Kiko Kono, M.D.
Profile
Graduated from Kawasaki Medical School. Worked as a dermatologist for about 20 years at core hospitals. After many years of experience and achievements, he became a cosmetic dermatologist. His practice style is to examine the skin thoroughly and pursue what is happening where on the skin and approach the problem. Her specialties include customized treatment, laser treatment, Botox, and skin growth injections. In her private life, she is a mother of two children.
Some people may be concerned that scabs do not form after undergoing laser blemish removal. Is there a reason why a scab does not form? In this article, we will explain the process after laser spot removal and the reasons why scabs do not form. We will also answer some questions about scabs, so please refer to this article if you are concerned about the process after laser stain removal.
What is a spot removal laser?
*Image is for reference only.
A spot removal laser reacts to melanin pigments to improve melasma and spots. First, we will introduce the types of spot removal lasers and the process after treatment.
Types of Blemish Removal Lasers
シミ取りレーザーは、治療の特徴や期待できる効果などに応じ、いくつかの種類があります。ピコ秒（1兆分の1秒）単位で照射するピコレーザーは、メラニン色素のみを狙って破壊できるため、照射回数が少ないことが特徴です。レーザートーニングは、弱い出力でシミを少しずつ薄くしていくため、ダウンタイムがほとんどない一方で、複数回にわたって照射を続ける必要があります。この他、Qスイッチルビーレーザーやフラクショナルレーザーなどでも施術可能です。
In YAYOI CLINIC,Cerec V, TriBeam Premium (Q-switched Nd:YAG laser), Q-switched ruby laser, etc.、シミに対する機械治療があります。治療したいシミの種類や希望するアプローチ方法によって選択できるので、ぜひご相談ください。
Progress of laser spot removal
シミ取りレーザーの治療後の肌状態は、使用する機器の種類により異なります。一般的な、シミ取りレーザーの経過を見てみましょう。
【シミ取りレーザーをした後の肌状態】
- Scabbing lasts about 1 week.
- After treatment, use a protective seal to protect the affected area
- The scab will naturally peel off and new skin will form in about 1 week to 10 days after treatment.
- Post-inflammatory hyperpigmentation may be seen in the area where the spots were located from about 2 weeks to 1 month after the treatment.
- If post-inflammatory hyperpigmentation is observed, it will settle down in as little as 3 months or as long as 6 months to 1 year.
Most cases of post-inflammatory hyperpigmentation will disappear with time, but in some cases, aftercare may be provided through the use of topical medications.
What causes no scabbing after laser spot removal?
In general, Q-switched ruby lasers, pico lasers, limelight, and Q-switched YAG lasers are treatments that often form scabs after treatment. If a scab does not form over the treated area despite the use of a blemish removal laser that is supposed to scab over, let's look at what causes this.
It's not like a scab that forms after an injury.
When you hear the word "scab," you may imagine a thick, dry shape like those that form after an injury. However, scabs after laser blemish removal look somewhat different from normal scabs, such as fine dots, a thin brown film, or a darker color. This difference from the imagined scab may cause the patient to mistakenly believe that no scab was formed.
When the irradiation output is too weak
Even if a treatment that causes scabbing has been performed, scabbing may not occur if the spot-removing laser is performed with a device that has a low irradiation power. In this case, the power of the laser on the blemish is weak.Melanin pigment is not destroyed and spots are not improved。
When the irradiation output is too strong
Excessive power may also cause scabs to fail to form. In particular, when irradiating dark spots or freckles, the laser is likely to overreact, resulting in a failure to scab over the spots. This is due to the fact that the blemish tissue disperses and disappears as soon as the laser is applied. The blemish tissue is destroyed, though, so the blemish itself does not remain,May cause significant skin damage and hyperpigmentation. Some equipment may be too powerful to treat at the lowest output, so choose a clinic that uses equipment that can handle a wide range of outputs.
If the pigment is only in the deep layer
Even if the stain you wish to treat is in a deeper layer, it may not scab over after the stain removal laser. Blemishes that do not scab easily include nevus ota, ectopic mongolian spots, nevus ampullus, ADM (acquired dermal melanocytosis), and tattoos. If laser treatment is performed on these spots, there is no need to worry because they do not scab over. If you are unsure of the type of blemish, check with your doctor.
What to do if a spot does not scab over after laser treatment for blemish removal
Q-switched ruby lasers and pico lasers are treatments that tend to form scabs when irradiated at the correct power. However, even in the unlikely event that a scab does not form, it is usually not a failure. This is because spots will gradually improve over several months to a year after irradiation,We'll see how it goes for a while.。
ただし、医師によっては施術後の痛みや色素沈着を考慮して弱い出力で照射しているケースもあります。この場合は、かさぶたにならず期待した結果も得られない可能性があるため、出力を変更してもらう必要があります。まずはクリニックに相談してみましょう。
Frequently Asked Questions about Laser Blemish Removal
シミ取りレーザーの経過画像をブログなどで見て「私とは違う」と不安に思われている方もいるかもしれません。
ここからは、シミ取りレーザー治療に関する、よくある質問にお答えしていきます。
How many days does it take for the scab to come off after spot removal laser treatment?
Scabs are usually removed after laser spot removal.After approximately 1 week to 10 daysThe scab will fade and come off as the days pass. If the scab does not peel off after 10 days, do not try to force it off.
What if the scabs come off too quickly after spot removal laser treatment?
If the scab comes off too quickly or you are concerned about peeling it off, you can first use the spot removal laser'sConsult the clinic where the procedure was performed.Please do so. The skin with the scab removed is weak and care must be taken not to cause friction or sunburn. Pigmentation may appear more intense, so aftercare may take longer.
