Eye bags

The aesthetics of the periocular area of ​​the lower eyelid, offers us a perception of the degree of aging of the person; If the presence of dark circles is added to this, they convey a feeling of fatigue, physical exhaustion and sadness. This perception has transcended over time in different cultures and social classes.

Since ancient times, women have tried to hide dark circles, currently they consume about € 15,000 throughout their lives to hide them. It is estimated that within the category of non-surgical cosmetic skin care, the eye contour is the highest priority for women.

Knowledge of regional anatomy is essential for the management of dark circles, which encompasses a wide variety of modalities. The treatment strategy depends on the cause, and this must be individualized.

Treatment modalities range from concealment and camouflage to laser treatments, fillers, as well as surgical procedures.

The cause of dark circles can be MULTIFACTORIAL – CONGENITAL – ACQUIRED

Skin characteristics

-Quality of the thin layer of skin that makes up the eyelid.

-Transparency of the eyelid skin, which makes it accentuate the characteristics of the dermis.

-The eyelid consists of minimal or no anchorage of subcutaneous cellular tissue.

-The skin of the eyelid has a close relationship with the orbicularis oculi muscle, which makes aging changes more pronounced in this area.

Characteristics of the surrounding areas.

-Architecture of the ligaments and facial bones.

-Subcutaneous cellular tissue of the middle part of the face.

-Prominence of the orbicularis oculi muscle.

– Abundant and robust vascularization of the area.

Characteristics of the fluids in the area.

-Extravasation of pigmentary decomposition products of hemoglobin (hemosiderin and biliverdin).

-Concomitant diseases that increase local permeability increase the pigment of the area.

– Accumulation of fluid by default in the drainage of the area in diseases (atopy, contact dermatitis, heart failure, diets rich in salt).

-The presence of fluid in the lower eyelid covering the orbicularis oculi muscle translates the area into a purple color.

Age-related changes

-Loss of subcutaneous fat with it, loss of volume and hypertrophy of the orbicularis oculi muscle.

-Loss of volume in the malar region.

-Presence of periocular pseudohernia.

-Hormonal changes.

Medication use

-Medicines taken by mouth such as contraceptives.

-Ophthalmic eye drops analogous to prostaglandins F2.

Environmental factors and sun exposure

-Loss of elasticity, turgor as a result of loss of collagen and elastin.

COMBINED TECHNIQUES TO TREAT EYE BAGS

The first step in the management of dark circles of the lower eyelid is the exhaustive knowledge of the anatomical structure of the area and identify the factors present in its cause to develop a personalized therapy.

Various techniques can be combined, among which we can mention: dermato-cosmetic creams, light devices, local heat, chemical peels, hyaluronic acid fillers, corrective micropigmentation, fat transfer, surgical techniques and surgical implants.

In our center we combine laser light techniques with different wavelengths associated with other non-invasive techniques.

Transconjunctival Blepharoplasty

The skin in the periocular area (eyelids) is the thinnest compared to the skin of the rest of the body, with less collagen and elastin fibers.

The characteristics of the skin in this area and the influence of various external factors such as ultraviolet radiation, sleep, fatigue, genetic factors, etc., please the aging process around the eyes, appearing wrinkles, bags, dark circles or eyelids. fail.

Today it is a reality to perform transconjunctival laser blepharoplasty accurately and safely, using new techniques of fractionally emitted light.

With this technique we are able to stimulate the biological process of reorganization and tightening of the elastin fibers, as well as the partial denaturation of the collagen fibers favoring an immediate tightening and the appearance of new collagen fibers, giving naturalness to the eyelids that will maintain a result firm and settled in time.

It is a non-invasive technique, it is performed on an outpatient basis, topical anesthesia in eye drops. In the post treatment there are no bruises or redness. Immediate incorporation into everyday life. It requires several sessions.

Long-pulse Erbium laser is the treatment of choice to treat the eye contour.

Alopecia

What is baldness or alopecia?

Baldness or alopecia is characterized by weakening, thinning, and abnormal hair loss.

Abnormal hair loss can be effluvium (excessive hair removal) or alopecia (reduction in the number of hair follicles or reduction in their size).

The loss of 100 hairs per day is considered normal.

We are born with a specific number of follicles, around 5,000,000 of which 100,000 are located on the scalp, eyelashes and eyebrows.

Alopecia is classified as SCAR – NON SCAR

1-Congenital or acquired or diffuse scarring alopecia

It is produced by some type of irreversible injury to the hair follicle, generally associated with skin alterations.

Congenital forms: hereditary diseases: localized or diffuse manifestation.

Acquired forms: radiation, burns, infections, herpes, tumors, metastases, lichen planus pilar, lupus, scleroderma, sarcoidosis, trauma.

Diffuse forms: ichthyosis and porphyria

2-Non-scarring alopecia in plaque or diffuse

The alteration of the follicle is reversible and the skin of the affected area remains intact.

Plaque form: alopecia areata, mechanical or friction alopecia, trichotillomania

Diffuse form: androgenetic alopecia, total alopecia areata, collagenosis, hypotoroidism, syphilis, telogenic and anagenic effluvia, alopecia due to fever, chronic anemia, malnutrition, senile.

The most frequent alopecia is AREATA and ANDROGENETICS

Alopecia areata

Alopecia areata is a disease that affects the hair follicles. Hair loss occurs in clumps, leaving hairless areas in the form of clapas or in a generalized way with a total loss of hair from the face and body. It affects 0.2% of the population and its main cause is anxiety and stress. It can be associated with hypothyroidism, vitiligo, atopic dermatitis, etc.

Phases of alopecia areata:

Extension phase: the hair is easily detached to traction, at the very edge of the alopecia there are small 5 mm hairs that also detach to traction.

Stability phase: injured hair does not come off under traction.

Repopulation phase: in case of being reversible, the hair proliferates in the form of hair and without pigmentation.

Androgenetic Alopecia

Androgenetic alopecia is the most common type of hair loss, genetically determined with a shortening of the anagen phase of hair growth in which 85% of the follicles are present, causing hair with a shorter and finer stem with miniaturization of the follicle.

It affects 30-40% of adult men and women.

In the female population, this type of hair loss is better concealed.

What is a hair follicle?

Hair follicles are found on the entire body surface, except for the palms, soles, and eyelids; It consists of epidermal and dermal components.

Dermal cells signal epidermal cells for follicular formation, both cells signal each other.

The hair-sebaceous follicle is a microscopic organ with a complex functional structure. It consists of an upper segment and a lower segment that regenerates in each hair cycle.

The hair follicle contains a great diversity of cell types, including stem cells. It is the most important niche for skin stem cells, with the added advantage of its easy accessibility.

We are born with a certain number of hair follicles, around 5,000,000 of which 100,000 are located on the scalp, eyelashes and eyebrows.

The hair follicle has two types of hair: terminal, long, thick and pigmented hair that extends to the subcutaneous cellular tissue and hairy, thin, short, unpigmented hair that only reaches the superficial or middle reticular dermis.

Hair has a cyclical growth of 1 cm per month with three phases:

-Anaagen phase (active growth), which lasts 2-7 years and in which 80-100% of the follicles are present.

-Catagen phase (regression), which lasts 2-3 weeks and constitutes 1% of the follicles.

-Telogen phase (rest) in which 20% of the follicles remain for 100 days.

The fact that the hair follicle is capable of regenerating multiple cell lines at the beginning of each anagen phase supports the existence of a STEM CELL reservoir; they live in a microenvironment called a niche or nest, where they divide with low frequency.

Structure of the hair follicle.

The hair follicle is made up of two portions: an upper, stable portion, which is not affected by the maturation and shedding of the hair, and a lower portion actively involved in them, which regenerates completely in each cycle. The lower portion contains the STEM CELLS and extends from the insertion of the erector hair muscle to the bulb.

Cellular components of the hair follicle.

Broadly speaking, STEM CELLS, keratinocytes and melanocytes, neurons, blood vessels, mast cell precursors, immune cells and neuronal stem cells stand out.One of the most important characteristics of bulge cells is their quiescence, which is maintained while the surrounding cells they proliferate at a much faster rate. Follicular stem cells are located at the level of the bulb just in the area of ​​insertion of the erector hair muscle. They are cells with a high proliferative potential, multipotent, responsible for regenerating not only hair follicles, but also sebaceous glands and the interfollicular epidermis.

