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The Newest Approach to Photodamaged Skin

Kristen M. Kelly, MD; Boris Majaron, PhD; J. Stuart Nelson, MD, PhD

Arch Facial Plast Surg. 2001;3:230-235.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

For centuries, patients and physicians have sought a safe and effective method for treating skin changes associated with photoaging. Currently, a variety of modalities are used to treat facial rhytids, including dermabrasion, chemical peels, and laser skin resurfacing (LSR). Although these modalities are relatively effective for rhytid reduction, epidermal disruption or removal results in an open wound that places the patient at risk for bacterial, viral, and fungal infections. Abnormal or delayed wound healing may result in skin dyspigmentation and scarring. In addition, the wound resolves with significant erythema that often lasts for weeks or months and is cosmetically troubling to patients (Figure 1). The ideal method of skin rejuvenation would achieve optimal cosmetic improvement of photodamage while minimizing wound care and the risk of adverse effects.

Figure appears in full text version. Figure 1. A 50-year-old woman with photodamaged skin before . . . [Full Text of this Article]

EPIDERMAL PRESERVATION

DERMAL HEATING

CURRENT METHODS OF NONABLATIVE SKIN REJUVENATION

Q-Switched 1064-nm Nd:YAG Laser

Pulsed-Dye Laser

980-nm Diode Laser

1.32-µm Nd:YAG Laser

Er:Glass Laser

Repetitive Low-Fluence Er:YAG Laser Irradiation

Intense Pulsed Light Sources

CONCLUSIONS

From Beckman Laser Institute and Medical Clinic and the Departments of Dermatology and Surgery, University of California, Irvine (Drs Kelly, Majaron, and Nelson); and Quantum Optics Laboratory, Jozef Stefan Institute, Ljubljana, Slovenia (Dr Majaron).

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