What remains black without scabbing after spot removal laser treatment?
In some cases, the skin does not scab over and remains dark. There are many possible causes of darkening of the skin after laser spot removal, but one isStrong reaction and prolonged inflammation.The second is the case, despite the fact that it is actually a scab,I'm assuming it's not a scab because of the way it looks.Case. Finally,Temporary darkening and darkening of spotsIn this case, the skin will most likely fade over time. In most cases, the skin will fade over time, so it is advisable to follow the aftercare instructions given by the clinic, such as ointments and tapes, and see how the skin responds.
Is it ok to stay red after spot removal laser?
You may also be concerned if you remain red or swollen after a spot removal laser. if the redness persists for more than a month,postinflammatory erythemaだと考えられます。
また、シミ取りレーザー後の色素沈着は、3ヶ月～半年くらいすると徐々に薄くなっていくはずなので、しばらく様子を見てみましょう。その間、指示されたアフターケアはしっかりと行ってください。
Is it safe to wear makeup after spot removal laser?
Immediately after the spot removal laser, the scab may not have fully formed. If the scab has not yet formed, it may cause significant stress to the affected area,Makeup and face wash should be avoided.It is recommended to wash your face with lukewarm water and rinse it gently. When washing the face, it is recommended to just rinse it gently with lukewarm water. Do not apply ointments or tapes to avoid straining the skin. Also, follow the rules of aftercare, such as taking measures to protect against ultraviolet rays.
Conclusion
シミ取りレーザー後は、多くの治療でかさぶたができますが、シミの種類や治療内容によってはかさぶたにならない経過をたどるケースもあります。今回の記事を参考に、治療の経過やかさぶたにならない理由を理解しておくことで、安心して施術に臨めるでしょう。治療後、かさぶたにならなかった場合でも、心配しすぎず状態をしっかり観察し、必要に応じて施術したクリニックに相談してみてください。
広島の美容皮膚科・美容内科・美容外科・アートメイク YAYOI CLINIC（ヤヨイクリニック）では、お肌、お身体、お顔のお悩み別に治療法をご紹介しています。
皆さまにより良い選択肢をご提案できますよう一人ひとりのお肌の状態を見極め、治療期間やご予算、ダウンタイムの許容範囲などご希望に合わせた治療方針を立案していく考えです。
お悩みのある方は、まずはカウンセリングにお越しください。
【治療の内容】IPL（フォトフェイシャル）
【当院採用機器】セレックV
【治療期間および回数】2～4週間おき、計3～10回程度
【費用】全顔1回 ¥21,780
【リスク・副作用等】痛み、皮膚の損傷、色素沈着、傷跡、過度の浮腫、紅斑、紫斑など
【使用機器について】
Cellec V treatment includes procedures using unapproved drugs or medical devices in Japan.
・治療に用いる医薬品および医療機器は、当クリニックの医師の判断のもと、Jeisy Medical Incより個人輸入手続きを行ったものです。
個人輸入における注意すべき医薬品等に関する情報は、下記をご参照ください。
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
・諸外国における安全性等に係る情報。以下の認証を取得しています。
CE(2018.10)MFDS(2017.8)
There is a possibility that serious risks, side effects, etc. have not been identified.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.
【治療の内容】 QスイッチNd:YAGレーザー（レーザートーニング）
【当院採用機器】トライビームプレミアム
【治療期間および回数】週1回、計5～6回程度
【費用】1回 ¥21,780
【リスク・副作用等】赤み、炎症後色素沈着、瘢痕形成、色素脱失など
【使用機器について】
TriBeam Premium treatments include procedures using domestically unapproved drugs or medical devices.
・治療に用いる医薬品および医療機器は、当クリニックの医師の判断のもと、Jeisy Medical Incより個人輸入手続きを行ったものです。
・個人輸入における注意すべき医薬品等に関する情報は、下記をご参照ください。
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.
【治療の内容】Ｑスイッチルビーレーザー
【当院採用機器】Ｑスイッチルビーレーザー
【治療期間および回数】通常1回
【費用】シミ取り1ショット ¥1,500 施術料 ¥10,000、シミ取り放題 ¥98,000
【リスク・副作用等】赤み、痛み、点状出血、色素沈着
【使用機器について】
・Ｑスイッチルビーレーザーの治療には、国内未承認医薬品または医療機器を用いた施術が含まれます。
・治療に用いる医薬品および医療機器は、当クリニックの医師の判断のもと、Jeisy Medical Incより個人輸入手続きを行ったものです。
・個人輸入における注意すべき医薬品等に関する情報は、下記をご参照ください。
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
機械器具(31) 医療用焼灼器 高度管理医療機器 ルビーレーザー（36189000）
特定保守管理医療機器 設置管理医療機器 ザ・ルビー Z1 Nexus
There are no other domestically approved drugs with the same ingredients or performance.
・医療機器承認番号:30200BZX00022000
There is a possibility that serious risks, side effects, etc. have not been identified.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.
【治療の内容】ピコレーザー
【治療期間および回数】
・ピコトーニング：2週間〜1ヶ月おき、計5〜10回程度
・ピコフラクショナル：1ヶ月おき、計3〜10回程度
・ピコスポット：1回〜3回程度
【費用目安】
・ピコトーニング：1回 ¥5,000〜 ¥20,000程度
・ピコフラクショナル：1回 ¥15,000〜 ¥80,000程度
・ピコスポット：1回 ¥5,000〜 ¥30,000程度
【リスク・副作用等】赤み、腫れ、色素沈着など
※当院ではこちらの施術の取り扱いはございません。
