This guide based on expert physician assessment; reasons for the topic, evaluation process and current approaches are outlined in a clear language.
Contents 01 Five Basic Principles The heart of our Approach 02 Why Combination Treatments? Login 03
Common structure stone 04 Fractional CO2 Laser How does it work? 05 Gold Needle ( Fractional RF) How does it work? 06 CO2 + PRGF Combination Method profile 07 Gold Needle + PRGF Combination Method profile 08 Side Side Comparison Table 09 Which Issue? Indication guide 10 Volume Type, Season, Factors affecting Lifestyle Selection 11
12
13 Risks and Contraindications The principle of harming 14
One glance find directions 15 When closing Prof. Dr. Hasan Ahmet Özdoğan’s last word
Five Basic Principles All comparisons and suggestions in this guide were prepared by passing five principles of the foundation of each decision in our clinic. 1 Trust No method “better” is not announced; both are clearly explained. 2 The procedure is delayed or not recommended in inappropriate situations. 3 Goal is a gradual improvement that promotes the process of repair of the skin. 4 Suitable Price Policy Seans count and total cost are shared transparently from start. 5 Each method is explained together with the operating mechanism and clinical data. This five principles will also be met as labels under the profile of each method in the following pages.
Why Combination Treatments? The skin loses elasticity, stiffness and smoothness due to sun, environmental factors and natural aging over time. Collagen production slows; fine lines, pore expansion, stain, acne scars and tissue disorders are pronounced. The logic of combination treatments is simple: on one hand to create a controlled regeneration signal in the deep layers of the skin, on the other hand, to provide biological support to speed this regeneration. The two combinations we take in this guide are based on this prince.
The combination of PRGF's tenarant power with strong surface regeneration effect of fractional CO2 laser. Effective, more pronounced conversion targets in deep tissue problems. Gold Needle + PRGF Fractional radiofrequency (gold needle) to tighten the dermis and promote the regeneration alert with PRGF. Offers shorter recovery time and wide skin type compatibility. The purpose of this guide is not to declare which one of the two methods is “better” — it is to tell you how both work, which skin problems stand out and how your skin type, expectations and lifestyle can make a choice.
The common share of both combinations is PRGF (Plasma Rich in Growth Factors — Rich Plasma from Growth Factor). It is a second generation PRP technology derived from the blood of the person. Plasma decomposed from the blood is controlled and the release of healing molecules inside is provided.
PDGF & VEGF: stimulates cell proliferation and vascularity.
TGF-β: supports collagen and tissue repair.
EGF: accelerates regeneration of upper skin (epidermis) cells.
IGF: contributes to tissue-making and cellular revitalization.
Otolog is in structure — the risk of allergy and rejection as the person is obtained from his own blood is quite
low.
Lökositten (akyuvar) is a poor formulation; to limit inflammatory response after processing
can help.
It targets gradual release of growth factors with controlled activation.
Why To Use In The Combination? Both CO2 laser and gold needle form micro-precision/micro-channels controlled on the skin. PRGF accelerates the repair process when it comes to skin from these channels and supports collagen synthesis.
How Fractional CO2 Laser Works? Fractional CO2 laser is one of the strongest surface renovation (resurfacing) technologies of aesthetic dermatology. 10.600 nanometer wavelength light energy target water in skin tissue. The expression of “ Fractional” means the laser to treat a small part in microscopic spotlets, not all of the skin. Healthy skin, which is robust among treated spots, makes it possible to recover quickly. The resulting controlled damage triggers the natural wound healing mechanism of the skin and collagen restructuring.
Deep and medium wrinkles Definite acne and scars Advanced sun damage and tissue disorders Wide pores and rough skin surface Skin tone and surface irregularities Home
Recovery Character: Since CO2 laser ablative (compressor) is a method, post-treatment redness, tenderness, light swelling and shelling are expected. Social recovery can usually take up to about a week from a few days.
