Skin Care

First, which kind of problem is it?

"Skin care" covers too much. The clinic breaks it into several tracks, each with its own devices and pace.

Epidermal and dermal pigment — freckles and sun spots sit in the epidermis: well-defined, shallow, relatively straightforward. Melasma sits deeper, has blurred edges, is driven by hormones and UV, and recurs readily; it needs low energy over several sessions rather than one aggressive pass.

Vascular redness — persistent flushing, visible capillaries, the red marks acne leaves. The source is blood vessels, not pigment, so a pigment laser is the wrong tool.

Active acne — inflamed lesions, pustules, comedones. The goal is to control inflammation and sebum, not to resurface; ablative treatment while inflammation is uncontrolled carries more risk than benefit.

After acne — red marks follow the vascular path, brown marks the pigment path, and pitted scars are a loss of dermal tissue needing collagen rebuilt — the territory of microneedle RF and fractional laser.

Texture and pores — dullness, rough texture, visible pores, mostly tied to keratin turnover, hydration, sebum and collagen.

At consultation the doctor assesses position and depth under light and by touch, then decides the device, wavelength and energy. Several problems together is common, and treatment is usually staged: control inflammation, then colour, then depressions and texture.

How the seven devices divide the work

Also used: Virtue RF (microneedle RF, under Device Lifting), LDM (barrier support) and Aqua Peel (cleansing and infusion). For understanding the differences, not for choosing; the plan is decided at consultation.

Two things to know first

On courses

Almost nothing here is done in one session, for different reasons. Pigment is about balancing energy against risk — rebound-prone melasma often lightens briefly after a single high-energy pass, then comes back darker. Acne is driven by sleep, diet and hormones and needs ongoing management. Scar treatment is slow because collagen rebuilding is slow; improvement accumulates, and the final assessment is usually months after the course ends.

Any promise to "remove spots in one go" or "erase pitted scars in one session" deserves scepticism.