Consensus Recommendations on the Use of an Erbium‐Doped 1,550‐nm Fractionated Laser and Its Applications in Dermatologic Laser Surgery

BACKGROUND Nonablative fractional photothermolysis has revolutionized the way we treat a number of common skin conditions with laser technology. OBJECTIVE A comprehensive guide is needed for clinicians using this technology to treat specific skin conditions in various skin types. MATERIALS AND METHO...

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Published in:Dermatologic surgery 2010-04, Vol.36 (4), p.461-469
Main Authors: SHERLING, MICHAEL, FRIEDMAN, PAUL M., ADRIAN, ROBERT, JAY BURNS, A., CONN, HOWARD, FITZPATRICK, RICHARD, GREGORY, RICHARD, KILMER, SUZANNE, LASK, GARY, NARURKAR, VIC, KATZ, TRACY M., AVRAM, MATHEW
Format: Article
Language:English
Subjects:
Acne Vulgaris - complications
Anesthesia, Local - methods
Biological and medical sciences
Calibration
Cicatrix - etiology
Cicatrix - surgery
Dermatologic Surgical Procedures
Dermatology
Equipment Design
Face - surgery
Humans
Laser Therapy - instrumentation
Laser Therapy - methods
Lasers, Solid-State - adverse effects
Lasers, Solid-State - therapeutic use
Medical sciences
Melanosis - surgery
Patient Selection
Practice Guidelines as Topic
Premedication - methods
Reconstructive Surgical Procedures - methods
Rhytidoplasty - methods
Skin Aging
Skin Diseases - surgery
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:BACKGROUND Nonablative fractional photothermolysis has revolutionized the way we treat a number of common skin conditions with laser technology. OBJECTIVE A comprehensive guide is needed for clinicians using this technology to treat specific skin conditions in various skin types. MATERIALS AND METHODS Recommendations were made from a recent round table discussion among experienced physicians and a review of recent literature findings. RESULTS Optimal laser parameters are dependent on patient skin type and condition. We recommended guidelines for the successful treatment of several common skin conditions on and off the face using nonablative fractional photothermolysis. Specific conditions were dyschromia, rhytides, acne scars, surgical scars, melasma, and striae distensae. CONCLUSIONS We developed reproducible guidelines to most effectively treat a variety of skin types and conditions using nonablative fractional photothermolysis. Future large, multicenter trials are indicated for further optimization of treatment parameters. Reliant Technologies paid travel expenses and honorariums to all authors.
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2010.01483.x