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Tina S. Alster - One of the best experts on this subject based on the ideXlab platform.
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fractionated laser Skin Resurfacing treatment complications a review
Dermatologic Surgery, 2010Co-Authors: Andrei I. Metelitsa, Tina S. AlsterAbstract:BACKGROUNDFractional photothermolysis represents a new modality of laser Skin Resurfacing that was developed to provide a successful clinical response while minimizing postoperative recovery and limiting treatment complications.OBJECTIVESTo review all of the reported complications that develop as a
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plasma Skin Resurfacing for regeneration of neck chest and hands investigation of a novel device
Dermatologic Surgery, 2007Co-Authors: Tina S. Alster, Sailesh KondaAbstract:BACKGROUND Many noninvasive treatments to rejuvenate photodamaged Skin are characterized by an unattainable balance between effectiveness and morbidity. The demand for safe, effective procedures has fueled the emergence of plasma Skin regeneration (PSR). Preliminary studies have elaborated on the safety and efficacy of PSR for facial Skin; however, no evaluation in nonfacial areas has been made. OBJECTIVE This study was conducted to evaluate the efficacy and safety of PSR in the treatment of moderately photodamaged Skin on the neck, chest, and dorsal hands. MATERIALS AND METHODS Thirty Skin areas in 10 patients were selected. Each area received one of three discrete energy settings using a commercially available PSR system. Clinical evaluations of Skin texture, pigmentation, wrinkle severity, and side effects were conducted immediately and at 4, 7, 14, 30, and 90 days after treatment. RESULTS Mean clinical improvements of 57, 48, and 41% were observed in chest, hands, and neck sites, respectively. Significant reduction in wrinkle severity, hyperpigmentation, and increased Skin smoothness were achieved. Higher-energy settings yielded greater benefit but also prolonged tissue healing. CONCLUSIONS PSR offers improvement of moderately photodamaged Skin of the neck, chest, and dorsal hands with limited side effects. Further studies are needed to determine the effect of multiple treatment sessions, optimal treatment parameters, and intervals for each site and longevity of clinical results.
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Combination surgical lifting with ablative laser Skin Resurfacing of facial Skin: a retrospective analysis.
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2004Co-Authors: Tina S. Alster, Seema N. Doshi, Steven B. HoppingAbstract:Background. Cutaneous aging is manifested by rhytides, dyschromias, and Skin laxity. Ablative laser Skin Resurfacing can effectively improve many signs of Skin aging; however, the photoaged patient with facial laxity often requires a surgical lifting procedure in order to obtain optimal results. Concerns with delayed or impaired wound healing has led to reluctance to perform both procedures simultaneously. Objective. To report the clinical results and side effect profiles after concomitant surgical facial lifting procedures and ablative carbon dioxide or erbium:YAG laser Resurfacing in a series of patients. Methods. A retrospective analysis and chart review was performed in 34 consecutive patients who underwent combination CO2 or erbium:YAG laser Skin Resurfacing and surgical lifting procedures, including S-lift rhytidectomy, blepharoplasty, and brow lift. Side effects and complication rates were tabulated. Results. The side effect profile of the combined surgical-laser procedures was similar to that reported after a laser-only procedure. The most common side effect was transient hyperpigmentation which occurred in 20.6% of treated patients. None of the patients experienced delayed reepithelialization, Skin necrosis, or prolonged healing times. Conclusions. Concurrent laser Skin Resurfacing and surgical lifting of facial Skin maximizes aesthetic results without increased incidence of adverse effects. Patients benefit from the consolidation of anesthesia and convalescent times as well as enhanced global clinical outcomes.
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Side effects and complications of variable-pulsed erbium:yttrium-aluminum-garnet laser Skin Resurfacing: extended experience with 50 patients.
