postoperative, CO2 laser resurfacing, 10, 16 radiofrequency treatment, 6S
tolerance, 63, 65-66
Palomar Medical Technologies Inc see Lux fractional resurfacing devices
papaya, 94
papillae adiposae, Bg papillary dermis, neck, 20 papular elastosis, 3
paradoxical hair growth, 111
paranasal area, nonablative skin resurfacing, 52 passes
fractional resurfacing, 37 n u m b e r
Accent treatment, 65 CO2 laser treatment, I ThermaCool treatment, 65
patch testing, nonablative skin resurfacing, 51 patient satisfaction, laser resurfacing, 4
n r t i a n t e a l a . t i ^ n O O
carbon dioxide laser resurfacing, 3-4 ethnic skin, 73-74
fractional resurfacing, 32-33 nonablative skin resurfacin g, 44-45 radiofrequency skin tightening, 59-61 peeling, postoperative, CO, laser resurfacrng, 10 penetration enhancers, photodynamic therapy, 50 perfusion flowmetry, cellulite, 92
penorar areas
improvement after laser resurfacing, 4 plasma skin resurfacing, 41
periorbital areas
CO, laser resurfacing, 10 improvement after, 4 fractional resurfacing, 33
nonablative skin resurfacing, 51-52 radiofrequency treatment, 61, 65-66 petechiae, CO, laser resurfacing, 14 petrolatum, postoperative care, 10 phenol peeling
herpes simplex virus, 16 hypopigmentation, 104-105
phosphodiesterase inhibition, for cellulite, 93 photoaging
ethnic skin, 73 pigmentation, 75 scale, 8
p h o t o d a m a g e , 1 , 4 3 CO2 laser resurfacing, 3-4 neck, erbium:YAG laser, 20-21 types, 43
photodynamic therapy, 43, 50 techniques, 53
photoepilation see epilation photographs, 34-35
photomodulation, light-emitting diodes, 78 photosensitivity, after photodynamic therapy, 50 physical therapy, cellulite, 94-95
prgmentation
ethnic skin, photoaging, 75
see also hyperpigmentation; hypopigmentation pigment-specif ic lasers
during CO2 laser sessions, 21-22 complications, 109-1 1 1
pinch test, cellulite, 87, BB Pixel resurfacing devices, 30, 32
plasma skin resurfacing, 32, 33-34, 35, 85 analgesia, 36
A ^ , , 4 1 ^ ^ ^ ^ ^ i ^ ^ / { u u u u r v P d - o i l r g , + |
indications, 33
postoperative care, 39-40 technique, 37-39 poikiloderma of Civatte, 21
Polaris handpiece see Galaxy radiofrequency device polychromatlc light sources, intense pulsed light, 49 port-wine stains, 75
postinf lammatory hyperpigmentation see hyperpigmentation
( P r H )
postoperative acne, 18, 101
n n c t n n o r a i i \ / a a a t a
C O z la s e r r e s u r f a c i n g , 1 0 , 1 1 , 1 7 laser resurfacing, 100
plasma skin resurfacing, 39-40 postoperative sun avoidance, 84-85
potassium titanyl phosphate lasers see KTP lasers prednisone, swelling after CO2 laser resurfacing, 13 preoperative evaluation, laser resurfacing, B preoperative sunblock, 104
pretreatment
CO2 laser resurfacing, 15-16
fractional resurfacing, Q-switched neodymium:YAG lasers, 82
tretinoin, 15-16 vitamin C
CO2 laser resurfacing, 15-16 nonablatrve skin resurfacing, 51 Profile laser, 52
protoporphyrin lX, 50
pruritus, CO, laser resurfacing, 1B pseudofolliculitis, B0
pseudohypopigmentation, carbon dioxlde laser resurfacing, 1 4 , 1 5
Pseu domonas aerug i nosa, 21
PSR1, PSR2 and PSR3 protocols, plasma skin resurfacing, 39
