Abstract
Skin damage, resulting from surgery, trauma, acne scarring, or excessive skin exposure, often prompts patients to seek medical advice. Nowadays, even expected signs of aging, such as rhytides and “age spots,” can be distressing enough to lead patients to inquire about treatment. Traditional treatment modalities include the use of topical retinoids, bleaching agents, chemical peels, microdermabrasion, and lasers. With the recent advances in technology, lasers and light sources have now become the technique of choice for skin resurfacing. Conventional lasers, like the carbon dioxide (CO2) or erbium:yttrium aluminum garnet (Er:YAG), are ablative and thus remove the entire epidermis and portions of the dermis during treatment. Consequently, results are impressive, but there is a great degree of associated postoperative morbidity. Patients are often advised to expect 1–2 weeks of “downtime” in order to recover from the swelling, oozing, crusting, and discomfort that results from the procedure [1] (V/B).
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DeHoratius DM, Dover JS. Nonablative tissue remodeling and photorejuvenation. Clin Dermatol. 2007;25:474–9.
Non-ablative/light-based treatment information. http://www.asds.net/NonAblativeLightBasedTreatmentInformation.aspx. Accessed 22 Sept 2008.
Alexiades-Armentakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol. 2008;58(5):719–37.
Technology report: LED photorejuvenation. http://www.asds.net/TechnologyReportLEDRejuvenation.aspx. Accessed 22 Sept 2008.
Technology report: fractional photothermolysis. http://www.asds.net/fractional_photothermolysis.aspx. Accessed 22 Sept 2008.
Trelles MA, Allones I, Levy JL, et al. Combined nonablative skin rejuvenation with the 595- and 1450-nm lasers. Dermatol Surg. 2004;30:1292–8.
Kilmer S, Semchyshyn N, Shah G, Fitzpatrick R. A pilot study on the use of a plasma skin regeneration device (Portrait PSR3) in the full facial rejuvenation procedures. Lasers Med Sci. 2007;22:101–9.
Bogle MA, Arndt KA, Dover JS. Evaluation of plasma skin regeneration technology in low-energy full-facial rejuvenation. Arch Dermatol. 2007;143(2):168–74.
Alam M, Dover JS. Nonablative laser and light therapy: an approach to patient and device selection. Skin Therapy Lett. 2003;8(4):4–7.
Tanzi EL, Williams CM, Alster TS. Treatment of facial rhytides with a nonablative 1,450-nm diode laser: a controlled clinical and histological study. Dermatol Surg. 2003;29:124–8.
Berlin AL, Hussain M, Goldberg DJ. Cutaneous photoaging treated with a combined 595/1064 nm laser. J Cosmet Laser Ther. 2007;9:214–7.
Chan HHL, Lam L, Wong DYS, et al. Use of 1,320 nm Nd:YAG laser for wrinkle reduction and the treatment of atrophic acne scarring in Asians. Lasers Surg Med. 2004;34:98–103.
Bitter PH. Non-invasive rejuvenation of photodamaged skin using serial, full face intense pulsed light treatments. Dermatol Surg. 2000;26:835–43.
Sadick NS, Weiss R, Kilmer S, Bitter P. Photorejuvenation with intense pulsed light: results of a multi-center study. J Drugs Dermatol. 2004;3(1):41–9.
Jorgensen GF, Hedelund L, Haedersdal M. Long-pulsed dye laser versus intense pulsed light for photodamaged skin: a randomized split-face trial with blinded response evaluation. Lasers Surg Med. 2008;40:293–9.
Negishi K, Kushikata N, Takeuchi K, et al. Photorejuvenation by intense pulsed light with objective measurement of skin color in Japanese patients. Dermatol Surg. 2006;32:1380–7.
Ang P, Barlow RJ. Nonablative laser resurfacing: a systematic review of the literature. Clin Exp Dermatol. 2002;27:630–5.
Goldberg DJ, Whitworth J. Laser skin resurfacing with the Q-switched Nd:AYG laser. Dermatol Surg. 1997;23:903–7.
Cisneros JL, Rio R, Palou J. The Q-switched neodymium (Nd):YAG laser with quadruple frequency. Clinical histological evaluation of facial resurfacing using different wavelengths. Dermatol Surg. 1998;23:345–50.
Goldberg DJ, Metzler C. Skin resurfacing utilizing a low fluence Nd:YAG laser. J Cutan Laser Ther. 1999;1:23–7.
Lipper GM, Perez M. Nonablative acne scare reduction after a series of treatments with a short-pulsed 1,064-nm neodymium:YAG laser. Dermatol Surg. 2006;32:998–1006.
Bhatia AC, Dover JS, Arndt KA, Stewart B, Alam M. Patient satisfaction and reported long-term therapeutic efficacy associated with 1,320 nm Nd:YAG laser treatment of acne scarring and photoaging. Dermatol Surg. 2006;32:346–52.
Levy JL, Trelles M, Lagarde JM, Mordon S. Treatment of wrinkles with the nonablative 1,320-nm Nd:YAG laser. Ann Plast Surg. 2001;47(5):482–8.