How Does Gold Needle ( Fractional RF) Work? Gold needle is a fractional radiofrequency (RF) micronucle method with medical name. It combines the thermal effect of radiofrequency energy in one process with the mechanical stimulation of microfueling. Insulated gold coated fine needles at the end of the device are immersed in a skin controlled depth. Due to the insulation of needles, the energy is not on the surface, but in the intended depth, so the upper skin is largely preserved. Because needle depth can be adjusted according to the region and the problem, the treatment can be tailored to the person.
Skin tightening and light-to-middle yellowing Wide pores Light weight and moderate acne scars Fine lines and irregularity in skin texture General skin quality and vitality
Recovery Character: Because the upper skin is largely protected, the recovery is usually shorter ( 1-3 days with width). Epidermisin protection can be preferred in a wider range of skin types, since it reduces the risk of dark and after-treatment on the skin.
CO2 + PRGF Combination is a powerful synergistic for those looking for more pronounced conversion, in this combination, the powerful resurfacing effect of fractional CO2 laser is supported by PRGF’s onner power. Microtermal channels are created in the skin by applying laser first; then these channels are applied to the PRGF skin when open yet. Thus, growth factors can be transmitted more effectively to depths, which normally achieve power. The advantages of Synergy: PRGF can help accelerate recovery after laser; it is consolidated with collagen-made growth factors that stimulate laser, and a more integrity improvement is aimed at laser alone in deep tissue problems.
Ideal Candidate Definite photocination, those with deep acne/cra traces
Several days — about 1 week Featured Output Area Deep tissue problems, marked conversion Shortly More intensive renewal power, for those who can accept several daily recovery
Golden Needle + PRGF Combination Comfortable healing and wide skin-type compatibility In this combination, the six needle ( fractional RF) tightening and rejuvenating effect is strengthened by PRGF. During the gold needle application, a controlled regeneration signal is created with both micro-channels and radiofrequency heat; applied during or after the process, PRGF reaches the dermis from these micro-channels. The advantages of Sinerji: the tightening effect of RF combines with the rejuvenating effect of growth factors; the recovery process, which is already short, can be more comfortable with the PRGF support; as the epidermis is protected, it offers a more flexible application area in dark/bronze skins.
Ideal Candidate Tightening, light-middle trail/eyes
Usually 1-3 days Featured Output Area Tightening, suitability to four seasons Shortly focused, for those who want minimal social recovery time
Affordable Price Policy
Side Yana Comparison compares the following table two combinations in basic headers. Let’s specify our trust policy: these values reflect general trends; personal results vary depending on skin type, problem and application plan. Parameter
Gold Needle + PRGF Main technology Ablative fractional laser (light) Fractional radiofrequency + needle Top skin (epider) Controlledly evaporated greatly protected Impact power High — strong Mid-high on surface renewal — the area where it is strong in tightening is the most powerful Deep tracks, advanced solar damage Tightening, porous, light-medium trace recovery time Several days — ~1 weeks usually 1-3 days Dark skin harmony More flexible than season flexibility than winter/day periods are preferred than four seasons* compatible Seas* Usually less sessions are usually determined by the doctor according to the number of sessions and ranges of people and skin problem — the total cost is cleared from the beginning.
Which Problems? The following matches are guiding. The same problem may require different approaches in different people, so the exact decision should be given after examination.
Deep acne scars (it will break / atrophic tracks) Advanced sun damage and marked dok u
disorders
Deep wrinkles and marked surface
roughness
Some scars after surgery or trauma Home
Decrease in skin tightness and light-to-middle wide pores Lightweight-middle acne scars Fine lines and overall skin quality
Disruption
Watch/eye treatment in dark skin color
needs
General skin renewal and revitalization request Intermediate acne scars (depending on the person) skins combined with pore and tissue irregularity
Important Note: The best result in some people can be achieved with the use of these two methods in different sessions. Such a combined planning should only be done with the doctor’s assessment.
