585 results match your criteria Laser Tissue Resurfacing


Fractionated Carbon Dioxide Laser Resurfacing as an Ideal Treatment Option for Severe Rhinophyma: A Case Report and Discussion.

J Clin Aesthet Dermatol 2019 Jan 1;12(1):24-27. Epub 2019 Jan 1.

Drs. Comeou, Goodman, and Buckley are with the Department of Dermatology at Philadelphia College of Osteopathic Medicine in Roswell, Georgia.

Rhinophyma is a progressive, disfiguring condition that affects the nose and is caused by the hypertrophy of sebaceous glands and connective tissue. Although its exact pathogenesis remains unclear, it is generally thought to be a subtype of the chronic, inflammatory condition rosacea. To date, oral and topical treatments have been largely ineffective at treating rhinophyma. Read More

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January 2019

Low-fluenced erbium:yttrium-aluminium-garnet laser treatment in combination with broadband light pretreatment for various pigmentation disorders in Asian patients.

J Cosmet Dermatol 2019 Mar 1. Epub 2019 Mar 1.

Department of Dermatology and Cutaneous Biology Research Center, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.

Background: Low-fluenced 2940-nm erbium (Er):yttrium-aluminium-garnet (YAG) resurfacing elicits ablative photothermal tissue reactions confined to the uppermost parts of the epidermis.

Objective: To demonstrate the efficacy and safety of low-fluenced ablative Er:YAG laser treatment in combination with broadband light (BBL) pretreatment for various pigmentation disorders.

Methods: In total, 35 Korean patients with various pigmentation disorders were pretreated with BBL, and then, low-fluenced Er:YAG laser resurfacing was performed with a beam size of 4 mm and a fluence of 1. Read More

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http://dx.doi.org/10.1111/jocd.12897DOI Listing

Persistent Pixel Stamping Marks: a novel complication of fractional CO laser in scar treatment.

Lasers Med Sci 2019 Jan 4. Epub 2019 Jan 4.

Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Fractional CO laser rejuvenation of scars offers a high safety profile. Laser marks usually disappear clinically within 1 week. The authors observed occasional persistence of the laser marks on the scar surface. Read More

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http://link.springer.com/10.1007/s10103-018-02700-5
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http://dx.doi.org/10.1007/s10103-018-02700-5DOI Listing
January 2019
7 Reads

Variable heat shock response model for medical laser procedures.

Lasers Med Sci 2019 Jan 3. Epub 2019 Jan 3.

Faculty of Physics, University of Ljubljana, Jadranska 19, 1000, Ljubljana, Slovenia.

According to the standard Arrhenius relation, tissue damage is linearly dependent on the duration of exposure to elevated temperatures and exponentially dependent on the temperature itself. However, recently published measurements of damage threshold temperatures at extremely short exposure times (commonly present during laser treatments) exhibit a shift to temperatures that are higher than what would normally be expected from a single-process Arrhenius model. A novel variable heat shock (VHS) response model was developed that takes into account the observed deviation from the single-process Arrhenius relation, by assuming that the cell viability can be described as the combined effect of two biochemical processes that dominate cell survival characteristics at very short and very long exposure times. Read More

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http://dx.doi.org/10.1007/s10103-018-02704-1DOI Listing
January 2019
2 Reads

The Evidence for Adjunctive Facelift Procedures.

Facial Plast Surg 2018 Dec 28;34(6):624-630. Epub 2018 Dec 28.

Department of Plastic Surgery, King Edward VII's Hospital, London, Greater London, United Kingdom.

Facelift surgery is a popular treatment but exhibits high variation among practitioners in terms of both core technique and adjunctive measures. This review identified significant evidence addressing the role of pre-infiltration, drains, fat grafting, fibrin tissue adhesives, hilotherapy, and other miscellaneous adjuncts. Based on the authors' assessment of the current literature, there is reasonable supportive evidence for pre-infiltration, fat grafting and laser skin resurfacing, which appear to be safe and effective in appropriately selected patients. Read More

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http://dx.doi.org/10.1055/s-0038-1675750DOI Listing
December 2018

The evidence behind the use of platelet-rich plasma (PRP) in scar management: a literature review.

Scars Burn Heal 2018 Jan-Dec;4:2059513118808773. Epub 2018 Nov 18.

Centre for Cutaneous Research, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London E1 2AT, UK.

Introduction: Autologous platelet-based concentrates represent increasingly popular adjuncts to a variety of medical, surgical and aesthetic interventions. Their beneficial potential rests on the ability to deliver a high concentration of growth factors to the target tissues. There are currently no reports in the literature appraising the evidence behind the use of platelet-rich plasma (PRP) in scar management. Read More

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http://dx.doi.org/10.1177/2059513118808773DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243404PMC
November 2018
4 Reads

Aesthetic considerations in female skin of color: what you need to know.

Semin Cutan Med Surg 2018 Dec;37(4):210-216

Department of Dermatology, Weill Cornell Medical College, New York, New York, USA.

