Restorative Skin Procedures by Mr Ioannis Goutos

Erbium Fibre Laser

At a glance

Treatment time:

15-30 minutes, depending on the size and location of the skin being treated.

Return to work:

No delay.

Anaesthetic:

None or local anaesthetic cream.

Laser treatments can be effective in the management of a number of different skin complaints. There are a variety of different types of laser devices, which each have their own treatment niche.

Erbium lasers emit wavelengths at around 1545nm and this makes them well suited for improving the appearance of scars, wrinkles as well as a number of superficial skin marks. Lasers represent precise and targeted treatments with a good safety profile, which make them a favourable option for many individuals.

Mr Ioannis Goutos is a top plastic surgeon with a special interest in the assessment and treatment of troublesome scars and burns. He has a wealth of experience in caring for individuals wanting cosmetic treatments for a wide variety of conditions, including stubborn or difficult-to-treat lesions.

Mr Goutos is a skilled surgeon and clinician and is well-placed for consultation and treatment, both surgical and non-surgical, including laser treatment procedures.

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About this treatment

Erbium fibre lasers work by using a crystal medium to create a concentrated beam of light energy, which is rapidly absorbed by the water in the skin. This makes erbium laser more suited to treating superficial lesions as the laser does not penetrate to the deepest layers of the skin. The high-energy beam is converted into thermal energy in the superficial layers of the skin, which causes controlled damage to the skin cells. This then promotes regeneration of skin and increases the production of collagen, leaving it to appear more even and rejuvenated.

Erbium lasers are best suited at treating the following:

Small atrophic scars, including acne scarring or scars from previous herpes simplex infection
Sun-related damage, such as pigmented sun spots
Superficial lines and wrinkles
Freckles and age-related spots that cause irregular pigmentation
Stretch marks

Laser treatments are easily done within an outpatient clinic appointment. It is important to have a full assessment of your skin prior to treatment to ensure that you are safely undergoing the most suitable procedure for you, your skin and your treatment goals. Following assessment, the target area of skin will be cleaned using an appropriate, sterile cleaning solution. An experienced clinician will then be able to perform the laser procedure itself. Most people experience some uncomfortable, warm sensations during the laser treatment, but anaesthetic is not typically needed. Cooling packs or a specialised cooling device is used on the skin to ensure comfort during the treatment.

FAQ

We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

What are the risks associated with this treatment?

Laser treatments typically result in some redness, swelling and dryness in the skin for a number of days following the procedure. This is seen to a lesser extent following erbium laser treatments compared to other lasers, as it is more gentle in its action. Lasers also pose a risk of eye damage, so it is important to wear appropriate eye protection throughout the procedure. Additionally, there is a small risk of skin infection associated with laser treatments. This is mitigated through thorough pre-procedure assessment of the skin, use of sterile equipment and good post-treatment skin care.

How does erbium laser compare to other types of laser treatment?

Erbium lasers are only absorbed in the more superficial layers of the skin. This means that they typically have milder and shorter-lived side effects, but are also only effective in treating more superficial skin problems. For deeper scarring, lines or wrinkles, different lasers, such as carbon dioxide laser, may be more appropriate. Your specialist clinician should be able to guide you to the most appropriate laser type depending on your previous treatments and overall treatment goals.

When are erbium lasers not suitable?

Erbium lasers are generally less suitable in individuals who are prone to developing keloid scarring and for those with burn-related scarring. Laser treatments are also not recommended for those who have darker skin tones due to the risks of hyperpigmentation after treatment. It is also important to ensure any active infection in the skin is fully resolved prior to laser treatments as this may make existing skin infections worse.

What can I do for my skin to optimize laser treatments?

General skin health is important to consider, particularly when considering cosmetic procedures and treatments. Ensuring that you stay well hydrated and avoiding smoking are good ways to maintain good skin health. In relation to laser treatments, it is crucial to avoid any additional irritants to the skin, including products containing fragrances or harsh chemicals. Applying neutral moisturisers on well-healed skin can help promote good skin healing. Laser treatments can make the treated skin much more sensitive to the sun, so it is important to remember appropriate sun protection such as clothing or sun screen (minimum 30 SPF) for up to 6 months following any laser procedures.

Prices from

Starting from £450

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Related conditions

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Acne Scarring

Pigmentation

Lines & Wrinkles

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.

Erbium Fibre Laser

About this treatment

FAQ

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Related conditions

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