Seminars in Plastic Surgery, Table of Contents Semin Plast Surg 2012; 26(03): 125-130DOI: 10.1055/s-0032-1329414 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Fractional Carbon Dioxide Laser Resurfacing Authors Author Affiliations William M. Ramsdell 1 Private practice, Austin, Texas Recommend Article Abstract Buy Article(opens in new window) Abstract Currently available ablative fractional CO2 lasers provide excellent results and diminish down time with fewer complications than previous generation CO2 lasers. Mechanisms of action, treatment parameters, as well as pre- and postoperative care will be discussed. Keywords Keywordsfractional - ablative - collagen - CO2 Full Text References References 1 Goldman L, Wilson RG, Hornby PM, Meyer RG. Radiation from a Q-switched ruby laser. Effect of repeated impacts of power output of 10 megawatts on a tattoo of a man. J Invest Dermatol 1965; 44: 69-71 2 Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 1983; 220 (4596) 524-527 3 Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 2004; 34 (5) 426-438 4 Ross EV, McKinlay JR, Anderson RR. Why does carbon dioxide resurfacing work? A review. Arch Dermatol 1999; 135 (4) 444-454 5 Reilly MJ, Cohen M, Hokugo A, Keller GS. Molecular effects of fractional carbon dioxide laser resurfacing on photodamaged human skin. Arch Facial Plast Surg 2010; 12 (5) 321-325 6 Gardner ES, Reinisch L, Stricklin GP, Ellis DL. In vitro changes in non-facial human skin following CO2 laser resurfacing: a comparison study. Lasers Surg Med 1996; 19 (4) 379-387 7 Fisher GJ, Varani J, Voorhees JJ. Looking older: fibroblast collapse and therapeutic implications. Arch Dermatol 2008; 144 (5) 666-672 8 Orringer JS, Kang S, Johnson TM , et al. Connective tissue remodeling induced by carbon dioxide laser resurfacing of photodamaged human skin. Arch Dermatol 2004; 140 (11) 1326-1332 9 Fitzpatrick R, Smith S, Sriprachya-anunt S. Depth of vaporization with the UltraPulse CO2 laser. Proc SPIE 1997; 2970: 392-394 10 Ross EV, Grossman MC, Duke D, Grevelink JM. Long-term results after CO2 laser skin resurfacing: a comparison of scanned and pulsed systems. J Am Acad Dermatol 1997; 37 (5 Pt 1) 709-718 11 Bernstein EF, Brown DB, Kenkel J, Burns AJ. Residual thermal damage resulting from pulsed and scanned resurfacing lasers. Dermatol Surg 1999; 25 (10) 739-744 12 Saluja R, Khoury J, Detwiler SP, Goldman MP. Histologic and clinical response to varying density settings with a fractionally scanned carbon dioxide laser. J Drugs Dermatol 2009; 8 (1) 17-20 13 Ross EV, Amesbury EC, Barile A, Proctor-Shipman L, Feldman BD. Incidence of postoperative infection or positive culture after facial laser resurfacing: a pilot study, a case report, and a proposal for a rational approach to antibiotic prophylaxis. J Am Acad Dermatol 1998; 39 (6) 975-981 14 Lowe NE, Lask G, Griffin ME. Laser skin resurfacing. Pre and post treatment guidelines. Dermatol Surg 1995; 21: 1017-1019 15 Goldman MP. Pre- and postoperative care of the laser patient. Int J Aesthetic Restorative Surg 1997; 5: 46-49 16 Gilchrest BA. Treatment of photodamage with topical tretinoin: an overview. J Am Acad Dermatol 1997; 36 (3 Pt 2) S27-S36 17 Hung VC, Lee JY, Zitelli JA, Hebda PA. Topical tretinoin and epithelial wound healing. Arch Dermatol 1989; 125 (1) 65-69 18 Nyirady J, Grossman RM. Use of tretinoin in precosmetic and postcosmetic procedures. A review. Cos Dermatol 2003; 16 (5) 39-47 19 Kilmer SL, Chotzen VA, Silva SK, McClaren ML. Safe and effective carbon dioxide laser skin resurfacing of the neck. Lasers Surg Med 2006; 38 (7) 653-657 20 Naouri M, Atlan M, Perrodeau E , et al. High-resolution ultrasound imaging to demonstrate and predict efficacy of carbon dioxide fractional resurfacing laser treatment. Dermatol Surg 2011; 37 (5) 596-603 21 Waibel J, Beer K, Narurkar V, Alster T. Preliminary observations on fractional ablative resurfacing devices: clinical impressions. J Drugs Dermatol 2009; 8 (5) 481-485 22 Ross EV, Mowlavi A, Barnette D, Glatter RD, Grevelink JM. The effect of wiping on skin resurfacing in a pig model using a high energy pulsed CO2 laser system. Dermatol Surg 1999; 25 (2) 81-88 23 David L, Ruiz-Esparza J. Fast healing after laser skin resurfacing. The minimal mechanical trauma technique. Dermatol Surg 1997; 23 (5) 359-361 24 Ruiz-Esparza J, Barba Gomez JM, Gomez de la Torre OL , et al. Erythema after laser skin resurfacing. Dermatol Surg 1998; 24: 31-34 25 Niamtu III J. To debride or not to debride? That is the question: rethinking char removal in ablative CO2 laser skin resurfacing. Dermatol Surg 2008; 34 (9) 1200-1211 26 Oni G, Robbins D, Bailey S, Brown SA, Kenkel JM. An in vivo histopathological comparison of single and double pulsed modes of a fractionated CO(2) laser. Lasers Surg Med 2012; 44 (1) 4-10 27 Na JI, Choi JW, Choi HR , et al. Rapid healing and reduced erythema after ablative fractional carbon dioxide laser resurfacing combined with the application of autologous platelet-rich plasma. Dermatol Surg 2011; 37 (4) 463-468 28 Batra RS, Ort RJ, Jacob C, Hobbs L, Arndt KA, Dover JS. Evaluation of a silicone occlusive dressing after laser skin resurfacing. Arch Dermatol 2001; 137 (10) 1317-1321 29 Goldman MP, Roberts III TL, Skover G, Lettieri JT, Fitzpatrick RE. Optimizing wound healing in the face after laser abrasion. J Am Acad Dermatol 2002; 46 (3) 399-407 30 Alster TS, West TB. Effect of topical vitamin C on postoperative carbon dioxide laser resurfacing erythema. Dermatol Surg 1998; 24 (3) 331-334 31 Pinnel SR, Murad S, Darr D. Induction of collagen synthesis by ascorbic acid. A possible mechanism. Arch Dermatol 1987; 123 (12) 1684-1686 32 Rahman Z, MacFalls H, Jiang K , et al. Fractional deep dermal ablation induces tissue tightening. Lasers Surg Med 2009; 41 (2) 78-86 33 Ortiz AE, Tremaine AM, Zachary CB. Long-term efficacy of a fractional resurfacing device. Lasers Surg Med 2010; 42 (2) 168-170 34 Kotlus BS. Dual-depth fractional carbon dioxide laser resurfacing for periocular rhytidosis. Dermatol Surg 2010; 36 (5) 623-628 35 Chapas AM, Brightman L, Sukal S , et al. Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing. Lasers Surg Med 2008; 40 (6) 381-386