Plastic and reconstructive surgery, 2003Co-Authors: Elizabeth L. Tanzi, Tina S. AlsterAbstract:Recent advances in technology have provided laser surgeons with new options for cutaneous laser Resurfacing. Despite its popularity, there is limited information on the short-term and long-term side effects and complications of variable-pulsed erbium:yttrium-aluminum-garnet (erbium:YAG) laser Skin Resurfacing. The purpose of this study was to prospectively evaluate postoperative wound healing, side effects, and complications of multiple-pass, variable-pulsed erbium:YAG laser Skin Resurfacing for facial photodamage, rhytides, and atrophic scarring. Fifty consecutive patients with facial photodamage, rhytides, or atrophic scarring were treated with a variable-pulsed erbium:YAG laser. Side effects and complications relating to postoperative healing, erythema, and pigmentary changes were tabulated. Patients were evaluated at postoperative days 3 through 7 and at 1, 3, 6, and 12 months after laser Skin Resurfacing. The average time for reepithelialization was 5.1 days. Prolonged erythema (>1 month) was observed in three patients (6 percent). Transient hyperpigmentation occurred in 20 patients (40 percent), with an average duration of 10.4 weeks. No cases of hypopigmentation or scarring were seen. In summary, a variable-pulsed erbium:YAG laser can safely be used for the treatment of facial photodamage, rhytides, and atrophic scarring. Although more postoperative erythema is seen after variable-pulsed erbium:YAG laser treatment than is usually produced with a short-pulsed erbium:YAG system, the side-effect profile and recovery period after variable-pulsed erbium:YAG laser Skin Resurfacing still are more favorable than after multiple-pass carbon dioxide laser Skin Resurfacing.
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Single-pass CO2 laser Skin Resurfacing of light and dark Skin: extended experience with 52 patients.
Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology, 2003Co-Authors: Tina S. Alster, Ranella J HirschAbstract:BACKGROUND: Multiple‐pass carbon dioxide (CO2) laser Skin Resurfacing has been a favored treatment modality for photodamaged and acne‐scarred Skin over the past several years. Its association with ...
Jeffrey S. Dover - One of the best experts on this subject based on the ideXlab platform.
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Fractional laser Skin Resurfacing.
Journal of drugs in dermatology : JDD, 2012Co-Authors: Macrene Alexiades-armenakas, Jeffrey S. Dover, Kenneth A. ArndtAbstract:Laser Skin Resurfacing (LSR) has evolved over the past 2 decades from traditional ablative to fractional nonablative and fractional ablative Resurfacing. Traditional ablative LSR was highly effective in reducing rhytides, photoaging, and acne scarring but was associated with significant side effects and complications. In contrast, nonablative LSR was very safe but failed to deliver consistent clinical improvement. Fractional LSR has achieved the middle ground; it combined the efficacy of traditional LSR with the safety of nonablative modalities. The first fractional laser was a nonablative erbium-doped yttrium aluminum garnet (Er:YAG) laser that produced microscopic columns of thermal injury in the epidermis and upper dermis. Heralding an entirely new concept of laser energy delivery, it delivered the laser beam in microarrays. It resulted in microscopic columns of treated tissue and intervening areas of untreated Skin, which yielded rapid reepithelialization. Fractional delivery was quickly applied to ablative wavelengths such as carbon dioxide, Er:YAG, and yttrium scandium gallium garnet (2,790 nm), providing more significant clinical outcomes. Adjustable laser parameters, including power, pitch, dwell time, and spot density, allowed for precise determination of percent surface area, affected penetration depth, and clinical recovery time and efficacy. Fractional LSR has been a significant advance to the laser field, striking the balance between safety and efficacy.
