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What Are the Optimal Techniques for Skin Rejuvenation?
Arch Otolaryngol Head Neck Surg. 2004;130:1328-1333.
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Hypothesis: Of techniques currently available for facial skin appearance improvement, nonablative laser therapy offers subtle improvements with an excellent risk-benefit ratio.
BACKGROUND
The subtle improvements in skin texture and wrinkling after nonablative laser treatment are preferred by many patients to the more obvious improvements after ablative laser resurfacing, because the nonablative laser treatment has a lower risk of complications, shorter recovery time, and less disruption of regular activities. In 1993, the first high-energy resurfacing carbon dioxide lasers became available for skin resurfacing. These carbon dioxide resurfacing lasers effectively treat facial rhytids and actinic changes.1-2 They are used to ablate the epidermis and partially ablate the dermis, removing skin changes due to photoaging. They stimulate neocollagen formation and tissue tightening,3-4 resulting in long-term skin texture and wrinkle improvement.
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These and subsequent resurfacing lasers have continued to use high fluence (power density) coupled with a . . . [Full Text of this Article]
SKIN REJUVENATION TECHNOLOGIES
Radiofrequency Resurfacing (Coblation) Radiofrequency Skin Tightening Intense Pulsed Light
NONABLATIVE LASERS
MORE RECENT NONABLATIVE LASERS
NONABLATIVE TECHNOLOGY: PRO
NONABLATIVE TECHNOLOGY: CON
THE CARBON DIOXIDE LASER
THE ERBIUM LASER
CONCLUSIONS
AUTHOR INFORMATION
Paul J. Carniol, MD;
Brad A. Greene, MD
Author Affiliations: Department of Surgery, Section of Otolaryngology, The New Jersey Medical SchoolUMDNJ, Newark. Dr Greene is in private practice in Newark.
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