+352 20 80 27 00 contact@drjangieres.lu
19, rue Rudi Herber L-1749 Howald

Dr Jan Gieres

Laser medicine

Ablative laser

Skin irregularities on the face and/or body can be removed effectively and safely using an ablative laser.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin. In the case of the ablative laser, this target is H2O, water. Since our skin cells consist of approx. 60% water, they are heated to such a degree by the laser’s energy that they «evaporate» and can be easily removed from the skin.

  • Viral warts
  • Age warts
  • Skin tags
  • Xanthelasma (cholesterol deposits on the upper and/or lower eyelids)
  • Protruding birthmarks (papillomatous and dermal nevi)
  • Milia
  • Hypertrophic sebum glands
  • Sebum cysts

After thorough disinfection, local anesthesia and wearing protective goggles, the treatment is about to start. Due to local anesthesia, the procedure is painless. After the treatment, only a small wound remains, which quickly heals with adequate cream therapy.

Apply a disinfecting cream twice a day for 2 weeks on the fresh wound. Direct sunlight should be avoided up to 4 weeks after the therapy, we also recommend the application of sunscreen SPF 50 up to 4 weeks after the laser treatment. Make up should only be reapplied after a crust has formed. The skin of the treated area will initially be slightly reddened, this reddening will recede after 3-4 months.

Normally 1 treatment is enough, in special cases such as xanthelasma, however, a second treatment might be necessary.

  • Pregnancy and / or breastfeeding
  • Open wounds or injuries in the area to be treated
  • Epilepsy
  • Known allergy to local anesthetics

Dr Gieres is happy to answer any further questions regarding the treatment during a private consultation.

Fractionate ablative laser

Fine lines or even scars can be treated and improved effectively and safely using a fractionated ablative laser. Laser resurfacing with a fractionated ablative laser is also a gentle and safe way to achieve skin rejuvenation.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin. In the case of the fractionated ablative laser, this chromophore is H2O, water. Since our skin cells consist of approx. 60% water, the fractionated ablative laser can initiate a renewal of the skin through targeted microtraumas (neocollagenesis). To achieve this a fractional laser treatment creates tiny wounds within the dermis. The fractional application ensures that foci of intact skin cells remain between these lesions, from which regeneration can take place to a greater extent. The processes mentioned above stimulates the body to produce new collagen, hyaluronic acid and elastin fibers, which results in skin rejuvenation and/or remodelling scar tissue.

  • Atrophic scars, superficial acne scars
  • Wrinkles and loss of skin elasticity in the face, neck, décolleté and back of the hands
  • Uneven skin texture
  • Static wrinkels around the eyes
  • Lip wrinkles, perioral wrinkles
  • Rhinophyma
  • Stretch marks

After thorough disinfection and wearing protective goggles, the treatment is about to start. During the treatment the patient may feel a slight burning sensation in the treated areas, but the treatment itself is almost painless. On request, we will be happy to apply a numbing cream before the laser treatment. After the treatment, the skin is usually slightly reddened, in the following days the treated area can also become slightly flaky. The healing phase is usually over after 1 week.

You should apply a disinfecting cream twice a day for 1 week as a follow-up treatment. Direct sunlight should be avoided for up to 4 weeks after the therapy, sunscreen with a sun protection factor of 50 should be applied up to 4 weeks after the treatment. Make up should only be reapplied after 12 hours.

For an optimal result, an average of 3-4 treatments are necessary at intervals of 4 weeks.

  • Pregnancy and / or breastfeeding
  • Open wounds or injuries in the area to be treated
  • Epilepsy

Dr Gieres is happy to answer any further questions regarding the treatment during a private consultation.

Vascular laser

Redness on the face, fine veins or couperose can be safely and effectively treated with vascular lasers.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin. In the case of the vascular laser this chromophore is the blood pigment hemoglobin. This is heated so strongly by the energy of the laser that the vessel is stuck together (coagulated) or even bursts, in the latter case a bruise occurs. The coagulated or destroyed vessel is then broken down by the body. The clinic’s vascular laser disposes of 2 different wave lengths for optimal results.

  • Small veins on the face, on the neck or in the décolleté (telangiectasia)
  • Couperose (rosacea grade I)
  • Portwine stains
  • Hemangioma
  • Active (red) scars

After thorough disinfection and wearing protective goggles, the treatment is about to start. The patient may feel a slight burning sensation during this procedure, but the treatment itself is painless. Temporary slight swelling and redness are possible after the treatment. However, these disappear after 1-2 days, occasionally bruises also appear.

Direct sunlight should be avoided for up to 4 weeks after therapy, we also recommend the application of sunscreen SPF 50 up to 4 weeks after the laser treatment. Make up can be reapplied immediately after the treatment.

In the case of extensive treatment, sauna, spicy food or foods containing histamine should be avoided for a few days. Temporary slight swelling and increased redness for 1-2 days might occur, in this case sleeping with your head elevated and applying coldpacks a few times per day gives quick relieve.

Depending on the area and indication, approx. 2-4 applications are necessary, each with an interval of 4 weeks.

The end result is visible 1 month after the last session.

  • Pregnancy and / or breastfeeding
  • Open wounds or injuries in the area to be treated
  • Epilepsy

Dr Gieres is happy to answer any further questions regarding the treatment during a private consultation.

Pigment Laser

Discolorations or age spots can be safely and effectively removed using a pigment laser.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin. In the case of the pigment laser, this chromophore is the skin pigment melanin. Melanin is broken up by the energy of the laser into its smallest components and in this state these can be recognized by the body’s phagocytes and be disposed of via the lymphatic system. The pigment laser disposes of two different wavelengths for optimal results.

