Current Status of Fractional Laser Resurfacing

    July 2015 in “ JAMA Facial Plastic Surgery
    Paul J. Carniol, Mark M. Hamilton, Eric T. Carniol
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    TLDR Fractional laser resurfacing is effective and safe for skin treatment, with benefits like less downtime and a low risk of adverse events.
    The 2015 document reviews fractional laser resurfacing, a technique that has been effective in treating skin conditions such as photoaging, acne scarring, and dyschromia by promoting collagen production and tissue remodeling. The technique, which allows for tailored treatments, has been shown to stimulate lasting tissue effects and offers a high safety profile with potential risks. The document also discusses the use of adjuvant treatments like platelet-rich plasma to improve healing, the challenges in treating melasma, and the successful integration of fractional resurfacing with surgical procedures, citing a series with 42 patients. It emphasizes the importance of individualized treatment and proper skin care post-treatment, including the use of sunscreen. A retrospective study is mentioned, indicating a 16.8% adverse event rate with fractional carbon dioxide laser treatments, suggesting that fractional treatments are beneficial with less downtime and lower risk compared to traditional resurfacing.
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