Stem Cell – Alopecia – Laser

The location of the STEM CELLS of the hair follicle in the bulge region may explain why some scarring or inflammatory alopecia leads to permanent loss of the hair follicle (lichen planus pilar, lupus) because the upper portion of the hair follicle is affected, including the In the bulge region, in contrast, the inflammatory infiltrate in alopecia areata affects the bulbar region of the follicle without affecting the bulge. Nowadays, with the knowledge we have about STEM CELLS, we understand that there are interfollicular keratinocytes that can generate new hair follicles and that the stem cell of the hair follicle intervenes in the cell regeneration process. Superficial lesions of the scalp have been shown to mobilize follicular stem cells that rapidly activate the generation of new daughter stem cells in the area of ​​the lesion.

The bulge of the hair follicle contains LRC cells (label retaining cells) that include multipotent stem cells that can generate new hair follicles during the anagen phase and repair lesions in the epidermis.

The bulge is a specialized structure, surrounded by other types of cells, which together provide signals that keep stem cells in an undifferentiated state. To activate these stem cells in an undifferentiated state it is necessary to change the environment of the bulge.

Far infrared laser light therapies represent a promising technological advance for the treatment of androgenetic alopecia based on the activation of LRC cells (label retaining cells) of the bulge of the hair follicle.

It is the ideal procedure for those patients who do not respond to other modalities of local therapies or do not wish to undergo hair transplantation or grafting.

It can be applied as a single therapy or in combination with other therapies.

It is a minimally invasive procedure, does not require anesthesia, and is performed in consultation.

The result is not immediate and several sessions must be carried out.

Hyperhidrosis

Hyperhidrosis is a disease characterized by excessive body sweating, which is more frequently located in the armpits, palms of the hands, soles of the feet, scalp, facial region, lumbar region and grafts. Sometimes it can be associated with the bad smell of the area involved. It is a common disease with few nonsurgical treatment alternatives.

Excess sweating can limit the social, work and partner relationship in a decisive way.

CAUSES OF HYPERHIDROSIS

-Primary hyperhidrosis: Its cause is unknown, and is characterized by perspiration greater than the amount of physiological sweat necessary to maintain thermal homeostasis.

-Secondary hyperhidrosis: It can be due to (Diabetes Mellitus, hormones, infections, tumors, menopause, hypothalamic disorders or certain drugs)

Eliminate Underarm Hyperhidrosis

TREATMENT WITH LASER TECHNOLOGY

In our center we use far infrared laser technology to eliminate hyperhidrosis of the hands and armpits.

With fractional wavelengths the number of sweat glands is reduced and with it excess sweating.

It is a durable, non-surgical method, it does not require anesthesia or an operating room.

It is accepted with good tolerance by patients because it is a non-invasive method.

Other treatment options and their disadvantages

Aluminum salts: Apply as a cream or powder to the armpit to temporarily occlude the sweat ducts. They can cause sweat gland jam hydradenitis.

Iontophoresis: By means of a device the current passes over the armpit. Unspecific method.

Oral anticholinergics: Oral treatments can be combined with local treatments.

These medications are oxybutin, glycopyrralate, and propantheline bromide, which can cause side effects such as dry mouth and eyes.

Botox: Botulinum toxin type A injections have been shown to decrease axillary hyperhidrosis. Effect of 6 – 9 months.

Surgery:

-Thoracic endoscopy sympathectomy. It nullifies the action of the main thoracic ganglia located in the paravertebral chain. Invasive method.

-Liposuction: Using a special cannula, the glands found in the lower part of the dermis are destroyed. Invasive method.

Long-pulse Erbium laser is the treatment of choice to treat hyperhidrosis

Acne

Acne is a multifactorial inflammatory process that is not yet fully understood.

It universally affects young people between the ages of 15 and 20, both boys and girls, although boys

they have a tendency to suffer more intensely from the disease. Appears in all races, the least

affected is the Asian.

Acne in young people is believed to occur as a result of physiological hormonal variation and

alterations in the maturation of the hair follicle.

Heredity can be mentioned as a predisposing factor; as well as contact chemicals

(hydrocarbons, tars), acne can also be induced by drugs (hormones and corticosteroids),

age, ethnicity, tobacco, diet, polycystic ovary, or stress. It should also be noted that the proliferation of

germs of the skin can be indirectly related to acne as is the case of

Propionibacterium acnes.

Acne is divided into two types INFLAMMATORY – NON-INFLAMMATORY

Inflammatory acne

It is a non-infectious inflammatory disorder of multifactorial cause

It is characterized by erythematous papules, nodules, and pustules.

The severe inflammatory variant CONGLOBATA results in the formation of sinus tracts and

visible scarring.

Non-Inflammatory Acne

It consists of open and closed comedones.

Open comedones are small follicular papules that have a central black keratin plug,

This color is the result of melanin pigment oxidation (not dirt); since this plug is

trapped below the surface layer of the skin, these lesions are a potential source of breakage and

follicular inflammations.

Closed comedones are follicular papules with no visible central plug.

Treatment

Laser technology consists of the application of light on acne lesions, whether inflammatory or not.

deeply inflammatory, acting on the sebaceous gland having a sebum-regulating effect,

causing atrophy of the same, with certain wavelengths the laser acts on the proliferation

of the germs of the skin.

Acne, as it is a disorder of multifactorial origin, in its treatment in addition to laser we use

other therapeutic tools combined for best results.

All the procedures used are non-invasive and do not require the application of anesthesia.

Laser Q-Switched Neodymium-Yag is the treatment of choice for treating acne.

Comprehensive Facial Rejuvenation

The skin of the face and hands is the area of ​​the body where the signs of aging are most

visible over time.

The technique of exfoliation of dead cells, epidermal renewal and collagen stimulation is the

perfect combination that allows us to recover the texture of the skin, hydration, reinforce the function of

barrier and repair DNA for healthy, natural skin.

In our center we combine NON-INVASIVE LASER TECHNOLOGY with MEDICAL COSMETICS

THERAPY.

The COMBINED INTEGRAL FACIAL REJUVENATION laser treatment is used to

(wrinkles / spots / tightening / collagen stimulation / eye contour / jaw oval) is the

procedure most in demand in middle-aged women.

With this treatment we manage to treat the skin in different dimensions from the superficial layers to

the deeper ones obtaining a renewed and luminous skin.

It is a non-invasive procedure, it does not require anesthesia, although some patients prefer anesthesia

topical cream for better comfort.

There is erythema about 24 hours, with imperceptible desquamation. You can lead a normal life.

In comprehensive facial rejuvenation it is compatible with other complementary techniques in a way

personalized (fillers, botox, vitamins … etc.).

Sagging (face-neck-body)

Sagging is an indicator of our general health, which is closely linked to our style.

of life; diets low in protein, high in fat and carbohydrates, sudden changes in weight,

toxic habits, genetic factors, etc.

Sagging is the loss of tension in the skin or muscles due to the breakdown of collagen fibers.

and elastin.

It is important to start treating flaccidity preventively from an early age with

the latest technological advances with EFFECTIVE, SAFE, COMPREHENSIVE and NO solutions

INVASIVE.

These technological advances allow us to stimulate the natural collagen of our skin and reprogram

proteins from the superficial to the deepest layers guaranteeing 100% renewal

cell phone and have healthy skin.

In our center we combine NON-INVASIVE LASER TECHNOLOGY with MEDICAL COSMETICS

THERAPY.

NON-INVASIVE LASER TECHNOLOGY to treat sagging consists of heating the collagen inside

of the tissues causing alignment and reorganization of the collagen fibers, thus obtaining

its contraction. The thermal effect that acts on collagen is not limited only to the time of the treatment,

rather, the remodeling process continues with the formation of new collagen, causing tension,

better texture and elasticity to the treated fabrics.

The laser facial tightening procedure is recommended one session for every decade of life. The

sessions are held every 4 weeks. In all seasons of the year. Reminder per year.

