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Indikationen und Patientenselektion

Fraktionierte nicht ablative Laser

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ästhetische dermatologie & kosmetologie Aims and scope

Zusammenfassung

Minimalinvasive Systeme wie der nicht ablativ fraktionierte Laser werden zunehmend für die Therapie der chronisch lichtgeschädigten Haut sowie von Narben und weiteren Indikationen interessant. Derzeit werden die Laser am häufigsten zur Therapie von Falten und Narben eingesetzt.

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Literatur

  1. Manstein D, Zurakowski D, Thongsima S, Laubach H, Chan HH (2009) The effects of multiple passes on the epidermal thermal damage pattern in nonablative fractional resurfacing. Lasers Surg Med 41:149–153

    Article  PubMed  Google Scholar 

  2. Kim BJ, Lee DH, Kim MN, Song KY, Cho WI, Lee CK, Kim JY, Kwon OS (2008) Fractional photothermolysis for the treatment of striae distensae in Asian skin. Am J Clin Dermatol 9:33–37

    Article  CAS  PubMed  Google Scholar 

  3. Bodendorf MO, Grunewald S, Wetzig T, Simon JC, Paasch U (2008) Fractional laser skin therapy. J Dtsch Dermatol Ges

  4. Hantash BM, Mahmood MB (2007) Fractional photothermolysis: a novel aesthetic laser surgery modality. Dermatol Surg 33:525–534

    CAS  PubMed  Google Scholar 

  5. Glaich AS, Goldberg LH, Dai T, Friedman PM (2007) Fractional photothermolysis for the treatment of telangiectatic matting: a case report. J Cosmet Laser Ther 9:101–103

    Article  PubMed  Google Scholar 

  6. Rokhsar CK, Ciocon DH (2009) Fractional photothermolysis for the treatment of postinflammatory hyperpigmentation after carbon dioxide laser resurfacing. Dermatol Surg 35:535–537

    Article  CAS  PubMed  Google Scholar 

  7. Narurkar VA (2007) Nonablative fractional resurfacing in the male patient. Dermatol Ther 20:430–435

    Article  PubMed  Google Scholar 

  8. Rokhsar CK, Ilyas H (2008) Fractional resurfacing for the treatment of pearly penile papules. Dermatol Surg 34:1420–1422

    CAS  PubMed  Google Scholar 

  9. Hu S, Chen MC, Lee MC, Yang LC, Keoprasom N (2009) Fractional resurfacing for the treatment of atrophic facial acne scars in asian skin. Dermatol Surg 35:826–832

    Article  CAS  PubMed  Google Scholar 

  10. Niwa AB, Mello AP, Torezan LA, Osorio N (2009) Fractional photothermolysis for the treatment of hypertrophic scars: clinical experience of eight cases. Dermatol Surg 35:773–777

    Article  CAS  PubMed  Google Scholar 

  11. Woo TY, Rasmussen JE (1985) Disorders of transepidermal elimination, Part 2. Int J Dermatol 24:337–348

  12. Bass LS (2005) Rejuvenation of the aging face using Fraxel laser treatment. Aesthet Surg J 25:307–309

    Article  CAS  PubMed  Google Scholar 

  13. Tannous Z (2007) Fractional resurfacing. Clin Dermatol 25:480–486

    Article  PubMed  Google Scholar 

  14. Goldberg DJ (2000) Full-face nonablative dermal remodeling with a 1320 nm Nd:YAG laser. Dermatol Surg 26:915–918

    Article  CAS  PubMed  Google Scholar 

  15. LINKE KW (1955) [Electron microscope study of the differentiation of the intercellular substance of human corium]. Z Zellforsch Mikrosk Anat 42:331–343

    Article  CAS  PubMed  Google Scholar 

  16. Averbeck M, Gebhardt CA, Voigt S, Beilharz S, Anderegg U, Termeer CC, Sleeman JP, Simon JC (2007) Differential regulation of hyaluronan metabolism in the epidermal and dermal compartments of human skin by UVB irradiation. J Invest Dermatol 127:687–697

    Article  CAS  PubMed  Google Scholar 

  17. Bernstein EF, Underhill CB, Hahn PJ, Brown DB, Uitto J (1996) Chronic sun exposure alters both the content and distribution of dermal glycosaminoglycans. Br J Dermatol 135:255–262

    Article  CAS  PubMed  Google Scholar 

  18. Alster TS (1996) Comparison of two high-energy, pulsed carbon dioxide lasers in the treatment of periorbital rhytides. Dermatol Surg 22:541–545

    CAS  PubMed  Google Scholar 

  19. Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, Ikeda S (2006) Clinical trial of a laser device called fractional photothermolysis system for acne scars. J Dermatol 33:623–627