The world is flat when it comes to aesthetic treatments, meaning women and men from all walks of life, regardless of culture and ethnicity or even socioeconomic status, are seeking ways to improve their appearance, prevent aging, and rejuvenate their skin. Year after year, statistics show a steady increase in people of color undergoing aesthetic treatments, with neurotoxins, fillers, laser resurfacing, and body contouring being the most sought-after procedures. When treating this cohort of patients, however, dermatologists need to be sensitized to how a patient's ethnicity affects facial structure, the tissue reaction to treatments, and patient's specific expectations for recommended therapies. Read More

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https://scmsjournal.com/article/buy_now/?id=795
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http://dx.doi.org/10.12788/j.sder.2018.053DOI Listing
December 2018
26 Reads

Device-based treatment for vaginal wellness.

Semin Cutan Med Surg 2018 Dec;37(4):226-232

Yale University School of Medicine, New Haven, Connecticut, USA.

Genitourinary syndrome of menopause (GSM), encompassing the disorders of atrophic vaginitis, urinary incontinence, and pelvic prolapse, affects the majority of postmenopausal women, as well as patients who are undergoing breast cancer treatement, post-ovarectomy, post-radiation, and breast-feeding. There is a need for better treatment options for these common conditions that adversely affect physical function and quality of life and that are often underserved by existing options. Lasers have been used to treat genitourinary tissue for over 40 years, and over the past decade, several lasers and radiofrequency devices have been developed and clinically tested for the treatment of GSM, with an accumulating body of evidence demonstrating their safety and efficacy. Read More

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https://scmsjournal.com/article/buy_now/?id=797
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http://dx.doi.org/10.12788/j.sder.2018.052DOI Listing
December 2018
19 Reads

Lidocaine-induced potentiation of thermal damage in skin and carcinoma cells.

Lasers Surg Med 2019 Jan 15;51(1):88-94. Epub 2018 Oct 15.

Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts.

Objective: Lidocaine acts as a local anesthetic by blocking transmembrane sodium channel permeability, but also induces the synthesis of heat shock proteins and sensitizes cells to hyperthermia. A previous study reported two cases of deep focal skin ulceration at points corresponding to depot local lidocaine injection sites after treatment with non-ablative fractional resurfacing and it was hypothesized that lidocaine had focally sensitized keratinocytes to the thermal damage of laser treatment. The objective of this study was to investigate whether lidocaine potentiates hyperthermia damage to both normal and cancerous skin cells using an in vitro model. Read More

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http://dx.doi.org/10.1002/lsm.23027DOI Listing
January 2019
4 Reads

Lasers, Microneedling, and Platelet-Rich Plasma for Skin Rejuvenation and Repair.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):455-468. Epub 2018 Aug 16.

Division of Facial Plastic and Reconstructive Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, 10833 Le Conte Avenue, CHS 62-237, Los Angeles, CA 90095, USA.

Skin resurfacing for the purpose of rejuvenation and repair continues to evolve with the development of noninvasive or minimally invasive surgical substitutes. Advances in laser therapy, microneedling, and platelet-rich plasma have reinvigorated research in wound repair and regenerative science. An overall positive clinical response toward the use of platelet-rich plasma as an adjuvant to fractional photothermolysis and percutaneous collagen induction is observed. Read More

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http://dx.doi.org/10.1016/j.fsc.2018.06.007DOI Listing
November 2018
10 Reads

Platelet-Rich Plasma for Skin Rejuvenation and Tissue Fill.

Facial Plast Surg Clin North Am 2018 Nov 16;26(4):439-446. Epub 2018 Aug 16.

Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, 1305 York Avenue, Fifth Floor, New York, NY 10021, USA. Electronic address:

Platelet preparations, including platelet-rich plasma and platelet-rich fibrin matrix, have been used to improve wound healing, recovery time, and cosmetic outcomes for facial rejuvenation. Bioactive growth factors released from platelets are the putative agents in producing a reparative tissue reaction in the treated area. Different methods of processing the patients' blood will yield different types of platelet preparations with different components and properties, and it is important to understand these differences and their potential implications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183002
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http://dx.doi.org/10.1016/j.fsc.2018.06.005DOI Listing
November 2018
14 Reads

Correction of cicatricial ectropion using non-ablative fractional laser resurfacing.

Lasers Med Sci 2019 Feb 28;34(1):79-84. Epub 2018 Jul 28.

Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Tor Vergata, Rome, Italy.

Lower eyelid malposition is the most frequent and severe complication after blepharoplasty and ectropion is observed in 1% of patients after surgery. This article describes a non-surgical method to treat lower eyelid cicatricial ectropion using a non-ablative laser as an alternative to surgery. Twelve patients with unilateral or bilateral lower lid cicatricial ectropion, following surgery or trauma, underwent laser therapy from 2012 to 2016. Read More

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http://dx.doi.org/10.1007/s10103-018-2601-yDOI Listing
February 2019
3 Reads
2.490 Impact Factor

Fractional Carbon Dioxide Laser Resurfacing in Combination With Potent Topical Corticosteroids for Hypertrophic Burn Scars in the Pediatric Age Group: An Open Label Study.