THERAPEUTIC MEDICAL COSMETICS has the mission of creating healthy, beautiful and

natural through exclusive and integrable solutions in medical practice.

At Instituto Laser Dra Acosta, we work with products designed for exclusive use

by the medical professional. Its application is dynamic, with protocols adapted to each

patient. In all seasons of the year.

Peeling Laser

Ideal technique for the treatment of the superficial layers of the skin, eliminating the dead cells of the

stratum corneum in case of superficial peels.

Medium and deep peeling can also be performed, assessing the needs of each patient.

With laser peeling we can improve the appearance of the skin, its luminosity, homogeneity of color,

attenuate superficial wrinkles, improve texture, porosity and excess oil.

It is a non-invasive technique, it does not require anesthesia. Recovery of the skin in 48-72 hours.

Laser Q- Switched Neodymium-Yag + Laser Erbium + LED is the combination

perfect for treating skin aging.

Keloid scars

Its cause is unknown. It is considered a benign, slow-growing and progressive skin tumor,

increasing in size over time.

They extend like claws well beyond the original lesion, no matter how small.

They appear around the third decade of life, but can form at any age.

The incidence is the same in men and women. They are more frequent in people of the black race and group

blood A.

Keloids are made up of swirls of fibrous tissue and acellular bands of collagen

thick and eosinophilic; may appear spontaneously without a history of injury to the area of ​​the

neckline; but generally they are formed from a skin injury, such as surgical wound, abrasion,

cryosurgery, electrocoagulation, vaccines, acne, etc. They are preferably located on the ears, face,

joints, deltoids and cleavage.

They can be very unsightly and represent a serious problem for the patient if they are large.

The best treatment is preventive in those patients with a history of poor healing, at

We recommend avoiding cosmetic procedures and the use of piercings.

Once the keloid is established, there are several treatment techniques such as the use of corticosteroids orintralesional bleomycin, 5-fluorouracil, liquid nitrogen, surgical removal, silicone patchesfor mechanical compression, radiotherapy, low power laser light, ablative, subablative, depulsed and percutaneous vascular dye.In the case of active red keloids, with symptoms of pain, itching and stinging, they can beuse laser light treatment techniques to stop your keloid growth, treating theformation of new vessels that nourish the keloid and thus slow its growth, as well asimprove your symptoms.In patients at risk of poor healing and keloid formation, in case of surgical wound,trauma, etc; three weeks after the skin damage has occurred, treatment can be performedprophylactic laser in order to prevent the formation of keloids.

The treatment of keloids is a real challenge, we use combination therapies and notreatment is the most effective. Hypertrophic scarsIts cause is unknown. They appear around the third decade of life, but can be formed at anyage.The incidence is the same in men and women.They are more frequent in people of the black race and blood group A.

Hypertrophic scars are made up of swirls of fibrous tissue and arranged fibroblastsin a messy way.They are formed from a skin lesion such as surgical wound, abrasion, cryosurgery,electrocoagulation, vaccines, acne, etc.They do not extend beyond the site of the original injury, that is, they are confined to this area.They can be very unsightly and represent a serious problem for the patient, if they are large orby its location.

The best treatment is preventive in those patients with a history of poor healing, atWe recommend avoiding cosmetic procedures and the use of piercings.Once the hypertrophic scar is established, there are several treatment techniques such as the use oftopical steroids, liquid nitrogen, surgical reconstruction, silicone compression patchesmechanical, low power laser light, ablative, subablative, pulsed dye and percutaneous laservascular.In the case of hypertrophic red scars, with symptoms of pain, itching and stinging,can use laser light treatment techniques to stop the growth of this, treating theformation of new vessels that nourish the scar and thus slow its growth, as well asimprove your symptoms.

In patients at risk of poor healing, in case of surgical wound, trauma, etc .; at threeweeks after the skin damage has occurred, prophylactic laser treatment can be performed with thegoal of preventing hypertrophic scar formation.

They tend to regress over time, becoming more and more flat and soft, having goodforecast.Acne ScarsAcne scars can be hypertrophic or atrophic. Generally the most frequent is the scaratrophic, where there are retractions of the skin with the appearance of depressions or holes.We can combine various laser wavelengths to reduce or correct acne scars.Sub-ablative fractional methods can be used to remove the superficial layers of the skinattenuating the irregularities of the surface, achieving better texture and homogeneity of the skin.

It exist other non-ablative laser methods to make the sunken atrophic scar regenerate and match the restof the skin surface of its environment.It is a non-invasive method, it requires topical cream anesthesia for better patient comfort.

Long pulse Erbium laser is the treatment of choice for treating scars.

Senile Lentigos

They are generally benign lesions as a result of the proliferation of melanocytes in the presence of melanin deposits (it is the pigment that gives the skin its color and protects us from ultraviolet radiation . Senile lentigos are characterized by being homogeneous flat spots of variable size and brown or brown color. Its size and location is varied, being more selective in those areas of longer prolonged UV exposure as well as short intense exposures duration in the case of sunburn during childhood, adolescence and adults (back of the hands, face, lips, arms, décolleté or back). Its appearance may also be associated with changes hormonal and aging.

Lentigo treatment is purely cosmetic.

There are various techniques for its elimination; Cryotherapy with liquid nitrogen, intense pulsed light (IPL), dermabrasion, and laser light techniques.

Techniques with Q-Switched Neodymium-Yag laser light are more efficient due to their photoacoustic effect and photomechanical over the pigmented lesion, fragmenting the pigment that will then be eliminated through of the body’s own defenses (immune system).

The laser light technique is selective on the pigmented tissue (melanin plaque) respecting the tissue healthy. It is a non-invasive method, it does not require anesthesia, good results due to its selectivity, quick recovery and immediate incorporation into everyday life.

Laser Q-Switched is the treatment of choice for treating lentigines.

Nevus of Ota

It is a disorder of the pigment of the skin that is manifested by a brown or grayish spot. It is frequent in the Asian population, Hindu, black race and less frequently in the white race. It is a stain that remains for life. Pigmentation mainly affects the skin and mucous membranes innervated by the first and second branches of the trigeminal nerve, it can also appear on the hard palate, conjunctiva of the eyes, sclera and tympanic membrane. Its blue tone represents the presence of Ectopic melanocytes in the dermis. It can be bilateral, congenital, but not inherited.

In 50% of the cases it is present at the time of birth and, in the rest, it appears around the puberty.

Melanoma can develop from these lesions, but it is rare.

Various techniques are practiced to treat this type of spot in order to exfoliate the skin, either with chemicals such as chemical peeling, depigmenting mask, dermabrasion, liquid nitrogen; with these techniques can only work on the surface of the stain without reaching the depth with little response to treatment.

There are various laser techniques that allow us to work more deeply such as CO2, Erbium Yag and the Q-Switched laser (Alexandrite 755nm or Neodymium-Yag 1064nm). The Q-Switched laser is the most efficient and selective method in this type of spots due to its effect photoacoustic and photomechanical on the pigmented lesion, they are selective lasers for melanin which is the which gives the stain the brown color.

Its photoacoustic effect fragments the melanin pigment that then it will be eliminated through the body’s own defenses (immune system). It is a treatment effective, quick recovery and immediate incorporation into everyday life.

Q-Switched laser is the treatment of choice for nevus of Ota

Becker nevus

It is a malformation of the skin, similar to a benign tumor. It is characterized by changes in the coloration, hair growth, warty surface, smooth and slightly raised. There are no symptoms.

It appears more frequently in men of all races. Not present at birth, but if before 15 years of age, sometimes later. It is more frequently located on the shoulders and back.

Progressive hair growth occurs after the spot. Pigmentation is related to increase of melanin in the basal layers and not with an increase in the number of melanocytes. Sometimes his presence may be associated with shortening of an arm, or less development of a breast.

It differs from congenital hairy melanocytic nevus because Becker’s nevus is generally not present at the time of birth. The Becker Nevus treatment is for cosmetic purposes. In the case of small injuries, perform surgical removal, but with a high risk of subsequent scarring that can be cosmetically worse than the original injury.

The brown spot and the presence of hairs make Becker’s nevus a mixed skin lesion that is

You can benefit from different non-invasive laser techniques with satisfactory results and low risk of

scars Several treatment sessions are required and recurrence of the injury can occur.

