Laser treatments can get rid of not only your active acne, but also scars from previous breakouts. Many people choose to use lasers that work on both types at the same time, or undergo laser scar treatment after they’ve undergone laser treatment for their active acne.For most of us, it’s about the pain, or perceived pain we may experience from a treatment - any kind of a medical procedure. Whether it be surgery or skin-related, pain is usually a big deal. Medical science has come a long way during the last century, and pain reduction has been a big part of that success.One of the most popular forms of laser treatments uses what is referred to as a non-ablative laser. With this laser, instead of burning off the affected layers of the skin, it instead works its magic below the skins surface to both stimulate the production of collagen and improve the texture by firming it up. While this is great, this procedure does little as an acne scar laser treatment.

There are two main types of lasers used in acne scar treatment, namely ablative (resurfacing) and non-ablative lasers. Ablative lasers burn away scar tissue by heating and removing the top skin tissue which stimulate the skin to tighten up, thereby rendering scars less visible.The ablative laser method uses a laser to vaporize the external layers of the skin and thus, eliminating the undesired scar tissue. As a result of this procedure, the collagen will be firmed up causing lower scar visibility. Natural cosmetics can be used to cover up any remaining scars. For this acne scar laser treatment, particular kind of lasers, known as erbium and ultra pulsed carbon dioxide lasers are utilized. However, as this kind of treatment leaves the unshielded skin exposed, necessary skin wound care should be used on the skin.

In a laser procedure for scars, the patient will undergo a treatment called Fraxel in different sessions for 3 months. Depending on the progress, another laser treatment will be done after 6 months after the last laser treatment session.The demographics for laser scar success is as high as 55% to 70% for most of the patients even after only 3 months of treatment. Laser treatment side effects only include swelling and redness; you can be assured that lasers don’t get your scarred at all.

More so, you will not be confronted with the habit of putting concealing creams in your scars. You can even go out and let other people see how fair your skin is. This happens too because the very first thing that is being attacked by the laser is the sebaceous glands which secrete oils to our skin and cause to the formation of acne as well.

Laser treatment has been utilized with limited frequency for certain dermatological applications such as the removal of tattoos, acne scars, port wine stains, and skin blemishes for over a decade. However, in recent years, laser treatment for hair removal and wrinkle treatment has grown significantly in popularity, which has subsequently increased the demand for providers of laser treatment. Since state law governs the issue of who can perform these procedures, it is important for all current and prospective providers of laser treatment to be familiar with Michigan law, including the Michigan Public Health Code delegation provision regarding the use of lasers for dermatological purposes. In addition, on December 5, 2005, the Michigan Department of Community Health (”MDCH”) released a position statement regarding the use of laser equipment by health professionals, which clarifies the relevant law on the subject.

According to MDCH’s position statement, laser treatment falls within the Michigan Public Health Code’s definition of the practice of medicine because the treatment involves the “diagnosis, treatment, prevention, cure, or relieving of a human disease, ailment, defect, complaint, or other physical or mental condition by attendance, advice, device, diagnostic test, or other means…” Thus, generally speaking, dermatological laser procedures should be performed by a licensed physician. However, MCLA 333.16276 permits a “licensee, registrant, or other individual” to perform laser procedures for dermatological purposes as long as the procedure is performed under the supervision of a licensed physician. Notably, delegation will not be permitted unless the patient involved has knowledge and consents to the laser treatment procedure being performed by a non-physician. This delegation provision further permits physician’s assistants and nurse practitioners to perform these laser procedures without supervision, as long as the procedure is performed in a healthcare facility as narrowly defined by the Michigan Public Health Code (e.g., a hospital). It should also be noted that the delegation provision does not permit physician’s assistants and nurse practitioners to delegate the authority to perform these laser procedures to someone else.

