engleski

Lasers in cosmetic dermatology: three years of experience

Here we present our experiences after more than three years of using cutaneous laser surgery in management of various skin lesions. We have used five different laser sys&not ; ; tems: diode pumped frequency-doubled solid state (Nd:YVO4) laser with a wavelength of 532 nm, carbon dioxide laser (10 600 nm), Erbium:YAG laser (2940 nm), Q-switched ruby laser (694 nm) and a pulsed diode laser (810 nm). We have treated different vascular lesions with Nd:YVO4 laser, with successful results in removing telangiectases, spider naevi and senile angiomas. CO2 laser can be modi&not ; ; fied as a continuous wave, superpulsed or pulsed laser system, which makes it better adapted for cutaneous laser surgery i.e. for ablation of various skin lesions included fibromas, syringomas, plane warts, common warts, seborrheic keratoses and hyper&not ; ; trophic scars. Using Erbium:YAG laser we have performed skin resurfacing (acne scar and wrinkles) and removal of syringomas, adenoma sebaceum, hypertrophic scars and xanthelasmas. Q-switched ruby laser allows a harmless removal of pigmented lesions or tattoos. We have obtained very good results in removing black, blue and green tattoos, as well as in treating lentigines and ephelides. A pulsed diode 810 nm laser system is effective for hair removal and treatment of some vascular lesions such as venous lake, phlebectases and hemangiomas. The efficacy of laser therapy in each indication was evaluated by photodocumentation. According to our experience, laser therapy is the first line treatment in numerous skin lesions.

Lasers; cosmetic dermatology; skin lesions

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