The Q-Switched laser is the treatment of choice for Becker nevus

Melasma or Chloasma

Although it is a strictly aesthetic problem, it has a social repercussion for the patient that

suffers, especially dark people with good tanning ability.

In humans, skin color is the result of a set of factors and conditions that

they interact for their constitution. The pigmentary system is confined to the epidermis, since the

melanocyte is the only cell capable of making melanin. Said system is controlled by a mechanism in

the one involved: hormonal and autocrine regulation phenomena, fibroblasts, as well as

reactive and inflammatory events present in photoaging and photodamage caused by:

The dermis also intervenes in the coloring of the skin due to the presence of blood vessels

superficial, giving reddish and brown tones; for their part, the collagen and elastin fibers give

yellow hue that are added to the aforementioned tones. In addition, the carotenoids ingested in the

diet, they add yellowish even orange hues to the skin.

What is melasma?

Melasma is an acquired hyperpigmentation of light or dark brown color, which appears as a rule

generally in the photo-exposed areas, and decreases in periods in which the patient avoids exposure to the

ultraviolet rays.

Melasma is more common in women. Cases in men only represent about 10%.

It can be associated with pregnancy, taking contraceptive hormones, or possibly with certain

Medicines such as phenytoin, or melasma can be of unknown cause.

Types of melasma

Epidermal melasma: the pigment is located in the most superficial layers of the skin.

Dermal melasma: the pigment is located in the deepest layers of the skin.

Mixed melasma: the pigment is located in both the epidermal and dermal layers.

Treatment of melasma

Melasma may disappear spontaneously months after delivery or after stopping

contraceptive hormones; it may or may not return with each new pregnancy.

The treatment of melasma is a real challenge due to its multifactorial or unknown origin.

Currently, combined therapies are used such as: depigmenting creams, masks and peels, together

with light therapy, although no treatment is the most effective.

The best treatment is prevention, using physical sunscreen every day (titanium dioxide or oxide

zinc). Chemical screens are not recommended to block visible radiation.

Our clinic is a reference pilot center in Barcelona, ​​conducting important clinical trials

based on scientific evidence with innovative technology and protocols, in collaboration with

internationally renowned laboratories.

LED with combined technicians of cosmetic dermatology is the treatment of choice for melasma.

Vascular Injuries

Laser light techniques are the preferred method to treat vascular lesions in a manner precise and safe, without leaving scars and with a fast recovery.

Poor circulation can trigger the appearance of vascular lesions in lower limbs type

varicose veins or micro-varicose veins, these are characterized by the inability to establish an effective return of the blood to the heart; being more frequent in women than in men.

The presence of varicose veins can be attributed to genetic factors, lack of physical activity, age, long working hours standing, hormonal changes during pregnancy, number of pregnancies, habits toxic, etc.

Sometimes varicose veins stop being a merely aesthetic problem to be a given health problem the relationship that these have with the cardiovascular system, which makes it essential to know the cause that originated them. According to medical criteria prior to the treatment of varicose veins, an Eco-Doppler is requested to determine the state of the vascular system.

There are different techniques to treat vascular lesions through the exclusive use of laser or chemical sclerosis.

In the case of varicose veins, the percutaneous laser light technique is very selective on the vessel that we are going to treat, which makes it a safe and effective technique, non-invasive and with a quick recovery.

There are other benign vascular lesions that can appear anywhere on the body in both sexes and can also be treated with laser light techniques: Ruby Point, Rosacea, Rhinophyma,

Hemangiomas and Angiomas.

The Q-Switched laser is the treatment of choice to treat vascular lesions.

Facial-Body-Genitalia

Laser technology capable of effectively treating residual and light hair

WHITE AND BRUNETTE SKINS

Laser hair removal with certain wavelengths and high energy is the technique of choice for permanently remove body or facial hair, in women and men, of all phototypes, of skin, with maximum safety and efficacy following appropriate parameters.

Hair removal is indicated in different conditions such as hirsutism, hypertrichosis, folliculitis, and for merely aesthetic cause.

The laser hair removal technique to permanently destroy the hair must act on the active phase of the growth of it; all hairs do not grow at the same time. The different phases of growth of the hair (early anagen, catagen and telogen), requires several treatment sessions to definitely destroy all follicles in a specific area.

The number of sessions also depends on the color of the hair, its thickness and the part of the body that we are treating.

In the case of female facial hair removal, it is considered one of the most difficult areas to treat, because it is characterized by the presence of fine hair, with little melanin, where in addition the presence of hair can be conditioned by hormonal dysfunctions, which are sometimes necessary to control if we are going to undergo a laser hair removal treatment.

In the case of male hair removal, it is recommended to avoid beard folliculitis and especially to athletes to avoid irritation due to excessive sweating in areas where the hair is denser, thicker and populated.

FRAC3 laser photoepilation technology is the only one capable of treating hair with great efficiency atrophic and clear. It is the ideal procedure to remove residual hair and correct the effects paradoxical regrowth of fine hair caused by other photoepilation technologies.

Contraindications of hair removal

-Pregnancy and breastfeeding

-Treatment with photosensitive drugs

Malignant lesions or suspected malignancy

-History of hypertrophic or keloid scars

-White hair

-Poorly controlled diabetes

-Epilepsy

-Immunosuppressants

-Psychiatric disorders (except with a psychiatric report)

-Unrealistic expectations

-Photosensitive diseases

-Use of anticoagulants

-Patients with recurrent herpes simplex in the area you want to treat

-Active infectious process of any cause

-In the female sex, before menarche

The Q-Switched laser is the treatment of choice for hair removal of all skin types.

Abdomen-Breast-Legs

The stretch mark is a fracture of the skin, which occurs due to a defect in the connective tissue, not being able to against sudden and prolonged stretching.

Stretch marks appear as parallel lines of thin, shiny, reddish skin that over time they become whitish and scar-like.

The causes are diverse, such as rapid skin tightening (pregnancy), postpartum, obesity, abnormal collagen formation, chronic diseases (Diabetes, Cushing, Ehlers-Danlos) use of cortisone-based and nutritional creams.

With laser light techniques we can treat white or pearly stretch marks, using a method not invasive, which does not require anesthesia.

Currently, it is not recommended to treat red stretch marks, allowing them to evolve due to their natural process until they acquire the white or pearly color.

If we treat a red stretch mark, we are interrupting its own natural healing process.

Laser Q- Switched Neodymium-Yag and Erbium-Yag

Recommended treatment to treat stretch marks

Dark and Colored Inks

Today the high incidence of consultations for tattoo removal for different reasons, has become the most demanded laser procedure. Being the laser the best alternative for the elimination of tattoos

In our center we perform the ultimate Q-Switched Neodymium-Yag laser tattoo removal generation, effective and safe method; works selectively on different types of inks and pigments for its elimination, without affecting the rest of the non-tattooed skin; is an advanced technology for all colors of inks, it is also used with very good results in the elimination of pigmented lesions on the skin.

Q-Switched laser types

. Ruby Q- Switched Laser

. Alexandrite Laser Q- Switched

. Laser Q- Switched Neodymium-Yag with its 2 wavelengths and 2 polymers, for all ink colors (black, red, brown, green, blue, turquoise, lilac) and for pigmented lesions.

Tattoos and their history

Tattoos were a Eurasian practice in Stone Age times. The first tattoos decorative come from ancient Egypt where it had a great socio-cultural impact before the era

Pharaonic, regardless of gender or social class. Its purpose was to protect the eyes; the skin of the insects and solar radiation.

Different cultures used and continue to use tattoos. They reflect art, rituals, symbols, body ornamentation, as well as therapeutic use. The designs are made with pigments permanent and are placed at the level of the almost deep dermis.

Types of tattoos

. Hobbyists or amateurs: They are normally small in size and are usually dark blue or black. They are easy to remove and respond faster to treatment. They usually use carbon as pigment.

. Ethnic: In different ethnic groups or tribes they are used to differentiate social classes. They are easy elimination. They are usually vegetable inks.

. Professionals: They are of higher quality, carried out in centers dedicated to this purpose; They are decorative, with more colors, inks last longer, may have organic pigments mixed with metallic elements and respond with greater difficulty to treatment.