The key aspect of this delegation authority for laser procedures, as noted and clarified in MDCH’s position statement, is the definition of “supervision,” as all providers of laser treatment should be well aware that the ultimate responsibility for the tasks and duties performed by any delegated individual falls on the licensed physician. Supervision entails the overseeing of, or participation in, the work of another individual by a licensed health professional in circumstances where at least all of the following conditions are met:

• Acknowledgement by the physician that the delegated individual has the appropriate education, training or experience to properly use lasers.
• Continuous availability of direct communication in person, or by radio, telephone or other telecommunication, between the physician and the delegated individual.
• Regularly scheduled availability of the physician to consult, educate, and review the records and practice of the delegated individual in laser use.
• Development by the physician of written procedures and protocols to guide the delegated individual’s laser use.

These conditions clearly demonstrate the high level of care and attention that a licensed physician must exert when contemplating the possibility of delegating the authority to perform laser treatment. The licensed physician is not only ultimately responsible for the outcome of the procedure, but is also required to be readily available to assist (in person or by telephone or radio) the delegated individual at all times.

The delegation provision at MCLA 333.16276 is limited in application to the use of lasers for “dermatological purposes.” This entails any purposes relating to the diagnosis and treatment of medically necessary and cosmetic conditions of the skin, hair, and nails by various surgical, reconstructive, cosmetic, and nonsurgical methods. Therefore, this provision permits the delegation of such procedures as laser hair removal or acne scar removal, but it does not permit the delegation of other laser procedures unrelated to the practice of dermatology such as laser eye surgery.

A licensed physician who is considering delegating the authority to use laser treatment for dermatological purposes should address the issue in a prudent and thorough manner, as Michigan’s law on the issue is stringent. Specifically, utmost care must be taken when determining whether an individual has the appropriate qualifications and training to perform the laser procedures. This compliance corner provides two tips to assist licensed physicians contemplating this delegation.

Tip 1- Make sure to do your homework when selecting a delegated individual:

Pursuant to MDCH’s position statement, a delegated individual can be a licensed or unlicensed individual. With that said, it is recommended the licensed physician perform extensive research on the background, education, and training of any prospective delegated individual to ensure the individual is duly qualified, as it is reasonable to assume in practice “appropriate education or training” may entail at least a certification in laser treatment. The licensed physician should maintain a personnel file on each delegate which includes any and all certificates and other documentary evidence of training in laser treatments. In short, licensed physicians would be well-advised to err on the side of “over-qualified” when selecting a delegated individual, as the licensed physician must keep in mind that he or she is ultimately responsible for the outcome of any of the delegated procedures.

TIP 2-Do not overlook the requirement to establish written procedures or protocols to guide the delegated individual’s laser use:

A physician should provide a delegated individual with extensive hands-on training regarding the laser treatment to be delegated. Additionally, a physician must create a detailed written procedure or protocol to assist the delegated individual. This protocol can be in the form of a manual, with step-by-step instruction to guide the individual. The required duties and tasks of the delegated individual should be clearly elaborated in this written protocol.

Further, the performance of the delegated individual should be regularly reviewed and evaluated. The delegated individual should maintain detailed records of all laser procedures performed under the supervision of a licensed physician. These records should also be reviewed by the licensed physician on a regular basis. It is vital that delegated individuals not only possess appropriate background qualifications, but also maintain a satisfactory work record performing these laser procedures.

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Acne treatments will reduce the acne, but due to the injuries which it produced, scars are formed on the skin which would be available on epidermal layer of the skin. The epidermal layer is actually made up of dead cells. So if we remove the outer dead skin layer, the scars are removed.

Acne scar laser treatment can be done to clear out the dead cells on the skin epidermal layer. By this method, we can effectively remove all the scars present in the epidermal layer. This loss of dead skin layer is compensated by the growth of fresh and new skin layer which would be scar free. These treatments are available in all the saloons, but if it is done with a proper dermatalogist, it would be safe and a better choice. The dermatalogist will access the scars nature well and will suggest the laser radiation intensity accordingly.

Treatment Procedure:

Laser rays would be precisely made to fall on scars and affected areas. It burns the dead cells making up scars. This produces mild recoverable injuries to the skin cellS. Skin then produces new layer of cells in about a month which would replace the small holes caused by removal of scars.

Precautions:

The new skin should be protected from dust, pollution and sun. This can prevent further occurence of acne. Dust can block pores and can trigger acne. Sun produces harmful ultra violet rays which can cause sun burns which would be painful. Application of a moisturizer with SPF of 30+ would be recommended post scar treatment. They can keep the cells moisturized and can oxygenate the skin.

