Creating microtraumas in the skin is a well-established practice, with lasers used for decades in dermatological treatments. However, a new approach has been introduced that goes beyond simply inducing microtraumas to produce collagen. Enter laser coring, a breakthrough we hear from skin experts.
Unlike traditional resurfacing methods that rely on causing microtraumas, laser coring involves creating tiny nuclei within the skin. This technique causes the skin to contract and tighten, resulting in a smoother, tighter and lifted appearance.
How does laser coring work?
This technique uses a 2910 nm fiber laser to create tiny ablation channels within the skin, targeting deep wrinkles, scars and signs of aging. Davie, FL dermatologist Leslie Clark-Loeser, MD delves into the mechanics of laser enucleation: “Laser enucleation uses a wavelength of laser light to ablate tiny columns of tissue while stimulating fibroblasts to produce key components such as collagen and elastin ». He tells us it’s suitable for a wide range of patients, particularly those looking to rejuvenate the skin and improve scarring.
According to New Orleans dermatologist Mary Lupo, MD’s results look promising. “This is a new treatment option on the UltraClear platform, a laser device we already have and love. We decided to give it a try and so far, we’re happy. I say this after only two patients.”
How long is the downtime?
While patients may experience temporary redness and swelling, the recovery period is not that long, experts say. The consensus is to plan for a week. Wellesley Hills, MA, dermatologist Madeline Krauss, MD says. “At the extreme end of the UltraClear spectrum, my patients will have seven days of downtime. It’s not painful, but it sure is at seven days. While not painful, it’s still minimally invasive.”
When can you expect to see results?
With laser coring, patients can expect noticeable improvements in skin texture and tone that develop over time. Dr. Clark-Loeser says, “In terms of what you can expect to see at the end of this week, you can really appreciate seeing new skin. You have a more superficial resurfacing often done at the same time as the laser core so your skin looks nice and bright. However, the core results start to show in the following months because this process of producing collagen, elastin and hyaluronic acid takes place over time. The treatment starts the process of rebuilding the skin, which happens over a period of months.”
Understanding the Risks
While laser enucleation is generally safe, it is important for patients to understand the potential risks involved. Common side effects include temporary redness, swelling and discoloration. Dr Clark-Loeser advises: “Patients should be prepared for a full week of downtime, with the pink discoloration persisting for several weeks in some cases. However, these risks are manageable and can be mitigated with appropriate post-treatment care.”
“Patients can expect the pink discoloration to remain for several weeks,” she adds. “However, most patients can resume their normal activities within a few days.”
Difference between Laser Coring and Micro Coring
A notable distinction between laser nucleation techniques and traditional micronucleation techniques lies in the precision and control afforded by the former. Unlike mechanical micronucleation, which mechanically punctures the skin with hollow needles, this method creates smaller channels within the skin with rapid laser pulses. “This results in reduced bleeding, discomfort and downtime,” says Dr. Krauss.
“Because the skin cores are smaller than what we see with the microcore, the laser core lends itself to being a bit more comfortable and doesn’t require significant pain management or control,” notes Dr. Clark-Loeser.
For those who may be hesitant to undergo surgery, laser coring appears to offer a promising option, potentially offering dramatic results without the need for invasive procedures.