. Doctors: Used as guides for radiotherapy treatment.

. Aesthetics or cosmetics (corrective micropigmentation): Makeup of lips, eyebrows, eyelids, areolas, scars. They are tattoos that when receiving laser light can oxidize and change color to black or gray. They are obtained from vegetable and animal fats, combined with aromatic and resinous substances. I know they require many treatment sessions and are difficult to treat.

. Traumatic: They are produced by impregnation of pigments from explosions, traffic accidents, etc. The materials of this type of tattoo are usually varied: graphite, shrapnel, gunpowder, tar, asphalt.

They respond well to laser treatment.

Pigments used in tattoos

. Items used by professionals (validated conventional inks).

. Items used by amateur hobbyists (charcoal particles, burnt wood, cotton, plastic,

paper, India ink, pen ink).

Elements to take into account to remove a pigment

Characteristics of each individual (body defenses and skin color).

Professionalism of the tattoo artist.

Choosing the right laser and the wavelength that corresponds to each color.

Ink depth.

Colors used.

Ink quality.

Ink location.

If the tattoo is with ink or pigment.

Reduction-Oxidation Phenomenon (in case of corrective micropigmentation).

Frequency of treatments

Sessions every 6 or 8 weeks.

Requires 6 sessions or more.

For each session approximately 15% of the ink is removed.

Adverse effects after laser treatment

Whenever we use controlled light to perform a medical procedure, we run the risk that:

There may be adverse reactions, which are usually transient: hypopigmentation, hyperpigmentation, skin texture changes, blisters, topical allergic reactions, fever. There are other unpredictable adverse effects that depend on the genetics of the patient such as keloid formation and the systemic immune response.

Tattoo removal is a non-invasive procedure that requires an expert hand and the

Using a good laser device, these two elements are essential to minimize the adverse reactions.

In our center, Dr. Acosta has a long history in tattoo removal, having

over 4,500 procedures performed.

The Q-Switched Neodymium-Yag laser

Treatment of choice for the removal of inks of all colors

Radiotherapy Fields Points

The removal of ink at the marking points of radiotherapy fields in patients who have been subjected to oncological treatments, its principle is based on the same technique as the elimination of conventional tattoo.

It has no contraindications or interference with the underlying pathology.

The adverse effects are the same that an apparently healthy person can have.

The Q-Switched Neodymium-Yag laser is the treatment of choice.

Eyebrows-Lips-Eyelids

The elimination of corrective micropigmentation of eyebrows, lips and eyelids, its principle is based on the same technique as conventional tattoo removal.

The elements to take into account to remove the pigment, the frequency of treatment and the effects adverse are exactly the same as a conventional tattoo. However, in micropigmentation correction the pigments used are obtained from vegetables, semi-precious stones and animals, which gives them the particularity that when receiving the laser light for its elimination, the pigment can suffer a oxidation process and change the color to black or gray, involving many treatment sessions being difficult to deal with.

Scalp

The elimination of corrective micropigmentation of the scalp, its principle is based on the same technique than conventional tattoo removal.

The Q-Switched Neodymium-Yag laser is the treatment of choice.

Onychomycosis (nail fungus)

Onychomycosis or ringworm of the nails is a superficial infection of the nails, which alter the appearance of the nails. Nails in their color and thickness. Both fingernails and toenails can be affected.

There are three types of fungus that can inhabit the nails; yeasts (mainly Candida albicans), non-dermatophyte molds, dermatophytes (mainly of the genera Trichophyton and Microsporum).

Onychomycosis is the most common pathology that affects the nails in the general population.

Laboratory diagnosis by direct examination of the nail and culture is essential to make a differential diagnosis of other nail pathologies such as psoriasis or lichen.

Treatment of onychomycosis is usually prolonged and with disappointing results when

We employ conventional methods with topical or systemic agents with risk of liver damage for the patient.

There are other state-of-the-art techniques to treat onychomycosis. These techniques are based on light laser with very specific wavelengths.

The technique consists of the penetration of a wavelength of 1064 nm of the Neodymium-Yag, crossing the nail plate (nail) about 3-5mm deep, achieving a heating of 60ºC on the tissue infected, coagulating and denaturing the proteins of the fungus, which leads to the destruction of the fungus and its spores.

Sessions are done every 15 days, with a minimum of 6 sessions, more sessions may be required.

It is a non-invasive method, selective on the infected tissue, it does not require anesthesia and incorporation into everyday life immediately.

The Q-Switched Neodymium-Yag laser is the treatment of choice.

Chronic Candidiasis (genital fungi)

Genital candidiasis appears in non-keratinized mucous membranes of the vulva, vagina, and the foreskin of the penis.

Usually the proliferation of the fungus is due to the individual’s own Candida. More than 20% of women normals have vaginal colonization by Candida. Candida albicans represents 80-90% of fungi genitals.

75% of women experience at least one episode of vaginal yeast infection in their lifetime.

The association between vaginal and vulvar candidiasis is frequent.

There are risk factors such as Diabetes, HIV / AIDS, pregnancy, sexually active or inactive life, old women, teenagers, uncircumcised men. Symptoms are usually of sudden onset, usually prior to menstruation and are characterized by itching, white vaginal discharge like curdled milk, burning, pain during intercourse, discomfort urinating.

There are several topical therapies to treat genital candidiasis (eggs and creams) and orally.

In 5% of women, yeast infection becomes recurrent or chronic, the cause is unknown, and the most women do not have predisposing factors.

In this case, it is difficult to eliminate fungal colonizations with conventional treatments; the mucosa vaginal and external genitalia undergoes atrophic degenerative changes, the vulva turns purplish and the vaginal mucosa becomes shiny dry and thin. Lubrication is reduced and can cause pain or discomfort

During intercourse, the vagina becomes more acidic, thereby increasing the incidence of urinary infections.

Laser therapy helps us to improve degenerative changes caused by recurrent or chronic infection by fungi, as well as atrophic vaginitis with all its range of symptoms. The technique is based on the emission of heat to create new blood vessels, improve the thickness of the vaginal epithelium, stimulate the synthesis of collagen and elastin, increase cellular metabolic activity and release of cytokines (factors of increase).

It is a non-invasive, controlled treatment, without adverse effects, without bleeding, does not require anesthesia and incorporation into daily life once the procedure is finished. Sessions are held every three weeks and two to three sessions are required. All these non-invasive corrective treatments require sessions of maintenance.

Long pulse Erbium laser is the treatment of choice

Contagious molluscum

Molluscum contagiosum or molluscum contagiosum, is a viral disease of the skin at the epidermal level self-limited. The most common source of contamination is person-to-person skin, auto-inoculation, hair and clothes. It is a virus that has a preference for the skin and rarely for the mucous membranes. In children it is usually transmitted by objects, toys or substances capable of carrying infectious organisms such as bacteria, viruses, fungi or parasites from one individual to another, while in adults the contagion is due to bad habits, by having hands contaminated with the virus. It is characterized by the appearance of

Papules or pink bumps, about 5 millimeters scattered on the skin. Treatment is optional for be a virus with a self-limited life, but due to the risk of contagion to other people and autoinoculation we recommend its treatment.

There are various treatment techniques: curettage, cryosurgery, electrocoagulation, topical use of podophyllin, and natural products and laser treatment.

The laser light technique with CO2 and Erbium Yag are the most used for their effectiveness, vaporizing the injured tissue from the most superficial layers to the root of the injury, minimizing recurrences and relapses.

The Erbium-Yag laser offers advantages for being a non-invasive method, does not require anesthesia, with low risk to leave spots on the skin or scars, with a fast recovery period and immediate incorporation to everyday life.

Long pulse Erbium laser is the treatment of choice

Vulgar warts

Warts are skin lesions of variable shape and color, caused by the papilloma virus human (HPV), its presence is the expression of the virus through the skin. The virus can be self-limited so some warts disappear spontaneously. They are usually small lesions, rough, hard, painless, exuberant, yellow, gray or brown in color and may form clumps. Appear to any age most common in children and young adults and are located anywhere on the body (hands, fingers, neck, nail bed).

