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Fractional Ablative and Non-Ablative Lasers for Ethnic Skin

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Lasers, Lights and Other Technologies

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Abstract

Ethnic skin is a term used to define the darker skin corresponding to Fitzpatrick’s IV, V, and VI skin types. Patients with ethnic skin have an increased risk of problems related to pigmentation, such as post-inflammatory hyperpigmentation or hypopigmentation. For a long time, ethnic skin treatment with lasers was a big challenge, especially when referring to ablative technologies, a technique so widely used and widespread in dermatological procedures. Over time, laser devices have evolved, and recent techniques make its use safer, with less downtime and, consequently, with less damage and risk of post-inflammatory pigmentation. When performed by skilled and well-trained dermatologists, the use of fractional ablative and non-ablative lasers can be considered safe and viable for many different treatments. This chapter is going to discuss ethnic skin and the peculiarities of laser treatment.

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References

  • Aldahan AS, Shah VV, Mlacker S, Samarkandy S, Alsaidan M, Nouri K. Laser and light treatments for striae distensae: a comprehensive review of the literature. Am J Clin Dermatol. 2016;17(3):239–56.

    Article  PubMed  Google Scholar 

  • Battle Jr EF, Hobbs LM. Laser therapy on darker ethnic skin. Dermatol Clin. 2003;21:713–23.

    Article  PubMed  Google Scholar 

  • Bhatt N, Alster TS. Laser surgery in dark skin. Dermatol Surg. 2008;34(2):184–94.

    CAS  PubMed  Google Scholar 

  • Ciocon DH, Engelman DE, Hussain M, Goldberg DJ. A split-face comparison of two ablative fractional carbon dioxide lasers for the treatment of photodamaged facial skin. Dermatol Surg. 2011;37(6):784–90.

    CAS  PubMed  Google Scholar 

  • Cole PD, Hatef DA, Kaufman Y, Pozner JN. Laser therapy in ethnic populations. Semin Plast Surg. 2009;23(3):173–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • IBGE – Brazilian Institute of Geografy and Statistics, Brazil 500 Years. Rio de Janeiro; 2000.

    Google Scholar 

  • Jackson BA. Lasers in ethnic skin: a review. J Am Acad Dermatol. 2003;48(Suppl 6):S134–8.

    Article  PubMed  Google Scholar 

  • Kadunc B, Palermo E, Addor F, Hetsavaht L, Rabello L, Hattos R, Martin S. Textbook of dermatologic surgery, cosmiatry and laser. In: Osório N, Macéa J, editors. Ablative fractional lasers for photoaging. 1st ed. Rio de Janeiro; 2012. p. 772. Elsevier.

    Google Scholar 

  • Kalil C, Campos V. Practical laser handbook and other sources of electromagnetic energy. In: Boechat A, editor. Laser and interaction whit tissues. 1st ed. Rio de Janeio; 2012. p. 19. Elsevier.

    Google Scholar 

  • Kim BJ, Lee DH, Kim MN, Song KY, Cho WI, Lee CK, Kim JY, Kwon OS. Fractional photothermolysis for the treatment of striae distensae in Asian skin. Am J Clin Dermatol. 2008;9(1):33–7.

    Article  CAS  PubMed  Google Scholar 

  • Kim JE, Won CH, Bak H, Kositratna G, Manstein D, Dotto GP, Chang SE. Gene profiling analysis of the early effects of ablative fractional carbon dioxide laser treatment on human skin. Dermatol Surg. 2013;39(7):1033–43.

    Article  CAS  PubMed  Google Scholar 

  • Kono T, Chan HH, Groff WF, Manstein D, Sakurai H, Takeuchi M, Yamaki T, Soejima K, Nozaki M. Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians. Lasers Surg Med. 2007;39(4):311–4.

    Article  PubMed  Google Scholar 

  • Lee SE, Kim JH, Lee SJ, Lee JE, Kang JM, Kim YK, Bang D, Cho SB. Treatment of striae distensae using an ablative 10,600-nm carbon dioxide fractional laser: a retrospective review of 27 participants. Dermatol Surg. 2010;36(11):1683–90.

    Article  CAS  PubMed  Google Scholar 

  • Macrene RA, Jeffrey SD, Kenneth AA. Fractional laser skin resurfacing. J Drugs Dermatol. 2012;11:1274–87.

    Google Scholar 

  • Manstein D, Herron GS, Sink RK, Tianner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34(5):426–38.

