LASER skin resurfacing
by Zekayi Kutlubay Dehdashti

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

LASER skin resurfacing can be used to treat a variety of skin conditions, the most common ones being photoaging (that includes rhytides, dyspigmentation, actinic chelitis, actinic keratosis) and scarring. Perioral and periorbital rhytides that are resistant to facelift procedures are highly amenable to LASER skin resurfacing. Fine rhytides may be completely eradicated, while the deeper creases are also improved, probably secondary to a general tightening effect. However, rhytides and creases that appear with active movement and facial expression such as glabellar and nasolabial folds tend to be more resistant to LASER resurfacing. Ablative LASER resurfacing is effective for scars including those caused by acne, trauma and surgery. The patient must always have realistic expectations for a favorable and satisfactory outcome. The timing of this procedure is vital when combined with other cosmetic procedures. When considered along with undermining procedures such as facelifts or blepharoplasty, a gap of at least six months is important, as these procedures are associated with an altered blood circulation, and if combined simultaneously with a LASER skin resurfacing procedure, carry the risk of skin necrosis and scarring. Demonstrated here is a step-by-step account of one such procedure.

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