There are various treatment techniques: surgical resection, cryosurgery, electrocoagulation, topical use of trichloroacetic acid and laser treatment.

The laser light technique with CO2 and Erbium Yag are the most used for their effectiveness, vaporizing the injured tissue from the most superficial layers to the root of the injury, minimizing recurrences and relapses.

The Erbium-Yag laser offers advantages for being a non-invasive method, does not require anesthesia, with low risk to leave spots on the skin and scars, without bleeding, with a fast recovery period and immediate incorporation into everyday life.

Long pulse Erbium laser is the treatment of choice

Plantar warts

Plantar warts (verruca pedis) are caused by the human papillomavirus (HPV) its presence

It is the expression of the virus through the skin. The virus can be self-limited so some warts disappear spontaneously. They are commonly transmitted in public baths and pools, shoes shared computers, computer keyboards, and so on. They are small lesions that appear on the soles of feet, palms, fingers and toes. Its appearance is cauliflower.

When they grow on the footholds they are covered by a layer of hard compact sunken skin and painful from pressure when wandering. Plantar warts usually grow into the skin, with a nucleus rich in vascularization which makes its elimination difficult, and facilitates its reproduction and expansion to neighboring tissues. They are easily spread and are highly contagious. When they grow into fingers and palms are usually soft and form contiguous plates.

There are various techniques to treat plantar warts: surgical removal, cryosurgery, electrosurgery, tricloacetic acid, and laser techniques.

Being inward-growing warts with a deep core rich in vascularity, they must be dealing with laser techniques of specific wavelengths and high precision, which allows us treat the wart in its own core by clotting the blood vessels that give it life, blocking the blood that nourishes it. After a few days the wart dies from malnutrition and falls off on its own.

Neodymium Yag 1064nm wart removal, remove wart by coagulation, it is a non-invasive method, topical cream anesthesia is applied, does not usually leave scars, several are required sessions.

It is the most effective method reducing the recurrences and recurrences of the wart.

The Q-Switched Neodymium-Yag laser is the treatment of choice

Genital warts (condylomata acuminata)

The condylomas or papillomas are caused by the human papillomavirus (HPV); this is a contact virus be it genital, skin or oral sex. It is considered the most common sexually transmitted infection (STI) in the entire

world.

Persistent HPV infection is the main risk factor for the development of cancer.

More than 40 types of HPV infect the genital tract, of which approximately 15 are related to the development of invasive cervical cancer.

Cervical cancer is among the top 10 causes of malignancy in women.

Its transmission mechanism is not clear to date, since warts may be in mechanism of transmission or the presence of the virus in the blood, being difficult to identify the moment in which the disease and who has infected us.

Human papillomavirus (HPV) is expressed by the presence of small warts that appear on the external genitalia, rectum, pubis, urethra, vagina and cervix; These can be flat or acuminate, different colors, pink, brown, white, gray. Its presence can give symptoms of stinging, itching, bleeding from friction and even pain.

There are several treatments to eliminate condylomas or papillomas (imiquimod cream, podophyllin, cryotherapy, electrocogulation, intralesional interferons, laser) these therapies can be combined with the aim of improve relapses and recurrences of virus expression in the skin or mucous membranes. It should be clarified that these treatments are limited to the removal of condylomas or papillomas, but the virus is still present depending on its elimination, on the immunity of each individual.

Laser treatment is within the range of treatment that we can offer, with the advantage that allows to act with precision by vaporizing the verrucous tissue, eliminating the wart from its nucleus.

Given this high precision technique, the recurrences and recurrences of warts are reduced. No bleeding during treatment, it only requires topical cream anesthesia and is a non-invasive method, incorporating immediate to everyday life.

Long pulse Erbium laser is the treatment of choice

Xanthelasma or Syringoma

Xanthelasmas or syringomas are benign tumors of the skin of variable size, they usually appear in older adults or people with high levels of lipids in the blood. They always appear in the form of multiple lesions and their location is always symmetrical, in the form of a colored protruding plaque yellowish. They can appear anywhere on the body (abdomen, neck and armpits) but the area of greater incidence are the eyelids and periorbital area. Its treatment is purely for aesthetic reasons, and various techniques are used for its removal, such as surgical resection, tricloacetic acid peeling,

CO2 laser, and Erbium-Yag laser.

Laser techniques are the most widely used because they allow us to vaporize the lesion from the most layers superficial to the root, eliminating the risk of recurrences or relapses.

The skin that constitutes the eyelids is the thinnest of our body, to treat xanthelasmas located in the eyelids the most used laser is the Erbium-Yag causing a high vaporization precision on damaged tissue while respecting healthy tissue, it is a non-invasive method, without bleeding, with good healing and quick recovery and incorporation into everyday life.

Long pulse Erbium laser is the treatment of choice

Seborrheic keratosis

It is the most common benign skin tumor in adults, of unknown cause where the genetic factor plays an important role and involves the presence of keratinocytes. They present as a single lesion or

Spread throughout the body, its coloration is diverse, it can range from pink to black. This treatment is purely cosmetic.

There are various techniques for its removal such as surgical resection, cryotherapy and laser

CO2 and Erbium Yag.

Erbium-Yag laser light techniques are the most widely used for their multiple advantages; is a method non-invasive, it allows us to vaporize all the exuberant tissue until reaching the root, eliminating the lesion tumor quickly and accurately respecting healthy tissue, without bleeding, without anesthesia, with a good cosmetic result and quick incorporation into everyday life.

Long pulse Erbium laser is the treatment of choice

Actinic keratosis

Actinic keratosis is a premalignant lesion of the skin, it presents in the form of carcinoma in intraepidermal situ. Its appearance can be in the form of spots, reddish plates or scales, these are they detach spontaneously, leaving the surface eroded. Its size is variable. They can accompanied by symptoms such as pain and itching. It affects the most superficial layer of the skin called the epidermis, having a potential risk of developing squamous cell carcinoma.

Actinic keratosis is the result of the modification suffered by keratinocytes at the epidermal level, in areas of the body most exposed to ultraviolet radiation throughout life, as well as

short-term intense exposures such as sunburn during childhood, where the stratum corneum is not thick enough to protect us.

Also sunburns in adolescence and adults are a risk factor for develop actinic keratosis. People with white skin and red hair are high-risk groups.

Actinic kerathrosis mainly affects (cheeks, ears, nose, décolleté, scalp in people with baldness and back of the hands).

Actinic keratosis, once diagnosed, it is essential to treat it quickly and effectively, for its possible complication.

There are different techniques for its elimination; Photodynamic therapy (PDT), cryosurgery, electrocautery, surgical resection and laser light techniques.

The CO2 and Erbium Yag laser light technique are the most used for their effectiveness, vaporizing the tissue injured from the most superficial layers to the root of the injury, minimizing recurrences and relapses.

The Erbium-Yag laser offers advantages for being a non-invasive method, does not require anesthesia, with low risk to leave spots on the skin and scars, with a fast recovery period and immediate incorporation to everyday life.

Long pulse Erbium laser is the treatment of choice

Actinic cheilitis

Actinic cheilitis is a subtype of actinic keratosis that mainly affects the lower lip and has the risk of becoming squamous cell carcinoma skin cancer. It is also known such as solar cheilitis, actinic cheilitis and actinic cheilitis. The lip will appear hard or ulcerated and scaled. The lesions are usually red or white with the presence of fractures at the mucosal lip level.

Actinic cheilitis is closely related to exposure to ultraviolet radiation throughout the life, as well as short-term intense exposures in the case of sunburn during childhood, adolescence and adults. People with white and red skin are high-risk groups.

Actinic cheilitis is a malignant skin disease that must be treated in a way fast and effective for its malignant complications.

There are different therapeutic techniques to treat actinic cheilitis; invasive methods such as bermellectomy or prolonged treatment with inflammatory adverse reactions such as 5-fluorouracil or imiquimod, photodynamic therapy (PDT)

The laser light technique with CO2 and Erbium Yag, are the most used for their effectiveness, vaporizing the injured tissue from the most superficial layers to the root of the injury, minimizing recurrences and relapses.

The Erbium-Yag laser offers advantages for being a non-invasive method, does not require anesthesia, with low risk of leaving spots on the skin or scars, with a fast recovery period and incorporation immediate to everyday life.

