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Laser treatments are not a single device but a family of platforms that selectively heat different intracutaneous targets (water, melanin, haemoglobin, tattoo pigment) by wavelength and pulse duration. In my clinic I use 1927 nm Thulium fractional laser for pigment and melasma, fractional CO2 for deep wrinkles and acne scars, Q-switched Nd:YAG for tattoos and dermal pigment, an Alexandrite / Diode / Nd:YAG combination for permanent hair reduction, long-pulsed Nd:YAG for vascular lesions, and IPL for photofacial brightening. The art is not in the technology alone — it is in the clinical reasoning that weighs Fitzpatrick skin type, downtime tolerance, current medications, and yearly sun habits together. We work exclusively with TITCK- and FDA-cleared, hospital-grade devices in a holistic laser protocol.
Duration
20-60 dakika (cihaz ve alana göre)
Body Location
Yüz, boyun, dekolte, el üstü, sırt, bacak, koltuk altı, bikini
Preparation
Avoid sun exposure for 2-4 weeks pre-procedure — laser is contraindicated on tanned skin. Stop retinol, glycolic and salicylic acid products 5-7 days before. Antiviral prophylaxis is prescribed for patients with a cold-sore history. Laser is postponed for anyone on isotretinoin within the last 6 months. Arrive with clean, makeup-free and fragrance-free skin. Patients with Fitzpatrick IV-VI begin with a test spot.
Follow-up Care
Varies by device: non-ablative lasers (Thulium, IPL, Q-switched) cause 24-48 hours of mild redness and microflaking; ablative fractional CO2 produces 5-7 days of visible pinkness and grit-like crusting. Strict sun avoidance for 72 hours (1 week post-ablative) and SPF 50+ every 2 hours. No hot showers, sauna or intense exercise for 48 hours (5 days post-ablative). A typical cycle is 3-5 sessions at 4-week intervals; melasma and tattoo cases benefit from 1-2 maintenance sessions per year.
Clinical workflow: (1) Visual assessment + Fitzpatrick typing + Wood-lamp evaluation of pigment depth. (2) Device selection — Thulium 1927 nm fractional for pigment/melasma, fractional CO2 for deep wrinkles and atrophic acne scars, Q-switched Nd:YAG (1064/532 nm) or pico-laser for tattoos and dermal pigment, Alexandrite (Fitzpatrick I-III) or Nd:YAG (IV-VI) for permanent hair reduction, long-pulsed Nd:YAG for vessels, IPL for general brightening. (3) Topical anaesthetic for 30-45 minutes; nerve block added for ablative protocols. (4) CE-certified eye protection for both patient and operator; parameters (fluence, spot size, pulse duration) calibrated to the test-spot response. (5) Treatment passes performed with simultaneous Zimmer (-30°C air) or integrated contact cooling — non-ablative facial session 20-30 minutes, full-face fractional CO2 45-60 minutes. (6) Post-laser barrier serum, calming mask and mineral SPF 50+; petrolatum occlusion for 5 days post-ablative. (7) Combination protocols (Thulium + tranexamic acid drug-delivery, CO2 + PRP, IPL + mesotherapy) are integrated within the same session when indicated.
Sun spots and melasma → Thulium 1927 nm fractional; deep wrinkles and atrophic acne scars → fractional CO2; tattoos and dermal pigment → Q-switched Nd:YAG or pico-laser; permanent hair reduction → Alexandrite (lighter skin) or Nd:YAG (darker skin); vessels and telangiectasia → long-pulsed Nd:YAG; general brightening and photofacial → IPL. No single laser does everything — the right outcome begins with the right device.
Yes, but device selection must match skin type. Lighter skin (I-III) tolerates Alexandrite, IPL, Thulium very well; in darker skin (IV-VI) the wrong device can cause post-inflammatory hyperpigmentation. For these patients I prefer Nd:YAG 1064 nm and low-fluence Thulium, and I always begin with a test spot. Across 30+ years our complication rate in darker skin is below 1%.
Yes — the FDA term is "permanent hair reduction": follicles in active anagen phase are permanently inactivated. New hormonal shifts (puberty, pregnancy, PCOS) may activate dormant follicles, requiring yearly maintenance. Average cycle: 6-8 sessions, 4-6 weeks apart; finer/lighter hair needs more sessions. Fitzpatrick V-VI patients are treated with Nd:YAG 1064 nm.
