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レーザー治療とは(レーザー治療) | 恵比寿院(東京都渋谷区)|美容皮膚科シロノクリニック レーザー治療とは | 恵比寿院(東京都渋谷区)|美容皮膚科シロノクリニック
教えて!
レーザー治療ってなに?
レーザー治療未経験のマダムさんが、レーザー治療のパイオニアこと城野親德先生に聞く、レーザー治療入門編です。レーザー治療って興味あるけど、ちょっと不安…。メスで切らない、痛くないって聞くけど、本当のところどうなのかしら?という素朴な疑問にお答えします。レーザー未経験のあなたも、経験者のあなたも、レーザー治療の魅力をお伝えします。
25万人以上の女性の肌のお悩みを解決したレーザー治療のパイオニア。いち早くレーザーに注目してレーザー先進国アメリカで腕を磨き、国内屈指の症例数を持つ。丁寧で親身なカウンセリングと確かな技術を頼って、今日も多くのマダムさんや近年では男性のみなさんも幅広くレーザーマンのもとに駆け込みます。ご主人に内緒でお肌の悩みをレーザーマンに相談するマダムさんもちらほら。今日も的確な回答で、マダムさんの幸せを考えます。
キレイになりたい!という気持ちは誰にも負けないマダムさん。
20代のときは、つやつやの美肌が自慢でした。40代半ばを過ぎてから、頬にぽつぽつと濃く見えてきたしみ、額と目尻に一筋二筋できてきたしわが悩みの種に。もう耐えられない!なんとかしなくちゃ!!とレーザーマンに相談を決意!レーザー治療に興味津々ですが、ちょっと不安なマダムさんです。
レーザー治療でしみが取れるメカニズム
医療分野でますます活躍するレーザー治療
レーザー光線の特性を利用した治療は、皮膚形成外科の分野をはじめ、多くの医療分野に広がっています。レーザーの特色は、一つの色に選択的に反応するという「色素選択性」です。これによって、異常色素細胞のみを破壊するレーザー治療が、従来の切除、縫合といった手術でしか対処できなかった、しみやあざなどの治療から患者さんを開放しました。キズを残さず、短時間に、通院だけで治療が行えることから、長年の皮膚疾患のお悩みにレーザーは奇跡の光となりました。
レーザー治療は、皮膚へのダメージをまったくあるいは殆ど与えずに、しみやあざの色素だけを破壊して代謝させていく画期的な治療です。治療後の化粧もすぐに可能ですし、生活面での制限もありません。すべての皮膚疾患に対応できるわけではありませんが、迅速で安全、治療効果の高い治療法を確立し、多くの方が悩んでいる「しみやしわ、にきび」などの皮膚治療に積極的に使われています。
医療用レーザーの種類と機能
高反応レベルレーザーと低反応レベルレーザー
医療用のレーザーすなわちレーザー治療機器は、レーザー光の熱エネルギーによって細胞などを焼灼・蒸散する際に用いる強いレーザーと、光によって生体組織を活性化する際に用いる弱いレーザーの二つに大きく分けられます。
強いレーザーは「高反応レベルレーザー」あるいは「高出力レーザー」と呼ばれ、あざの治療やいびき、癌の切除などに使われています。弱いレーザーは「低出力レベルレーザー」あるいは「低出力レーザー」と呼ばれ、血行を促進したり、傷の治りを早めたり、炎症を取ったり、痛みを軽減させたりするために使われています。
医療用レーザー治療機器の種類
レーザー治療機器には、電球のように光り続ける「連続波レーザー」とカメラのフラッシュのように一瞬だけ強い光を出す「パルスレーザー」があります。パルスレーザーは、一瞬のうちに有効な熱エネルギーを異常細胞や異常血管に送り込み、それらを破壊します。
副作用はあるの?レーザーが受けられない体質は?
レーザー治療は実はこんなに身近に!
短時間、痛みが少ない、出血も最小限、そして何より安全
レーザー治療が、皮膚表面へのダメージを最小限に押さえ、痛みもほとんど感じさせず、治療後の日常生活にも支障をきたすことがないということはすでに触れましたが、レーザー治療が皮膚疾患の適用以外に、手術でしか改善できなかった鼻炎やいびきの治療について、安全に、通院だけで治療できることも特徴です。鼻炎やいびきの治療に用いられる炭酸ガスレーザーは、照射範囲を最小に、そして出血も最小に抑えられるため、通院だけで手術が行えること自体、とても画期的なことなのです。
いびき治療では、これまで検査をしてから入院、外科手術の経過をみて、退院するまでに1ヵ月ほどの期間が必要でした。仕事で忙しい方は休みがとれずに断念した方も多いでしょう。その点レーザー治療であれば、10分~20分という短時間の施術で、従来の外科手術と同じ効果を得ることができ、そのまま帰宅することが可能です。外科手術のように、切除や縫合が無いので、化膿する不安もなく、傷口が塞がるまで入院する必要もありません。出血も少なく、輸血や麻酔の副作用、感染症などの心配もなく安心に治療を開始できます。
あざやほくろを除去する治療も、外科手術に比べて、レーザー治療ならわずか5〜10分程度の治療で済みます。痛みの点でも、輪ゴムでパチンと弾いた程度の痛みですから、ドライアイス療法や外科手術の痛みと比べものになりません。
また、最大許容露光量がJIS基準に基づいて定められているため、治療環境が安全に管理されている点も安心です。ただ一つ注意しなければならないのは、被治療者の目に対する安全性です。誤って目の中にレーザーが入ってしまうと、視力に重大な影響を与えかねません。したがって、レーザー治療室では、目を保護するためのゴーグルやアイマスクを着用して治療を受けていただきます。
近年のレーザー治療機器は性能がはるかに良くなっています。その後の人生を健康で美しく生きるための方法の一つとして、レーザー治療を選択する方が更に増えていくでしょう。
レーザー治療に向かない体質があります
レーザー治療はほとんどの場合、患者さんの体質を選びません。健康で重篤な疾患のない方であればレーザー治療を受けられますが、光線に対して強いアレルギーのある方、妊娠中の方、極度の糖尿病や高血圧の方、出血傾向のある病気をお持ちの方は、事前に主治医の診察をお勧めすることもあります。
安心安全のこだわり
シロノクリニックの
レーザー治療とは

