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Because the quantity and diversity of lasers raise, it truly is well timed to study which lasers are most sensible for which scientific methods. This good illustrated textual content from revered specialists offers the solutions for a couple of ordinarily encountered difficulties. Even validated laser surgeons should be to benefit approximately more moderen laser kinds, akin to fractionated lasers, and on how to mix extra and adjunctive methods for a greater esthetic consequence.
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Extra info for Clinical Procedures in Laser Skin Rejuvenation
In 2006, Kilmer et al28 reported their experience in performing CO2 neck resurfacing in over 1500 patients. Only 2 patients developed hypopigmentation. Over 99% of the neck cases in this study were treated concomitantly with facial resurfacing. qxd 8/23/2007 10:25 AM Page 27 Carbon dioxide laser resurfacing, fractionated resurfacing and YSGG resurfacing prior neck radiation was excluded from neck CO2 resurfacing. Topical EMLA was used as previously described in this chapter with a second application 45 minutes before the procedure.
It is clear that the use of a topical retinoid is quite valuable before skin resurfacing with chemical peels through its action on the stratum corneum and epidermis. 4,5 Due to the high affinity for water with the CO2 and Er:YAG lasers, these lasers are very capable of evaporating the epidermis without the use of tretinoin. There may be other effects that could theoretically improve the laser resurfacing process and healing. Retinoids regulate gene transcription and affect activities such as cellular differentiation and proliferation.
Kurtin’s description of dermabrasion actually reintroduced Ernst Kronomayer’s dermabrasion procedure, which Kronomayer had introduced in Germany in 1905. Dermabrasion, chemical peeling (trichloroacetic acid (TCA) and phenol) were considered standards for ASR until the 1990s. The last decade has seen unprecedented technological development of lasers, other light sources, and radiofrequency (RF) approaches for ASR. They have dominated the ASR arena, although a reverse trend towards a return to chemical exfoliation exists in some practices.