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Medical Aesthetic Technologies: Laser, Radiofrequency and Ultrasound Guide
Medical Aesthetic Technologies: Laser, Radiofrequency and Ultrasound Guide
The Three Musketeers of the Non-Surgical Revolution: Why Deviceized Treatments?
While injectable treatments (Botox and Fillers) target muscle movement and volume loss, energy-based devices target the “structural quality” of the skin. Their main purpose is to create a controlled thermal (heat) effect in the dermis (middle) or SMAS (deep) layers of the skin, thereby stimulating the body's own repair mechanisms, namely collagen and elastin production is to trigger it. This allows the skin not only to fill up, but also to repair, tighten and renew itself from the inside.
Technology 1: Laser (Power of Light) - Superficial Targeting
Laser is the oldest and most well-known energy-based technology used in medical aesthetics. It stands for “Light Amplification by Stimulated Emission of Radiation”.
How Laser Works (Selective Photothermolysis)
A laser produces a concentrated beam of light of a single wavelength (one color). The power of the laser comes from the principle of “selective photothermolysis”. This means that the laser light only “sees” and locks onto a specific target (chromophore). The energy is absorbed by this target, converted into heat and destroys the target while leaving the surrounding tissue unharmed. The main targets in medical aesthetics are:
- Melanin: It is found in hair follicles (for laser hair removal) or in skin blemishes.
- Hemoglobin: It is found in capillaries and red vascular moles.
- Su: In resurfacing lasers, it is absorbed by the water in the upper layers of the skin.
Uses of Laser in Medical Aesthetics
- Laser Epilation: It is the most common area of use. It permanently destroys the hair follicle thanks to melanin targeting. (See: Laser Epilation)
- Stain Treatment: It targets superficial pigment problems such as sunspots, age spots and freckles.
- Vascular Therapies: It is used in the treatment of facial capillaries (rosacea) and red vascular moles.
- Skin Resurfacing: Ablative or non-ablative lasers trigger collagen production by damaging or heating the top layer of the skin in a controlled way, treating fine wrinkles and acne scars.
About the wide range of applications of laser technologies American Academy of Dermatology (AAD) Institutions such as the Ministry of Environment and Urbanization provide detailed information.
Technology 2: Radiofrequency (RF) - Restructuring the Dermis
Radiofrequency is a technology that uses radio waves to heat the deeper layers of the skin in a controlled way, without damaging the surface.
How Radiofrequency Works (Dermal Heating)
Unlike laser, Radiofrequency (RF) is “color-blind”. This means it does not target melanin. This makes it an extremely safe option for all skin colors, including dark skin types. When RF energy is applied to the dermis layer of the skin, it is converted into heat due to the electrical resistance of the tissue. This controlled heat (usually 40-45°C) creates two main effects:
- Instant Tightening: It causes the existing collagen fibers to contract and contract instantly, which gives the skin a temporary firmness.
- Long-term Collagen Production (Neocollagenesis): This is the main and lasting effect. The heat stimulates collagen producing cells called fibroblasts. The body perceives this heat as “damage” and starts an intensive repair process in the area over the next 3-6 months, producing new, strong collagen and elastin fibers.
Uses of RF in Medical Aesthetics
- Face and Neck Tightening: It is effective in lifting sagging cheeks, jowl area and jawline sagging.
- Reduction of Fine Wrinkles: It softens fine lines in sensitive areas such as around the eyes.
- Combination with Microneedling (Golden Needle): Methods such as “Golden Needle”, where RF energy is delivered directly to the dermis through microneedles into the skin, are very popular for both superficial scars and deep tightening. These include, Mesotherapy improve the quality of the skin in a similar way to its goals.
- Body Firming and Cellulite: It is used to improve skin laxity and the appearance of cellulite on the abdomen, arms and legs.
Studies on the efficacy of radiofrequency scientific studies (NCBI), confirms the success of this technology in triggering collagen production.
Technology 3: Ultrasound (HIFU) - Deep Focused Lifting
Ultrasound has been used for imaging (USG) in the medical world for years. However, the form used in medical aesthetics, HIFU (High-Intensity Focused Ultrasound) and it serves a completely different purpose.
How HIFU Works (Non-Surgical SMAS Lifting)
The working principle of HIFU can be likened to the way a magnifying glass focuses sunlight on a single point to burn paper. The ultrasound waves pass through the upper layers of the skin (epidermis and dermis) without causing any damage and create intense heat energy (60-70°C) only at the targeted depth, at millimetric points. The target of HIFU is a layer that other technologies cannot reach SMAS (Superficial Musculoaponeurotic System) layer. This is the layer of muscle and connective tissue that surgeons cut and pull upwards in facelift surgeries. HIFU creates thermal damage points in this layer;
- It initiates a “lifting” effect by creating an instant contraction and contraction in the SMAS layer.
- This triggers a powerful collagen production process in the deep layer.
Usage Areas of HIFU in Medical Aesthetics
- Non-Surgical Face Lift (Lifting): It is one of the most effective non-surgical methods for mild to moderate facial sagging.
- Eyebrow Raising It is applied to the forehead area to lift low eyebrows.
- Jawline (Jawline) Defining: It provides a sharper contour by lifting the sagging on the jaw line.
- Double Chin Melting and Tightening: It can both reduce the fat under the chin and lift the sagging skin.
Comparative Summary: Which Technology Targets Which Layer?
- Laser: Surface (Epidermis) and Superficial Dermis. Target: Color (Stain, Vein), Texture (Fine Line, Trace) and Hair.
- Radiofrequency (RF): Medium/Deep Dermis. Objective: General tightening by triggering collagen production.
- Ultrasound (HIFU): The Deepest Layer (SMAS). Objective: Powerful and deep lifting.
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Meeting of Technology and Expertise at our Clinic in Kadikoy
These three powerful technologies offer us incredible possibilities for skin rejuvenation. However, it should not be forgotten that these devices are only “tools”. What makes the real difference is the expertise of the physician using these tools. Kadikoy‘Each patient's needs, age, skin type and anatomical structure are different. Sometimes for one patient only laser hair removal is sufficient, sometimes with RF for best results. Filling treatment or HIFU Botox‘should be combined. About safe and effective skin tightening methods, American Society of Plastic Surgeons (ASPS) institutions also emphasize the importance of personalized planning. Our goal is not to provide you with the most “trendy” device, but to determine the right technology or combination of technologies for you and to achieve the most natural and effective result with confidence.
Contact Now for a Holistic Approach to Your Health
As Dr. Melis Ülger Clinic, we prioritize reliability and natural results in medical aesthetic applications. We help you achieve a more vibrant, balanced and healthy appearance by tailoring the methods used specifically to your needs. For a comfortable and safe experience contact us.
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