Precise Removal of Deep and Protruding Moles

Dual Laser Technique

Moles are one of the skin lesions that appear when melanin-rich cells excessively accumulate and proliferate in the epidermis or dermis of the skin.

While moles may look similar on the surface, their location and depth within the skin vary, leading to differences in treatment approaches.

The Er-YAG laser can be used to precisely refine the shallow layers of the skin. This allows for the removal of moles close to the epidermis while minimizing stress on the surrounding skin.

This laser can be carefully applied, especially for facial mole removal, as it reduces recovery burden and can lead to cosmetic improvement. Next, a CO2 laser is used to gently cauterize the deeper parts of the mole with thermal energy. This process helps to clear melanin cells that may remain deep within the skin, reducing the likelihood of the mole recurring.

Especially in the following cases, a finishing process using a CO2 laser can be considered:

-When the mole's surface is slightly raised or feels volumetric when touched

-If you have experienced a mole reappearing in the same location in the past

-When dermal nevi, deeply rooted in the dermis layer of the skin, are suspected (e.g., blue moles, grayish-brown moles, etc.)

Flat warts are a skin condition caused by human papillomavirus (HPV) infection. They typically spread widely in the epidermal layer, appearing as thin, flat, small, brownish or flesh-colored lesions visible to the naked eye. They are more likely to occur when immunity is weakened and can spread to other areas, requiring prompt attention.

The Er-YAG laser can be used to uniformly smooth the epidermal layer of the skin. Therefore, its application can be considered for widely distributed flat wart lesions.

It is used to evenly remove lesions while minimizing stress on the skin surface. However, since flat warts are a viral disease, there is a possibility of recurrence if only the superficial part of the lesion is removed. Therefore, a finishing process using a CO2 laser to apply subtle thermal stimulation to the area around the lesion can help to further clear potentially remaining virus-infected cells in and around the epidermis, thereby reducing the likelihood of recurrence.

In the following situations, combining a CO2 laser finishing treatment may be considered more carefully:

-When the lesion's borders are not distinct, or it feels flat and spread out when touched. It may also be considered for individuals with weakened immunity due to stress, lack of sleep, etc.

-If you have experienced the lesion reappearing multiple times previously

-When the lesion is in a location that is frequently touched, such as the hands or face, or is prone to spreading to other areas

Milia are small, white, cyst-like lesions that occur when keratin (a type of skin protein) accumulates within the skin. They are often observed around the eyes, on the cheeks, or forehead, and unlike sebaceous cysts, they are considered a cosmetic concern with less association with inflammation or infection.

The Er-YAG laser can be delicately used to treat milia. It works by precisely refining the skin surface to remove the thin outer layer of the milium, creating an opening for the trapped keratin inside to be smoothly discharged. After lesion removal, a finishing process involving gentle cauterization with a CO2 laser can help reduce the possibility of remaining keratinocytes proliferating again, thereby preventing milia from recurring in the same spot. However, excessive thermal stimulation to the skin can cause hyperpigmentation, requiring precise energy control.

Situations where combining CO2 laser finishing treatment can be beneficial include:

-When milia frequently and repeatedly occur in the same location

-If you have experienced lesions reappearing during the recovery process after treatment

-If you wish for the skin surface to settle evenly after removing multiple milia and during recovery

Syringomas are benign skin lesions that arise from an excessive proliferation of sweat glands (eccrine glands) in the dermis layer of the skin. They appear as multiple small, firm, bead-like lesions typically around the eyes, on the cheeks, and forehead. They tend to be influenced by genetics or are relatively common in women in their 20s and 30s.

The Er-YAG laser can be used to delicately refine the skin's epidermis, allowing for a cautious approach to managing syringomas in sensitive areas like around the eyes. This method involves smoothing the skin surface while carefully removing the upper part of the sweat gland lesion. During the recovery process, there is less risk of scarring or hyperpigmentation, offering the potential for cosmetic improvement. Following this, a CO2 laser applies thermal energy to

a finishing process that applies subtle thermal stimulation to the deeper parts of the lesion can follow. This helps regulate the activity of sweat glands within the dermis, thereby

it can help manage the recurrence of syringomas in the same area. However, due to the deep nature of syringoma lesions, multiple treatment sessions may be required.

