Aesthetic CO2 laser surgery: Evaluation of 907 patients1

Abstract

Resurfacing the skin to improve skin quality is an important concept in aesthetic plastic surgery. Although time-honored methods (e.g., dermabrasion and chemical peel)

Value in microsurgery of the ultrapulse carbon dioxide laser for rapid skin deepithelialization

“…With these parameters, a fluence of 7.5 J/cm 2 is delivered, which exceeds the critical fluence for char-free skin vaporization of 4-5 J/cm 2 . 6,12,13 Once the microanastomoses were obviously successful, the ultrapulse CO 2 laser was brought into the operating suite. Appropriate laser start-up and testing were completed.…”

532-nm Diode Laser Treatment of Seborrheic Keratoses with Color Enhancement

“…Treatment by various laser modalities including the CO 2 , erbium, argon, 492-nm, 510-nm, and alexandrite lasers have been documented. [5][6][7][8][9][10][11] A 532-nm diode laser treatment is a well-established option for the management of SKs. Those that lack significant pigment can fail laser treatment.…”

Lower Eyelid Synechia: A Complication of Periorbital CO2 Laser Resurfacing

“…Searching PubMed for "synechia" yields 1159 citations, of which only 4 articles relate to cosmetic laser surgery. [15][16][17][18] All 4 of these articles are from the pioneering era of CO 2 laser skin resurfacing and describe laser complications; only brief mention is made of lower eyelid synechiae as a resurfacing complication. No searches yielded any dedicated articles on laser-induced lower eyelid synechiae, and it appears that this article is the first comprehensive discussion of this complication and treatment.…”

“…In 1997, Roberts et al 15 described 907 patients who had undergone CO 2 laser skin resurfacing and reported that the small epithelial bridges were observed in 7 of 907 patients for a complication rate of 0.8%. They also stated that the synechiae occurred 3-11 days after the operation, during reepithelialization.…”