Yaghmai D, Garden JM, Bakus AD, et al. Comparison of a 1,064 nm laser and a 1,320 nm laser for the nonablative treatment of acne scars. Dermatol Surg. 2005;31:903–9.
Ross EV, Sajben FP, Hsia J, et al. Non ablative skin remodeling: selective dermal heating with mid-infrared laser and contact cooling combination. Lasers Surg Med. 2000;26:186–95.
Shah G, Kilmer S. Combined nonablative rejuvenation techniques. Dermatol Surg. 2005;31:1206–10.
Tanzi EL, Alster TS. Comparison of a 1450-nm diode laser and a 1320-nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study. Dermatol Surg. 2004;30:152–7.
Fournier N, Dean S, Barneon G, et al. Non ablative remodeling: clinical, histologic, ultrasound imaging and profilometric evaluation of a 1540 nm Er:glass laser. Dermatol Surg. 2001;27:799–806.
Bogle MA, Dover JS, et al. Evaluation of the 1,540-nm erbium:glass laser in the treatment of inflammatory facial acne. Dermatol Surg. 2007;33:810–7.
Manstein D, Herron GS, Sink RK, et al. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34(5):426–38.
Rahman Z, Alam M, Dover JS. Fractional laser treatment for pigmentation and texture improvement. Skin Therapy Lett. 2006;11(9):7–11.
Wanner M, Tanzi EL, Alster TS. Fractional photothermolysis: treatment of facial and nonfacial cutaneous photodamage with a 1,550-nm erbium-doped fiber laser. Dermatol Surg. 2007;33:23–8.
Kono T, Chan HH, Groff WF, et al. Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians. Lasers Surg Med. 2007;39:311–4.
McDaniel DH, Newman J, Geronemus R, et al. Non-ablative non-thermal LED photomodulation – a multicenter clinical photoaging trial. Lasers Surg Med. 2003;15:22.
Weiss RA, McDaniel GH, Geronemus R, Weiss MA. Clinical trial of a novel non-thermal LED array for reversal of photoaging: clinical, histologic, and surface profilometric results. Lasers Surg Med. 2005;36:85–91.
Russel BA, Kellet N, Reilley LR. A study to determine the efficacy of combination LED light therapy (633 nm and 830 nm) in facial skin rejuvenation. J Cosmet Laser Ther. 2005;7:196–200.
Alster TS, Konda S. Plasma skin resurfacing for regeneration of neck, chest and hands: investigation of a novel device. Dermatol Surg. 2007;33(11):1315–21.
Foster KW, Moy RL, Fincher EF. Advances in plasma skin rejuvenation. J Cosmet Dermatol. 2008;7(3):169–79.
Hedelund L, Due E, Bjerring P, et al. Skin rejuvenation using intense pulsed light: a randomized controlled split-face trial with blinded response evaluation. Arch Dermatol. 2006;142:985–90.
Bhat J, Birch J, Whitehurst C, et al. A single-blinded randomized controlled study to determine the efficacy of Omnilux Revive facial treatment in skin rejuvenation. Lasers Med Sci. 2005;20:6–10.
Alster TS, Lupton JR. Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol. 2007;25:487–91.
Galeckas KJ, Collins M, Ross EV, Uebelhoer NS. Split-face treatment of facial dyschromia: pulsed dye laser with a compression handpiece versus intense pulsed light. Dermatol Surg. 2008;34:672–80.
Goldberg DJ, Silapunt S. Q-switched Nd:YAG laser: rhytid improvement by nonablative dermal remodeling. J Cutan Laser Ther. 2000;2:157–60.
Hohenleutner S, Koellner K, Lorenz S, et al. Results of nonablative wrinkle reduction with a 1,450-nm diode laser: difficulties in the assessment of “subtle changes”. Lasers Surg Med. 2005;37:14–8.
Kligman DE, Zhen Y. Intense pulsed light treatment of photoaged facial skin. Dermatol Surg. 2004;30:1085–90.
Lapidoth M, Odo MEY, Odo LM. Novel use of erbium:YAG (2940-nm) laser for fractional ablative photothermolysis in the treatment of photodamaged facial skin: a pilot study. Dermatol Surg. 2008;34:1048–53.
Lask G, Fournier N, Trelles M, et al. The utilization of nonthermal blue (405–425 nm) and near infrared (850-890 nm) light in aesthetic dermatology and surgery – a multicenter study. J Cosmet Laser Ther. 2005;7:163–70.
Lee SY, Park KH, Choi JW, et al. A prospective, randomized, placebo-controlled, double-blinded, and split-face clinical study on LED phototherapy for skin rejuvenation: clinical, probiometric, histologic, ultrastructural, and biochemical evaluations and comparison of three different treatment settings. J Photochem Photobiol B. 2007;88:51–67.
Sadick NS, Trelles MA. Nonablative wrinkle treatment of the face and neck using a combined diode laser and radiofrequency technology. Dermatol Surg. 2005;31:1695–9.
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Desai, S., Bhatia, A.C. (2012). Nonablative and Minimally Ablative Resurfacing. In: Alam, M. (eds) Evidence-Based Procedural Dermatology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09424-3_15
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DOI: https://doi.org/10.1007/978-0-387-09424-3_15
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