Dermatol Surg 2018 08;44(8):1102-1108

Both authors are affiliated with the CUTIS Institute of Dermatology, Srinagar, Kashmir, India.

Background: Lasers and potent topical corticosteroids are used as therapeutic options in hypertrophic burn scars.

Objective: To assess the therapeutic effect of fractional CO2 laser resurfacing in combination with potent topical corticosteroids on hypertrophic burn scars in pediatric age group.

Methods: Ten children (5-12 years) with postburn hypertrophic scars were treated with 3 to 5 sessions of fractional CO2 laser resurfacing at 1-month intervals, and triamcinolone suspension was applied immediately after each laser session. Read More

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http://Insights.ovid.com/crossref?an=00042728-900000000-9887
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http://dx.doi.org/10.1097/DSS.0000000000001413DOI Listing
August 2018
7 Reads

Acne Scarring Management: Systematic Review and Evaluation of the Evidence.

Am J Clin Dermatol 2018 Aug;19(4):459-477

Department of Dermatology, Medical School of Jundiaí, São Paulo, Brazil.

Background: Modalities for atrophic acne scarring can be classified depending upon the needs they satisfy; that is, resurfacing, lifting/volumization, tightening, or surgical removal/movement of tissue that is required for correction. A plethora of treatment options have resulted from the need to treat various acne scar types, variability of responses noted in various skin types, and increasing popularity of minimally invasive modalities. Still, there is a lack of consensus guidelines on treatment or combination therapies for various clinical scenarios. Read More

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http://link.springer.com/10.1007/s40257-018-0358-5
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http://dx.doi.org/10.1007/s40257-018-0358-5DOI Listing
August 2018
72 Reads

Effects of 1,540-nm Fractional Nonablative Erbium and 2,940-nm Fractional Ablative Erbium on p53 Epidermal Expression After 3 months: A Split-Face Interventional Study.

Dermatol Surg 2018 08;44(8):1109-1114

Universidade Federal do Rio de Janeiro, Faculdade de Medicina, Serviço de Anatomia Patológica-Brasil, Rio de Janeiro, Brazil.

Background: Expression of p53 by keratinocytes may be important in the pathogenesis of skin cancer induced by ultraviolet light.

Objective: We used side-by-side nonablative and ablative erbium fractional laser resurfacing to assess the effects on expression of p53 by facial keratinocytes.

Methods: Ten female patients (age range, 50-63 years) with Fitzpatrick skin Types I-IV and clinical signs of photoaging underwent erbium fractional laser resurfacing (nonablative, 1,540-nm; ablative, 2,940-nm) on opposite sides of the face. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001527DOI Listing
August 2018
10 Reads

Traumatic and surgical scars: successful treatment with a 1,565nm erbium-glass NAFL combined with IPL.

J Biol Regul Homeost Agents 2018 Jan-Feb;32(2 Suppl. 1):159-165

Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy.

Scars are a very common condition of the general population and can have a profound impact on the psyche of the patient such as low self-esteem and feelings of psychosocial isolation. Various therapeutic approaches have been proposed for improving the clinical appearance of scars. Fractional mode of ablative and non-ablative lasers has become a novel strategy for the treatment of scars. Read More

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February 2019

Efficacy of MAS063DP lotion vs 0.02% triamcinolone acetonide lotion in improving post-ablative fractional CO laser resurfacing wound healing: a split-face, triple-blinded, randomized, controlled trial.

Int J Dermatol 2018 Apr 12;57(4):480-487. Epub 2018 Feb 12.

Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, Thailand.

Proven as effective acne scar treatment, ablative fractional carbon dioxide (AFCO ) laser requires post-laser wound healing care. MAS063DP is a multicomponent nonsteroidal anti-inflammatory moisturizer for effective post-laser treatment. This study compares the efficacy of MAS063DP and 0. Read More

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http://dx.doi.org/10.1111/ijd.13922DOI Listing
April 2018
13 Reads

Ablative Fractional CO2 Laser for Facial Atrophic Acne Scars.

Facial Plast Surg 2018 Apr 5;34(2):205-219. Epub 2018 Jan 5.

Department of Dermatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Ablative fractional carbon dioxide laser resurfacing is a well-established treatment for acne scars. However, there are limited consensus and guidelines regarding the procedure, such as its treatment plan, efficacy, and safety. In this study, we performed a systematic review to assess the efficacy and safety of the fractional carbon dioxide laser treatment procedure, and to provide evidence-based recommendations concerning its practical use on atrophic acne scars. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606096
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http://dx.doi.org/10.1055/s-0037-1606096DOI Listing
April 2018
18 Reads

Pediatric dermatology procedures and pearls: Multimodal revision of earlobe keloids.

Pediatr Dermatol 2018 Mar 20;35(2):268-270. Epub 2017 Dec 20.

Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital and University of California at San Diego, San Diego, CA, USA.

