Our Clinic's Dual Laser Application

Combined Treatment with Erbium Yag and CO2 Lasers

Why We Use Two Lasers Together

Although various skin lesions may appear similar, they differ in their location and depth.

At our clinic, after a thorough analysis of each lesion's structure, we use a combination of **Erbium Yag (for precise surface ablation) and CO2 laser (for lesion base cauterization)**.

This treatment approach can help reduce the likelihood of recurrence.

Key Approaches for Each Lesion

1) Mole Removal

• Moles appear when melanocytes excessively proliferate in the epidermis or dermis.
• The epidermal area is precisely refined using an Erbium Yag laser.
• Any residual melanin at the base can be cauterized with a CO2 laser to help reduce the risk of recurrence.
• Especially for raised moles, deep moles, or moles that have previously recurred, a finishing touch with a CO2 laser may be necessary.

2) Flat Warts

• These are viral lesions caused by human papillomavirus (HPV) infection.
• The surface of widely distributed lesions is uniformly ablated and refined using an Erbium Yag laser.
• Subsequently, a CO2 laser can be used to further cauterize surrounding infected cells, which may help reduce the possibility of lesion recurrence or spread.
• This approach may be more effective when lesion borders are unclear or when lesions repeatedly recur.

3) Milia Removal

• Milia are small cystic lesions formed when keratin gets trapped within the skin.
• An Erbium Yag laser can carefully open the thin epidermal layer, allowing for the safe removal of trapped keratin.
• Finishing cauterization with a CO2 laser can help reduce recurrent milia in the same area.
• This treatment approach can be particularly useful for milia that continuously reappear in the same location.

4) Syringoma Treatment

• Syringomas are benign tumors that appear due to excessive proliferation of sweat gland tissue in the dermal layer of the skin.
• By finely refining the lesion surface with an Erbium Yag laser, we aim to reduce the risk of scars or post-treatment hyperpigmentation.
• A CO2 laser can apply subtle thermal stimulation to deeper lesions, which may help reduce their activity.
• Due to the nature of syringomas, multiple treatments may be necessary, but this treatment approach can positively impact reducing recurrence rates.

5) Skin Tag Removal

• Skin tags are benign lesions that protrude from the skin surface due to excessive proliferation of fibrous tissue and blood vessels within the dermis.
• For smaller lesions, we apply a method of ablating the surface with an Erbium Yag laser, followed by cauterizing the base with a CO2 laser.
• This helps reduce the likelihood of recurrence by treating the root tissue of the lesion as well.
• Especially for skin tags in frequently abraded areas like the neck or armpits, combined CO2 laser treatment can be even more effective.

Summary of Treatment Principles

• Erbium Yag Laser: Role in delicately and thinly refining the skin surface
• CO2 Laser: Role in more thoroughly addressing the deep basal tissue of the lesion

By utilizing these two laser devices together,

By adopting a comprehensive approach that considers the lesion's surface, depth, and potential for recurrence, we can expect a more refined and complete treatment.