Skin Type, Selection Treatment by Season and Lifestyle is not only with skin problem; your skin type is directly related to your season and daily life tempo. Skin Type (Ten Color): In people with dark skin color or easy tanning, it can be higher than the possibility of temporary darkening after ablative methods. Because gold needle protects the upper skin greatly, most of these skins offer a more flexible option. Season and Sun Exposure: Ablative CO2 applications are planned more comfortable in autumn-winter periods where the sun is weaker. Gold needle is more flexible than seasonally because it protects the upper skin; it is necessary to protect from sun after processing in both methods. Lifestyle: If you need to return quickly to your business and social life, gold needle + PRGF can stand out, offering shorter recovery time. CO2 + PRGF can be evaluated if you are aiming to separate a few-day recovery period and a stronger conversion. Personalization Condition: When skin type, season and lifestyle are evaluated together, even for the same skin problem, a different combination can be the most suitable option.
The correct preparation increases the comfort of both the process and the quality of the result. The following headers include valid general recommendations for both combinations; exact instructions are given by your doctor.
Avoid intense sun exposure and solarium; treatment of bronze skin
not recommended.
Stop away from aggressive peeling or new coped strong products that irritate the skin.
Let all the medicines, supplements and skin products you use.
If there is active skin infection, open wound or active herpes, the procedure should be delayed.
The use of blood-watering drug in the past tend to do trace (keloid) Repeated herpes (herpes) history pregnancy or lactation condition Known chronic diseases and allergies
Post-treatment is decisive in terms of persistentness of the result and healthy healing of the skin. Period Expected First 2448 hours Sensitivity, redness, light swelling is usual (more pronounced in CO2) 2-5. days redness backs in gold needle; crusting in CO2 can be seen 1-2. week
Next weeks continue to renew Collagen; results mature in weeks
gently clean the skin with warm water and with products recommended by your doctor.
Do not neglect humidification; the barrier repair accelerates recovery.
Use high-factor sunscreen and avoid direct sun.
Products containing sauna, baths, intensive sports and excessive sweating alcohol-based, irritating or acid in the first days of scaling the skin or itching (without diagnosis approval)
Risks and Contraindications are considered safe in the right hands and appropriate candidates. Nevertheless, it is important to know the possible risks and unsuitable situations for an informed decision.
redness, tenderness and light swelling Temporary feeling changes, tension feeling shelling and flake in CO2; needle trace spotlets in gold needle
Temporary darkening (hyperpigmentation) — especially in dark skin and ablative methods
requires attention
Uzamış redness or rarely trace formation Infection or herpes activation (reduce with appropriate measures)
Persons who are pregnant and embellish are active infections, open wound or active herpes in the treatment area, uncontrolled chronic disease or those who have certain immune problems are pronounced those who tend to do Iso (keloid) are those who use medicine/tedavi, which makes sensitivity to light recently
Safety Priority: This list is for general information purpose and does not cover any situation. Your doctor decides whether it is appropriate for you, assessing your medical story.
We discussed the factors that affect the strengths and selection of how two combinations work here. Now let’s simplify the decision. Consider CO2 + PRGF, if: deep monitors, if you have advanced sun damage or pronounced tissue problems; if you aim a more powerful and marked renewal; and you can separate a few-day social recovery processes. Think of Gold Needle + PRGF, if: Tightening, porous and light-mid monitors are primary; if you have dark/bronze skin; the four season applicability and short recovery time are important for you.
“More powerful” is not always “more accurate” — the right method, to your skin and
method that fits your target.
Both methods give the best result in a plan, not in one session.
The best result in some cases is achieved by using two methods in a planned form.
Results vary from person to person according to skin type, age, lifestyle and maintenance routine.
This guide was prepared for you to understand your options and make a more informed conversation with your doctor. The most accurate decision is that your skin is examined and your expectations will give you your doctor with rest. Every consultation, trust, harm, natural outcome, reasonable price policy and scientific experience in our clinic are shaped by observing all principles. Not to defend one of the two methods, both of them are honestly narrated, and the right choice to do with you is the main thing for us.
Prof. Dr. Hasan Özdoğan
This guide is for general information purpose; does not substitute personal medical advice or diagnosis. The decision of treatment should be given to the doctor’s assessment.