Keloid scars are benign proliferations of fibrous tissue and collagen that usually occur in response to cutaneous injury. Many treatment modalities have been described in the literature, with variable rates of recurrence and no clear consensus. Keloids remain a therapeutic challenge to patients and physicians alike. Read More

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http://doi.wiley.com/10.1111/pde.13374
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http://dx.doi.org/10.1111/pde.13374DOI Listing
March 2018
8 Reads

In-Vivo Histological Analysis of a Fractional CO2 Laser System Intended for Treatment of Soft Tissue.

J Drugs Dermatol 2017 Nov;16(11):1085-1090

BACKGROUND: Fractional ablative lasers have been shown to be safe and effective for improving wrinkles, scars, skin texture, and dyspigmentation. However, the exact effects of this technology in vivo on epidermal and dermal skin constituents have not been delineated. This study evaluated the in vivo histological effects over time of treatment with a fractional ablative CO2 system, using different treatment parameters. Read More

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November 2017
9 Reads

Lifting the Lower Face With an Absorbable Polydioxanone (PDO) Thread.

J Drugs Dermatol 2017 Sep;16(9):932-934

Traditional rejuvenation techniques include chemical peels, rhytidectomy of the skin, laser resurfacing, injection of dermal fillers and neurotoxins, and invasive surgical procedures. Patients with brow ptosis, jowl formation, and deepening nasolabial folds currently seek antiaging procedures with no incisions and minimal downtime such as thread-lifting with barbed sutures. The present report describes a case in which polydioxanone threads were used to lift the lower third of a patient's face. Read More

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September 2017
63 Reads

Fractional carbon dioxide laser for the treatment of facial atrophic acne scars: prospective clinical trial with short and long-term evaluation.

Lasers Med Sci 2017 Dec 11;32(9):2047-2054. Epub 2017 Sep 11.

Department of Dermatology and Venereology, Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.

The aim of this study was to evaluate the efficacy and safety of fractional carbon dioxide laser for the treatment of acne scars. Thirty-one participants, 15 female and 16 male, whose mean age was 34.84 ± 10. Read More

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http://dx.doi.org/10.1007/s10103-017-2322-7DOI Listing
December 2017
32 Reads

Fractional CO laser treatment for vulvovaginal atrophy symptoms and vaginal rejuvenation in perimenopausal women.

Authors:
César Arroyo

Int J Womens Health 2017 28;9:591-595. Epub 2017 Aug 28.

HM Montepríncipe University Hospital Laser Unit, Madrid, Spain.

Background: This study investigated a novel fractional carbon dioxide (CO) laser for treatment of symptoms associated with vulvovaginal atrophy (VVA) in perimenopausal women.

Methods: The study included 21 perimenopausal women (mean age 45±7 years) treated three times by CO laser resurfacing and coagulation of the vaginal canal tissue and mucosal tissue of the introitus. Vaginal health index (VHI) scores were computed by the investigator at baseline and follow-ups. Read More

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http://dx.doi.org/10.2147/IJWH.S136857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584900PMC
August 2017
18 Reads

Laser Modulation of Hypertrophic Scars: Technique and Practice.

Clin Plast Surg 2017 Oct 21;44(4):757-766. Epub 2017 Jul 21.

Shriners Hospital for Children, 51 Blossom Street, Boston, MA 02114, USA.

In this review, the authors discuss the use of laser photothermolysis and laser resurfacing in the management of hypertrophic burn scars. They provide details regarding preoperative selection, intraoperative decision making, and postoperative care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298173008
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http://dx.doi.org/10.1016/j.cps.2017.05.007DOI Listing
October 2017
22 Reads

Lasers and intense pulsed light (IPL) association with cancerous lesions.

Lasers Med Sci 2017 Nov 7;32(8):1927-1933. Epub 2017 Sep 7.

University of Wales Trinity Saint David, Swansea, SA1 6ED, UK.

The development and use of light and lasers for medical and cosmetic procedures has increased exponentially over the past decade. This review article focuses on the incidence of reported cases of skin cancer post laser or IPL treatment. The existing evidence base of over 25 years of laser and IPL use to date has not raised any concerns regarding its long-term safety with only a few anecdotal cases of melanoma post treatment over two decades of use; therefore, there is no evidence to suggest that there is a credible cancer risk. Read More

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http://dx.doi.org/10.1007/s10103-017-2310-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653718PMC
November 2017
42 Reads

Evaluation of autologous platelet-rich plasma plus ablative carbon dioxide fractional laser in the treatment of acne scars.

J Cosmet Laser Ther 2018 Apr 30;20(2):106-113. Epub 2017 Aug 30.

a Department of Dermatology and Venerology (Laser Unit), Al-Hussein Hospital, Faculty of Medicine , Al- Azhar University , Cairo , Egypt.

Introduction: Acne scar is a common distressing complication of acne vulgaris. CO laser resurfacing proved effective for the treatment of this problem, but the associated complications may limit its use. Platelet-rich plasma (PRP) may increase the chance of favorable outcome. Read More

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http://dx.doi.org/10.1080/14764172.2017.1368667DOI Listing
April 2018
27 Reads

Structural-Geometric Functionalization of the Additively Manufactured Prototype of Biomimetic Multispiked Connecting Ti-Alloy Scaffold for Entirely Noncemented Resurfacing Arthroplasty Endoprostheses.