    Article  PubMed  Google Scholar 

  20. Bedi VP, Chan KF, Sink RK, Hantash BM, Herron GS, Rahman Z, Struck SK, Zachary CB (2007) The effects of pulse energy variations on the dimensions of microscopic thermal treatment zones in nonablative fractional resurfacing. Lasers Surg Med 39:145–155

    Article  PubMed  Google Scholar 

  21. Laubach HJ, Tannous Z, Anderson RR, Manstein D (2006) Skin responses to fractional photothermolysis. Lasers Surg Med 38:142–149

    Article  PubMed  Google Scholar 

  22. Lee HS, Lee JH, Ahn GY, Lee DH, Shin JW, Kim DH, Chung JH (2008) Fractional photothermolysis for the treatment of acne scars: a report of 27 Korean patients. J Dermatolog Treat 19:45–49

    Article  CAS  PubMed  Google Scholar 

  23. Collawn SS (2007) Fraxel skin resurfacing. Ann Plast Surg 58:237–240

    CAS  Google Scholar 

  24. Tay YK, Kwok C, Tan E (2006) Non-ablative 1,450-nm diode laser treatment of striae distensae. Lasers Surg Med 38:196–199

    Article  PubMed  Google Scholar 

  25. Karsai S, Hammes S, Rutten A, Raulin C (2008) Fractional photothermolysis for the treatment of granuloma annulare: a case report. Lasers Surg Med 40:319–322

    Article  PubMed  Google Scholar 

  26. Hardaway CA, Ross EV, Barnette DJ, Paithankar DY (2002) Non-ablative cutaneous remodeling with a 1.45 microm mid-infrared diode laser: phase I. J Cosmet Laser Ther 4:3–8

    Article  PubMed  Google Scholar 

  27. Tagami H (2008) Functional characteristics of the stratum corneum in photoaged skin in comparison with those found in intrinsic aging. Arch Dermatol Res 300(Suppl 1):S1–6

    Article  PubMed  Google Scholar 

  28. Orringer JS, Voorhees JJ, Hamilton T, Hammerberg C, Kang S, Johnson TM, Karimipour DJ, Fisher G (2005) Dermal matrix remodeling after nonablative laser therapy. J Am Acad Dermatol 53:775–782

    Google Scholar 

  29. Sugiyama-Nakagiri Y, Sugata K, Hachiya A, Osanai O, Ohuchi A, Kitahara T (2009) Ethnic differences in the structural properties of facial skin. J Dermatol Sci 53:135–139

    Article  PubMed  Google Scholar 

  30. Fournier N, Mordon S (2005) Nonablative remodeling with a 1,540 nm erbium:glass laser. Dermatol Surg 31:1227–1235

    Article  CAS  PubMed  Google Scholar 

  31. Fatemi A, Weiss MA, Weiss RA (2002) Short-term histologic effects of nonablative resurfacing: results with a dynamically cooled millisecond-domain 1320 nm Nd:YAG laser. Dermatol Surg 28:172–176

    PubMed  Google Scholar 

  32. Fulchiero GJ, Jr, Parham-Vetter PC, Obagi S (2004) Subcision and 1320-nm Nd:YAG nonablative laser resurfacing for the treatment of acne scars: a simultaneous split-face single patient trial. Dermatol Surg 30:1356–1359

    PubMed  Google Scholar 

  33. Goldberg DJ, Berlin AL, Phelps R (2008) Histologic and ultrastructural analysis of melasma after fractional resurfacing. Lasers Surg Med 40:134–138

    Article  PubMed  Google Scholar 

  34. Mezzana P, Valeriani M (2007) Rejuvenation of the aging face using fractional photothermolysis and intense pulsed light: a new technique. Acta Chir Plast 49:47–50

    CAS  PubMed  Google Scholar 

  35. Semchyshyn NL, Kilmer SL (2005) Does laser inactivate botulinum toxin? Dermatol Surg 31:399–404

    Article  CAS  PubMed  Google Scholar 

  36. Weiss RA, Gold M, Bene N, Biron JA, Munavalli G, Weiss M, Beasley K (2006) Prospective clinical evaluation of 1440-nm laser delivered by microarray for treatment of photoaging and scars. J Drugs Dermatol 5:740–744

    PubMed  Google Scholar 

  37. Taub AF (2007) Fractionated delivery systems for difficult to treat clinical applications: acne scarring, melasma, atrophic scarring, striae distensae, and deep rhytides. J Drugs Dermatol 6:1120–1128

    PubMed  Google Scholar 

  38. Tannous ZS, Astner S (2005) Utilizing fractional resurfacing in the treatment of therapy-resistant melasma. J Cosmet Laser Ther 7:39–43

