According to Hartman, there are several modalities that can be used to tighten the skin. Over time, technology just got better and better at serving different skin types. Below is a breakdown of some of the top lasers Hartman works with, as well as some key factors to consider when deciding which laser is best for you.
CO2 laser: “There have been devices on the market that have been able to tighten certain skin from a resurfacing standpoint for many years,” Hartman explains. CO2 lasers, which he calls the gold standard for surface resurfacing lasers, do their job from a position where they really affect the outermost layer of skin, the epidermis. This means that CO2 lasers start on the surface of the skin and move deeper and deeper, so they can make big changes on all the layers of skin they hit when their energy is put into the deeper layers where collagen production takes place. Sounds great, doesn’t it? Well it is … unless you are a melanated skin person. “Since our melanocytes live in the epidermis – this is where our pigment-producing cells are located – these are not lasers that everyone can safely use and that can be certain that the skin will not lose any pigment.” says Hartman. Due to the generally higher oil content and built-in sunscreen from melanin (imagine an automatic sun protection factor of around eight to ten), black and tan skin usually doesn’t age the way these types of lasers would anyway, Hartman points out. (Price: $ 250 to $ 5000 depending on your location, the type of laser used, the number of treatments required, and the size of the treatment area. Speak to a qualified professional for a quote.)
Fractional lasers: In the last Hartman says that fractional lasers (Fraxel is a popular one) emerged as the first color-blind resurfacing lasers for melanated and non-melanated skin without the risk of negatively affecting melanin production. Aside from renewing the pigment and firming the skin, these lasers can treat intense scars on the face and elsewhere, according to Hartman, and are top choices for stretch marks. “It helps with acne scars, wrinkles and fine lines, and we also use it for hypertrophic, thick scars and keloids. Once the keloid is no longer active, [the laser] can seal it to improve its appearance and stop the cycle of constantly flaring up, “explains Hartman. (Price: $ 500 to $ 2,500, depending on your location, the type of laser used, and the number of treatments required, and the size of the treatment area. Speak to a qualified professional for a quote.)
High frequency and high frequency microneedling: The most exciting breakthrough in skin-tightening laser technology, according to Hartman, has been the development of high-frequency microneedling over the past five to six years. “It really changed the game because instead of delivering the energy from the surface of the skin where you have to bond with the epidermis and risk discoloration or depigmentation, these devices deliver heat through titanium-coated needles that bypass the epidermis and get into the dermis where it’s most effective to really tighten the skin, when the first high frequency devices came out the needles weren’t affected and we saw the same problem where we had this heat that we had to focus on the dermis, in the the fibroblasts are in place so we can stimulate collagen production, however if you heat tan skin above 44 ° C you would cause burns and hyperpigmentation which is no fun; instead of just resting on the surface, it now delivers the heat through that titanium coated needles that are so much safer and completely color blind. “(Price: $ 300 to $ 2,000, depending on Your location, the type of laser used, the number of treatments required and the size of the treatment area. Talk to a qualified professional for a quote.)