Appl Bionics Biomech 2017 13;2017:5638680. Epub 2017 Jul 13.

Department of Medical Bioengineering Fundamentals, Institute of Technology, Casimir the Great University, Chodkiewicza 30, 85-064 Bydgoszcz, Poland.

The multispiked connecting scaffold (MSC-Scaffold) prototype, inspired by the biological system of anchorage of the articular cartilage in the periarticular trabecular bone by means of subchondral bone interdigitations, is the essential innovation in fixation of the bone in resurfacing arthroplasty (RA) endoprostheses. The biomimetic MSC-Scaffold, due to its complex geometric structure, can be manufactured only using additive technology, for example, selective laser melting (SLM). The major purpose of this work is determination of constructional possibilities for the structural-geometric functionalization of SLM-manufactured MSC-Scaffold prototype, compensating the reduced ability-due to the SLM technological limitations-to accommodate the ingrowing bone filling the interspike space of the prototype, which is important for the prototype bioengineering design. Read More

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http://dx.doi.org/10.1155/2017/5638680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5530447PMC
July 2017
10 Reads

Treatment of Facial Acne Scarring With Fractional Carbon Dioxide Laser in Asians, a Retrospective Analysis of Efficacy and Complications.

Dermatol Surg 2017 Sep;43(9):1137-1143

*All authors are affiliated with the National Skin Centre, Singapore.

Background: Fractional carbon dioxide (CO2) laser resurfacing unites the idea of fractional photothermolysis with an ablative 10,600-nm wavelength. This technology permits effective treatment of acne scarring, with shorter recovery and a decreased side effect profile as compared to traditional CO2 laser resurfacing.

Objective: The aims of this study were to study the efficacy and safety of fractional CO2 laser for acne scars in Asian patients. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001219DOI Listing
September 2017
35 Reads

Scar Revision and Recontouring Post-Mohs Surgery.

Facial Plast Surg Clin North Am 2017 Aug 30;25(3):463-471. Epub 2017 May 30.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, University of Illinois at Chicago, 1855 West Taylor Street, Chicago, IL 60611, USA.

Following Mohs reconstruction, several options are available to improve the appearance of the resulting scars. It is critical that the patient has realistic goals before beginning any treatment because scars can be improved but never erased. The surgical and nonsurgical options aim to replace pre-existing scars with ones that are less conspicuous. Read More

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http://dx.doi.org/10.1016/j.fsc.2017.03.014DOI Listing
August 2017
14 Reads

Ablative Fractional Laser Resurfacing With Laser-Assisted Delivery of 5-Fluorouracil for the Treatment of Cicatricial Ectropion and Periocular Scarring.

Ophthalmic Plast Reconstr Surg 2018 May/Jun;34(3):274-279

Division of Oculofacial Plastic & Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, U.S.A.

Purpose: Cicatricial ectropion and periocular scarring can cause significant functional and cosmetic deficits. Surgical treatments can be associated with recicatrization, donor site morbidity, and textural and pigmentary abnormalities. This case series reports on efficacy and safety of a novel nonsurgical approach to treating cicatricial ectropion using ablative fractional laser resurfacing and laser-assisted delivery of 5-fluorouracil. Read More

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http://dx.doi.org/10.1097/IOP.0000000000000948DOI Listing
July 2018
26 Reads

Complications in facial Mohs defect reconstruction.

Curr Opin Otolaryngol Head Neck Surg 2017 Aug;25(4):258-264

aDepartment of Otolaryngology-Head and Neck Surgery, University of Washington bClinical Research Division, Fred Hutchinson Cancer Research Center cDepartment of Veterans Affairs Medical Center, Surgery Service dLarrabee Center for Facial Plastic Surgery, Seattle, Washington, USA.

Purpose Of Review: To review the recent literature in regards to complications after reconstruction of Mohs defects, outline common pitfalls and to discuss the literature on avoiding complications as outlined per aesthetic subunit.

Recent Findings: Complications in facial Mohs reconstruction commonly consist of infection, wound necrosis and dehiscence, hematoma and suboptimal scarring. However, site-specific complications such as hairline or eyebrow distortion, eyelid retraction or ectropion, nasal contour abnormality, alar retraction, nasal valve compromise, significant facial asymmetry or even oral incompetence must also be considered. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000375DOI Listing
August 2017
30 Reads

ASDS Guidelines Task Force: Consensus Recommendations Regarding the Safety of Lasers, Dermabrasion, Chemical Peels, Energy Devices, and Skin Surgery During and After Isotretinoin Use.

