Pretutorial
    Assessment

Tutorial

Slides

Laser Skin Resurfacing

Brian S. Biesman, MD · Ralph E. Wesley, MD · Kimberly A. Klippenstein, MD

Click on each slide to view a larger image.

	Slide 1. Absorption characteristics of major soft tissue components. The absorption of energy by water is nearly 10 times greater at 2940 nm (Er:YAG) than at 10,600 nm (CO2).
	Slide 2. Metal corneal shields used to protect the eye during periorbital laser surgery.
	Slide 3. Patient with actinic bronzing, shown after full-face laser skin resurfacing. The demarcation line was a source of significant distress and was not easily treated.
	Slide 4. Elimination of deep glabellar lines such as shown in this slide may include a combination of treatment modalities including skin resurfacing, botulinum toxin injections, and soft tissue augmentation with collagen or other substances.
	Slide 5. The desiccated tissue is being removed after two passes with the CO2 laser at a fluence of 6 J/cm2.
	Slide 6A. Slide 6A and 6B. Before (6A) and 8 months after (6B) CO2 full-face laser skin resurfacing and botulinum injections to the glabella and forehead.
	Slide 6B. Slide 6A and 6B. Before (6A) and 8 months after (6B) CO2 full-face laser skin resurfacing and botulinum injections to the glabella and forehead.
	Slide 7A. Slide 7A and 7B. Before (7A) and after (7B) long-pulsed Er:YAG skin resurfacing. More thermal injury was deliberately induced in the periorbital region due to the greater laxity of the skin in this region. The eyelid retraction is factitious and only present in some photographs.
	Slide 7B. Slide 7A and 7B. Before (7A) and after (7B) long-pulsed Er:YAG skin resurfacing. More thermal injury was deliberately induced in the periorbital region due to the greater laxity of the skin in this region. The eyelid retraction is factitious and only present in some photographs.
	Slide 8A. A relatively dramatic result before (8A) and after (8B) nonablative skin resurfacing. Significant photodamage is evident in the epidermis. (Photographs courtesy of Gary Lask, MD.)
	Slide 8B. A relatively dramatic result before (8A) and after (8B) nonablative skin resurfacing. Significant photodamage is evident in the epidermis. (Photographs courtesy of Gary Lask, MD.)
	Slide 9. Gram-negative bacterial infection 3 weeks after short-pulse full-face CO2 laser skin resurfacing in a 45-year-old nonsmoker. This infection developed despite adequate antibacterial prophylaxis. She was subsequently diagnosed with previously unsuspected metastatic bronchogenic small cell carcinoma.