrate human tissue to correct a series of medical and aesthetic problems.
In summary, the problem areas of the skin are tapped with high energy light. This light is transformed into heat and works in the desired area. Softer treatments target the epidermis of the skin (the superficial layer), while the more intense can penetrate the deeper layers of the skin.

What are the different types of laser treatment?

There are many types of laser treatments for skin pigmentation as well as for other aesthetic purposes, but they can be grouped into two broad categories: ablative and non-ablative lasers.

Ablative lasers:

Ablation is a medical term used to describe the removal of material from the surface of a structure by an erosive process. The treatment with ablative laser is defined by the fact that it removes the upper layers of the skin and in this way the skin may take a few weeks to heal after treatment.
Often, ablative lasers are used to reduce scars. They are also used to treat wrinkles, as it can stimulate the production of collagen. There are two different types of ablative lasers: carbon dioxide and erbium lasers.

Non-ablative lasers:

Non-ablative lasers leave the surface of the skin intact so that, although some redness may appear after treatment, the skin usually recovers quickly. Because they act below the surface of the skin, they are particularly effective at eliminating varicose veins, reducing pigmentation problems, treating fine lines and wrinkles, and removing unwanted hair and tattoos. There are several types of non-ablative lasers, but the most common are Fraxel Lasers and RevLite Lasers.

Dermatologists also use other treatments to remove scars and pigments based on the light that are not lasers, such as intense pulsed light (IPL).

When should I consider using laser treatment for skin pigmentation?

If you are particularly concerned about hyperpigmentation, rosacea, scars caused by acne or any other dermatosis, you should probably discuss the possible course of treatment with a skin doctor. He/she will recommend the most suitable treatment for your skin type.

But, in any severe cases of skin spots or marks, laser therapy is the best-sorted treatment as it smoothens the skin without causing any permanent side-effect.

How should I treat my skin after laser treatment for skin pigmentation?

Laser therapy should always be carried out by a qualified and experienced doctor, and the instructions for previous and subsequent care should be followed carefully.  Once the skin tissue has been reformed after the treatment, keeping the skin hydrated helps regenerate the skin.

Skin that remains on the surface after laser treatment is also likely to be very sensitive to sunlight, so it is important to use a high sun protection factor after treatment, even on cloudy days. At Nitai Medical and Cosmetic Centre, we recommend resorting to facial sunscreen products with very high sun protection factor (30, 50 and more than 50) that provide the skin with the necessary protection after laser treatment for skin pigmentation.

If you have undergone laser therapy to treat rosacea or hyperpigmentation, we also recommend that, once the skin has fully recovered, take care of the skin through a daily skincare regime with products that will help meet special needs of the skin and prolong the effectiveness of the treatment. Also, we would suggest avoiding use of heavy make-up for a couple of days after the treatment. Likewise, we suggest the use of sunscreen products of superior quality on a daily basis in order to prevent the same symptoms from recurring.

If you desire to know more about the laser treatment for skin pigmentation, contact us at admin@nitai.com.au.

Skin needling or dermal roller treatment is a procedure that is applied on the epidermis, that is to say on the first layer of the skin, in which numerous needles of tiny size perforate it creating micro-punctures of little more than one or two millimetres to promote the collagen production and aid in cell regeneration process.

These needles can be applied with various devices, either in the form of a roller or pencil, and there is a domestic version that can be found available in internet stores, known by the brand Dermal roller and the like, and another professional. In the home, the microneedles barely reach the millimetre of depth and have a less visible effect.

In the professional version, which is the one used by dermatologists, aesthetic doctors and aesthetic professionals, the needles can reach 2.5 millimetres, so its effect is more evident but also the risk of causing greater wounds and irritations on the skin. So, here at Nitai Medical and Cosmetic Centre, we recommend seeking professional expertise before undergoing such skin procedures.

How micro-needling works?

To understand the fundamentals of micro-needling, it is important to understand that these micro-punctures really have a double effect: on the one hand, they provoke a reaction of dermal epithelial cells, which defend themselves from aggression, producing collagen and elastin, two elements responsible for much of the turgidity of our epidermis and the dermal tissues immediately below it. As a result of this aggressive stimulation, although very little invasive, the structural proteins such as collagen and elastin elevate, which in turn dissipate wrinkles and blur scars, as well
as acne marks.

On the other hand, the needles temporarily open channels in the epidermis, which is a thick layer of dead cells. The minute punctures make it easier to penetrate certain dermal treatments, thereby making them more effective. Anyway, the important fact to be noted is that everything that glitters is not gold, at least not completely, because the effectiveness of the treatment will depend a lot on the age of the skin, because it is linked to the collagen production capacity. In young patients, for example during acne treatment, the response of the cells is much more powerful, and the result can be really good.

Skin Needling works but it does not work miracles:

But as the patient gets older, the skin response is weaker, and although it can make improvements, does not perform miracles. Moreover, the skin needling or dermal rollers treatment takes about four weeks to take effect and requires more than one session to reflect the full impact of the treatment. It is always said that in the matters of aesthetics you have to resist making decisions on impulse; if you have severe acne marks or a scar that is injuring your confidence and self-esteem, it is worth trying the technique, but if it is just to get rid of your own wrinkles of age, at Nitai Medical and Cosmetic Centre, we will prescribe resorting to other techniques such as premium quality injections of hyaluronic acid or anti-wrinkle serum.

Always better in the hands of professionals:

Although there is provision of performing dermal roller treatment at home, but we would advise to use this with caution against it. The reason is that the needles of the dermal rollers used at home do not fully pierce the dermis and so its effect is rather more limited and this can cause anxiety in people who use it, and they might end up overusing it that causes serious irritation, plus there is a high risk that the conditions of hygiene and proper control are not maintained.

We must also bear in mind that not all skins respond well to this treatment and very sensitive skins can present serious irritations that worsen the state of the skin and even give rise to infectious processes, so treatment should always be done under control of a professional.

Also read our blog on Side-effects of Dermal Rollers to understand both pros and cons of the treatment.