In the following situations, combining CO2 laser finishing treatment may require a more cautious approach:"-When multiple syringomas are distributed relatively deeply under the eyes or on the cheeks, etc."-If you have experienced lesions reappearing despite receiving multiple laser treatments previously"-When aiming to increase the possibility of recurrence management with a single treatment

Skin tags are benign skin lesions that appear when fibrous tissue and blood vessels in the dermis layer of the skin excessively proliferate. They are typically found in skin folds such as the neck, armpits, under the breasts, and on the eyelids, appearing as small, skin-colored protrusions. They are usually painless but can become irritated by friction. For skin tag removal, CO2 lasers are generally preferred due to their tissue-cutting ability and hemostatic effect, which can help quickly clear multiple lesions. However, for small and thin skin tags, an approach might involve first precisely refining the lesion surface with an Er-YAG laser, followed by gently cauterizing the base of the lesion with thermal energy using a CO2 laser. This approach can help manage the underlying tissue of the skin tag and reduce the likelihood of it reappearing in that area. Thermal stimulation can affect fibrous cells and microvessels within the tissue, potentially inhibiting the environment for recurrence.

Situations where combining CO2 laser finishing treatment may require a more cautious approach include:"-When skin tags are located in areas of frequent friction, such as the neck or armpits"-If you have experienced skin tags reappearing in the same area despite previous removal treatment"-When the lesion's root is deep and widely spread (a type where a raised trace might still be felt after treatment)

Thus, by matching the depth and nature of skin lesions,

applying two types of laser treatments together,

the so-called 'Dual Laser Technique',

is an approach that can help increase treatment satisfaction.

DuoDERM (healing patch) used after mole removal, how long should it be applied for?

-병변의 뿌리가 깊고 넓게 퍼져있는 경우 (시술 후에도 흔적이 도톰하게 느껴질 수 있는 유형)

이처럼 피부 병변의 깊이와 성격에 맞춰

두 가지 종류의 레이저 시술을 함께 적용하는

이른바 ‘듀얼 레이저 테크닉’은

시술의 만족도를 높이는 데 도움을 줄 수 있는 접근 방식입니다.

점 제거 후 사용하는 듀오덤(재생 밴드), 어느 정도 기간 붙여야 할까요?

Mole removal procedures involve gentle stimulation of the skin surface, and this process may cause temporary physical changes to the skin.

Therefore, properly protecting and managing the treated area is a crucial step for recovery.

Maintaining a moist environment, especially to prevent the treated area from drying out, can aid in faster recovery and reduce the likelihood of scarring.

For this management, applying a hydrocolloid dressing like Duoderm is sometimes recommended as one method.

Duoderm can help maintain a moist state for the wound area, promoting cell regeneration and slowing down scab formation, thereby contributing to reducing the risk of scarring.

After applying Duoderm immediately after mole removal, consistently managing it by replacing it every 3-5 days for at least 7 days can contribute to effective recovery.

Generally, we recommend considering a total management period of about 10 days.

If you experience discomfort with Duoderm or develop an allergic reaction, you should frequently apply a regenerative cream or moisturizing gel to prevent the skin from drying out. Additionally, it is necessary to meticulously apply sunscreen with SPF 50 or higher and manage the area by avoiding direct touching of the treated site.

Proper care after mole removal goes beyond simply protecting the wound; it is a crucial process that can positively impact the final outcome of the procedure.

Carelessness in management can potentially leave unwanted marks, so it's advisable to continue paying attention and exercising caution after the procedure.

We provide detailed explanations on post-procedure care methods to help our patients recover quickly and healthily.

Who Should Consider the Procedure

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• 1. The procedure may be considered for individuals who have had skin concerns due to moles, lentigines, milia, syringomas, or skin tags.
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• 2. Even if a mole was previously removed but has reappeared, a consultation can determine whether the procedure is suitable.
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Procedure Steps

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• STEP 01. Self-cleansing
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• STEP 02. Anesthetic cream application
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• STEP 03. Mole Removal Procedure
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Post-Procedure Precautions

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• ㆍIt is advisable to avoid direct contact with water on the treated area. (In some cases, facial cleansing is possible after Duoderm application.)
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• ㆍDuring the skin regeneration period, it is recommended to consistently replace and apply regenerative tape for about 10 days.
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• ㆍThere is a possibility that moles may reappear in the removed area, and if re-treatment is considered, we recommend doing so after approximately 2-3 months.
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• ㆍFor deep-rooted moles, complete removal may be difficult with a single procedure, and repeated treatments might be necessary.
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• ㆍAfter the procedure, it is important to avoid sun exposure as much as possible. Sunscreen is essential, and applying it over Duoderm can also be helpful.
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