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PROMOTION


USING THE FRAXIS® FRACTIONAL CO2


DR ZDENKO ZAMBOJ, Plastic Surgeon, BELLEZA — Center for Plastic Surgery and Laser Medicine, Trnava, Slovakia


Vaporisation of the tissue is very effective, and almost no bleeding makes the field of operation very clear for the practitioner. Of utmost importance is the fact that the unwanted tissue destruction depth is very well controlled and penetrates only several microns into the tissue. As a result, the healing process is much faster and painless.


T


‘normal’ or ‘fractional’ mode — those with enlarged pores, acne scars and ‘tired skin’ who needed rejuvenation.


The laser The Fraxis CO2


laser (ILOODA, South


Korea), emitting at 10 600 nm and based on radiofrequency (RF)- excited laser tube technology, which was developed by a US company. Fraxis uses fractional and normal


(A) Facial wart before treatment; (B) immediately after treatment; (C) 2 months post-treatment


84 ❚


(surgical) handpieces. The fractional handpiece is usually used for skin rejuvenation, and the normal handpiece


is intended October 2013 | prime-journal.com to treat dermal lesions. The normal


Methods This was a monocentric retrospective study conducted over a period of 1 year. The inclusion criteria were: patients with benign cutaneous tumours; warts; benign skin marks; and all patients who benefited from a treatment with CO2


laser set in LASER HAS


great potential in plastic surgery, dermatology and many other surgical specialities.


handpiece can be used in different modes:


pulse, pulse


pulse, and continuous. In this study, over 500 patients


were treated for 20 different indications.


Results Normal handpiece


The great advantage of Fraxis CO2 laser treatment is that vaporisation of the tissue is not followed by bleeding. This results in a much faster healing process and minimises the risk of infection. Over 500 patients were treated in this study and only three cases of infection were recorded, all of which occurred after treating resistant warts located on the plantar site of the foot. These lesions require more aggresive treatment and deeper vaporisation of tissue.


Fractional handpiece The proper settings using fractional mode depend on other factors: indication for treatment, skin phototype, skin texture, skin elasticity, and age. In general, it is possible to say that the more evident the remodelling of skin collagen we want


to


achieve, the more energy needs to be delivered to a proper depth of the skin. Patients asking just for skin


rejuvenation were treated with the fractional handpiece with minimaly-aggresive settings, some of which do not even require anaesthetic cream to be applied


single, ultra


LASER


Dr Zdenko Zamboj discusses his experience of using the Fraxis fractional CO2


give for a number of dermatological and aesthetic indications HE CO2


laser in his practice, and the excellent results it can


before treatment. The healing process lasts for 2–3 days, until epithelisation is complete. To achieve long-lasting results, more than two sessions are recommended, with 6–8 weeks between each treatment.


Discussion It is quite easy to learn how to manage treatment with Fraxis. I find using the ‘ultra’ mode more helpful then the ‘pulse’ mode (surgical handpiece) for treating epidermal and dermal lesions. After treating many patients with both modes, I found that using the ‘ultra’ mode makes the operation field more transparent for the doctor as the treated tissue is not ‘carbonised’ as with the ‘pulse’ mode. The healing process is also faster. Using the ‘pulse’ mode requires a little more experience with Fraxis, but can bring nice results.


Conclusions I find Fraxis to be a very helpful and reliable device. More patients can be treated in a shorter time compared with conventional surgery. The accurate laser beam allows me to treat lesions smaller than 0.5 mm in diameter. It is difficult to recognise treated lesions after 6–8 weeks. This means that the proper use of Fraxis gives good aesthetic results.


Further information www.ilooda.com, sales@ilooda.com


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