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the spectrum of laser Skin Resurfacing nonablative fractional and ablative laser Resurfacing
Journal of The American Academy of Dermatology, 2008Co-Authors: Macrene Alexiadesarmenakas, Jeffrey S. Dover, Kenneth A. ArndtAbstract:The drive to attain cosmetic facial enhancement with minimal risk and rapid recovery has inspired the field of nonsurgical Skin rejuvenation. Laser Resurfacing was introduced in the 1980s with continuous wave carbon dioxide (CO 2 ) lasers; however, because of a high rate of side effects, including scarring, short-pulse, high-peak power, and rapidly scanned, focused-beam CO 2 lasers and normal-mode erbium-doped yttrium aluminium garnet lasers were developed, which remove Skin in a precisely controlled manner. The prolonged 2-week recovery time and small but significant complication risk prompted the development of non-ablative and, more recently, fractional Resurfacing in order to minimize risk and shorten recovery times. Nonablative Resurfacing produces dermal thermal injury to improve rhytides and photodamage while preserving the epidermis. Fractional Resurfacing thermally ablates microscopic columns of epidermal and dermal tissue in regularly spaced arrays over a fraction of the Skin surface. This intermediate approach increases efficacy as compared to nonablative Resurfacing, but with faster recovery as compared to ablative Resurfacing. Neither nonablative nor fractional Resurfacing produces results comparable to ablative laser Skin Resurfacing, but both have become much more popular than the latter because the risks of treatment are limited in the face of acceptable improvement. Learning objectives At the completion of this learning activity, participants should be familiar with the spectrum of lasers and light technologies available for Skin Resurfacing, published studies of safety and efficacy, indications, methodologies, side effects, complications, and management.
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A prospective survey of patient experiences after laser Skin Resurfacing: results from 2 1/2 years of follow-up.
Archives of dermatology, 2003Co-Authors: R. Sonia Batra, Kenneth A. Arndt, Carolyn I. Jacob, Lori Hobbs, Jeffrey S. DoverAbstract:Background Laser Skin Resurfacing (LSR) is a common cosmetic surgical procedure, yet there are no prospective long-term studies on patients' perceptions of their procedure. Objective To prospectively document patients' subjective experiences after LSR. Design Twenty-seven consecutive patients who underwent combination carbon dioxide/erbium:YAG full-face laser Resurfacing for acne scarring or photodamage were surveyed at postoperative days 1 and 3, within 1 week, at 3 weeks, 6 weeks, 3 months, and 30 months and asked standardized questions. Setting Referral-based academic practice. Results One day after LSR, 10 patients (37%) were concerned about the outcome, and 3 (11%) considered it a "terrible" experience. At 2.7 days after the procedure, 23 patients (85%) would recommend LSR, and after 3.7 days, 24 (89%) would have the procedure again. At 3 months, the patients' mean rating of appearance was 2.3 (0-3 scale), and all 27 (100%) felt that their appearance had been improved by LSR. After 30 months, 18 patients (75%) would recommend the procedure, 17 (71%) would have LSR again, 21 (88%) felt that their appearance was improved, and final appearance was rated 1.8 (0-3 scale). Patients undergoing LSR to treat acne scarring were as satisfied as patients treated for photodamage. Conclusions Data on the evolution of patient perspective after LSR can improve patient preparation. This may help the surgeon and patient achieve shared, realistic expectations for the postoperative period and for long-term results.
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Evaluation of a silicone occlusive dressing after laser Skin Resurfacing.
Archives of dermatology, 2001Co-Authors: R. Sonia Batra, Kenneth A. Arndt, Richard J. Ort, Carolyn I. Jacob, Lori Hobbs, Jeffrey S. DoverAbstract:Background Closed dressings are thought to promote postoperative wound healing after laser Skin Resurfacing; however, quantitative data are lacking. Objective To compare postoperative healing after combination carbon dioxide and erbium:YAG full-face laser Skin Resurfacing in patients who were treated with a silicone occlusive dressing (Silon-TSR; Bio Med Sciences, Inc, Bethlehem, Pa) vs open-wound care consisting of soaks and ointment application. Design Thirty-five patients with closed dressings compared retrospectively with 35 control subjects with open-wound care. In a prospective evaluation, 27 patients with closed dressings were then compared with 27 historical controls matched by age, sex, Skin type, and treatment technique. Erythema, crusting, swelling, pain, pruritus, purpura, long-term complications, and dressing comfort were evaluated. Setting Referral-based academic practice. Results Prospectively, closed-dressing and open-wound care groups differed significantly in maximum erythema severity (1.8 vs 2.0 on a scale of 0-3; P = .03), noticeable erythema duration (15.4 vs 31.1 days; P = .04), and time until complete erythema resolution (41.8 vs 96.1 days; P = .02). Swelling resolution was more rapid in the dressing group (12.1 vs 29.5 days; P = .02). Crusting was limited to uncovered areas in the dressing group, and crusting duration was shorter (5.0 vs 9.1 days; P Conclusions Occlusive silicone dressing application decreases immediate postoperative morbidity with significantly reduced severity and duration of erythema and decreased duration of swelling and crusting. Long-term results and complication rates remain unchanged.
