[Skin Lesion Removal] Laser Removal of Skin Tags, Milia, Seborrheic Keratosis, Warts

Dual Laser Treatment Techniques

Moles are lesions caused by an abnormal increase of melanin pigment in the epidermis or dermis.

While they may appear as simple pigmentation on the surface, the removal method varies depending on the mole's location and depth.

The Erbium-YAG laser is useful for precisely and superficially ablating the epidermis, which can help remove shallow moles while minimizing skin damage and refining the lesion.

It can be used for mole removal on the face, as it helps reduce the risk of scarring and promotes natural skin improvement. Subsequently, the process of finishing the mole's root with heat using a CO2 laser can help eliminate residual melanin cells in deeper layers, thereby reducing the likelihood of mole recurrence. This contributes to reducing the risk of 'recurrent moles,' where only the surface lesion is removed, but the root remains and regrows.

Adding CO2 laser finishing may be particularly helpful in the following cases:

-When a mole is slightly raised or feels thick to the touch

-If you have a history of mole recurrence in the same area

-When determined to be a deep dermal nevus, such as a blue or grayish-brown mole

Flat warts are viral skin lesions caused by human papillomavirus (HPV) infection. They primarily spread across the epidermal layer, appearing as thin, widely spread, small brownish or flesh-colored lesions. They tend to occur when immunity is weakened and can spread through self-contact, so early management is recommended.

The Erbium-YAG laser is suitable for evenly ablating the epidermal layer, making it effective for widely distributed flat warts,

helping to manage them efficiently in one session. It can be used to uniformly remove lesions while reducing the burden of skin damage. However, viral lesions carry a risk of recurrence if only the visible parts are removed. In such cases, the finishing process of applying thermal stimulation to the area around the lesion with a CO2 laser can help eliminate any remaining virus-infected cells in and around the epidermal layer, thereby reducing the likelihood of lesion recurrence.

CO2 laser finishing can be particularly helpful in the following cases:

-When the lesion's borders are indistinct or feel flat and spread out to the touch-Individuals with weakened immune function due to stress, lack of sleep, etc.

-If there is a history of the lesion recurring multiple times

-When lesions occur in areas prone to frequent contact or easy spreading, such as hands or face

Milia are small, white, pocket-like lesions formed when keratin (a type of skin protein) becomes trapped beneath the skin surface. They primarily appear around the eyes, on the cheeks, and forehead, and unlike sebaceous cysts, they are cosmetic concerns not directly related to infection or inflammation.

The Erbium-YAG laser can be used for milia removal. It precisely ablates the skin surface to remove the thin epidermal layer of the milium, creating a pathway for the internal keratin to be safely expelled. Light cauterization with a CO2 laser after the procedure can help reduce the possibility of residual keratinocytes regenerating and manage recurrent milia in the same area. However, excessive thermal stimulation to the skin can cause hyperpigmentation, so precise intensity control is crucial.

CO2 laser finishing can be particularly helpful in the following cases:

-When milia frequently recur in the same location

-If there is a history of lesions reappearing during the recovery process after treatment

-When expecting generally even results during recovery after removing multiple milia

Syringomas are benign skin lesions caused by an excessive proliferation of sweat glands (eccrine glands) within the dermis. They are characterized by multiple small, round bumps appearing around the eyes, on the cheeks, and forehead. They often have a genetic predisposition and are frequently observed in women in their 20s and 30s.

The Erbium-YAG laser can precisely and thinly remove the epidermis, making it useful for managing syringomas in sensitive areas like around the eyes. It is used to refine the skin surface and remove the upper part of the sweat gland lesions, which can help reduce the risk of scarring or pigmentation during recovery, leading to aesthetic improvement. Subsequently, by applying heat with a CO2 laser,

the finishing method of delivering subtle thermal stimulation to the deeper parts of the lesion can weaken the activity of sweat glands within the dermis,

and help reduce the recurrence of syringomas in the same area. However, as lesions often reside deep, multiple treatment sessions may be required.

CO2 laser finishing may be helpful when performed together in the following cases:

-When multiple syringomas are relatively deeply located in areas such as under the eyes or on the cheeks

-If there is a history of recurrence despite having received multiple laser treatments previously

-When expecting effective recurrence management with a single treatment

Skin tags are benign skin lesions that appear due to an excessive proliferation of fibrous tissue and blood vessels in the dermis. They commonly occur in areas where skin folds, such as the neck, armpits, under the breasts, and eyelids, often appearing as small, skin-colored protrusions. While they are usually painless, they can become irritated by friction. Generally, CO2 laser is primarily used for skin tag removal, as its excellent cutting ability and hemostatic effect allow for quick management of multiple lesions. However, for small and thin skin tags, precisely ablating the lesion with an Erbium-YAG laser followed by finishing the base with a CO2 laser can be beneficial. This method can help reduce the likelihood of recurrence in that area by addressing the skin tag's root tissue. Thermal stimulation can also affect fibrous cells and microvessels within the tissue, helping to suppress the recurrence environment.

CO2 laser finishing, when performed together, can be helpful in the following cases:

-When skin tags are located in areas with frequent friction, such as the neck or armpits

-If there is a history of skin tags recurring in the same area after removal

-Types where the lesion's root is deep or wide, leaving a noticeable raised mark even after treatment

Thus, by tailoring to the depth and characteristics of the lesion,

using two types of lasers together,

the 'Dual Laser Technique'

can contribute to increasing treatment satisfaction.

After mole removal, for how long should DuoDERM (healing patch) be applied?

Mole removal procedures involve a physical change to the skin's surface, which can leave microscopic damage to the skin.

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

Keeping the wound moist, in particular, can help speed up recovery and reduce the likelihood of scarring.

For this purpose, we recommend applying Duoderm, a hydrocolloid dressing.

Duoderm can help maintain a moist wound environment, aiding cell regeneration and potentially reducing the risk of scarring by delaying scab formation.

It is recommended to apply Duoderm immediately after mole removal, change it every 3-5 days, and continue management for at least 7 days.

We recommend a total management period of approximately 10 days.

If using Duoderm causes discomfort or an allergic reaction, you can manage the area by frequently applying a regenerating cream or moisturizing gel to prevent the skin from drying out. Additionally, it is important to consistently use sunscreen with SPF 50 or higher and avoid touching the wound area.

Post-mole removal care is more than just protecting the wound; it's a crucial step that can influence the final outcome of the procedure.

Insufficient care can lead to scarring, so continuous attention is required even after the procedure.

After the procedure, we provide detailed guidance on care methods to help ensure a quick and healthy recovery.

Recommended for

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• 1. Those who have been concerned about moles, seborrheic keratoses, milia, syringomas, or skin tags.
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• 2. Those who have experienced recurrence after mole removal.
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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
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Post-Procedure Precautions

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• ㆍ시술 부위에 직접 물이 닿지 않도록 주의가 필요합니다. 듀오덤을 붙인 상태에서는 세안이 가능합니다.
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• ㆍ피부 재생 단계 동안에는 재생 테이프를 꾸준히 교체하여 부착하는 것을 권장합니다. (약 10일간)
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• ㆍ제거한 부위의 점이 다시 나타날 수 있으며, 재시술은 약 4~6주 이후에 고려해 볼 수 있습니다.
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• ㆍ뿌리가 깊은 점은 반복적인 시술이 필요할 수도 있습니다.
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• ㆍ자외선 노출은 가능한 한 피하는 것이 좋습니다. 선크림 사용은 필수적이며, 듀오덤 위에도 덧바르는 것이 도움이 될 수 있습니다.
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