    Article  PubMed  Google Scholar 

  39. Graber EM, Tanzi EL, Alster TS (2008) Side effects and complications of fractional laser photothermolysis: experience with 961 treatments. Dermatol Surg 34:301–305

    CAS  PubMed  Google Scholar 

  40. Rokhsar CK, Fitzpatrick RE (2005) The treatment of melasma with fractional photothermolysis: a pilot study. Dermatol Surg 31:1645–1650

    CAS  PubMed  Google Scholar 

  41. Christiansen K, Bjerring P (2008) Low density, non-ablative fractional CO2 laser rejuvenation. Lasers Surg Med 40:454–460

    Article  PubMed  Google Scholar 

  42. Narurkar VA (2007) Skin rejuvenation with microthermal fractional photothermolysis. Dermatol Ther 20(Suppl 1):S10–13

    Article  PubMed  Google Scholar 

  43. Behroozan DS, Goldberg LH, Dai T, Geronemus RG, Friedman PM (2006) Fractional photothermolysis for the treatment of surgical scars: a case report. J Cosmet Laser Ther 8:35–38

    Article  PubMed  Google Scholar 

  44. Weiss RA, Weiss MA, Beasley KL, Munavalli G (2005) Our approach to non-ablative treatment of photoaging. Lasers Surg Med 37:2–8

    Article  PubMed  Google Scholar 

  45. Cho SB, Lee JH, Choi MJ, Lee KY, Oh SH (2009) Efficacy of the fractional photothermolysis system with dynamic operating mode on acne scars and enlarged facial pores. Dermatol Surg 35:108–114

    CAS  PubMed  Google Scholar 

  46. Chrastil B, Glaich AS, Goldberg LH, Friedman PM (2008) Second-generation 1,550-nm fractional photothermolysis for the treatment of acne scars. Dermatol Surg 34:1327–1332

    CAS  PubMed  Google Scholar 

  47. Izikson L, Anderson RR (2008) Resolution of blue minocycline pigmentation of the face after fractional photothermolysis. Lasers Surg Med 40:399–401

    Article  PubMed  Google Scholar 

  48. Doshi SN, Alster TS (2005) 1,450 nm long-pulsed diode laser for nonablative skin rejuvenation. Dermatol Surg 31:1223–1226

    Article  CAS  PubMed  Google Scholar 

  49. Gniadecka M, Nielsen OF, Wessel S, Heidenheim M, Christensen DH, Wulf HC (1998) Water and protein structure in photoaged and chronically aged skin. J Invest Dermatol 111:1129–1133

    Article  CAS  PubMed  Google Scholar 

  50. Nouri K, Zhang YP, Singer L, Zhu L, Huo R, Ricotti C, Prodanovich S, Li J (2005) Effect of the 1,450 nm diode non-ablative laser on collagen expression in an artificial skin model. Lasers Surg Med 37:97–102

    Article  PubMed  Google Scholar 

  51. Hantash BM, Bedi VP, Sudireddy V, Struck SK, Herron GS, Chan KF (2006) Laser-induced transepidermal elimination of dermal content by fractional photothermolysis. J Biomed Opt 11(4):041115

    Article  PubMed  Google Scholar 

  52. Alster TS, Tanzi EL, Lazarus M (2007) The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatol Surg 33:295–299

    CAS  PubMed  Google Scholar 

  53. Lee JY, Kim YK, Seo JY, Choi CW, Hwang JS, Lee BG, Chang IS, Chung JH (2008) Loss of elastic fibers causes skin wrinkles in sun-damaged human skin. J Dermatol Sci 50:99–107

    Article  CAS  PubMed  Google Scholar 

  54. Geronemus RG (2006) Fractional photothermolysis: current and future applications. Lasers Surg Med 38:169–176

    Article  PubMed  Google Scholar 

  55. Jih MH, Goldberg LH, Kimyai-Asadi A (2008) Fractional photothermolysis for photoaging of hands. Dermatol Surg 34:73–78

    Article  CAS  PubMed  Google Scholar 

  56. Glaich AS, Goldberg LH, Friedman RH, Friedman PM (2007) Fractional photothermolysis for the treatment of postinflammatory erythema resulting from acne vulgaris. Dermatol Surg 33:842–846

    CAS  PubMed  Google Scholar 

  57. Glaich AS, Rahman Z, Goldberg LH, Friedman PM (2007) Fractional resurfacing for the treatment of hypopigmented scars: a pilot study. Dermatol Surg 33:289–294

    CAS  PubMed  Google Scholar 

  58. Mordon SR, Rotteleur G, Buys B, Brunetaud JM (1989) Comparative study of the “point-by-point technique“ and the “scanning technique“ for laser treatment of port-wine stain. Lasers Surg Med 9:398–404