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laser Skin Resurfacing
Archives of Dermatology, 1996Co-Authors: George J. Hruza, Jeffrey S. DoverAbstract:The zone of thermal damage can be reduced by applying the principle of selective photo thermolysis, 8 which states that selective heating can be achieved by preferential laser light absorption and heat production in the target chromophore with heat being localized to the target by a pulse duration shorter than or equal to the thermal relaxation time (time for the target to cool by 63%) of the chromophore. The thermal relaxation time for the 20 to 30 μm thickness of water-containing tissue that absorbs the CO 2 laser light is less than 1 millisecond. 9 To limit collateral thermal damage, the CO 2 laser has to be pulsed or scanned across the tissue with a tissue dwell time less than or equal to the thermal relaxation time (1 millisecond). In addition, sufficient energy has to be delivered in that short time to achievetissue vaporization with a single pulse or
David J. Goldberg - One of the best experts on this subject based on the ideXlab platform.
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Fractional ablative laser Skin Resurfacing: a review.
Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology, 2011Co-Authors: Ani L. Tarijian, David J. GoldbergAbstract:Ablative laser technology has been in use for many years now. The large side effect profile however has limited its use. Fractional ablative technology is a newer development which combines a lesser side effect profile along with similar efficacy. In this paper we review fractional ablative laser Skin Resurfacing.
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ablative Skin Resurfacing
Current problems in dermatology, 2011Co-Authors: Jennifer Chwalek, David J. GoldbergAbstract:Ablative Skin Resurfacing has remained the gold standard for treating photodamage and acne scars since the development of the first CO(2) lasers. CO(2) and Er:YAG lasers emit infrared light, which targets water resulting in tissue contraction and collagen formation. The first ablative laser systems created significant thermal damage resulting in unacceptably high rates of scarring and prolonged healing. Newer devices, such as high-energy pulsed lasers and fractional ablative lasers, are capable of achieving significant improvements with fewer side effects and shorter recovery times. While ablative Resurfacing has become safer, careful patient selection is still important to avoid post-treatment scarring, dyspigmentation, and infections. Clinicians utilizing ablative devices need to be aware of possible side effects in order to maximize results and patient satisfaction. This chapter reviews the background of ablative lasers including the types of ablative lasers, mechanism of action, indications for ablative Resurfacing, and possible side effects.
