Erbium Laser Peeling & Rejuvenation (Fotona)

The Fotona erbium (Er:YAG) laser system offers ablative skin resurfacing at adjustable depths, making it suitable for both superficial fine-line correction and deeper perioral or periorbital wrinkle treatment. Unlike the Harmony XL's multi-module approach, the Fotona focuses its 2940 nm wavelength in a continuous or pulsed beam — the same water-absorbing wavelength as all Er:YAG lasers, but in a newer-generation system that allows finer control of ablation depth and a gentler post-treatment recovery profile. At Top Laser Olomouc, the Fotona laser is also used for mole, skin growth, and wart removal. Topical EMLA anaesthetic cream is applied before all resurfacing sessions; for deeper treatments, sedation analgesia is available. Aftercare involves crust formation and natural shedding within days, followed by mandatory SPF 50+ sun protection for six-plus weeks.

Top Laser Olomouc operates two complementary laser systems: the Harmony XL from Alma Lasers and a Fotona erbium laser — a deliberate clinical choice that allows Dr. Nyklová Skřivánková to match the resurfacing tool precisely to the patient's needs, rather than defaulting to a single-platform approach. The Fotona Er:YAG laser emits at 2940 nm, the absorption peak of water in tissue. When the beam contacts skin, it vaporises superficial water-rich cells instantly, removing a precisely controlled layer of tissue with each pulse. The depth of ablation is adjusted by changing the energy settings and number of passes — a shallow setting removes only the stratum corneum for mild rejuvenation, while a deeper setting addresses more established wrinkles, acne scars, or benign growths. The newer-generation Fotona system used at the clinic incorporates refined pulse-shaping technology that reduces the residual thermal damage zone compared with older Er:YAG devices, translating to faster healing and reduced post-treatment redness duration. Clinical indications include perioral wrinkles (often resistant to fillers or botox alone), periorbital fine lines, general facial texture improvement, acne scar revision, mole and sebaceous cyst removal, and wart treatment. The procedure begins with EMLA cream applied 30–60 minutes in advance; for more extensive treatments where patient comfort is a priority, the clinic can arrange conscious sedation analgesia — there is no need for general anaesthesia. Following ablative treatment, the skin surface forms a fine crust that naturally exfoliates over three to seven days. Patients may experience redness for one to two weeks proportional to the depth of treatment. Sun avoidance and SPF 50+ sunscreen are mandatory for a minimum of six weeks post-procedure to prevent post-inflammatory hyperpigmentation. The procedure is limited to autumn, winter, and early spring for the same reason. Contraindications include active suntan, isotretinoin use in the past 12 months, herpes labialis without prophylaxis, and immunosuppression. Dr. Nyklová Skřivánková has performed erbium laser procedures for over 15 years and selects treatment parameters individually based on skin type, lesion characteristics, and the patient's downtime tolerance.