Loading page
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.
Duración
20-60 dakika (cihaz ve alana göre)
Zona del cuerpo
Yüz, boyun, dekolte, el üstü, sırt, bacak, koltuk altı, bikini
Preparación
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.
Cuidados posteriores
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.
Lazer epilasyon; seçici fototermoliz (selective photothermolysis) prensibine dayanarak, melanin içeren kıl folikülleri hedef alıp lazer ışını aracılığıyla bulb, bulge ve kök hücrelerine ısıl hasar veren, kalıcı kıl azalması sağlayan bir tıbbi estetik prosedürdür.
Fraksiyonel CO2 lazer; 10.600 nm dalga boyundaki karbon dioksit lazer ışını, sıcaklıklı mikrotermik bölgeler (MTZ) oluşturacak şekilde fraksiyonize edilerek cilt yüzeyinde ablasyon (buharlaştırma) ve derin dermal remodeling sağlayan, akne scarları, yaşlanma bulguları ve cilt tekstürü iyileştirmesi için en güçlü endikasyonu olan lazer tedavisidir.
Pico-lazer (pikosaniye lazeri), 10⁻¹² saniye (bir milyarda biri saniye) cinsinden ultra-kısa puls süresiyle çalışan, fotomekanik fragmentation (ışık-kaynaklı mekanik kırılma) ile melanin ve tatu pigmentini parçalayan, Q-switched nanosaniye lazerlerinin 1/1000 kadar kısa pulse interval'i sayesinde thermal relaxation time'ı geçmeden enjekte edilen lazer teknolojisi olup, kollajen remodeling ve laser-induced optical breakdown (LIOB) via dermal plazma formasyonu mekanizması ile akne skarları, benign pigmentary lesion, tatu silme ve cilt rejuvenation'a kullanılır.
Q-anahtarlı Nd:YAG lazer, 1064 nm ve 532 nm dalga boylarında ultrakısa nanosaniye (5–20 ns) ışın darbesi gönderen yüksek enerji lazer sistem olup, fotomechanical ablation (mekanik parçalama) ve selektif fototermoliz mekanizmasına dayalı olarak melanin, hemoglobin ve dövme pigmentlerini parçalayıp makrofaj aracılığıyla vücuttan uzaklaştıran, dövme silme, melanin lezyonları, melasma ve vasküler lezyonlar tedavisi için FDA onaylı tıbbi cihazdir.
IPL (Intense Pulsed Light — Yoğun Atımlı Işık), xenon flashlamp tarafından ürétilen non-coherent, polychromatic (420-1200 nm geniş spektrum) ışın kullanan cihaz olup, selektif fototermoliz prensibi ile belirli kromoforları (hemoglobin, melanin, su) hedef alan, lazer olmayan fotoenerji kaynağıdır; pigmentary ve vasküler lezyonlar, photorejuvenation, epilasyon ve rosacea tedavisinde kullanılan tıbbi cihaz.
Thermage FLX, Solta Medical tarafından üretilen, 6 MHz monopolar radyofrekans (RF) enerjisi ile cilt dermis katmanında volumetrik ısıtma yaparak anında kollajen kontraksiyonu (immediate tightening) ve sonradan neokolajenez tetikleyen, AccuREP algoritması ile impedans-uyumlu enerji düzenlemesi sunan FDA 510(k) onaylı non-invazif skin tightening cihazı.
Morpheus8, InMode Aesthetic Solutions tarafından üretilen, yalıtımlı microneedle dizisi (12-40 pin) aracılığıyla bipolar radyofrekans enerjisini 1-8 mm derinliğinde subdermal katmana ileticek, dermis kollajeni ve subdermal adipose dokusunda termal remodeling yapan, Subdermal Adipose Remodeling (SART) FDA onayı ile yüz kontürü, cilt sıkılaştırması ve vücut konturlaması için kullanılan fraksiyonel RF microneedling tıbbi cihazıdır.
Mikroneedling RF (Fractional RF Microneedling), bipolar radyofrekans enerjisini yalıtımlı veya yalıtımsız mikro-iğne dizisi (25–64 pin) aracılığıyla 0.5–3.5 mm dermal derinlikte delivery eden, akne skarı, striae (çatlaklar) ve yüzeyel rhytid tedavisinde FDA onaylı, Vivace/Secret RF/Infini/EndyMed gibi çoklu brand ile pazarlanan fractional cilt yenileme cihaz kategorisi.
Programe su consulta personalizada con el Dr. Hamza Gemici hoy.