About Author
Acne creams like moisturizers with SPF of 30+ is recommended post acne treatment.
Balajee Kannan
Health Consultant

If you’re among the many thousands of individuals who are fighting with blackheads and then it doesn’t seem like your acne breakouts will disappear soon, then you may want to help you seek treatment. Laser zit removal is one method used today.

Naturally, before you ask for any treatment you’ll probably decide for you to ask first a dermatologist if, in a case, the acne breakout will disappear eventually naturally since happens in some people.

However , if you’ve got a heavy acne condition, then it’s more likely that a treatment will be recommended, whether it’s a face, upper neck, chest, back, shoulders or upper arms which are affected.

If a laser an acne breakout removal is recommended, here’s what exactly you should really learn:

* Consult a dermatologist as towards its procedure so to will feel comfortable regarding it. This really is because, for some patients, the treatment is completely new to be able to them plus they really don’t acknowledge what exactly is involved. An individual’s apprehensions might no longer be there prior to treatment emerged.

* Most patients have felt a mild discomfort, so it’s likely merely will, too. However, the discomfort doesn’t last long also there’s really no pain. If you need to, chances are you ask if you want to observe the procedure first before one’s treatment so that you simply simply are usually assured.

* Shop around for the most competitive cost, which might not be too pricey because the cost of laser-based methods have dropped significantly since they were first offered within your market. This can’t be too hard exactly what with several outfits now in this business.

So, is laser spots removal good for you? You’ll understand after ones own visit to the dermatologist. Try to be patient and therefore make no rush decisions. Not surprisingly, it’s one’s happiness that matters with the end.

No patient or operation is quite the same and so you may find that not everything below will apply
to you. Nonetheless we hope that these answers to common questions and worries are helpful.
Please ask you doctor or nurse if you are unclear about anything.
How does the laser treatment work?
The laser we use for hair removal is called an Alexandrite laser. Lasers work by delivering an
intense beam of light that is absorbed by the skin. This light is converted to heat and is absorbed
by the cells being targeted (hair follicle), while leaving the surrounding tissue unaffected. Laser is
used to control hair growth, but the results are never permanent.
Due to the cycles of hair growth multiple laser treatments are required to provide long lasting
reduction in hair growth, as the laser will only damage the follicles in the growth phase. It is difficult
to predict individual responses as many factors are involved: the thickness of hairs, different sites
on the body, hormonal differences, darkness of hairs and how strong laser light can be tolerated.
However, in general the hair-free intervals gradually lengthen and the regrowth becomes sparser
and finer.
What are the risks and benefits of having laser treatment?
Laser treatment may make the underlying skin colour darker or lighter. Any darkening (due to
formation of brown pigment) usually fades over 6-12 months. If the skin is made paler, this may be
permanent. The risk of pigmentation is greater with darker skin tones and tanned skin, which is
why we can only offer laser hair removal to lighter skin types with no tan.
Blistering and crusting of skin sometimes occurs. If this happens, you must not pick or scratch the
area to avoid permanent scarring.
The laser beam will damage eyes if viewed directly without protection.
Is there any preparation I need to know about?
You must avoid bleaching, plucking or waxing the hair for 4-6 weeks before treatment. The
melanin containing hair must be present in the follicle as it is the ‘target’ for the laser light. We
know this may be difficult for you, but it is important for good results. If you shave, it is best to
shave 2 days before treatment.
Avoid the sun for 4-6 weeks before and after treatment, and during any treatment courses. You
may develop hypopigmentation (white spots) after treatment if skin is tanned. The use of selftanning
products must be discontinued one week before treatment.
If you wear make up on the treatment area, please bring along the lotions to remove it. Treated
skin must be clean and dry.
What happens before treatment?
When you arrive you will meet the member of staff treating you. This may be a nurse or a doctor.
They will explain the treatment for you, and obtain a written consent from you unless this already
has been done on previous clinic visits.
Photographs may be taken of the area to be treated so that progress can be monitored. These will
be kept in your hospital notes.
Local anaesthetic may be used if necessary for children. If so, this needs to be applied about 1
hour before treatment for it to have time to take effect.
The skin in the area to be treated is cleaned and shaved before starting. The laser practitioner will
choose the right treatment parameters for you and calibrate the laser machine.
What happens during treatment?
You and the laser practitioner will wear safety eyewear to protect your eyes from the laser light.
Your practitioner will guide the laser to the treatment areas with a small handpiece. Each laser
pulse may be preceded by a short pulse of cooling spray. A treatment can take as little as a few
minutes to as long as an hour, depending on the size of the area being treated. Often the strength
of the laser pulse is changed depending on the reaction on skin and patient comfort.
Each pulse of light feels like the flick of an elastic band. Most patients do not find the treatment too
painful. Local anaesthetic cream can be used if you find it too painful and a general anaesthetic
can be offered to children.
What happens after treatment
Immediately after the treatment, there will be redness and swelling on the treatment site which
may last up to 2 hours or longer. Some people describe it as like being sunburnt. The redness
may last up to 2 days. The area can be cooled using cold compresses. Aloe vera gel is also
applied to the lasered area.
What to expect once home
You can continue applying aloe vera gel or non-scented moisturiser to soothe any irritation. Treat
the area gently, as if you had sunburn, for the first 24 hours. You may resume use of your usual
creams/lotions/make-up once the irritation stops. Avoid exercise for 24 hours after treatment.
Avoid sun exposure to reduce the chance of dark pigmentation. Always use sunblock (SPF 30 or
higher) throughout the course of your treatment. If you do not follow this advice, you may suffer
burning, blistering, scarring and permanent pigment changes.
Avoid picking or scratching the treated skin. Do not pluck, wax or use any other hair removal
methods apart from shaving for 4-6 weeks after treatment. The hairs in the treated area will start to
shed after 2 weeks, and if you wish you can gently exfoliate the area to remove them.