  • Age spots
  • Pigmentation
  • Freckles
  • Hyperpigmented scars
  • Post-inflammatory hyperpigmentation)

After a thorough disinfection and putting on protective eye goggles the treatment is about to start. The patient may feel a slight burning sensation during the laser treatment, but the procedure itself is almost painless. After the treatment, minimal swellings and reddening are possible. First of all, there is always a dark discoloration on the treated areas, which can last for approx. 3-4 weeks, only then you will see the skin brigthening. This is a normal and necessary process.

Direct sunlight should be avoided for up to 4 weeks after therapy, we also recommend the application of sunscreen SPF 50 up to 4 weeks after the laser treatment. Make up should only be reapplied 12 hours post treatment. You should also apply a disinfecting cream twice daily as a follow-up treatment.

Depending on the indication, approx. 2 sessions are necessary, each 4 to 6 weeks apart. After a vacation with lots of sun exposure (tanning), wait at least 2 weeks until the next laser treatment; before a vacation with lots of sun exposure, the laser treatment should be carried out at least 4 weeks in advance.

  • Pregnancy and / or breastfeeding
  • Open wounds or injuries in the area to be treated
  • Epilepsy

Dr Gieres is happy to answer any further questions regarding the procedure during a private consultation.

Tattoo Laser

Tattos or permanent make up that initially was meant to last forever can be safely and effectively removed with a pigment laser.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin. In the case of the pigment laser, these chromophores are the colour pigments used in tattoos and permanent make up. These are broken up by the energy of the laser into their smallest components and in this state they can be recognized by the body’s phagocytes and be disposed of via the lymphatic system. The tattoo laser disposes of two different wavelengths for optimal results.

  • Black, blue, dark blue
  • Red, orange, yellow
  • Purple, green

After a thorough disinfection and putting on protetive eye goggles the treatment is about to start. The patient may feel a slight burning sensation during the laser treatment, but the procedure itself is almost painless. We are happy to apply some anaesthetic cream on demand. An additional cooling device further decreases any painful sensations. After the treatment, minimal swellings and reddening are possible. First of all, there is always a dark discoloration on the treated areas, which can last for approx. 3-4 weeks, only then you will see the tattoo or the permanent make up brigthening in colour. This is a normal and necessary process.

Direct sunlight should be avoided for up to 4 weeks after therapy, we also recommend the application of sunscreen SPF 50 up to 4 weeks after the laser treatment. Make up only not be reapplied 12 hours after treatment. You should apply a disinfecting cream twice daily as a follow-up treatment.

Since there unfortunately is no international standardization of tattoo colours, the insertion depth or the applied amount, the number of treatments varies from tattoo to tattoo. The average number of sessions is 10-15. There should be at least 6 weeks between 2 treatments.

After a vacation with lots of sun exposure (tanning), wait at least 2 weeks until the next laser treatment; before a vacation with lots of sun exposure, the laser treatment should be carried out at least 4 weeks in advance.

  • Pregnancy and / or breastfeeding
  • Open wounds or injuries in the area to be treated
  • Epilepsy

Dr Gieres is happy to answer any further questions regarding the procedure during a private consultation.

Epilation laser

Excessive hair can be treated safely and effectively using epilation lasers.

Each laser has a specific wavelength with which it can reach a certain target (chromophore) in the skin.

In the case of the epilation laser, this chromophore is the pigment of the hair, melanin. These pigments are heated to such an extent by the energy of the laser that the hair and with it the hair stem cells burn and are thus destroyed. However, this only works in the build-up phase of the hair, the anagen phase, because only in this phase, the hair root is close to the hair stem cells. This is also the reason why several sessions are necessary for a satisfactory result.

The hair grows in the anagen phase, only here does the hair root surround the hair stem cells, so that they are also destroyed during a laser epilation treatment. About 20% of our hair is in the anagen phase.

In the catagen phase, the hair recedes and growth stops.

In the telogen phase, the hair falls out.

Basically, dark hair responds best to a treatment, but the latest laser technologies also promise very good results with light hair colors, but more sessions may be necessary here.

  • Face (mustache, beard)
  • Neck
  • Chest
  • Shoulders
  • Back
  • Arms
  • Belly
  • Legs
  • Hands
  • Feet
  • Intimate area

After a thorough disinfection has been performed and special eye protection goggles are put on the patient, the treatment is about to start. During the treatment you may feel a slight burning sensation. Although thanks to the integrated contact cooling in the treatment head, the treatments are low-pain. After the treatment, slight swelling and redness may occur, but these usually disappear the next day.

Depending on the hair type, 6-8 sessions are necessary at least every 4 weeks to achieve an optimal result. The first results can be seen after the first 3-4 treatments.

When talking about laser hair removal, you are alw as talking about a long-term hair removal, permanent or definitive hair removal does not exist. After 1-2 years, 1-2 sessions may therefore be necessary to maintain the results.

The hair should not be plucked, epilated or waxed up to 4 weeks before the laser treatment. The hair root must be preserved for the laser therapy to be successful. Shaving is not a problem. The hair must even be shaved the day before or on the day of the treatment.

Strong sun exposure with subsequent tanning in the areas to be treated should be avoided up to 4 weeks before the laser treatment, otherwise side effects such as burns or hypopigmentation can occur.

Up to 4 weeks after a epilation laser procedure, there must be no strong exposure to the sun of the treated areas, as this can lead to side effects such as hyperpigmentation. A sunscreen SPF 50 should always be applied to body areas exposed to the sun up to 4 weeks after each laser treatment.

Dr Gieres is happy to answer any further questions regarding the procedure during a private consultation.