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laser Skin Resurfacing with the q switched nd yag laser
Dermatologic Surgery, 1997Co-Authors: David J. Goldberg, Jeffrey WhitworthAbstract:BACKGROUND. Recent studies have shown that char-free pulsed carbon dioxide lasers are useful in the treatment of rhytids. Other infrared lasers have also been observed to induce changes in the Skin. OBJECTIVE. In this pilot study, we evaluated the rhytid Resurfacing capability of the Q-switched neodymium :yttrium-aluminum-garden (QS Nd:YAG) laser at 1064 nm as compared with char-free carbon dioxide lasers at 10,600 nm. METHODS. Three lasers were used in the study: The QS Nd:YAG laser, the SilkTouch carbon dioxide laser, and the UltraPulse carbon dioxide laser. Eleven subjects were treated in either the periorbital or perioral region with the QS Nd:YAG laser on one side of the face, and both of the char-free pulsed carbon dioxide lasers on the other side. The subjects were evaluated at posttreatment days 7, 30, 60, and 90 for improvement of rhytids, healing, pigmentary changes, and erythema. RESULTS. All 11 patients treated with the char-free carbon dioxide lasers improved. Nine of 11 patients treated with the QS Nd:YAG laser were improved. Healing (complete reepithelialization) was noted to occur 3-6 days earlier in sites treated with the QS Nd:YAG than in sites treated with char-free carbon dioxide lasers. Pigmentary changes were not observed in any treatment site. Erythema was observed at 1 month after treatment in all areas treated with the char-free carbon dioxide lasers, but only three patients treated with the QS Nd:YAG exhibited erythema. These were the same three QS Nd:YAG-treated patients whose clinical improvement was comparable with that of the char-free carbon dioxide lasers. CONCLUSION. The Q-switched Nd:YAG laser may play a role in the treatment of rhytids.
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Skin Resurfacing with the erbium yag laser
Dermatologic Surgery, 1997Co-Authors: Gabriele Teikemeier, David J. GoldbergAbstract:background Recent studies have shown that pulsed char-free carbon dioxide lasers are effective in the treatment of rhytids. However, these lasers produce thermal damage with the potential for prolonged wound healing. objective In this study, we evaluated the role of the erbium (Er): YAG laser in the treatment of rhytids. This laser, with a wavelength of 2940 nm, produces little thermal damage. methods Twenty patients were treated with the Er: YAG laser. Perioral, periorbital, and forehead rhytids were treated. Pulsed of energy varying between 400 and 800 mJ were used; spot sizes between 2.5 and 5 mm were chosen. Patients were evaluated at 2 days, 1 month, and 2 months for erythema, time of healing, degree of improvement, and pigmentary charges. results All 20 patients showed improvement of their rhytids. Reepitheliation occurred between 4 and 10 days. Postoperative of eythema resolved in less than 2 weeks. Clinical improvement occurred between 3 and 8 weeks after laser treatment. conclusion The Er: YAG laser plays a role in the treatment of superficial rhytids.
Richard E Fitzpatrick - One of the best experts on this subject based on the ideXlab platform.
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fractional carbon dioxide laser and plasmakinetic Skin Resurfacing
Seminars in Cutaneous Medicine and Surgery, 2008Co-Authors: William F Groff, Richard E Fitzpatrick, Nathan S UebelhoerAbstract:Photodamage is one of the most common reasons that patients visit a dermatologist’s office. Carbon dioxide (CO2) laser Resurfacing has always been the gold standard for reversing photodamage. Because of the relatively high incidence of side effects and the prolonged downtime associated with CO2 Resurfacing, new technologies have emerged to address photodamage. Portrait Skin regeneration (PSR) is a novel device that has been developed to treat photodamage, and this device yields fewer side effects and downtime than traditional CO2 laser Resurfacing. At our center, we have performed more than 500 high-energy PSR treatments and have developed a unique and highly effective treatment protocol. In addition, fractional CO2 laser Resurfacing has emerged as the latest technology developed to combat photoaging. This technology yields impressive results and is much safer and causes less downtime than traditional CO2 laser Resurfacing. In this article, we will review our treatment techniques and protocols as well as address patient selection, preoperative and postoperative care, and anesthesia.
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atypical mycobacterial infection following blepharoplasty and full face Skin Resurfacing with co2 laser
Dermatologic Surgery, 2002Co-Authors: Jaggi Rao, Theodore A Golden, Richard E FitzpatrickAbstract:background. With the popularity of laser Skin Resurfacing for the correction of photoaging and the improvement of acne scarring, it is important to note complications that may result from this procedure. Infections must be recognized and treated early, as some can result in permanent local destruction and systemic spread to other body sites. objective. To increase the awareness of an unusual infection that may result from laser Resurfacing. methods. We report the case of a 52-year-old woman who presented with two symmetrical nodules 1 month after full-face Skin Resurfacing with CO2 laser. These were found to be abscesses caused by Mycobacterium fortuitum infection. results. The diagnosis was established following surgical debridement and subsequent culture grown from the exudate. Oral antibiotic treatment guided by organism sensitivity resulted in complete clearance of the infection with no recurrence or sequelae after 3 years of follow-up. conclusion. This case demonstrates that atypical mycobacterial infections may arise after laser Resurfacing procedures, despite proper technique, sterile instrumentation, and appropriate perioperative medications and postoperative wound care. If diagnosed and treated early, this potentially disastrous complication can be cured with no permanent sequelae.