Dermatol Surg 2017 Oct;43(10):1249-1262

*Department of Dermatology, Northwestern University, Chicago, Illinois; †Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; ‡Section of Dermatology, University of Chicago Medicine, Chicago, Illinois; §SkinCare Physicians, Chestnut Hill, Massachusetts; ‖Laser & Skin Surgery Center of New York, New York, New York; ¶Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York; #Union Square Laser Dermatology, New York, New York; **Laser and Skin Surgery Center of Northern California, Sacramento, California; ††Department of Dermatology, University of California Davis School of Medicine, Davis, California; ‡‡Department of Dermatology, University of California San Diego Health System, San Diego, California; §§DermOne, LLC, West Conshohocken, Pennsylvania; ‖‖Division of Dermatology, Section of Procedural Dermatology, Cooper University Health Care, Marlton, New Jersey; ¶¶Westlake Dermatology and Cosmetic Surgery, Austin, Texas; ##Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; ***Department of Dermatology, Naval Medical Center, San Diego, California; †††Department of Dermatology, Naval Hospital Camp Lejeune, Camp Lejeune, North Carolina; Departments of ‡‡‡Otolaryngology, and §§§Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Background: Currently, the isotretinoin (13-cis-retinoic acid) package insert contains language advising the discontinuation of isotretinoin for 6 months before performing cosmetic procedures, including waxing, dermabrasion, chemical peels, laser procedures, or incisional and excisional cold-steel surgery. It is common practice to follow this standard because of concerns regarding reports of sporadic adverse events and increased risk of scarring.

Objective: To develop expert consensus regarding the safety of skin procedures, including resurfacing, energy device treatments, and incisional and excisional procedures, in the setting of concurrent or recent isotretinoin use. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001166DOI Listing
October 2017
102 Reads

Combination laser treatment for immediate post-surgical scars: a retrospective analysis of 33 immature scars.

Lasers Med Sci 2017 Jul 2;32(5):1111-1119. Epub 2017 May 2.

WYNE Dermatology and Plastic Surgery Clinic, Cheongju, Chungbuk, South Korea.

The application of laser treatments beginning on the day of stitch removal has been demonstrated to improve scar quality. However, there are few guidelines for the treatment of immature scars (ISs), which are defined as "scars whose features are not yet expressed." The purpose of this study was to extract information about early combination laser treatment (CLT) beyond what is currently known by analyzing 33 pairs of pre-treatment and post-treatment photographs of ISs. Read More

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http://dx.doi.org/10.1007/s10103-017-2215-9DOI Listing
July 2017
15 Reads

Laser and light-based treatments of acne and acne scarring.

Clin Dermatol 2017 Mar - Apr;35(2):183-189. Epub 2016 Oct 27.

Dermatology and Laser Surgery Center, Yale University School of Medicine, New York, New York , 955 Park Avenue, New York, NY 10028. Electronic address:

The treatment of acne and acne scarring with lasers and light-based and energy-based technologies has become an integral component of our therapeutic arsenal. Lasers including infrared wavelengths and pulsed dye lasers; light devices including blue light, red light, and broadband light; and photodynamic therapy with aminolevulinic acid and methylaminolevulinic acid have been shown to be effective in the treatment of acne vulgaris. The optimal outcomes are achieved with photodynamic therapy combined with medical therapy. Read More

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http://dx.doi.org/10.1016/j.clindermatol.2016.10.012DOI Listing
November 2017
4 Reads

Effect of Procedural-Related Variables on Melanocyte-Keratinocyte Suspension Transplantation in Nonsegmental Stable Vitiligo: A Clinical and Immunocytochemical Study.

Dermatol Surg 2017 Feb;43(2):226-235

Departments of *Dermatology, †Histology, and ‡Clinical Pathology, Kasr El-Ainy Teaching Hospital, Faculty of Medicine, Cairo University, Cario, Egypt.

Background: Melanocyte-keratinocyte suspension (M-K susp) is gaining popularity for vitiligo treatment. Few studies have addressed procedure-related variables.

Objective: To assess the effect of different M-K susp procedure-related variables on the clinical outcome in stable vitiligo. Read More

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http://dx.doi.org/10.1097/DSS.0000000000000962DOI Listing
February 2017
10 Reads

Current Trends in Upper and Lower Eyelid Blepharoplasty Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members.

Ophthalmic Plast Reconstr Surg 2018 Jan/Feb;34(1):37-42

Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, David Geffen School of Medicine at the University of California, Los Angeles, Division of Facial Plastic Surgery, Beverly Hills, Division of Head & Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Center for Advanced Facial Plastic Surgery, Beverly Hills, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, and Division of Ophthalmic Plastic and Reconstructive Surgery, Beverly Hills Ophthalmic Plastic Surgery, Beverly Hills, California, U.S.A.

Purpose: To assess current practice patterns for management of upper and lower eyelid blepharoplasty by active American Society of Ophthalmic Plastic and Reconstructive Surgery members.

Methods: An invitation to participate in a web-based anonymous survey was sent to the active American Society of Ophthalmic Plastic and Reconstructive Surgery membership via email. The survey consists of 34 questions, both multiple choice and free response, regarding upper and lower eyelid blepharoplasty surgery. Read More

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http://Insights.ovid.com/crossref?an=00002341-900000000-9868
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http://dx.doi.org/10.1097/IOP.0000000000000849DOI Listing
February 2018
12 Reads

Comparative Study Using Autologous Fat Grafts Plus Platelet-Rich Plasma With or Without Fractional CO Laser Resurfacing in Treatment of Acne Scars: Analysis of Outcomes and Satisfaction With FACE-Q.

