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Semin Plast Surg 2007; 21(3): 139-146
DOI: 10.1055/s-2007-991182
© Thieme Medical Publishers

Laser Resurfacing

Joseph P. Janik1 , Jodi L. Markus1 , Zeena Al-Dujaili2 , Ramsey F. Markus1
  • 1Department of Dermatology, Baylor College of Medicine, Houston, Texas
  • 2Tulane University School of Medicine, Lafayette, Louisiana
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Publication History

Publication Date:
20 November 2007 (online)

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ABSTRACT

In a society desiring images of beauty and youthfulness, the world of cutaneous surgery offers the gifts of facial rejuvenation for those determined to combat the signs of aging. With the development of novel laser and plasma technology, pigmentary changes, scarring, and wrinkles can be conquered providing smoother, healthier, younger-looking skin. This review highlights five of the most popular resurfacing technologies in practice today including the carbon dioxide (CO2) laser, the erbium:yttrium-aluminum-garnet (Er:YAG) laser, combination resurfacing, fractional photothermolysis, and plasma resurfacing.

KEYWORDS

Laser resurfacing - CO2 laser - Er:YAG laser - Fraxel™ laser - plasma resurfacing

REFERENCES

  • 1 Anderson R R, Parrish J A. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation.  Science. 1983;  220 524-527
    CrossrefPubMedSearch in Google Scholar
  • 2 Fitzpatrick R E, Tope W D, Goldman M P et al.. Pulsed carbon dioxide laser, trichloroacetic acid, Baker-Gordon phenol, and dermabrasion: a comparative clinical and histologic study of cutaneous resurfacing in a porcine model.  Arch Dermatol. 1996;  132 69-471
    PubMedSearch in Google Scholar
  • 3 Fitzpatrick R E. Maximizing benefits and minimizing risk with CO2 laser resurfacing.  Dermatol Clin. 2002;  20 77-86
    PubMedSearch in Google Scholar
  • 4 Papadavid E, Katsambas A. Lasers for facial rejuvenation: a review.  Int J Dermatol. 2003;  42 480-487
    CrossrefPubMedSearch in Google Scholar
  • 5 Kauvar A NB, Geronemus R G. Histology of laser resurfacing.  Dermatol Clin. 1997;  15 459-467
    PubMedSearch in Google Scholar
  • 6 Goldman M P, Fitzpatrick R E. Cutaneous Laser Surgery. The Art and Science of Selective Photothermolysis. St. Louis, MO; Mosby-Year Book 1994: 198-258
    Search in Google Scholar
  • 7 Alster T S, Nanni C A, Williams C M. Comparison of four carbon dioxide resurfacing lasers: a clinical and histopathologic evaluation.  Dermatol Surg. 1999;  25 153-159
    CrossrefPubMedSearch in Google Scholar
  • 8 Fitzpatrick R E, Smith S R, Sriprachya-anunt S. Depth of vaporization and the effect of pulse stacking with the UltraPulse CO2 laser.  J Am Acad Dermatol. 1999;  40 615-622
    PubMedSearch in Google Scholar
  • 9 Bernstein L J, Kauvar A NB, Grossman M, Geronemus R G. Scar resurfacing with high-energy, short-pulsed and flashscanning carbon dioxide lasers.  Dermatol Surg. 1998;  24 101-107
    CrossrefPubMedSearch in Google Scholar
  • 10 Ross E V, McKinlay J R, Anderson R R. Why does carbon dioxide resurfacing work?.  Arch Dermatol. 1999;  135 444-454
    CrossrefPubMedSearch in Google Scholar
  • 11 Nanni C A, Alster T S. Complications of cutaneous laser surgery.  Dermatol Surg. 1998;  24 209-219
    CrossrefPubMedSearch in Google Scholar
  • 12 Nanni C A, Alster T S. Complications of carbon dioxide laser resurfacing: an evaluation of 500 patients.  Lasers Surg Med. 1997;  20 53-58
    PubMedSearch in Google Scholar
  • 13 Kaufmann R, Hartmann A, Hibst R. Cutting and skin-ablative properties of pulsed mid-infrared laser surgery.  J Dermatol Surg Oncol. 1994;  20 112-118
    CrossrefPubMedSearch in Google Scholar
  • 14 Hibst R, Kaufmann R. Effects of laser parameters on pulsed erbium:YAG laser skin ablation.  Lasers Med Sci. 1991;  6 391-397
    CrossrefPubMedSearch in Google Scholar
  • 15 Zachary C B. Modulating the Er:YAG laser.  Lasers Surg Med. 2000;  26 223-226
    CrossrefPubMedSearch in Google Scholar
  • 16 Kaufmann R. Role of erbium:YAG laser in the treatment of aged skin.  Clin Exp Dermatol. 2001;  26 631-636
    CrossrefPubMedSearch in Google Scholar
  • 17 Avram D K, Goldman M P. The safety and effectiveness of single-pass erbium:YAG laser in the treatment of mild to moderate photodamage.  Dermatol Surg. 2004;  30 1073-1076
    CrossrefPubMedSearch in Google Scholar
  • 18 Tremblay J F, Carey W. Atrophic facial scars secondary to discoid lupus erythematous: treatment using the erbium:YAG laser.  Dermatol Surg. 2001;  27 675-677
    CrossrefPubMedSearch in Google Scholar
  • 19 Goldman M P, Marchell N, Fitzpatrick R E. Laser skin resurfacing of the face with a combined CO2/Er:YAG laser.  Dermatol Surg. 2000;  26 102-104
    CrossrefPubMedSearch in Google Scholar
  • 20 Hamilton M M, Hobgood T. Emerging trends and techniques in male aesthetic surgery.  Facial Plast Surg. 2005;  21 324-327
    Thieme ConnectPubMedSearch in Google Scholar
  • 21 Laubach H J, Tannous Z, Anderson R R, Manstein D. Skin responses to fractional photothermolysis.  Lasers Surg Med. 2006;  38 142-149
    CrossrefPubMedSearch in Google Scholar
  • 22 Geronemus R G. Fractional photothermolysis: current and future applications.  Lasers Surg Med. 2006;  38 169-176
    CrossrefPubMedSearch in Google Scholar
  • 23 Manstein D, Herron G S, Sink R K, Tanner H, Anderson R R. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury.  Lasers Surg Med. 2004;  34 426-438
    CrossrefPubMedSearch in Google Scholar
  • 24 Bogle M A, Arndt K A, Dover J S. Evaluation of plasma skin regeneration technology in low fluence full-facial rejuvenation.  Arch Dermatol. 2007;  143(2) 168-174
    CrossrefPubMedSearch in Google Scholar
  • 25 Kilmer S L, Weiss R A, Geronemus R G et al.. Ablative vs nonablative skin rejuvenation: is there a middle ground?.  Skin Aging Suppl. 2006;  Jan 21-24
    PubMedSearch in Google Scholar

Ramsey F MarkusM.D. 

Assistant Professor of Dermatology, Baylor Dermatology

6620 Main St., Suite 1425, Houston, TX 77030