Book contents
- Frontmatter
- Contents
- PREFACE
- CONTRIBUTORS
- PART ONE ANATOMY AND THE AGING PROCESS
- PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES
- PART THREE FILLERS AND NEUROTOXINS
- PART FOUR COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
- Chap. 42 TREATMENT OF TELANGIECTASIA, POIKILODERMA, AND FACE AND LEG VEINS
- Chap. 43 VASCULAR LASERS
- Chap. 44 OVERVIEW OF CO2 AND ER:YAG LASERS AND PLASMA DEVICES
- Chap. 45 CONTEMPORARY CO2 LASER RESURFACING
- Chap. 46 ER:YAG
- Chap. 47 PLASMA SKIN REJUVENATION OF THE HANDS
- Chap. 48 NONABLATIVE LASER TISSUE REMODELING: 1,064-, 1,320-, 1,450-, AND 1,540-NM LASER SYSTEMS
- Chap. 49 OVERVIEW OF BROADBAND LIGHT DEVICES
- Chap. 50 TITAN: INDUCING DERMAL CONTRACTION
- Chap. 51 SCITON BROADBAND LIGHT AND ER:YAG MICROPEEL COMBINATION
- Chap. 52 AMINOLEVULINIC ACID PHOTODYNAMIC THERAPY FOR FACIAL REJUVENATION AND ACNE
- Chap. 53 THERMAGE FOR FACE AND BODY
- Chap. 54 LUMENIS ALUMA SKIN TIGHTENING SYSTEM
- Chap. 55 ELLMAN RADIOFREQUENCY DEVICE FOR SKIN TIGHTENING
- Chap. 56 ALMA ACCENT DUAL RADIOFREQUENCY DEVICE FOR TISSUE CONTOURING
- Chap. 57 COMBINED LIGHT AND BIPOLAR RADIOFREQUENCY
- Chap. 58 FRACTIONAL LASERS: GENERAL CONCEPTS
- Chap. 59 PALOMAR LUX 1,540-NM FRACTIONAL LASER
- Chap. 60 FRAXEL 1,550-NM LASER (FRAXEL RE:STORE)
- Chap. 61 1,440-NM FRACTIONAL LASER: CYNOSURE AFFIRM
- Chap. 62 SCITON ER:YAG 2,940-NM FRACTIONAL LASER
- Chap. 63 ALMA PIXEL ER:YAG FRACTIONAL LASER
- Chap. 64 FRACTIONATED CO2 LASER
- Chap. 65 LED PHOTOREJUVENATION DEVICES
- Chap. 66 PHOTOPNEUMATIC THERAPY
- Chap. 67 HAIR REMOVAL: LASER AND BROADBAND LIGHT DEVICES
- Chap. 68 ACNE AND ACNE SCARS: LASER AND LIGHT TREATMENTS
- Chap. 69 FAT AND CELLULITE REDUCTION: GENERAL PRINCIPLES
- Chap. 70 ULTRASHAPE FOCUSED ULTRASOUND FAT REDUCTION DEVICE
- Chap. 71 LIPOSONIX ULTRASOUND DEVICE FOR BODY SCULPTING
- PART FIVE OTHER PROCEDURES
- INDEX
- References
Chap. 45 - CONTEMPORARY CO2 LASER RESURFACING
from PART FOUR - COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
Published online by Cambridge University Press: 06 July 2010
- Frontmatter
- Contents
- PREFACE
- CONTRIBUTORS
- PART ONE ANATOMY AND THE AGING PROCESS
- PART TWO ANESTHESIA AND SEDATION FOR OFFICE COSMETIC PROCEDURES
- PART THREE FILLERS AND NEUROTOXINS
- PART FOUR COSMETIC APPLICATIONS OF LIGHT, RADIOFREQUENCY, AND ULTRASOUND ENERGY
- Chap. 42 TREATMENT OF TELANGIECTASIA, POIKILODERMA, AND FACE AND LEG VEINS
- Chap. 43 VASCULAR LASERS
- Chap. 44 OVERVIEW OF CO2 AND ER:YAG LASERS AND PLASMA DEVICES
- Chap. 45 CONTEMPORARY CO2 LASER RESURFACING
- Chap. 46 ER:YAG
- Chap. 47 PLASMA SKIN REJUVENATION OF THE HANDS
- Chap. 48 NONABLATIVE LASER TISSUE REMODELING: 1,064-, 1,320-, 1,450-, AND 1,540-NM LASER SYSTEMS
- Chap. 49 OVERVIEW OF BROADBAND LIGHT DEVICES
- Chap. 50 TITAN: INDUCING DERMAL CONTRACTION
- Chap. 51 SCITON BROADBAND LIGHT AND ER:YAG MICROPEEL COMBINATION
- Chap. 52 AMINOLEVULINIC ACID PHOTODYNAMIC THERAPY FOR FACIAL REJUVENATION AND ACNE
