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- W2100000082 abstract "Recommendations based on 2 years’ experience with CO2 laser skin resurfacing of more than 600 treatment areas are presented. The two different CO2 laser systems used are reviewed and compared. The mechanism of action of the CO2 laser, indications, treatment protocol, preoperative and postoperative guidelines, complications, and results are outlined.There is no question that laser resurfacing (LRS) is effective, and at times the results are spectacular. This enthusiasm must be countered with the realization that a certain morbidity is associated with this procedure and the longevity of the results is uncertain. Nevertheless, this technique can be used safely with proper training and experience.LRS became a reasonable treatment option with the advent of the new high-energy, short-pulse CO2 lasers. A detailed discussion of laser physics is beyond the scope of this article. However, with all laser technology, the emphasis is on “selective” injury. There are many mechanisms to achieve “selectivity,” but one basic concept common to all selective systems is that with delivery of high energy to the target tissue (i.e., skin, pigment, and blood vessels) this energy needs to “dwell” on the tissue for a shorter time to accomplish its goal. In theory, with infinitely high energy there would be an infinitely short dwell time so that only the specific target would be heated and destroyed with very little residual damage. This concept is termed “selective photothermolysis.”1 With LRS the target is the superficial portion of the skin to the level of the upper to mid reticular dermis, although the ideal depth has yet to be determined. 2,3Selectivity has currently been accomplished with the new pulsed CO2 lasers in which powers as high as 400 to 500 mJ per pulse can be delivered in 1 msec or less. Keeping …" @default.
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- W2100000082 date "1996-12-01" @default.
- W2100000082 modified "2023-09-25" @default.
- W2100000082 title "A Personal Approach to Laser Resurfacing" @default.
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- W2100000082 doi "https://doi.org/10.1016/s1090-820x(96)70073-0" @default.
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