Aesthetic Plast Surg 2017 Jun 26;41(3):661-666. Epub 2017 Jan 26.

Unit of Plastic Reconstructive and Aesthetic Surgery and Dermatology, Campus Bio-Medico University of Rome, Via Alvaro Del Portillo 200, Rome, Italy.

Background: A multitude of options are traditionally used for the treatment of acne scars; however, newer treatment modalities are emerging to decrease the propensity for post-inflammatory hyperpigmentation and upregulate new collagen production. The aim of this study was to evaluate the efficacy of nanofat and platelet-rich plasma (PRP) infiltration alone and combined with fractional CO laser resurfacing to improve atrophic scars of the face.

Methods: From March 2014 to June 2015, 30 patients with atrophic acne scars on the cheeks were selected for this study. Read More

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http://link.springer.com/10.1007/s00266-017-0777-3
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http://dx.doi.org/10.1007/s00266-017-0777-3DOI Listing
June 2017
16 Reads

Safety and Efficacy Evaluation of Pulsed Dye Laser Treatment, CO2 Ablative Fractional Resurfacing, and Combined Treatment for Surgical Scar Clearance.

J Drugs Dermatol 2016 Nov;15(11):1315-1319

Background & Objective: Surgical scars are an unwanted sequela following surgical procedures. Several different treatment modalities and approaches are currently being employed to improve the cosmesis of surgical scars with each having varying degrees of success. The objective of this study was to assess the ef cacy and safety pulsed dye laser treatment, CO2 ablative fractional resurfacing, and a combined treatment with these two modalities for the cosmetic improvement of surgical scarring that occurred following the surgical removal of skin cancer from different anatomic areas. Read More

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November 2016
22 Reads

Ablative fractional laser resurfacing: A powerful tool to help restore form and function during international medical exchange.

Lasers Surg Med 2017 07 11;49(5):471-474. Epub 2017 Jan 11.

Department of Dermatology, Naval Medical Center San Diego,, San Diego, California.

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http://dx.doi.org/10.1002/lsm.22626DOI Listing
July 2017
1 Read

Fractional CO Laser: From Skin Rejuvenation to Vulvo-Vaginal Reshaping.

Photomed Laser Surg 2017 Mar 30;35(3):171-175. Epub 2016 Dec 30.

4 "Laser in Dermatology, " University of Rome Tor Vergata , Rome, Italy .

Background: The CO laser has become the gold standard treatment in dermatologic surgery for the treatment of a large number of skin and mucosal lesions. The introduction of the fractional micro-ablative technology represented an integration to the ablative resurfacing technique, reducing the healing time and the side effects.

Objective: Vaginal rejuvenation performed with this technique is a minimally invasive procedure that stimulates internal tissues of the female lower genital tract to regenerate the mucosa, improving tissue trophism and restoring the correct functionality. Read More

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http://dx.doi.org/10.1089/pho.2016.4173DOI Listing
March 2017
59 Reads

Evidence-Based Medicine: A Graded Approach to Lower Lid Blepharoplasty.

Plast Reconstr Surg 2017 Jan;139(1):139e-150e

Cleveland, Ohio; and Cairo, Egypt From the Departments of Plastic Surgery and Anatomy, Cleveland Clinic; and the Department of Plastic Surgery, Cairo University.

Learning Objectives: After studying this article, the participant should be able to: 1. Define the anatomy of the lower eyelid tarsoligamentous framework and the related periorbital retaining ligaments, and cite their surgical relevance. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002849DOI Listing
January 2017
17 Reads

Literature Review of Cosmetic Procedures in Men: Approaches and Techniques are Gender Specific.

Am J Clin Dermatol 2017 Feb;18(1):87-96

Department of Dermatology, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue, Ezralow Tower 5301, Los Angeles, CA, 90033, USA.

The proportion of men receiving non-surgical cosmetic procedures has risen substantially in recent years. Various physiologic, anatomic, and motivational considerations differentiate the treatments for male and female patients. Nevertheless, research regarding approaches to the male cosmetic patient is scarce. Read More

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http://dx.doi.org/10.1007/s40257-016-0237-xDOI Listing
February 2017
32 Reads

Treating Scars of the Chin and Perioral Region.

Facial Plast Surg Clin North Am 2017 Feb;25(1):55-71

Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address:

Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Read More

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http://dx.doi.org/10.1016/j.fsc.2016.08.005DOI Listing
February 2017
11 Reads

Evaluation of the in vivo effects of various laser, light, or ultrasound modalities on human skin treated with a collagen and polymethylmethacrylate microsphere dermal filler product.

Lasers Surg Med 2016 11 8;48(9):811-819. Epub 2016 Sep 8.