Long pulse Erbium laser is the treatment of choice

Trichoepitheliomas

Trichoepitheliomas are benign appendicular tumors with differentiation into the hair follicle.

They appear during puberty, develop on the face and, less frequently, on the scalp, neck and upper chest. It most often affects women. At first they may be few small, pink or skin-colored papules, which gradually grew in number and size and they can be confused with a basal cell carcinoma.

The treatment is for aesthetic purposes and there is a risk of recurrence.

The laser light technique with CO2 and Erbium Yag are the most used for their effectiveness, vaporizing the injured tissue from the most superficial layers until the skin surface is homogenized.

The Erbium-Yag laser offers advantages for being a non-invasive method, does not require anesthesia, with low risk to leave spots on the skin and scars, with a fast recovery period and immediate incorporation to everyday life.

Long pulse Erbium laser is the treatment of choice.

Vulvar and Perianal Zone

Lichen scleroatrophicus is a chronic inflammatory disease that affects the skin and mucosa; just provoke symptoms at the mucosal level. Its cause is unknown, but it may be associated with infection by bacteria type spirochetes (Borrelia).

It is a disease that evolves through outbreaks. It can affect any age group and gender. In women, it is 10 times more frequent than in men.

It is characterized by individual, whitish, ivory, or porcelain-colored, well-defined papules that may converge and form plates. Lesion surfaces may be elevated or in the same plane as the skin normal. In old lesions there may be retraction and atrophy. Blisters, erosions, purpura, and telangiectasias.

In the case of lichen scleroatrophicus on the vulva, the vulva can become atrophic, especially the clitoris or labia minors with reduction of the size of the vaginal introitus. The labia majora and minors.

Scleroatrophic lichen on the glans is ivory or porcelain white, semitransparent with bleeding and purpura.

Patients should be monitored as they can develop squamous cell carcinoma of the vulva and penis.

Among the treatments for lichen scleroatrophicus is the use of potent topical corticosteroids, ensuring that these do not aggravate genital atrophy and use of topical androgens can lead to clitoral hypertrophy.

We can also mention the use of Hydrochloroquine systemically with multiple adverse effects.

Currently there are innovative treatments with laser light to treat lichen scleroatrophicus, these are non-invasive techniques, safe, precise and without adverse reactions.

With laser light we can stimulate the creation of new blood vessels, improve the thickness of the genital epithelium, stimulate collagen and elastin synthesis, increase cellular metabolic activity, release of cytokines

(growth factors).

In the case of women with lichen scleroatrophicus on the vulva, we are able to alleviate the symptoms in the genitals external itching, pain, discomfort in sexual intercourse and improves atrophic vaginitis; in the case of men improve recurrent balanitis and phimosis.

Long pulse Erbium laser is the treatment of choice.

Genital Rejuvenation

The anatomy, coloration and morphology of the external genitalia and the perineum change with pregnancy, childbirth, hormonal changes, use of epilator creams, shaving, medications and with aging itself.

Currently there are innovative techniques with FOTOTERMAL laser light to comprehensively rejuvenate the external genitalia. The technique is based on the emission of heat to stimulate the production of hyaluronic acid and proteins of the external genitalia, in this way the retention of water is stimulated at the level of the mucosa, improving hydration and the structure of collagen, favoring blood flow , increasing the thickness of the mucosa and improving the morphology of the external genitalia.

The FOTOTERMAL laser therapy combined with sub-ablative techniques allows us to improve the coloration of the external genitalia, acquiring a homogeneous tone.

It is a non-invasive, controlled treatment, without adverse effects, without bleeding, it does not require anesthesia and incorporation into daily life once the procedure is finished. Sessions are held every three weeks and two to three sessions are required. All these non-invasive corrective treatments require maintenance sessions.

Lip Correction

With the passage of time the external genitalia lose their usual shape and volume. Sometimes these deformities are born, due to hormonal changes, pregnancy, etc. There are several reasons to remodel them such as aesthetic factors, discomfort when dressing, playing sports and even pain during intercourse.

Today the aesthetics of the external genitalia is highly demanded by women of all ages who can see in lip correction a solution to their most intimate problems.

Currently there are laser light treatments that allow us to eliminate excess tissue in the labia minora, correct asymmetries in all its portions, allowing us to preserve the natural shape of the lip contour and its color.

It is a non-invasive technique, without bleeding, with local anesthesia, convalescence period of 3 days.

Restart to sexual life at 4 weeks.

The degree of patient satisfaction is 95%.

Other combined techniques such as labia majora filling can be used to give the area a more youthful appearance.

Long pulse Erbium laser is the treatment of choice. Pearly papules

Hirsuties Papillaris Genital (Pearl Papules) is a dermatological condition that occurs in 8% of

the men. It is manifested by small protrusions positioned in a row. Its most frequent location is

in the balano-preputial ring (base of the glans). It is not a sexually transmitted disease. Within the causes hereditary factors are involved. They appear from childhood and persist throughout life, decreasing their visibility as age advances. Therefore, its elimination is only due to cosmetic criteria.

There are different methods for its removal (cryotherapy, electrofulguration, cryosurgery, silver nitrate and laser treatment).

Sub-ablative laser treatment allows us to vaporize all the exuberant tissue that constitutes the papule.

pearl, not leaving fibrosis in the treated area, with high precision, without bleeding and immediate incorporation into the daily life.

It only requires topical cream anesthesia. The response to sub-ablative laser treatment has great aesthetic success in the treated area, leaving no signal or sequel.

Long pulse Erbium laser is the treatment of choice.

Fordyce grains

Fordyce lesions or pimples are ectopic sebaceous glands, instead of being located in the dermis, in this case they are located at the level of the epidermis which makes them visible. They are not malignant or infectious. They appear in men and women of all ages. They are small white-yellow grains of 1-3mm in diameter.

They are located in the mucous membranes; oral, vulva, penis and scrotum.

Most doctors consider this to be a normal physiological phenomenon and advise against treatment. For those patients who consider it an aesthetic need, there are various treatment techniques: chemical exfoliation with tricloacetic acid, topical use of isotretinoin, natural products, diathermy or coagulation with liquid nitrogen, electrocoagulation and laser treatment.

The laser light technique with CO2 and Erbium Yag are the most used for their effectiveness, vaporizing the injured tissue from the most superficial layers to the root of the injury, minimizing recurrences and relapses.

The Erbium-Yag laser offers advantages for being a non-ablative, non-invasive method, does not require anesthesia, with a low risk of leaving spots on the skin and scars, without bleeding, with a fast recovery period and immediate incorporation into daily life.

Long pulse Erbium laser is the treatment of choice.

Photothermal Therapy

PHOTOTHERMAL laser therapy

New horizon in the field of gynecology

With the passage of time, pregnancies, childbirth, hormonal changes, hereditary tendencies, lifestyle, diets, stress, toxic habits, etc., cause natural degenerative changes to occur in the vaginal region, pelvic floor and external genitalia.

FOTOTERMAL therapy is used to treat vaginal tissue and external genital organs, by stimulating collagen with laser light, achieving the remodeling of collagen in 30% of the tissues of the urethra and the walls of the anterior and posterior vagina. Immediate, the formation of new collagen favors the thickness, elasticity and firmness of the vaginal canal. The application of laser treatments in gynecology has opened a new horizon for women in the quality of their sexual life, well-being and the body aesthetics of the area.

UROGENITAL SYNDROME

Vaginal hypermobility

Vaginal hypermobility or postpartum vaginal relaxation syndrome is defined as the increase in the inner diameter of the walls of the vaginal canal, this dilation can cause loss of sensations during vaginal intercourse, causing an absence of sexual satisfaction for both the woman and her partner.

The cause is multifactorial, to an excessive dilation of the vaginal wall during childbirth, weakness of the connective tissue of the vaginal wall and the natural aging itself with the passage of time.

Until now, an effective treatment could only be obtained by vaginal plastic surgery of the anterior and posterior walls, or other invasive surgical procedures.

With FOTOTERMAL therapy it is possible to reshape the walls of the vagina, urethra and external genitalia. It is a non-invasive, controlled treatment, without adverse effects, without bleeding, and does not require anesthesia.