Though laser treatments wouldn’t be preferable for those with active acne, they can greatly help those who would had suffered from acne in adolescence resulting in scars. Scars can last long for years after twenties. Though scars are not reversible there are treatments to peel out scars and make the skin scar free.

Treatment method

Doctor would have a laser pen device with mild intensity of radiation. However doctor would be free to adjust the intensity levels. For patients with deep scars he could go for high intensity levels than those for with mild surface scars. Laser rays would be applied to the affected areas. The application would be very precise. This is to ensure that the active face skin cells don’t get affected by laser.

Laser effectively burns out scars within seconds of exposure. This would result in mild wounds. However bleeding would not be present in majority of the cases. When the wounds heel, the dead cells of the skin would get replaced with fresh cells. These would be scar free.

Skin irritation and longer healing times are the possible side effects. Though typical healing durations are in weeks, for some it can take months. In these cases it is very important to maintain skin acne free. Further acne on laser treated areas can actually worsen the condition. This is the reason for which laser is administered to those with active acne. Also one has to protect the skin from harmful UV rays from the sun.

This is the reason for which laser is administered to those with active acne. Also one has to protect the skin from harmful UV rays from the sun.

I’ve tried many creams and over the counter products, I’ve gotten prescription cream from dermatologists, and I even used Proactiv Solution before (which didn’t work for me).
So, I’m looking into getting laser-acne treatment, which I’m hoping would be my last resort.
I have a mild case of acne on my face, nothing severe though.
So before getting laser acne treatment, could someone tell me if its effective at all? Like does it completely rid of the acne
after the procedure is done? How does it work and how much does it cost?

I have some acne scars on my cheeks and I just want to get it treated. I tried microdermabrasion and it did not work so laser it is.
I want to find the best Doctor and not someone who will practice on my face.
Please if you know of a great Doctor let me know.
Thanks in advance!

My girlfriend is considering getting pixel laser treatment to remove some minor acne scarring that she has on her face. I don’t know much about it and I would like to know more before she signs up for the treatment. What about the side affects? I have read that your face looks very burned afterwards.

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Atrophic acne scars improved with Nd:YAG laser.: An article from: Skin & Allergy News