Device and method using laser coring to form independent lifting vectors for controlled pulling on human skin

A method of forming a hole in a target area of human tissue using a laser treatment device having a laser source configured to emit optical energy at a laser wavelength between about 2,700 nm and about 3,500 nm, a laser applicator configured to receive the optical energy emitted by the laser source and deliver the received optical energy to the target area, and a controller the method comprising:

• (a) delivering, by the laser source and the laser applicator, a laser pulse having a set fluence to the target area;
• (b) changing, by the controller, location in the target area and delivering, by the laser source and the laser applicator, a laser pulse having the set fluence;
• (c) repeating step (b) to form a pattern including a plurality of locations, each of which partially overlaps with at least one other of the plurality of locations in the pattern, the pattern having a center and wherein:
• i. at least a portion of the plurality of locations partially overlap with the center of the pattern, or
• ii. one of the plurality of locations is located at the center of the pattern and partially overlaps with at least one other of the plurality of locations,
• the set fluence for each of the laser pulses being above an ablation threshold fluence for the laser wavelength such that a thermal injury percentage for energy delivered by each pulse is between about 5% and about 50%, the thermal injury percentage being determined by dividing the ablation threshold fluence for the laser wavelength by the fluence of each pulse.