Incorporation into daily life once the procedure is finished.

Sessions are held every four weeks.

A minimum of three sessions are required.

All these non-invasive corrective treatments require maintenance sessions.

Stress Urinary Incontinence

It consists of the involuntary loss of urine, and affects a large number of people, mainly women over 40 years of age.

Incontinence occurs when the pelvic floor muscles that control the flow of urine do not work properly; Urine causes pressure on the bladder and it escapes when one of the following actions is performed (coughing, sneezing, laughing, playing sports, physical exertion).

Until today, this type of incontinence has been treated non-invasively by training the pelvic floor muscles using Kegel exercises, but its effectiveness is conditioned by constant and daily compliance with the exercises.

Depending on the degree of incontinence, it can also be treated surgically by grafting a synthetic mesh on the posterior urethral wall. This procedure requires application of anesthesia,

Usually epidural, although in some cases it can be local, and sometimes it may require hospitalization.

Currently with FOTOTERMAL laser treatment applied on the anterior wall of the vagina, the vestibule and the orifice of the urethra, the vaginal mucosa is tightened and retracted, stimulating collagen and giving greater support to the bladder, improving urinary incontinence.

It is a non-invasive, controlled treatment, without adverse effects, without bleeding, and does not require anesthesia. Incorporation into daily life once the procedure is finished.

Sessions are held every four weeks.

A minimum of three sessions are required.

All these non-invasive corrective treatments require maintenance sessions.

Vaginal atrophy

The physiology and anatomy of the vagina and external genitalia change over time, especially as menopause approaches.

Vaginal atrophy affects 40-55% of postmenopausal women.

It is a condition in which the mucosa becomes dry and thin, lubrication is reduced causing pain or discomfort during intercourse, the vagina becomes more acidic and thus increases the incidence of urinary infections. Vaginal atrophy or atrophic vaginitis, being closely related to hormonal changes, is also

can be seen in young patients after delivery or during breastfeeding, however, the prevalence is lower.

With FOTOTERMAL laser therapy, the thickness of the vaginal epithelium improves, the synthesis of collagen and elastin is stimulated, increasing the cellular metabolic activity and the release of cytokines (growth factors).

It is a non-invasive, controlled treatment, without adverse effects, without bleeding, and does not require anesthesia.

Incorporation into daily life once the procedure is finished.

Sessions are held every four weeks.

A minimum of three sessions are required.

All these non-invasive corrective treatments require maintenance sessions.

Genital Prolapse

A considerable number of women suffer from genital prolapse. Its cause is multifactorial, keeping relation with the number of pregnancies, deliveries, decrease in estrogens, defects in the manufacture of collagen and both in quality and quantity, changes inherent to aging, menopause and the anatomical structure itself of the area.

All these factors make the pelvic floor weak and flaccid, breaking the harmony

anatomical that supports the organs of the pelvis.

Genital prolapse occurs when one or more of these organs descend into the vagina, causing multiple inconvenience.

If the bladder descends we are in the presence of a CISTOCELE.

If the uterus descends we are in the presence of a UTERINE PROLAPSE.

If the rectum descends we are in the presence of a RECTOCELE.

The presence of a genital prolapse causes symptoms and signs that negatively affect the quality of life of the woman.

The signs are associated with the presence of a lump that comes out through the vagina, depending on the degree of prolapse. Symptoms include pain, a feeling of low weight, urinary incontinence, pain during sexual intercourse, intestinal disorders when defecating, lumbago, recurrent urinary infection, etc.

In the past, having a futuristic vision of genital prolapse was unthinkable.

Nowadays, by modulating the natural aging process of the pelvic floor, it is possible to lead women through an appropriate METABOLIC ROUTE, working from an early age on the metabolism of the area genital, with efficient and non-invasive alternatives, based on the stimulation of collagen with FOTOTERMAL therapy, doing preventive medicine, prolonging the active life of women, and avoiding invasive surgical interventions.

Early diagnosis leads to a better prognosis.

Genital prolapses should be screened by complementary tests, evaluation and classified by an expert.

Contraindications of FOTOTERMAL therapy

-Oncology patients undergoing chemotherapy -radiation therapy.

-Puerperium.

Spatial situations in which FOTOTERMAL therapy proceeds

-Patients with frame.

-Oncology patients undergoing hormonal therapy.

-High prolaptin.

Laser Erbium is the treatment of choice for Uro-Genital Syndrome

Articular-Muscular

Low power laser light has a biostimulative effect on tissues

Improves pain and restores joint flexibility

We live in a world where life becomes longer and longer, this leads to a progressive advance of chronic degenerative diseases that cause pain, among which osteoarticular and musculoskeletal pain stand out. Osteoarthritis is the most prevalent osteoarticular disease in the world and is the most frequent reason for consultation for pain in the general population. Its most frequent manifestations occur at the level of the spine and knees.

Chronic pain affects the physical and psychological health of the sufferer, with repercussions on daily activities, autonomy, employment and economic well-being.

Currently there are novel therapies to treat pain through low-power laser light therapies. This acts on the painful area, delivering a gentle and sustained caloric stimulus on the pain area, achieving a biostimulative effect.

In the region to be treated there are three mechanisms: photo-thermal (heat), photo-chemical (release of endorphins) and photo-mechanical (vibratory), these mechanisms produce collagen and elastin synthesis, increase in cellular metabolic activity, release of growth factors and tissue regeneration.

It is a non-invasive, controlled, safe, painless, effective treatment with no adverse effects. Several treatment sessions must be done.

Results: 60% -100% of patients improve pain, with immediate analgesia due to depolarization of the sensory fibers, anti-inflammatory due to oxygenation of the tissues and recovery of joint flexibility.

With low-power laser therapy we can treat chronic pain caused by osteoarthritis, but also other osteoarticular and musculoskeletal pathologies that can cause pain: Lumbago, Tarsalgias, Tendinitis, Epicondylitis, Gonalgias, Cervicalgias, Menisci, Omalgia, Plantar Fasciitis, Trigeminal Neuralgia , Post surgical halux (bunions).

The Q-Switched Neodymium-Yag laser is the treatment of choice.

With an innovative laser light technique we treat the acoustic phenomenon of snoring, recovering your quality of life and coexistence.

Snoring is an acoustic phenomenon that occurs during sleep, as a result of resistance to airflow in the upper airway.

There are various factors that condition the appearance of snoring and sleep apnea, such as obesity, alterations in the skull-facial morphology, large tongue, short and thick neck, alterations in the soft palate of the hypertrophic type, laxity of the pharyngeal walls, copious dinners , alcohol, smoking, sedentary lifestyle, stress, nasal obstruction, sleeping on the back and breathing through the mouth.

When we talk about snoring, it is simply a nuisance that can influence coexistence. On the contrary, sleep apnea can have serious consequences, because oxygen concentration drops during sleep.

Snoring and sleep apnea generally go hand in hand. For decades the only way to treat sleep apnea and snoring has been with aggressive surgical methods (removal of the soft palate, uvula or tonsils) with general anesthesia and painful postoperative. With an immediate improvement rate of 94%, these patients stop snoring, but after one year the improvement rate drops to 35%.

None of the surgical techniques used so far has been 100% effective, so many of them have been discontinued. Today, we have non-surgical procedures to treat snoring, using an innovative laser light technique which consists in acting safely and precisely on loose tissues that vibrate and collapse.

during breathing while we sleep.

With the laser we achieve an increase in the production of collagen, tightening and retraction of the structures that make up the soft palate and pharyngeal walls; By giving consistency to these tissues, they stop vibrating and do not collapse, improving the acoustic phenomenon of snoring.

It is a non-invasive method, it does not require anesthesia, it is performed in consultation, it is not painful, it is innocuous, it is selective on the tissue we want to act on while respecting the neighboring tissue.

Immediate recovery and fast onboarding

everyday life. A minimum of 5 sessions are required, which take place every 21 days. This corrective technique requires a reminder, two sessions per year.

The innocuousness of the technique makes it easier for us to do it whenever necessary.

Laser Erbium is the treatment of choice for Uro-Genital Syndrome