しみならしみ、しわならしわに特化した治療機器を採用

美容治療機器は世界でも様々な国のメーカーが製造しています。
シロノクリニックはいち早く最新機器をデモ機から検証し、実際にスタッフが体験して効果判定を行い、効果が高いと実感できた機器のみを採用しています。こういった事が出来るのは、古くから機器メーカーとの直接交流があること、老舗の美容皮膚科だからできることなのです。また、所有している機器は全て治療ごとに特化しており、しみにはしみ専用、しわにはしわ専用の機器を採用しています。しみもしわも一つの機器で治療することはシロノクリニックではあり得ません。特化した機器で治療するから、最大の効果を出せるのです。シロノクリニックは、治療機器の特性を活かして、診断や治療過程によって治療機器を変えながら柔軟な対応にこだわりを持っています。
レーザー治療を安心して受けるために
1.一番はじめに考えたいのは「クリニック」の選択
医療の各分野でレーザー治療は画期的な成果をあげていますから、その治療が行われていればどこのクリニックでもよいかというと、そうはいかないところがあります。やはり、美容領域でレーザーを専門として、美容医療の専門知識に基づく治療を行うクリニックを選択したいものです。治療したいお悩みに合った専門のレーザー治療機器をそろえているか、美容の専門の知識を学んだ医師がいるかを確認して、ホームページや電話で問い合わせてクリニックを選択することが重要です。あざやしみ、いびきや鼻炎など疾患の種類によって、使われるレーザー治療機器が異なります。どのようなレーザー治療機器を保有していて、どの治療に強いのか(豊富なのか)をよく調べることが大切です。レーザー治療機器1台で、しみ、たるみなどの治療を行うクリニックは感心しません。他の診察の合間に片手間にレーザー治療を行うクリニックや、皮膚科や形成外科の知識もなくレーザー治療を行うクリニックもあるようです。
クリニックの選択は本当に大切な第一歩ですから、慎重になさってください。本当に安心できるクリニックを選んでいただくために、参考となるチェック項目をお伝えします。


レーザー治療のクリニック選び
「10の法則」
1. レーザー治療に精進し、レーザー治療を専門に行う医師が治療している
2. 医師がレーザー治療学会などに所属し、常に最新のレーザー治療の知識を取り入れている
3. 最新のレーザー機器を、治療内容別に少なくとも5台以上は揃えている
4. 医師が皮膚科や形成外科の専門知識を十分に持っている
5. 医師自らがカウンセリングを行い、治療に関してきちんと説明している
6. 美容領域だけではなく、あざなどの治療も経験豊富な医師がいる
7. カウンセリングした医師が、治療まで一貫して担当している
8. アフターケアの指導もしっかり行っている
9. 治療費に関して施術前に明確で、会計前にきちんと相談の時間がある
10. 治療後の相談にもすぐに対応している


2.次に不可欠なのが「レーザー治療経験の豊富な」担当医師の選択
治療後の皮膚の反応には個人差があるため、治療後の小さな変化を見落とさないように医師の注意力が必要です。治療を続けていくなかで、皮膚の強さや治り具合いなど、皮膚の情報がわかってくることもあります。ところが、治療の途中で担当医が変わる場合、皮膚の小さな情報を見落としてしまう可能性があります。せっかくの情報を活かしきれなくなります。これでは、最善なレーザー治療とは言えません。完全に治るまで、担当医が継続した治療を行うことが肝要です。
また、低出力のレーザー治療であれば、治療後の肌のケアはほとんど必要ありませんが、高出力のレーザー治療の場合は、施術後のアフターケアが大切です。治療後の肌は影響を受けやすいため、紫外線の予防対策や外用薬などのケアが必要です。日常生活を含めて、治療後の薬の使用方法やスキンケア、メイクの仕方についても、しっかりと説明してくれる医師であれば安心です。肝斑やあざの治療は、治療期間が長いため、通院しやすい場所であり、土曜日や日曜日も治療していることなども、クリニック選びで大切なことですね。
監修医師
院長 徳永 真理 Mari Tokunaga
シロノクリニック 銀座
経歴
- 2006年東京女子医科大学医学部卒業、同年 東京大学医学部付属病院研修(内科、皮膚科)
- 2008年シロノクリニック入職
- 2015年シロノクリニック銀座院 院長に就任
所属学会・資格
・日本レーザー医学会認定医
・日本美容皮膚科学会
・日本抗加齢医学会専門医
その他
・サーマクール認定医
・ウルセラ認定医
・ドクターシーラボ開発顧問&認定医師
代表医師
総院長 城野 親德 Yoshinori Shirono
シロノクリニック 恵比寿
経歴
- 1988年慶應義塾大学医学部卒業
- 1995年シロノクリニックを開業・総院長に就任
- 1999年ドクターシーラボを設立し、取締役会長に就任
- 2008年企業家ネットワーク 第10回年間優秀企業家賞を受賞
所属学会・資格
・日本レーザー医学会
・日本形成外科学会
・日本抗加齢医学会
・日本皮膚科学会
・日本美容皮膚科学会
・日本美容外科学会
その他
シロノクリニックの医師・ドクター紹介
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