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laser Skin Resurfacing of the face with a combined co2 er yag laser
Dermatologic Surgery, 2000Co-Authors: Mitchel P Goldman, Nancy L Marchell, Richard E FitzpatrickAbstract:Background.A combined, dual-wavelength CO2/Er:YAG laser system having the ability to deliver both clean ablation of Skin with the erbium wavelength and a simultaneous deeper penetrating subablative thermal pulse of CO2 was developed for full-face Resurfacing. The CO2 component can be pulsed from 1 t
Kenneth A. Arndt - One of the best experts on this subject based on the ideXlab platform.
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Fractional laser Skin Resurfacing.
Journal of drugs in dermatology : JDD, 2012Co-Authors: Macrene Alexiades-armenakas, Jeffrey S. Dover, Kenneth A. ArndtAbstract:Laser Skin Resurfacing (LSR) has evolved over the past 2 decades from traditional ablative to fractional nonablative and fractional ablative Resurfacing. Traditional ablative LSR was highly effective in reducing rhytides, photoaging, and acne scarring but was associated with significant side effects and complications. In contrast, nonablative LSR was very safe but failed to deliver consistent clinical improvement. Fractional LSR has achieved the middle ground; it combined the efficacy of traditional LSR with the safety of nonablative modalities. The first fractional laser was a nonablative erbium-doped yttrium aluminum garnet (Er:YAG) laser that produced microscopic columns of thermal injury in the epidermis and upper dermis. Heralding an entirely new concept of laser energy delivery, it delivered the laser beam in microarrays. It resulted in microscopic columns of treated tissue and intervening areas of untreated Skin, which yielded rapid reepithelialization. Fractional delivery was quickly applied to ablative wavelengths such as carbon dioxide, Er:YAG, and yttrium scandium gallium garnet (2,790 nm), providing more significant clinical outcomes. Adjustable laser parameters, including power, pitch, dwell time, and spot density, allowed for precise determination of percent surface area, affected penetration depth, and clinical recovery time and efficacy. Fractional LSR has been a significant advance to the laser field, striking the balance between safety and efficacy.
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the spectrum of laser Skin Resurfacing nonablative fractional and ablative laser Resurfacing
Journal of The American Academy of Dermatology, 2008Co-Authors: Macrene Alexiadesarmenakas, Jeffrey S. Dover, Kenneth A. ArndtAbstract:The drive to attain cosmetic facial enhancement with minimal risk and rapid recovery has inspired the field of nonsurgical Skin rejuvenation. Laser Resurfacing was introduced in the 1980s with continuous wave carbon dioxide (CO 2 ) lasers; however, because of a high rate of side effects, including scarring, short-pulse, high-peak power, and rapidly scanned, focused-beam CO 2 lasers and normal-mode erbium-doped yttrium aluminium garnet lasers were developed, which remove Skin in a precisely controlled manner. The prolonged 2-week recovery time and small but significant complication risk prompted the development of non-ablative and, more recently, fractional Resurfacing in order to minimize risk and shorten recovery times. Nonablative Resurfacing produces dermal thermal injury to improve rhytides and photodamage while preserving the epidermis. Fractional Resurfacing thermally ablates microscopic columns of epidermal and dermal tissue in regularly spaced arrays over a fraction of the Skin surface. This intermediate approach increases efficacy as compared to nonablative Resurfacing, but with faster recovery as compared to ablative Resurfacing. Neither nonablative nor fractional Resurfacing produces results comparable to ablative laser Skin Resurfacing, but both have become much more popular than the latter because the risks of treatment are limited in the face of acceptable improvement. Learning objectives At the completion of this learning activity, participants should be familiar with the spectrum of lasers and light technologies available for Skin Resurfacing, published studies of safety and efficacy, indications, methodologies, side effects, complications, and management.
