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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.
Durata
20-60 dakika (cihaz ve alana göre)
Zona del corpo
Yüz, boyun, dekolte, el üstü, sırt, bacak, koltuk altı, bikini
Preparazione
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.
Cura post-trattamento
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.
Epilazione laser e un termine di medicina estetica legato a trattamenti cutanei con laser, luce ed energia. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
CO2 frazionato e un termine di medicina estetica legato a trattamenti cutanei con laser, luce ed energia. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Pico Laser e un termine di medicina estetica legato a trattamenti cutanei con laser, luce ed energia. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Nd:YAG Q-Switched e un termine di medicina estetica legato a trattamenti cutanei con laser, luce ed energia. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
IPL e un termine di medicina estetica legato a trattamenti cutanei con laser, luce ed energia. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Thermage FLX e un termine di medicina estetica legato a dispositivi medico-estetici, piattaforme e tecnologie energetiche. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Morpheus8 e un termine di medicina estetica legato a dispositivi medico-estetici, piattaforme e tecnologie energetiche. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Microneedling RF e un termine di medicina estetica legato a dispositivi medico-estetici, piattaforme e tecnologie energetiche. Nel glossario del Dr. Hamza Gemici viene spiegato come informazione per pazienti su indicazioni, pianificazione, recupero e sicurezza prima della consulenza.
Prenota oggi la tua consulenza personalizzata con il Dr. Hamza Gemici.