- Chap. 53 THERMAGE FOR FACE AND BODY
- Chap. 54 LUMENIS ALUMA SKIN TIGHTENING SYSTEM
- Chap. 55 ELLMAN RADIOFREQUENCY DEVICE FOR SKIN TIGHTENING
- Chap. 56 ALMA ACCENT DUAL RADIOFREQUENCY DEVICE FOR TISSUE CONTOURING
- Chap. 57 COMBINED LIGHT AND BIPOLAR RADIOFREQUENCY
- Chap. 58 FRACTIONAL LASERS: GENERAL CONCEPTS
- Chap. 59 PALOMAR LUX 1,540-NM FRACTIONAL LASER
- Chap. 60 FRAXEL 1,550-NM LASER (FRAXEL RE:STORE)
- Chap. 61 1,440-NM FRACTIONAL LASER: CYNOSURE AFFIRM
- Chap. 62 SCITON ER:YAG 2,940-NM FRACTIONAL LASER
- Chap. 63 ALMA PIXEL ER:YAG FRACTIONAL LASER
- Chap. 64 FRACTIONATED CO2 LASER
- Chap. 65 LED PHOTOREJUVENATION DEVICES
- Chap. 66 PHOTOPNEUMATIC THERAPY
- Chap. 67 HAIR REMOVAL: LASER AND BROADBAND LIGHT DEVICES
- Chap. 68 ACNE AND ACNE SCARS: LASER AND LIGHT TREATMENTS
- Chap. 69 FAT AND CELLULITE REDUCTION: GENERAL PRINCIPLES
- Chap. 70 ULTRASHAPE FOCUSED ULTRASOUND FAT REDUCTION DEVICE
- Chap. 71 LIPOSONIX ULTRASOUND DEVICE FOR BODY SCULPTING
- PART FIVE OTHER PROCEDURES
- INDEX
- References
Summary
Since its introduction, no therapy has been as effective for rhytid effacement as the CO2 laser. Aggressive CO2 laser resurfacing remains the gold standard for facial-wrinkle treatment. In addition, the selective removal of epidermis and dermis allows for the simultaneous treatment of dyschromias and a variety of benign lesions. Regardless of the success and drawbacks of aggressive CO2 laser resurfacing, there remains a popular push for less aggressive therapies. It is somewhat amusing that the media and the industry are heralding a new claim that the public wants more conservative procedures and will not tolerate extended recoveries. In reality, the public has always wanted conservative procedures, and always will. The push for nonablative and minimally invasive procedures has led to some disappointing results for those who expected CO2-like outcomes. On the other hand, these less invasive procedures have provided patients with increased choices, tailored to their lifestyles and recovery windows. In my practice, laser skin resurfacing remains a popular option. The various choices of treatment include the following:
CO2 heavy, characterized by aggressive CO2 resurfacing, two to four passes, high fluence, high density, reticular dermal injury, twelve to fourteen days' recovery
CO2 medium, characterized by a single pass, nondebrided, high fluence, high density, upper dermal injury, eight to ten days' recovery
CO2 light, characterized by a single pass, nondebrided, low fluence, high density, basilar and superficial dermal injury, six to eight days' recovery
CO2 ultralight (fractional CO2), characterized by a single pass, nondebrided, low fluence, low density, epidermal injury, four to six days' recovery
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- Office-Based Cosmetic Procedures and Techniques , pp. 212 - 214Publisher: Cambridge University PressPrint publication year: 2010