Q-switched Nd:YAG (1064/532 nm) is the classic gold standard; pico-laser is a newer-generation option offering faster clearance. Black and dark-blue ink is easiest; yellow, green and white pigments are more resistant. Professional tattoos average 6-12 sessions; amateur tattoos 4-6. Sessions are spaced 6-8 weeks because pigment clearance depends on lymphatic drainage. Complete clearance rate is 90-95% case-dependent.
Non-ablative devices (Thulium, IPL) feel like a "rubber-band snap"; topical cream is sufficient. Fractional CO2 and aggressive pico-laser protocols use 30-45 minutes of topical anaesthetic + integrated Zimmer cooling; nerve blocks are added for some patients. Laser hair removal rarely requires anaesthesia thanks to modern contact-cooling. Comfort matters — no patient leaves a session in pain.
Downtime depends on the device: Thulium / IPL / Q-switched on the face → 24 hours, makeup safe the next day. Fractional CO2 → 5-7 days of pinkness and microcrusting; makeup after day 7. Laser hair removal → mild redness for 24 hours, no makeup needed. We provide a personalised downtime calendar before the session so you can plan around it.
Yes — and combinations often outperform laser alone. Common in-clinic protocols: Thulium + tranexamic-acid drug-delivery (10× better penetration in melasma), fractional CO2 + PRP (halves the recovery time of collagen remodelling), IPL + skinbooster (brightens and hydrates simultaneously). Botox and dermal fillers are scheduled 2 weeks before or after laser — concurrent edema can shift filler placement.
Deep-dive in our glossary — definition, indications, side effects, FAQs.
Laser epilation; Based on the principle of selective photothermolysis, it is a medical aesthetic procedure that targets the hair follicles containing melanin and causes thermal damage to the bulb, bulge and stem cells through the laser beam, providing permanent hair reduction.
Fractional CO2 laser; Carbon dioxide laser beam with a wavelength of 10,600 nm is fractionated to form heated microthermal zones (MTZ) and provides ablation (evaporation) and deep dermal remodeling on the skin surface. It is the laser treatment with the strongest indication for acne scars, signs of aging and skin texture improvement.
Pico-laser (picosecond laser) is a laser technology that works with an ultra-short pulse duration of 10⁻¹² seconds (one billionth of a second), breaks down melanin and tatu pigment with photomechanical fragmentation (light-induced mechanical breaking), is injected without passing the thermal time thanks to the pulse interval as short as 1/1000 of Q-switched nanosecond lasers, collagen remodeling and laser-induced optical breakdown. (LIOB) is used for acne scars, benign pigmentary lesions, tatu removal and skin rejuvenation via dermal plasma formation mechanism.
Q-switched Nd:YAG laser is a high-energy laser system that sends ultrashort nanosecond (5–20 ns) beam pulses at wavelengths of 1064 nm and 532 nm. Based on the photomechanical ablation and selective photothermolysis mechanism, it breaks down melanin, hemoglobin and tattoo pigments and removes them from the body through macrophages. It is used for tattoo removal, melanin lesions, melasma and vascular diseases. It is an FDA approved medical device for the treatment of lesions.
IPL (Intense Pulsed Light) is a device that uses non-coherent, polychromatic (420-1200 nm wide spectrum) beam produced by xenon flashlamp and is a non-laser photoenergy source that targets certain chromophores (hemoglobin, melanin, water) with the principle of selective photothermolysis; Medical device used in the treatment of pigmentary and vascular lesions, photorejuvenation, hair removal and rosacea.
Thermage FLX is an FDA 510(k) approved non-invasive skin tightening device produced by Solta Medical, which triggers immediate collagen contraction (immediate tightening) and subsequent neocollagenesis by volumetric heating in the skin dermis layer with 6 MHz monopolar radiofrequency (RF) energy, and offers impedance-compatible energy regulation with the AccuREP algorithm.
Morpheus8 is a fractional RF microneedling medical device produced by InMode Aesthetic Solutions, which will transmit bipolar radiofrequency energy to the subdermal layer at a depth of 1-8 mm through an insulated microneedle array (12-40 pins), performs thermal remodeling in the dermis collagen and subdermal adipose tissue, and is used for facial contouring, skin tightening and body contouring with Subdermal Adipose Remodeling (SART) FDA approval.
Microneedling RF (Fractional RF Microneedling) is a category of fractional skin resurfacing devices that deliver bipolar radiofrequency energy through an insulated or non-insulated micro-needle array (25–64 pins) at a dermal depth of 0.5–3.5 mm, FDA-approved for the treatment of acne scars, striae (stretch marks) and superficial rhytids, marketed under multiple brands such as Vivace/Secret RF/Infini/EndyMed.
Schedule your personalized consultation with Dr. Hamza Gemici today.