By David J. Goldberg
As expertise makes systems more secure, extra individuals are pursuing new ways to swap their pores and skin. Facial dermis rejuvenation is mainly well known, with the more recent ablative and non-ablative suggestions supplying an exact procedure for making improvements to photo-aged epidermis. This booklet discusses a few of the lasers, gentle resources and radio-frequency units at the moment used, interpreting the applied sciences and an method of utilizing that process. The last chapters deal with the problem of complications-what to do in the event that they come up and the way to control them. The company elements of a facial rejuvenation perform also are reviewed. This one-stop reference at the subject is perfect for dermatologists and different execs within the box.
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Extra info for Ablative and Non-ablative Facial Skin Rejuvenation
West and Alster conducted a controlled study of 100 patients in whom pre-operative topical tretinoin, hydroquinone, and/or glycolic acid was used. They found no significant effect on the incidence of post-treatment hyperpigmentation. They concluded that pre-treatment with tretinoin, hydroquinone and/or glycolic acid was unnecessary. The authors have also questioned the use of pre-treatment antibiotic therapy. HISTOLOGIC STUDIES Multiple studies have evaluated the unique interaction between the carbon dioxide laser and the collagen molecule.
The UltraPulse laser was used with energies of 150, 250, 350, or 450 mj per pulse. One to three laser passes were delivered with removal of tissue debris between the passes by saline-soaked gauze. Re-epithelialization was complete in laser-irradiated skin, as well as in the 35% TCA- and dermabrasion-treated skin, at 1 week. The Baker-Gordon phenol-treated skin required 3 weeks to heal. The TCA-treated skin showed clinical and histologic changes comparable to skin that had been irradiated with one to two CO2 laser treated passes using pulse energies of 150–250 mJ, whereas the dermabraded skin was comparable to skin which was treated with two to three passes at 250–450 mJ per pulse.
This laser provides both ablative and thermal benefits. Although CO2 laser treatment has been joined by other ablative and non-ablative techniques, it remains the ‘gold standard’ with which all other methods are compared. 3. 4. 5. Four days after CO2 laser resurfacing. 6. Two months after CO2 laser resurfacing. 7. Typical immediate post-CO2 laser appearance. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Four days after CO2 laser resurfacing. One side of upper lip treated with UltraPulse CO2 laser.
Ablative and Non-ablative Facial Skin Rejuvenation by David J. Goldberg