[Address Protruding Skin Concerns at Once] Laser Removal of Skin Tags, Milia, Seborrheic Keratosis, Warts

Two Laser Application Techniques

Moles are lesions that appear when melanin pigment cells proliferate abnormally in the epidermis or dermis of the skin.

While they may appear as simple pigmentation on the surface, the treatment method can vary depending on the location and depth of the mole.

Erbium YAG lasers are primarily used for precisely refining the skin surface. Therefore, when removing shallow moles located in the epidermis, a natural removal can be expected while reducing the burden on the surrounding skin.

This laser can aim for cosmetic improvement while reducing the risk of scarring, and is particularly suitable for facial mole removal. Subsequently, precisely cauterizing the root of the mole with heat using a CO2 laser can help treat pigment cells that may remain in the deeper layers of the skin, reducing the likelihood of the mole reappearing. This can contribute to reducing the risk of moles growing back after only the surface part has been removed.

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

- If the mole is slightly raised or feels thick to the touch

- If you have previously experienced a mole recurring in the same location

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

Flat warts are viral skin diseases caused by human papillomavirus (HPV) infection. They appear as widespread lesions in the epidermal layer of the skin and can be observed with the naked eye as small, thin, flat, brownish or flesh-colored lesions. They are prone to occur when immunity is weakened, and there is a possibility of spreading to other areas by touching or contact, so appropriate management through consultation with a specialist is required.

Erbium YAG laser is advantageous for uniformly removing the epidermal layer and can be effective for widespread flat warts

when removed in a single session. This method helps to evenly remove lesions while reducing the burden of skin damage. However, viral lesions may reappear if only the surface is removed. In such cases, a finishing process of applying subtle thermal stimulation around the lesion with a CO2 laser can positively influence the reduction of recurrence by further treating virus-infected cells that may remain in the epidermis and surrounding areas.

In the following situations, a finishing process using a CO2 laser may be considered even more important.

- If the lesion's borders are indistinct, or it feels widely spread when touched, or for individuals with weakened immunity due to stress or lack of sleep

- If you have already experienced multiple recurrences

- If located in areas frequently touched or where lesions can easily spread, such as the hands or face

Milia are small, white cysts formed when keratin protein (keratin) becomes trapped within the skin. They primarily occur around the eyes, on the cheeks, and forehead, and unlike sebaceous cysts, they are classified as cosmetic lesions unrelated to infection or inflammation.

Erbium YAG laser can be used for milia removal. It delicately refines the skin surface to open the thin epidermal layer of the milia, helping to safely expel the trapped keratin inside. Subsequently, a light finishing cauterization with a CO2 laser can reduce the possibility of remaining keratinocytes proliferating again and help prevent milia from recurring in the same area. However, excessive thermal stimulation to the skin can cause hyperpigmentation, so careful intensity control is required.

The following cases are when finishing with a CO2 laser can be particularly helpful.

- If milia frequently recur in the same location

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

- When expecting a cleaner result during the recovery process after removing multiple milia

Syringomas are benign skin lesions caused by the abnormal proliferation of sweat gland tissue (eccrine glands) in the dermis. They mainly appear under the eyes, on the cheeks, and forehead, characterized by multiple small, bead-like formations. They tend to have a genetic predisposition and are relatively common in women in their 20s and 30s.

Erbium YAG laser can delicately treat the epidermis thinly, making it useful for managing syringomas in sensitive areas like around the eyes. It refines the skin surface to remove the upper tissue of the sweat gland lesions and can positively impact reducing the burden of scarring or pigmentation after recovery. Subsequently, applying thermal energy with a CO2 laser to

the deeper parts of the lesion with subtle stimulation in a finishing process can regulate the activity of dermal sweat glands and

help reduce the recurrence of syringomas in the same area. However, because syringomas are deeply rooted lesions, multiple treatment sessions may be required.

In the following situations, combining a CO2 laser finishing can contribute to even more positive results.

- If multiple syringomas are relatively deeply distributed under the eyes, on the cheeks, etc.

- If you have previously undergone multiple laser treatments but experienced recurrence

- When aiming to reduce the burden of recurrence with a single treatment

Skin tags are benign lesions that appear due to the abnormal proliferation of fibrous tissue and blood vessels in the dermis. They primarily occur in skin folds such as the neck, armpits, under the breasts, and eyelids, and are observed as small, protruding, skin-colored forms. While not painful, they can be irritated by clothing or friction. Generally, CO2 lasers are widely used for skin tag removal, as they combine cutting ability and hemostatic effects, making them useful for treating various lesions. However, for small or thin skin tags, precisely refining the lesion first with an Erbium YAG laser, followed by finishing cauterization of the skin tag's root with a CO2 laser, can help manage the root tissue and reduce the likelihood of recurrence in that area. Such thermal stimulation can positively influence the regulation of fibroblast and microvascular activity within the tissue.

The following cases are when considering a finishing treatment with a CO2 laser together might be beneficial:

- If skin tags are located in areas prone to friction, such as the neck or armpits

- If you have experienced skin tags reappearing in the same area after removal treatment

- If the lesion's root is deep or wide (a type where the skin might remain thick after removal)

Thus, considering the depth and characteristics of each lesion,

using two types of lasers in combination

'Dual Laser Technique' is

one of the methods that can help enhance the effectiveness of treatment.

After mole removal, for how long should DuoDerm (sticker) be applied?

The procedure to remove moles is a process that subtly refines the skin surface, and during this process, physical stimulation may be applied to the skin.

Therefore, it is very important to properly protect and manage the treated area.

Maintaining a moist condition, especially in the treated area, can facilitate skin recovery and help reduce the possibility of scar formation.

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

Duoderm helps maintain optimal humidity in the wound area, aiding skin cell regeneration and reducing unnecessary scab formation, which can lower the chance of scarring.

After mole removal, it is helpful to apply Duoderm immediately and manage the area for at least 7 days, replacing it every 3-5 days.

The total recommended management period is approximately 10 days.

If using Duoderm is difficult or if an allergic reaction occurs, you should apply a regenerating cream or moisturizing gel frequently to prevent dryness. Additionally, meticulously apply sunscreen with an SPF of 50 or higher and manage the treated area to avoid direct touching.

After-care following mole removal is an important process that goes beyond simply protecting the treated area; it significantly influences the final skin condition.

Neglecting after-care can lead to unwanted scars, so it's advisable to continue paying close attention even after the procedure.

We provide detailed guidance on after-care methods for fast and healthy recovery following the procedure.

Recommended for

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• 1. Individuals who have concerns about their skin due to moles, seborrheic keratosis, milia, syringomas, skin tags, etc.
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• 2. Individuals who have experienced moles reappearing despite previous 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 procedure
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Post-Procedure Precautions

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• ㆍ시술 부위에 직접적으로 물이 닿지 않도록 주의해야 합니다. (듀오덤을 붙인 상태로 세안하는 것을 권장합니다.)
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• ㆍ피부가 재생되는 기간 동안 재생 테이프를 약 10일 정도 꾸준히 교체하며 부착해 주십시오.
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• ㆍ제거된 부위의 점은 다시 나타날 가능성이 있으며, 재시술이 필요할 경우 4~6주 후에 진행할 수 있습니다.
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• ㆍ뿌리가 깊거나 크기가 큰 점은 만족스러운 결과를 위해 여러 차례 시술이 필요할 수 있습니다.
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• ㆍ자외선에 노출되는 것을 가급적 최소화해야 합니다. (선크림 사용은 필수이며, 듀오덤 위에 덧바르는 것도 좋습니다.)
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