    Article  CAS  PubMed  Google Scholar 

  59. Blankenship CM, Alster TS (2008) Fractional photothermolysis of residual hemangioma. Dermatol Surg 34:1112–1114

    CAS  PubMed  Google Scholar 

  60. Behroozan DS, Goldberg LH, Glaich AS, Dai T, Friedman PM (2006) Fractional photothermolysis for treatment of poikiloderma of civatte. Dermatol Surg 32:298–301

    CAS  PubMed  Google Scholar 

  61. Wanner M, Tanzi EL, Alster TS (2007) Fractional photothermolysis: treatment of facial and nonfacial cutaneous photodamage with a 1,550-nm erbium-doped fiber laser. Dermatol Surg 33:23–28

    CAS  PubMed  Google Scholar 

  62. Kono T, Chan HH, Groff WF, Manstein D, Sakurai H, Takeuchi M, Yamaki T, Soejima K, Nozaki M (2007) Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians. Lasers Surg Med 39:311–314

    Article  PubMed  Google Scholar 

  63. Sadick N, Schecter AK (2004) Utilization of the 1320-nm Nd:YAG laser for the reduction of photoaging of the hands. Dermatol Surg 30:1140–1144

    PubMed  Google Scholar 

  64. Laubach HJ, Astner S, Watanabe K, Clifford J, Rius-Diaz F, Zurakowski D, Manstein D (2009) Effects of a 1,450 nm diode laser on facial sebum excretion. Lasers Surg Med 41:110–115

    Article  PubMed  Google Scholar 

  65. Jacob CI, Dover JS, Kaminer MS (2001) Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol 45:109–117

    Article  CAS  PubMed  Google Scholar 

  66. Khan MH, Sink RK, Manstein D, Eimerl D, Anderson RR (2005) Intradermally focused infrared laser pulses: thermal effects at defined tissue depths. Lasers Surg Med 36:270–280

    Article  PubMed  Google Scholar 

  67. Menaker GM, Wrone DA, Williams RM, Moy RL (1999) Treatment of facial rhytids with a nonablative laser: a clinical and histologic study. Dermatol Surg 25:440–444

    Article  CAS  PubMed  Google Scholar 

  68. Fisher GH, Kim KH, Bernstein LJ, Geronemus RG (2005) Concurrent use of a handheld forced cold air device minimizes patient discomfort during fractional photothermolysis. Dermatol Surg 31:1242–1243

    Article  CAS  PubMed  Google Scholar 

  69. Sadick NS, Trelles MA (2005) Nonablative wrinkle treatment of the face and neck using a combined diode laser and radiofrequency technology. Dermatol Surg 31:1695–1699

    CAS  PubMed  Google Scholar 

  70. Mamelak AJ, Goldberg LH, Marquez D, Hosler GA, Hinckley MR, Friedman PM (2009) Eruptive keratoacanthomas on the legs after fractional photothermolysis: report of two cases. Dermatol Surg 35:513–518

    Article  CAS  PubMed  Google Scholar 

  71. Haedersdal M, Moreau KE, Beyer DM, Nymann P, Alsbjorn B (2009) Fractional nonablative 1540 nm laser resurfacing for thermal burn scars: a randomized controlled trial. Lasers Surg Med 41:189–195

    Article  PubMed  Google Scholar 

  72. Bass LS (1998) Erbium:YAG laser skin resurfacing: preliminary clinical evaluation. Ann Plast Surg 40:328–334

    Article  CAS  PubMed  Google Scholar 

  73. Kouba DJ, Fincher EF, Moy RL (2008) Nevus of Ota successfully treated by fractional photothermolysis using a fractionated 1440-nm Nd:YAG laser. Arch Dermatol 144:156–158

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig, Philipp-Rosenthal-Straße 23, 04103, Leipzig, Deutschland

    Uwe Paasch

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  1. Uwe Paasch
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Correspondence to Uwe Paasch.

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Interessenkonflikt

Der Autor erklärt, dass er sich bei der Erstellung des Beitrags von keinen wirtschaftlichen Interessen leiten ließ. Der Autor legt folgende potenzielle Interessenkonflikte offen: keine. Der Verlag erklärt, dass die inhaltliche Qualität des Beitrags von zwei unabhängigen Gutachtern geprüft wurde. Werbung in dieser Zeitschriftenausgabe hat keinen Bezug zur CME-Fortbildung. Der Verlag garantiert, dass die CME-Fortbildung sowie die CME-Fragen frei sind von werblichen Aussagen und keinerlei Produktempfehlungen enthalten. Dies gilt insbesondere für Präparate, die zur Therapie des dargestellten Krankheitsbildes geeignet sind.

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Paasch, U. Fraktionierte nicht ablative Laser. ästhet dermatol kosmetol 7, 36–45 (2015). https://doi.org/10.1007/s12634-015-0838-z

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