By Paul Carniol, Neil S. Sadick

Because the quantity and diversity of lasers raise, it's well timed to check which lasers are most sensible for which medical approaches. This good illustrated textual content from revered experts offers the solutions for a few regularly encountered difficulties. Even validated laser surgeons might be to profit approximately more moderen laser forms, similar to fractionated lasers, and on tips on how to mix extra and adjunctive approaches for a greater esthetic outcome.

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Additional resources for Clinical Procedures in Laser Skin Rejuvenation

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The first laser used for laser-assisted skin rejuvenation (LASR) was a pulsed CO2 laser that Fitzpatrick and colleagues modified from a device that had been developed for otolaryngological and gynecological use. The CO2 laser quickly became the workhorse for LASR, and its advantages and limitations became well recognized. Although the long-term skin rejuvenation and tightening provided by this device are unparalleled, marked erythema persisting for weeks or months and permanent (sometimes delayed) hypopigmentation occur at a rate that is not acceptable for many patients.

6). At the time of its release in 1996, the UltraFine Erbium was advocated for incision, excision, ablation, vaporization, and coagulation of soft tissue, including superficial skin resurfacing, precision microplaning, etching, and tissue sculpting. The laser vaporizes 20–50 µm of tissue with very little thermal effect. It is equipped with a computerized pattern generator as well as a variablewidth handpiece. The laser has a maximum output of 3000 mJ and pulse variability from 200 to 600 µs. We have used this laser for 10 years, and it has been very reliable.

Penneys NS. Ochronosis-like pigmentation from hydroquinone bleaching creams. Arch Dermatol 1985; 121:1239–49. 8. Nester MS. Prophylaxis for and treatment of uncomplicated skin and skin structure infections in laser and cosmetic surgery. J Drugs Dermatol 2005;4:20–5. 9. Manolis E, Tsakris A, Kaklamanos I, Siomos K. In vivo effect of carbon dioxide laser skin resurfacing and mechanical abrasion on the skin’s microbial flora in an animal model. Dermatol Surg 2006;32:359–64. 10. Crum NF, Lee RU,Thornton SA, et al.

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