Dual Laser Combination Treatment Method

A mole refers to a skin lesion that appears when melanin-producing cells abnormally increase in the epidermis or dermis layer of the skin.

While they may appear as common pigmented lesions, the appropriate treatment method can vary depending on the depth and location of the skin layer where the mole is situated.

The Er:YAG laser is advantageous for precisely resurfacing the outer layer of the skin. This can help reduce the burden on surrounding skin when removing superficial moles close to the epidermis, allowing for a natural exfoliation.

This laser is particularly suitable for facial mole removal as it can reduce the likelihood of scarring while achieving cosmetic improvements. Following this, finishing with a CO2 laser to thermally treat the base of the mole can help eliminate any melanin cells that may remain deep within the skin. This contributes to reducing the possibility of so-called ‘recurrent moles,’ where root cells remain after surface removal and cause regrowth.

A CO2 laser finishing process may be particularly important in the following cases:

-When the mole’s surface is slightly raised or feels thick to the touch

-When there is a history of the mole recurring in the same area

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

*Flat warts are viral skin diseases caused by human papillomavirus (HPV) infection. They typically spread widely within the epidermal layer of the skin and often appear as thin, broadly spread, small brownish or flesh-colored lesions when viewed with the naked eye. They are particularly prone to appearing when immunity is weakened and can spread to other areas by touching or scratching, so starting treatment early can be beneficial.

The Er:YAG laser can help evenly ablate the epidermal layer of the skin and is therefore utilized for flat warts spread across various areas.

It is used for uniform removal while minimizing skin damage to the lesion. However, due to the viral nature of flat warts, there is a possibility of recurrence if only the surface is removed. In such cases, a finishing process involving applying heat around the lesion with a CO2 laser can be considered to further treat any remaining virus-infected cells in the epidermis and surrounding areas, thereby reducing the chance of recurrence.

Combining with a CO2 laser finishing may be beneficial in the following cases:

-When the lesion's borders are unclear, or it feels flat and spread out to the touch -Individuals with weakened immunity (e.g., due to severe stress, lack of sleep, etc.)

-When there is a history of multiple recurrences in the same area

-When the lesion is located in areas of frequent contact or where viruses can easily spread, such as hands or face

*Milia are small, white, grain-like skin lesions formed by the accumulation of keratin, a protein, beneath the skin. They primarily occur around the eyes, on the cheeks, and forehead, and unlike sebaceous cysts, they are less associated with inflammation or infection and are usually considered for removal for cosmetic purposes.

The Er:YAG laser can be usefully employed for milia removal. It precisely ablates the skin surface to remove the thin skin layer covering the milium and creates a channel for the trapped keratin inside to be expelled. A light finishing touch with a CO2 laser after removal helps reduce the possibility of remaining keratinocytes proliferating again, thereby preventing milia from recurring in the same location. However, precise intensity control is crucial, as excessive thermal stimulation to the skin can lead to post-inflammatory hyperpigmentation.

A CO2 laser finish is particularly recommended in the following cases:

-When milia repeatedly appear in the same area multiple times

-When there is a history of the lesion re-emerging during the recovery process after treatment

-When desiring a more even and clean result during the recovery process after removing multiple milia

*Syringomas are benign tumors that occur due to the abnormal proliferation of sweat gland tissue in the dermis layer of the skin. They are characterized by multiple small, round, bead-like skin lesions appearing under the eyes, on the cheeks, and forehead. They may have a genetic predisposition and are particularly common in women in their 20s and 30s.

The Er:YAG laser can precisely and finely remove the skin surface, making it useful for treating syringomas in delicate areas like around the eyes. It refines the outer skin and treats the upper part of the sweat gland lesion, and the low likelihood of scarring or hyperpigmentation during recovery can contribute to a favorable cosmetic outcome. Subsequently, using a CO2 laser to apply heat

A finishing process that delivers subtle stimulation to the deeper parts of the lesion contributes to weakening the activity of sweat glands within the dermis,

and can help inhibit the recurrence of syringomas in the same area. However, due to the depth of the lesions, multiple treatment sessions may be required.

