Download Ablative and Non-ablative Facial Skin Rejuvenation by David J. Goldberg PDF

By David J. Goldberg

As expertise makes approaches more secure, extra everyone is pursuing new tips on how to switch their pores and skin. Facial pores and skin rejuvenation is principally renowned, with the more moderen ablative and non-ablative ideas providing an exact strategy for bettering photo-aged pores and skin. This e-book discusses some of the lasers, mild assets and radio-frequency units at the moment used, interpreting the applied sciences and an method of utilizing that process. The final chapters handle the problem of complications-what to do in the event that they come up and the way to control them. The company features of a facial rejuvenation perform also are reviewed. This one-stop reference at the subject is perfect for dermatologists and different execs within the box.

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Sample text

At day 90, most specimens, at all chosen parameters, demonstrated a well demarcated papillary dermal ‘repair zone’ composed of dense compact collagen bundles in parallel alignment with the epidermal surface. They also observed alterations in the elastic fibers in the most superficial papillary dermis (thinner, parallel orientation) and upper reticular dermis (thicker, haphazardly arranged). This study proved that pulsed CO2 laser resurfacing can create a histologic subepidermal grenz zone of fibrosis with alterations in collagen and elastic fibers.

Shortpulsed Erbium:YAG laser induced wound contracture was 12% at 1 month, which remained stable and unchanged. Biopsies (five out of nine) taken at 6 months after treatment supported these differences seen between the CO2 and Erbium:YAG laser procedures. On CO2 laser treated sites, papillary dermal collagen was noted to be finer and more fibrillar. On the erbium treated sites, a more tightly packed, clumped collagen was noted with an arrangement parallel to the skin surface, resembling a scar.

The process may be similar to that seen with laser induced delayed hypopigmentation (See Complications, Chapter 8). In this short-term follow-up study, melanocyte structure and function appeared intact after healing. Repigmentation returned to the original level at 3 months, even in the three treated African–American patients. 36 The authors evaluated nine patients, with rhytides, treated with one to three passes of the SilkTouch CO2 laser. Biopsies were obtained both pre- and posttreatment. Specimens were stained with hematoxylin and eosin and Verhoff’s elastin stain and were analyzed for collagen deposition and elastin quantity and quality.

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