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A prospective survey of patient experiences after laser Skin Resurfacing: results from 2 1/2 years of follow-up.
Archives of dermatology, 2003Co-Authors: R. Sonia Batra, Kenneth A. Arndt, Carolyn I. Jacob, Lori Hobbs, Jeffrey S. DoverAbstract:Background Laser Skin Resurfacing (LSR) is a common cosmetic surgical procedure, yet there are no prospective long-term studies on patients' perceptions of their procedure. Objective To prospectively document patients' subjective experiences after LSR. Design Twenty-seven consecutive patients who underwent combination carbon dioxide/erbium:YAG full-face laser Resurfacing for acne scarring or photodamage were surveyed at postoperative days 1 and 3, within 1 week, at 3 weeks, 6 weeks, 3 months, and 30 months and asked standardized questions. Setting Referral-based academic practice. Results One day after LSR, 10 patients (37%) were concerned about the outcome, and 3 (11%) considered it a "terrible" experience. At 2.7 days after the procedure, 23 patients (85%) would recommend LSR, and after 3.7 days, 24 (89%) would have the procedure again. At 3 months, the patients' mean rating of appearance was 2.3 (0-3 scale), and all 27 (100%) felt that their appearance had been improved by LSR. After 30 months, 18 patients (75%) would recommend the procedure, 17 (71%) would have LSR again, 21 (88%) felt that their appearance was improved, and final appearance was rated 1.8 (0-3 scale). Patients undergoing LSR to treat acne scarring were as satisfied as patients treated for photodamage. Conclusions Data on the evolution of patient perspective after LSR can improve patient preparation. This may help the surgeon and patient achieve shared, realistic expectations for the postoperative period and for long-term results.
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Evaluation of a silicone occlusive dressing after laser Skin Resurfacing.
Archives of dermatology, 2001Co-Authors: R. Sonia Batra, Kenneth A. Arndt, Richard J. Ort, Carolyn I. Jacob, Lori Hobbs, Jeffrey S. DoverAbstract:Background Closed dressings are thought to promote postoperative wound healing after laser Skin Resurfacing; however, quantitative data are lacking. Objective To compare postoperative healing after combination carbon dioxide and erbium:YAG full-face laser Skin Resurfacing in patients who were treated with a silicone occlusive dressing (Silon-TSR; Bio Med Sciences, Inc, Bethlehem, Pa) vs open-wound care consisting of soaks and ointment application. Design Thirty-five patients with closed dressings compared retrospectively with 35 control subjects with open-wound care. In a prospective evaluation, 27 patients with closed dressings were then compared with 27 historical controls matched by age, sex, Skin type, and treatment technique. Erythema, crusting, swelling, pain, pruritus, purpura, long-term complications, and dressing comfort were evaluated. Setting Referral-based academic practice. Results Prospectively, closed-dressing and open-wound care groups differed significantly in maximum erythema severity (1.8 vs 2.0 on a scale of 0-3; P = .03), noticeable erythema duration (15.4 vs 31.1 days; P = .04), and time until complete erythema resolution (41.8 vs 96.1 days; P = .02). Swelling resolution was more rapid in the dressing group (12.1 vs 29.5 days; P = .02). Crusting was limited to uncovered areas in the dressing group, and crusting duration was shorter (5.0 vs 9.1 days; P Conclusions Occlusive silicone dressing application decreases immediate postoperative morbidity with significantly reduced severity and duration of erythema and decreased duration of swelling and crusting. Long-term results and complication rates remain unchanged.