Considering a CO2 laser finish in conjunction with treatment can be beneficial in the following cases:

-When relatively deep and multiple syringomas are observed under the eyes, on the cheeks, etc.

-When there is a history of lesions recurring despite having received multiple laser treatments in the past

-When seeking to help prevent recurrence even with a single treatment session

*Skin tags are benign skin lesions caused by the excessive growth of fibrous tissue and blood vessels in the dermal layer of the skin. They commonly appear in areas where the skin frequently folds, such as the neck, armpits, under the breasts, and on the eyelids, and are observed as small, skin-colored protrusions. They are usually painless but can become irritated due to friction. Most skin tags can be removed quickly and efficiently using a CO2 laser. The CO2 laser is advantageous for treating multiple lesions at once due to its excellent cutting and hemostatic effects. However, for particularly small and thin skin tags, a method of precisely ablating the lesion surface with an Er:YAG laser followed by a CO2 laser finish on the root of the lesion can be considered. This process helps manage the root tissue of the skin tag, thereby reducing the likelihood of recurrence in that area. Thermal stimulation affects fibrous cells and microvessels within the tissue, contributing to inhibiting the regrowth environment of the lesion.

Considering a CO2 laser finish in conjunction with treatment can be even more beneficial in the following cases:

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

-When there is a history of lesions recurring in the same area after previous skin tag removal

-When the lesion has deep or broad roots (e.g., remaining thick in the area even after removal)

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

utilizing two types of lasers in combination

‘Dual Laser Treatment’

can contribute to enhancing treatment satisfaction.

After mole removal, how long should regenerative tape like Duoderm be applied?

Mole removal procedures involve removing the outer layer of the skin, which can cause minor irritation to the skin.

Therefore, properly protecting and managing the treated area is an important part of recovery.

Maintaining an appropriately moist environment in the treated area, in particular, can aid recovery and reduce the likelihood of scarring.

For these reasons, we recommend applying Duoderm, a hydrocolloid dressing product.

Duoderm helps the treated area stay moist, promoting smooth cell regeneration and slowing down unnecessary scab formation, which can reduce the possibility of scarring.

Apply Duoderm immediately after mole removal, change it every 3-5 days, and continue to manage the area consistently for at least 7 days.

We recommend a total management period of approximately 10 days.

If Duoderm use is uncomfortable or causes an allergic reaction, you should frequently apply a regenerative cream or moisturizing gel to prevent the area from drying out. Additionally, it is important to carefully apply sunscreen with an SPF of 50 or higher and avoid touching the treated area.

Post-mole removal care is not just about wound protection; it's a crucial step that determines the overall outcome of the procedure.

Neglecting aftercare can lead to scarring, so it's advisable to continue paying attention to the treated area even after the procedure.

Our medical staff provides detailed guidance on post-procedure care methods to help patients achieve a smooth recovery.

Recommended For

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• 1. Recommended for those who have experienced discomfort due to moles, seborrheic keratoses (age spots), milia, syringomas, or skin tags.
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• 2. Those who have had moles removed but experienced recurrence and wish for improvement.
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Procedure Steps

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

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• ㆍBe careful not to let water directly touch the treated area. (It is best to wash your face with Duoderm applied)
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• ㆍIt is helpful to continuously replace and apply the regenerative tape for about 10 days while skin regeneration occurs.
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• ㆍThere is a possibility that moles may reappear in the treated area. If re-treatment is needed, it can usually be performed after 4-6 weeks.
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• ㆍOccasionally, deep-rooted moles may be difficult to improve with a single treatment and might require multiple sessions.
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• ㆍIt is important to avoid sun exposure as much as possible. Sunscreen must be used, and it is advisable to reapply it over Duoderm if possible.
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