Infections complicating pulsed CO2 laser resurfacing for photoaged facial skin

Goldman, M; Fitzpatrick, Richard; Smith, Stacy; Sriprachya-anunt, Suchai

doi:10.1097/00006527-199701730-00011

Cited by 4 publications

(1 citation statement)

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“…Other infections such as bacterial impetigo can occur in 3–47% of patients who do not receive prophylactic antibiotics and aggressive postoperative wound care 82,84,88 . Cutaneous pseudomonas and yeast infections have also been reported after facial resurfacing, especially in those using prolonged postoperative occlusion (eg, semiocclusive dressings), requiring treatment with oral antibiotics and antifungals 85,94,97 …”

Section: Tissue Ablating and Resurfacing Lasersmentioning

confidence: 99%

Complications of Cutaneous Laser Surgery. A Review

Nanni

Alster

1998

Dermatologic Surgery

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Continuous wave (CW) lasers, the first medical lasers to be used, continue to be effective, but are extremely operator dependent and can potentially result in significant risks, including scarring. In 1983, the theory of selective photothermolysis was introduced, which enabled physician-scientists to design lasers that were highly selective and safer to operate. These newer lasers are capable of affecting a specific target tissue without a high risk of scarring and pigmentary changes. They accomplish this task by producing a wavelength and pulse duration that is best absorbed by a specific target. However, not all modern lasers employ this theory and, therefore, may operate in either a CW, quasi-CW, pulsed, or Q-switched mode. CW lasers are least selective and tend to produce unwanted tissue damage and scarring through heat dissipation. Quasi-CW lasers attempt to limit unwanted thermal damage by producing a series of brief laser pulses or by the chopping of a CW beam; however, they still have a relatively high risk of causing nonspecific tissue damage and thermal injury. The pulsed and Q-switched systems adhere most closely to the principles of selective photothermolysis and result in the most selective destruction with the lowest risk of scarring and unwanted thermal diffusion. Of course, any laser system can potentially result in scarring and tissue damage; therefore, adequate operator education and skill are essential when utilizing medical lasers.

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Section: Tissue Ablating and Resurfacing Lasersmentioning

confidence: 99%

Complications of Cutaneous Laser Surgery. A Review

Nanni

Alster

1998

Dermatologic Surgery

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Eyelid and Facial Laser Skin Resurfacing

Baker¹,

Holloman²

2008

Putterman's Cosmetic Oculoplastic Surgery

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The erbium: YAG laser: A review and preliminary report on resurfacing of the face, neck, and hands*

Ash

Lord

Newman

et al. 1997

Aesthetic Surgery Journal

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The use of short-pulsed or flash-scanned CO(2) lasers to resurface skin has rapidly joined chemical peels and dermabrasion as an accepted procedure. The purpose of this study was to evaluate a mid-infrared pulsed Erbium: YAG laser prospectively to determine its clinical efficacy for resurfacing of the face, neck, and hands. Postoperative changes and recovery period were also evaluated. A total of 21 patients were evaluated on a prospective basis with Er: YAG laser resurfacing (12 crow's feet, five upper lips, three hands, and one neck). Additional nonstudy clinical experience is also reported. Posttreatment crusting or scabbing lasted an average of 2.7 days, pain an average of 3 days, erythema an average of 5.2 days, and swelling an average of 3 days. Blinded subjective grading was performed 2 months postoperatively. This grading revealed a 52% combined improvement from all areas. The appearance of crow's feet was improved by 58%; upper lip, 43%; dorsal hand, 48%; and neck, 44%. Overall the Er: YAG laser consistently produced reduction in rhytids and improvement in the appearance of sun-damaged skin. The times for reepithelialization and duration of erythema were strikingly shorter than those typically observed with current CO(2) laser resurfacing. This report details the study, reviews Er: YAG laser technology, and compares our findings with those observed with standard CO(2) laser resurfacing.

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Infections complicating pulsed CO2 laser resurfacing for photoaged facial skin

Cited by 4 publications

References 0 publications

Complications of Cutaneous Laser Surgery. A Review

Complications of Cutaneous Laser Surgery. A Review

Eyelid and Facial Laser Skin Resurfacing

The erbium: YAG laser: A review and preliminary report on resurfacing of the face, neck, and hands*

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