Goldman Butterwick Groff Fabi and Wu, Cosmetic Laser Dermatology, 9339 Genesee Avenue Suite 300, San Diego, California, 92121.

Background: Bellafill® is a soft tissue dermal filler composed of non-resorbable polymethylmethacrylate (PMMA) microspheres, suspended in a water-based carrier gel composed of 3.5% bovine collagen. It has been approved by the FDA for the correction of nasolabial folds and atrophic facial acne scars. Read More

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http://dx.doi.org/10.1002/lsm.22580DOI Listing
November 2016
30 Reads

Fractionated Er:YAG laser versus fully ablative Er:YAG laser for scar revision: Results of a split scar, double blinded, prospective trial.

Lasers Surg Med 2016 11 18;48(9):837-843. Epub 2016 Jul 18.

Division of Dermatology, University of Louisville, 3810 Springhurst Blvd., Louisville, Kentucky, 40241.

Background And Objective: Ablative laser resurfacing is a common treatment for post-surgical scars. Fractional ablative laser resurfacing has been an emerging treatment option that is replacing fully ablative lasers in many applications. Data comparing fractionated and fully ablative lasers in treating post-operative scars are lacking. Read More

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http://dx.doi.org/10.1002/lsm.22562DOI Listing
November 2016
19 Reads

Polydeoxyribonucleotide improves wound healing of fractional laser resurfacing in rat model.

Authors:
Mi Yu Jun Young Lee

J Cosmet Laser Ther 2017 Feb 2;19(1):43-48. Epub 2016 Dec 2.

b Department of Dermatology , Seoul St. Mary's Hospital , Seoul , Republic of Korea.

Background: Polydeoxyribonucleotide (PDRN) is an active compound that can promote wound healing. PDRN stimulates wound healing by enhancing angiogenesis and increasing fibroblast growth rates. Laser skin resurfacing is a popular cosmetic procedure for skin rejuvenation. Read More

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http://dx.doi.org/10.1080/14764172.2016.1247966DOI Listing
February 2017
13 Reads

A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars: An observational study.

Medicine (Baltimore) 2016 Oct;95(42):e5168

aDepartment of Paediatric Surgery bDepartment of Paediatric Radiology cDepartment of Endocrynology, Medical University of Lublin, Lublin, Poland.

Treatment of hypertrophic scars arising as a result of thermal burns in children is still a big problem. The results of the treatment are not satisfactory for patients and parents, and new methods of treatment are still investigated.We present the use of one of the most modern carbon dioxide (CO2) lasers (Lumenis Encore laser equipped with a Synergistic Coagulation and Ablation for Advanced Resurfacing module) in the treatment of hypertrophic scars in children after burns. Read More

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http://dx.doi.org/10.1097/MD.0000000000005168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079334PMC
October 2016
24 Reads

Ablative fractional CO laser for burn scar reconstruction: An extensive subjective and objective short-term outcome analysis of a prospective treatment cohort.

Burns 2017 May 1;43(3):573-582. Epub 2016 Oct 1.

Burns Unit, Concord Repatriation General Hospital, Sydney, Australia; ANZAC Research Institute, Concord Repatriation General Hospital, Sydney, Australia; University of Sydney, Sydney, Australia.

Background: The introduction of ablative fractional CO lasers (CO-AFL) for burn scar management shows promising results. Whilst recent studies have focused on objective scar outcomes following CO-AFL treatment, to date no data on patient subjective factors such as quality of life are available.

Methods: A prospective study was initiated to analyze the safety and efficacy of the CO-AFL. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179163036
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http://dx.doi.org/10.1016/j.burns.2016.09.014DOI Listing
May 2017
20 Reads

Single Session Treatment of Rolling Acne Scars Using Tumescent Anesthesia, 20% Trichloracetic Acid Extensive Subcision, and Fractional CO2 Laser.

Dermatol Surg 2017 Jan;43 Suppl 1:S70-S74

*Gateway Aesthetic Institute and Laser Center, Salt Lake City, Utah; †Goldman, Butterwick, Fitzpatrick, Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California.

Background: Successful treatment of acne scars is challenging. Many modalities have been used with marginal success.

Objective: The authors describe a combination of a superficial chemical peel, subcision, and fractional carbon dioxide (CO2) laser resurfacing in a single-treatment session as a novel treatment approach for rolling acne scars. Read More

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http://dx.doi.org/10.1097/DSS.0000000000000895DOI Listing
January 2017
12 Reads

Cell Viability in Arthroscopic Versus Open Autologous Chondrocyte Implantation.

Am J Sports Med 2017 Jan 1;45(1):77-81. Epub 2016 Oct 1.

Aintree University Hospital, Liverpool, UK.

Background: Autologous chondrocyte implantation (ACI) is an effective method of repair of articular cartilage defects. It is a 2-stage operation, with the second stage most commonly performed via mini-arthrotomy. Arthroscopic ACI is gaining popularity, as it is less invasive and may accelerate early rehabilitation. Read More

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http://dx.doi.org/10.1177/0363546516664338DOI Listing
January 2017
4 Reads