n r r l c o d d r r o l a c o r c
5 P 5 - n m f n r s e a r r i n n 1 Q $
during CO, laser sessions, 21 complications, 108
for complications of COz laser resurfacing, 20 see also flashlamp-pumped pulsed dye laser pulsed light see intense pulsed light
punch excisions, acne scarring, 1, 2 purpura
cellulite treatment, 96, 9Z
pulsed dye laser treatment, 46, 47, 108
a
Q-switched lasers alexandrite
A B N O M , 8 3
with CO2 laser resurfacing, 22 n i n m c n t c d l e s i o n s 1 1 0 complications, 109-1 1 1 H o r t ' s m a c u l e s , 7 5 , 7 6 neodymium:YAc, 1 10-1 1 1
ABNOM, 83
pretreatment for fractional resurfacing, 82 r u b y , 1 0 9
technique, 83
Quantum lPL, Estelux IPL vs, 78 quasi-continuous laser systems, 107
lndex
R
radiof requency treatment, 53 ethnic skin, 78
tightening of skin, 55-72 cellulite, 96-98
treatment planning, 62-63 relaxation time, thermal, 99
Reliant Technologies, lnc see Fraxel lasers resurfacing of skin
lasers, 1-27,2941 complications, 99-106
ethnic skin,73-75, 80-81, 82-85
see also fractional resurfacing; nonablative skin resurfacing
retinoids
contraindication of nonablative skin resurfacing, 45 hypopigmentation prevention, nonablative skin
resurfacing, 51 washout, 36 retinol, cellulite and, 93
return pad, ThermaCool radiofrequency device, 64 rhytides see wrlnkling
rollers, Endermologie, 94 rosacea, intense Pulsed light, 53 r o u g h n e s s , g r a d i n g , 6 0 ruby laser, 109
technique, 83
s
safety
' ^ ^ . . ^ ^ ' ^ ^ 10-13
U V 2 l d u Y l l v D u l r a u r r r V '
nonablative skin resurfacing, 51 radiofrequency devices, 69
sapphire lens cooling system, 1540-nm erbium:glass laser, 48 satisfaction see patient satisfaction
scanning mode, laser therapy,74, 82 erbium:YAG laser resurfacing, 26 scarring, 105
assessment, stretching of skin, 8 after CO2 laser resurfacing, 1B-20 from erbium:YAG laser resurfacing, 26 fractional resurfacing for,33, 34 hypopigmentation and, 14 intense pulsed light, 49 pulsed dye lasers for, 45 steroids, 20, 101 see also acne scarring
scattering, 1320-nm light, nonablative skin resurfacing, 47 sebaceous glands, 1450-nm diode laser on, 48
seborrheic keratosis, ethnic skin, 73 sedation, radiofrequency treatment, 64 selective photothermolYsis, 99 self-assessment, cellulite, 91 septa, adipose tissue, BB, 89, 90
severe vs mild wrinkling, laser resurfacing, 3 side effects
laser resurfacing, 5-7 from melanin, 73
radiofrequency skin tightening, 69-70 see also comPlications
r79
I n d e x
silicone molding, fractional resurfacing, 34 S i l o n m a s k , 1 0 , 7 7
single-pass CO2 laser technique, 100
single-pass high-energy plasma skin resurfacing, 33-34 skin see Fitzpatrick skin types; resurfacing; tightening of skin skinfold thickness, 92
sleeping position, after CO, laser resurfacing, 11 Smoothbeam laser, 47, 52
Spanish patients, 1320-nm neodymium:YAG laser, 77 spectra
lighI, 44
melanin absorption, 49 spot size
erbium:YAG laser resurfacing, 26 fractional resurfacing, 74-75, 82 stacked pulses
fractional resurfacing, 83 intense pulsed light, 49
stamping mode, laser lhetapy,74, 82
Staphylococcus aureus, laser resurfacing, 16, 103 steroids
