By Paul Carniol, Neil S. Sadick
Because the quantity and diversity of lasers bring up, it really is well timed to check which lasers are most sensible for which medical systems. This good illustrated textual content from revered professionals presents the solutions for a couple of mostly encountered difficulties. Even verified laser surgeons should be to profit approximately more moderen laser forms, resembling fractionated lasers, and on how to mix extra and adjunctive methods for a greater esthetic outcome.
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Extra info for Clinical Procedures in Laser Skin Rejuvenation (Series in Cosmetic and Laser Therapy)
Laser Dermatology. Berlin: Springer-Verlag 2005:83–98. 4. Hevia O, Nemeth AJ, Taylor JR. Tretinoin accelerates healing after trichloroacetic acid chemical peel. Arch Dermatol 1991;127:678–82. 5. Vagotis FL, Brundage SR. Histologic study of dermabrasion and chemical peel in an animal model after pretreatment with Retin-A. Aesth Plast Surg 1995;19:243–6. 6. Kang S, Leyden JJ, Lowe NJ, et al Tazarotene cream for the treatment of facial photodamage. Arch Dermatol 2001;137:1597–604. 7. Penneys NS. Ochronosis-like pigmentation from hydroquinone bleaching creams.
When treating a patient with moderate to severe photodamage, it is important to blend into the neck as much as possible. One approach is to lightly resurface the neck with a chemical peel; in our office, a Jessners and/or glycolic acid peel is used. Another option is to laser the neck, which will be reviewed later in the chapter. Postoperative care Wound care is critical, and regimens vary among physicians. Occlusive and nonocclusive dressings are available. Occlusive dressings cover the skin and are usually removed in 1–3 days.
Retinoids regulate gene transcription and affect activities such as cellular differentiation and proliferation. 6 Retinoids (at least theoretically) can speed healing and perhaps reduce pigmentary changes. Thus, it is our practice to begin a topical retinoid at least 2 weeks prior to the procedure – even earlier if possible. Because of the relatively common development of postinflammatory hyperpigmentation after laser resurfacing, especially in the darker skin tones, many physicians will pretreat with a bleaching agent such as hydroquinone (HQ).