Treatment Overview
Fractional Lasers (including Fractional CO₂ and Erbium Glass/Er:YAG lasers) are widely used in Korean dermatology for pigmented and textured birthmarks, acne scars, PIH, and overall skin resurfacing.
Unlike traditional ablative lasers, fractional technology delivers energy in microscopic columns (microthermal zones), leaving surrounding skin intact. This speeds up healing while effectively targeting pigment, resurfacing raised lesions, and stimulating collagen.
In birthmark removal, Fractional Lasers are particularly effective for epidermal or dermal pigmented lesions (like café-au-lait spots, nevus of Ota, Becker’s nevus) and textured congenital nevi. They are often combined with Alexandrite, Nd:YAG, Pico, or Dye lasers in Korea for more comprehensive results.
Purpose & Benefits
- Birthmark Clearance: Reduces pigmentation in congenital and acquired pigmented lesions.
- Texture Refinement: Smooths raised or rough birthmarks.
- Collagen Stimulation: Improves healing and reduces scarring.
- Minimal Downtime (Fractional Mode): Faster recovery than full-field ablative lasers.
- Combination-Friendly: Works well with pigment or vascular lasers for complex lesions.
Ideal Candidates
Fractional Laser in Korea is recommended for:
- Patients with epidermal or dermal pigmented birthmarks (café-au-lait, nevus of Ota, Becker’s nevus).
- Individuals with raised, textured, or thickened pigmented lesions.
- Adults seeking dual benefit (pigment clearance + resurfacing).
- Patients who prefer gradual, safe improvements with controlled downtime.
Possible Risks & Complications
Fractional Lasers are safe under Korean dermatology protocols, but side effects may include:
- Redness & Swelling: Lasts 2–5 days.
- Dryness & Flaking: Part of the skin renewal process.
- Temporary Darkening: Pigment may darken before fading.
- Rare Risks: Infection, scarring, or PIH rebound if treated too aggressively (minimized in Korea with low-energy protocols).
Surgical Techniques Used
- Fractional CO₂ (10,600 nm): Best for textured or raised pigmented birthmarks.
- Fractional Erbium Glass/Er:YAG (1550–2940 nm): Gentler, good for pigment + resurfacing.
- Combination Protocols: Used with Alexandrite or Pico lasers for stubborn pigmentation.
Protocol: Typically 3–6 sessions, spaced 4–8 weeks apart, depending on lesion type and depth.
Recovery & Aftercare
Immediately: Redness, swelling, or mild stinging.
3–5 Days: Flaking, crusting, or bronzing as treated areas heal.
1–2 Weeks: Birthmark gradually lightens as skin regenerates.
Aftercare Tips:
- Apply SPF 50+ sunscreen daily to avoid PIH recurrence.
- Keep skin moisturized with barrier creams.
- Avoid peeling off crusts or flakes.
- Avoid saunas, hot baths, or harsh exfoliants until fully healed.
Results & Longevity
- After 1 Session: Initial lightening and texture improvement.
- After 2–3 Sessions: Visible reduction in pigmentation and raised areas.
- After 3–6 Sessions: Significant clearance and smoother skin texture.
- Long-Term: Results are often permanent, though some congenital birthmarks may require maintenance.
Treatment Process in Korea
Consultation & Skin Analysis
- Dermatologist identifies birthmark type (pigmented, textured, mixed).
- Fractional laser chosen for lesions requiring both pigment removal and resurfacing.
Preparation
- Cleansing and application of numbing cream.
- Protective eyewear applied.
Fractional Laser Session
- Step 1: Fractional beams applied in microcolumns across birthmark.
- Step 2: Ablation/remodeling of pigmented tissue.
- Step 3: Cooling mask or soothing ointment applied.
- Duration: 20–40 minutes.
Post-Treatment Care
- Healing ointment and sunscreen applied.
- Hydrating serums recommended.
Follow-Up
- 3–6 sessions needed for best results.
- Often combined with Alexandrite, Pico, or Dye lasers for multi-layered lesions.
Unique Korean Advantages
- Advanced Fractional Systems: CO₂ and Erbium lasers with customizable depths.
- Multi-Laser Combination: Fractional + pigment/vascular lasers for optimal clearance.
- Asian Skin Protocols: Lower energy and multi-session design reduce PIH risk.
- Affordable Packages: Bundled treatments are priced more competitively than in Western countries.
Cost Range (Estimated)
- Small Birthmark (per session): USD 150 – 300
- Medium to Large Birthmarks: USD 300 – 600
- 3–6 Session Package: USD 1,000 – 2,500
Additional Costs:
- Consultation: USD 20 – 50
- Regenerative boosters (PRP, exosomes, PN): USD 200 – 600
Example Korean Packages:
- Basic Fractional Birthmark Program (3 sessions): USD 600–900
- Advanced Program (Fractional + Alexandrite/Pico): USD 1,500–2,200
- Premium Regenerative Program (Fractional + PRP/Boosters): USD 2,000–2,800
Popular Clinics in Seoul
- Oracle Dermatology: Fractional CO₂ for raised pigmented lesions.
- Banobagi Dermatology: Fractional + Pico for congenital pigmented birthmarks.
- Renewme Skin Clinic: Fractional resurfacing + pigment laser combo.
- View Plastic & Dermatology: Fractional + Fraxel for pigment + texture correction.
- Chaum Anti-Aging Center: Premium fractional programs with PRP/exosomes.