scarring after laser resurfacing, 20, 101 swelling after C02 laser resurfacing, 13 ST Refirme handpiece, 58
stretching of skin, assessing scarring, B s u b c i s i o n , 9 5
success, attractive appearance and, 29 sun avoidance, postoperative, 84-85 s u n b l o c k
postoperative, 85 preoperative, 104
after ThermaCool treatment, 68
sunburn ys tanning see Fitzpatrick skin types sweet clover, 94
swelling, after COz laser resurfacing, 13 synechia, C02 laser resurfacing, 18, 7g
T
t a n g e n t i a l l i g h t i n g , c e l l u l i t e , 9 . 1 , 9 2 tanning
laser treatment e t h n i c s k i n , 7 4
radiofrequency and, 59-6i vs sunburn see Fitzpatnck skin types targeted resurfacing, 7, .10
tattoos, complications of treatment, 109-1j 1 tautening of skin, ThermaCool treatment, 66 telangiectasias
e t h n i c s k i n , 7 4 , 7 5 , 8 1 - 8 2 , 8 3 grading, 60
treatment
during CO2 laser sessions, 21 intense pulsed light, 49, 52 temperatures, skin
1320-nm Nd:YAG laser, 48, 82 mid-infrared lasers, 52
radiofrequency treatment, SB, 63
temporal region, radiofrequency treatment, 65 tensioning of skin, ThermaCool treatment, 66 test areas, B0
see also patch testing
t e s t i n g ( e q u i p m e n t ) , 1 1 tetracycline, 74 texture, grading, 60
ThermaCool radiofrequency device, 55, 56-57, 63 c l i n i c a l f i n d i n g s , 6 1
lower face, 66-68 off{ace treatment, 70 periorbital areas, 65-66 safety, 69
side-effects, 69 techniques, 64, 65
thermal damage, COz laser resurfacing, 12 t h e r m a l m a p s , c e l l u l i t e , 9 2
thermal relaxation time, 99
t h e r m a l s e n s o r , 1 3 2 0 - n m N d : Y A G l a s e r h a n d p i e c e , 4 8 , 5 2 thigh, circumference, 92
thyroid region, 59 tightening of skin
i n f r a r e d d e v i c e , 7 1 - 7 2 rad iof requency treatment, 55-72
cellulite, 96-98
treatment planning, 62-63
time line, complications of C02 laser resurfacing, 20 Titan device, infrared lighI, 7 1-72
t o n g u e b l a d e s , e q u i p m e n t t e s t i n g , 1 1 t o p i c a l a n e s t h e s i a , B , 1 4 1 5 , 3 6 , 5 2 , 6 4 , 6 5
plasma skin resurfacing, 37 38
+ ^ ^ i ^ ^ t ^ . ^ ^ ^ " ^ + i ^ ^ ^ r u P r u d r P r E l , / d t a U v r t )
S - a m i n o l e v u l i n i c a c i d , 5 0 , 5 3 c e l l u l i t e , 9 3
h y p e r p i g m e n t a t i o n a n d , 1 5 , 1 0 3 - 1 0 4 v i t a m i n C , 1 0 1
see also bleaching agents
toxic shock syndrome, CO, laser resurfacing, 16 tracking, optical, fractional resurfacing, 29-31 treatment cycles, radiofrequency devices, 56-57 treatment grid, ThermaOool radiofrequency device, 64 tretinoin pretreatment, CO: laser resurfacing, 15-16 Triactive system, 95,96, 97
triamcinolone, scarring after CO, laser resurfacing, 20
U
Ultrapulse CO, laser, B, 9 ultrasound, 35
c e l l u l i t e , 9 7 , 9 2 emulsification, 98
Ultrathin Duoderm patch, synechia, 18, 19 ultraviolet light, effects, 43
see also photoaging: photodamage unipolar radiofrequency devices see monopolar
rad iof requency devices
urticarial plaques, from intense pulsed light, 52
V
valacyclovir, prophylaxis, 1 7 variable-pulse dye lasers, 45 vascular lasers, 45-46
complications, 107-1 09 ethnic skin, 75 for scarring, 105 t e c h n i q u e s , 5 l - 5 3