Palomars Starlux 2940 vs. C02 Laser Ablation
Fractional laser skin resurfacing aficionados will be hearing more and more about the Starlux 1540, Starlux 2940, Fraxel Repair, ActiveFX, DeepFX, and Fractional Skin Rejuvenation in the future.
To grasp the significance of these new laser skin resurfacing devices some minor understanding of the technologies of cosmetic laser skin rejuvenation treatments as well as older cosmetic laser skin treatments is a good start.
Cosmetic Fractional Laser Skin Resurfacings History
Fraxel was the first on the scene with a non-ablative fractional laser for the cosmetic medical market. Fraxel has been upgraded and has been improved on by a number of other competing fractional laser skin resurfacing technologies including the Lumenis DeepFX and ActiveFX, and Palomar Medicals Starlux 1540, and Starlux 2940.
Fractional laser skin resurfacing is new area of medicine that intersects cosmetic dermatology and traditional plastic surgery. Rapid advancements and new breakthroughs in these types of cosmetic medical technologies are occurring frequently and are fueled by an aging population of patients. The benefit for these patients is a rapid increase in the effectiveness of fractional laser treatments and less down time and potential side effects.
Fractional laser technologies new cosmetic applications are quickly expanding into related cosmetic medical areas like skin tightening, where fractional treatments compete with radio frequency (RF) treatments (Thermage), and are now moving into fat removal and cellulite treatments.
What was a revolutionary advance in 1995, full face CO2 Laser Resurfacing for wrinkle removal using the Ultra pulse CO2 laser, fairs poorly when compared to new fractional laser treatments and although the wrinkle removal results were fantastic, the CO2 laser resurfacing created a very real “burn wound” that took many months of recovery and the need for general anesthesia. After a year, the skin would turn white or show hypo pigmentation. Because of the side effects, few patients today choose to have this very effective wrinkle removing procedure.
New Fractional Skin Resurfacing Rejuvenation Technologies
Within the last few years the technologies around cosmetic Fractional Skin Rejuvenation or Fractional Laser Skin Resurfacing has changed to eliminate many of the older technologies shortcomings. The erbium laser used in the Starlux is divided or ‘fractionated’ into many tiny micro-beams which treats only a portion of the skin (think tiny pin pricks) and leaves the surrounding skin intact and greatly improves the healing time.
These ‘fractionated’ treatment areas are called micro-treatment zones, and cause just enough injury to the dermis to trigger new collagen production to replace collagen damaged by aging and sun exposure. This production of new collagen ‘fills in’ or ‘plumps’ the underlying dermal tissues and smoothes out wrinkles. Untreated skin speeds the healing process to a mere 3-4 days. Since most of the pigment cells remain intact, hypo pigmentation is effectively prevented.
Starlux 1540: Palomars New Fractional Non-Ablative Laser Resurfacing Technology
The Fraxel and Starlux1540 are non ablative lasers (ablate means to “surgically remove) which means that the skin is not removed by the laser, rather the laser beam instantly heats the skin, causing inflammation and new collagen growth.
Results for skin laxity and wrinkle smoothing are less dramatic than with ablative lasers, but the benefit of reduced recovery time and reduced side effects are mean that non ablative laser treatments are often the patients first choice.
Starlux Fractional Ablative Laser Resurfacing In The Near Future
New fractional ablative lasers have recently been developed that provide the benefits of fractional treatments (less down time and reduced complications) with ablative skin resurfacings benefits (better wrinkle removal and facial rejuvenation) offering the best of both worlds.
These newer fractional ablative lasers remove tissue in the micro treatment zone instead of just heating the dermis like the old Fraxel or Starlux 1540.
The benefit of this new fractional laser ablation is that a greater amount of wrinkled and sun damaged skin can be removed than with the older laser technologies, and a better medical result is achieved. There is some minor increase in recovery time with redness for around 5-6 days. Still, the Starlux fractional ablative lasers require much less recovery time than the old non fractional erbium and CO2 ablative lasers which actually burned off the top layers of the patients dermis.
Competing Fractional Laser Technologies
Reliant: CO2 fractional laser called Repair
Lumenis: CO2 fractional ablative lasers called ActiveFX & DeepFx
Palomar: Starlux 2940 Erbium fractional ablative skin resurfacing laser.
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