    Article  PubMed  Google Scholar 

  • Mateus A, Palermo E. Cosmiatria and laser practice in the doctor’s office. In: Almeida G, Golovaty R, Araújo R, editors. Dark skin. 1st ed. São Paulo; 2012. p. 504. Gen.

    Google Scholar 

  • Munavalli GS, et al. Combining confluent and fractionally ablative modalities of a novel 2790nm YSGG laser for facial resurfacing. Lasers Surg Med. 2011;43(4):273–82.

    Article  PubMed  Google Scholar 

  • Orringer JS, Kang S, Johnson TM, Karimipour DJ, Hamilton T, Hammerberg C, Voorhees JJ, Fisher GJ. Connective tissue remodeling induced by carbon dioxide laser resurfacing of photodamaged human skin. Arch Dermatol. 2004;140(11):1326–32.

    Article  PubMed  Google Scholar 

  • Ortiz AE, Tremaine AM, Zachary CB. Long-term efficacy of a fractional resurfacing device. Lasers Surg Med. 2010;42(2):168–70.

    Article  PubMed  Google Scholar 

  • Riggs K, Keller M, Humphreys TR. Ablative laser resurfacing: high-energy pulsed carbon dioxide and erbium:yttrium-aluminum-garnet. Clin Dermatol. 2007;25:462–73.

    Article  PubMed  Google Scholar 

  • Shah S, Alster TS. Laser treatment of dark skin: an updated review. Am J Clin Dermatol. 2010;11(6):389–97.

    Article  PubMed  Google Scholar 

  • Sriprachya-anunt S, Marchell NL, Fitzpatrick R, et al. Facial resurfacing in patients with Fitzpatrick Skin Type IV. Lasers Surg Med. 2002;30(2):86–92.

    Article  PubMed  Google Scholar 

  • Taylor SC, Cook-Bolden F, Rahman Z, Strachan D. Acne vulgaris in skin of color. J Am Acad Dermatol. 2002;46(2 Suppl Understanding):S98–106.

    Article  PubMed  Google Scholar 

  • Tierney EP, Eisen RF, Hanke CW. Fractionated CO2 laser skin rejuvenation. Dermatol Ther. 2011;24(1):41–53.

    Article  PubMed  Google Scholar 

  • Wat H, Wu DC, Chan HH. Fractional resurfacing in the Asian patient: current state of the art. Lasers Surg Med. 2017;49(1):45–59.

    Article  PubMed  Google Scholar 

  • Xu XG, Luo YJ, Wu Y, Chen JZ, Xu TH, Gao XH, He CD, Geng L, Xiao T, Zhang YQ, Chen HD, Li YH. Immunohistological evaluation of skin responses after treatment using a fractional ultrapulse carbon dioxide laser on back skin. Dermatol Surg. 2011;37(8):1141–9.

    Article  CAS  PubMed  Google Scholar 

  • Yang YJ, Lee GY. Treatment of striae distensae with nonablative fractional laser versus ablative CO2 fractional laser: a randomized controlled trial. Ann Dermatol. 2011;23(4):481–9.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Brazilian Society of Dermatology, Clínica de Dermatologia Paulo Barbosa – Centro Odontomédico Louis Pasteur, 5° andar, sala 505 a 507, CEP 41.850-000, Itaigara, Salvador, Bahia, Brazil

    Paulo Roberto Barbosa, Tais Valverde, Roberta Almada e Silva & Fabiolla Sih Moriya

Authors
  1. Paulo Roberto Barbosa
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  2. Tais Valverde
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  3. Roberta Almada e Silva
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  4. Fabiolla Sih Moriya
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Correspondence to Paulo Roberto Barbosa .

Editor information

Editors and Affiliations

  1. Universidade Federal Fluminense, Niterói, São Paulo, Brazil

    Maria Claudia Almeida Issa

  2. Lexbios Medica S/S, São Paulo, São Paulo, Brazil

    Bhertha Tamura

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© 2017 Springer International Publishing AG

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Barbosa, P.R., Valverde, T., Almada e Silva, R., Moriya, F.S. (2017). Fractional Ablative and Non-Ablative Lasers for Ethnic Skin. In: Issa, M., Tamura, B. (eds) Lasers, Lights and Other Technologies. Clinical Approaches and Procedures in Cosmetic Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-20251-8_15-1

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  • DOI: https://doi.org/10.1007/978-3-319-20251-8_15-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20251-8

  • Online ISBN: 978-3-319-20251-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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