Efficacy of Low – Level – Laser therapy

What is Low - Level – Laser - Therapy ?

Low-level laser therapy (LLLT) is a light source treatment that may act via non-thermal or photochemical reactions in cells. It includes laser acupuncture, which involves focused irradiation at specific points, most commonly traditional acupuncture points, with a low intensity laser (1).
LLLT involves the use of light in the form of low-level or low-power laser or light emitting diodes to alter biochemical pathways, which may result in changes to cell shape, cell migration, and cell signaling (2).
In recent years, the use of laser has become more widespread, due to its use of administration and widely reported beneficial effects on tissue healing. There is a large body of evidence supporting the efficacy of LLLT that shows an improve of quality of life and treatment outcomes.
LLLT stimulates tissues and has an analgesic, anti-inflammatory effect via direct irradiation (3).

Low-level laser therapy is a safe adjunct treatment for a myriad of medical indications

Tissue healing

LLLT is an emerging and promising treatment modality to current alternatives that are costly and have shown limited success in the treatment of diabetic foot ulcer (2).
A systematic review of 55 Articles to determine the efficacy of laser therapy in the management of bisphosphonate-related osteonecrosis of the jaw shows that treatment modalities including laser were associated with superior outcomes in terms of cure or improvement of bisphosphonate-related osteonecrosis of the jaw lesions as compared with conventional surgical and/or conservative drug therapy (4).
LLLT irradiation has anti-inflammatory actions and thus can help to control pain, as well as biostimulating properties with favorable actions on bacterial control and wound healing (5).

Pain reduction

This study demonstrated the efficacy of LLLT in reducing pain due to chemotherapy-induced oral mucositis in children[6] This study shows analgesic effects in hyperglycemic and normoglycemic patients, better than placebo and control groups for patients who underwent coronary bypass surgery with internal mammary artery grafts (7).
Low-level laser therapy was considered effective for treating nipple lesions in breastfeeding women with pain, providing relief and prolonging exclusive breastfeeding (8).
A study that compared LLLT versus pharmacotherapy in the treatment of MPDS (Myofascial Pain Disorder Syndrome) showed a significant improvement in mouth opening and pain intensity caused byLLLT (8).

Anti - Aging

To understand what Anti – Aging means, we first have to understand what is aging. Aging refers to the physiological phenomenon in which structural and functional changes naturally appear in entities over time. There are two categories of skin aging, the intrinsic aging caused by genetic programming and the extrinsic aging caused by external environmental conditions as UV exposure , heat, smoking e.g. way of life. Aged skin is characterized by rhytides but also by epidermal and dermal atrophy, rough skin texture, irregular pigmentation, telangiectasias, and laxity. Worldwide various efforts are made to delay the process of skin aging and anti – aging – related markets are growing rapidly. Extrinsically aged skin shows signs of photodamage which include appearance of wrinkles, pigmented lesions, actinic keratoses and patchy hypopigmentations.

What to do ?

Particularly with age, but also due to illness, the original elasticity of the skin diminishes and this leads to the increased formation of wrinkles. Responsible for this effect is often a reduced hyaluronic acid profile of the skin. Through treatment of the skin with Hyaluron Intercellular Gel, this process can be halted and reversed. Preliminary laser treatment with the Vitacontrol® Cold-Laser System thereby ensures the optimal absorbency of the skin: The gel can penetrate deeply into the skin layers and thus stabilise the hyaluronic acid profile. The raising of the hyaluronic acid profile will revitalise the skin in a shorter time: by regaining elasticity, it will appear fresher, smoother and restored. Hyaluronic acid is a substance which exists in the body within human connective tissue. Hyaluronic acid gives rise to collagen and elastin production and is responsible for retaining moisture in the skin. The quantity of hyaluronic acid will determine the elasticity of the skin and is most abundant in the connective tissue of new-born babies. At the age of around 40, its presence in the body will have been reduced by half. After the age of 60, only around 10% of the original hyaluronic acid content will remain. Cold-laser treatment significantly increases the concentration of hyaluronic acid and produces a clearly visible and tangible rejuvenating effect. In order to increase the hyaluronic acid profile of the skin, two processes are combined in cold-laser treatment. The skin is alternately lasered using the Vitacontrol® Cold-Laser System VC 5001 or VC 5001 med (Infra-red - Cold-Laser 360 and 500) and treated with Hyaluron Intercellular Gel. Increased cell activity ensures the increased production of elastin and collagen. At the same time, the cold-laser beam will integrate the molecular structure of the hyaluronic acid and therefore delay its decomposition by the lymphatic system. A beam from 6 lasers is evenly projected through the large head across a relatively large treatment area of 4.5 square centimetres. Next, treatment is carried out with Hyaluron Intercellular Gel. Hyaluron Intercellular Gel is a fine molecule, undiluted hyaluronic intercellular gel, with molecular chains which have been shortened so much via a biological process resembling photosynthesis, that this gel can be massaged right into the basal cell layer of the skin. The cold-laser lifting gel will increase the moisture content of the skin and therefore support the sources of connective tissue production. Even right from the very first treatment, there will be a clearly discernable tightening of the skin which lasts for up to 4 weeks.
Microdermabrasion with Vitacontrol Diamond Microdermabrasion VCMD 4001 is an office-based mechanical resurfacing technique alternative to traditional dermabrasion. Treatment of aged skin using a series of microdermabrasion treatments is an effective, noninvasive method of skin rejuvenation with minimal risk and patient downtime. It is safe and improves skin quality by minimizing certain hyperchromic pigmentations.