Facial Plast Surg 2022; 38(02): 163-165
DOI: 10.1055/a-1733-2768
Original Article

The Role of Er-yag Glass Laser in Skin Resurfacing

Dario Bertossi
1   Unit of Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, Verona, Italy
,
Luca C. Carletta
1   Unit of Maxillofacial Surgery, Department of Surgery, Dentistry, Paediatrics and Gynecology, University of Verona, Verona, Italy
,
Laetitia Colombo Fink
2   Sotherga Clinic, Milan, Italy
,
Marco Bartolucci
2   Sotherga Clinic, Milan, Italy
,
Gianfranco Barba
3   Private Dermatologist, Verona, Italy
,
Alessia Montanari
4   Agresti Dermatology Outpatient Clinic, Bologna, Italy
,
Massimo Alotto
5   Private Dermatologist, Rome, Italy
,
Claudio Brusi
6   Dermolaser s. r. l., Florence, Italy
,
7   Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
› Author Affiliations
Funding None.

Abstract

Following our survey, we can appreciate that a variety of laser platforms exist to rejuvenate the skin by resurfacing the outer layer of the skin as well as heating the lower layers of the dermis. Based on reliable clinical effectiveness and a limited side effect profile, we can confirm that nonablative fractionated technologies greatly improve the appearance of lentigines, rhytids; eliminate sun damage, attenuate scarring due to acne and other causes; and treat hyperpigmentation. The Fraxel (Solta Medical) laser system delivers pulses across a wide range of density and energy levels. We determined that when increasing the pulse energy this led to an increase in thermolysis microzone depth and width without damaging the surrounding tissue. Due to its performance and various clinical applications, Fraxel laser can be optimally considered to be the gold standard for skin rejuvenation



Publication History

Accepted Manuscript online:
07 January 2022

Article published online:
08 March 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Borges J, Araújo L, Cuzzi T, Martinez L, Gonzales Y, Manela-Azulay M. Fractional laser resurfacing treats photoaging by promoting neocollagenesis and cutaneous edema. J Clin Aesthet Dermatol 2020; 13 (01) 22-27
  • 2 Marcus BC. Nonablative and hybrid fractional laser skin rejuvenation. Facial Plast Surg Clin North Am 2020; 28 (01) 37-44
  • 3 Johnson DL, Paletta F. Skin resurfacing procedures of the upper face. Atlas Oral Maxillofac Surg Clin North Am 2016; 24 (02) 117-124
  • 4 Pozner JN, DiBernardo BE. Laser resurfacing: full field and fractional. Clin Plast Surg 2016; 43 (03) 515-525
  • 5 Song WJ, Nam SM, Park ES, Choi CY, Lee SW. The effectiveness of early combined CO2 ablative fractional laser and 595-nm pulsed dye laser treatment after scar revision. J Craniofac Surg 2021; 32 (02) 629-631
  • 6 Paasch U, Haedersdal M. Laser systems for ablative fractional resurfacing. Expert Rev Med Devices 2011; 8 (01) 67-83
  • 7 Riggs K, Keller M, Humphreys TR. Ablative laser resurfacing: high-energy pulsed carbon dioxide and erbium:yttrium-aluminum-garnet. Clin Dermatol 2007; 25 (05) 462-473
  • 8 Manstein D, Zurakowski D, Thongsima S, Laubach H, Chan HH. The effects of multiple passes on the epidermal thermal damage pattern in nonablative fractional resurfacing. Lasers Surg Med 2009; 41 (02) 149-153
  • 9 Gold MH. Update on fractional laser technology. J Clin Aesthet Dermatol 2010; 3 (01) 42-50
  • 10 Jih MH, Kimyai-Asadi A. Fractional photothermolysis: a review and update. Semin Cutan Med Surg 2008; 27 (01) 63-71
  • 11 Cohen SR, Goodacre A, Lim S. et al. Clinical outcomes and complications associated with fractional lasers: a review of 730 patients. Aesthetic Plast Surg 2017; 41 (01) 171-178
  • 12 Qu Y, Wang F, Liu J, Xia X. Clinical observation and dermoscopy evaluation of fractional CO2 laser combined with topical tranexamic acid in melasma treatments. J Cosmet Dermatol 2021; 20 (04) 1110-1116
  • 13 Paasch U. The future of fractional lasers. Facial Plast Surg 2016; 32 (03) 261-268
  • 14 Taylor MB, Koron N. Combined treatment of rolling acne scars in ethnic skin using extensive subcision, trichloroacetic acid peel, and fractional ablative erbium laser. Dermatol Surg 2021; 47 (04) 496-499
  • 15 Falkenberg C, Schmitz L, Dicke K, Dervenis V, Szeimies RM, Dirschka T. Pretreatment with ablative fractional carbon dioxide laser improves treatment efficacy in a synergistic PDT protocol for actinic keratoses on the head. Photodiagn Photodyn Ther 2021; 34: 102249
  • 16 Majid I. Fractional carbon dioxide laser in combination with topical corticosteroid: an innovative treatment for hypertrophic lichen planus. J Am Acad Dermatol 2017; 77 (03) e67-e68
  • 17 Puri N. A study on fractional erbium glass laser therapy versus chemical peeling for the treatment of melasma in female patients. J Cutan Aesthet Surg 2013; 6 (03) 148-151
  • 18 Bertossi D, Giampaoli G, Lucchese A. et al. The skin rejuvenation associated treatment-Fraxel laser, Microbotox, and low G prime hyaluronic acid: preliminary results. Lasers Med Sci 2019; 34 (07) 1449-1455
  • 19 Taheri AR, Mashayekhi-Goyonlo V, Salehi M, Mohammadzadeh H. Non-ablative fractional 1,540-nm Er:glass laser in the treatment of atrophic cutaneous leishmaniasis scars. Lasers Surg Med 2020; 52 (02) 182-187
  • 20 Guertler A, Reinholz M, Steckmeier S, Gauglitz GG. Evaluation of a non-ablative, fractional 1565 nm laser for the improvement of striae distensae albae. J Eur Acad Dermatol Venereol 2019; 33 (01) 220-226