ABSTRACT
We introduced in 1995 the erbium YAG laser to hair restoration surgery. With this
device, produced by ESC Co. (Vorkham, Israel), we obtained a 90% yield from the implanted
grafts, achieving a density that was 20% higher than that obtained using the cold
steel method. Causing 10 times less thermal damage than the CO2 laser, the erbium YAG laser brought new technology to both skin resurfacing and baldness
surgery. At the end of 1997 we introduced an upgrade with a new 3.0 J device. With
more power, we can now make the same orifices in a single shot. This was a considerable
improvement and made the procedure faster, with the same degree of thermal damage.
In this article we present our experience, highlighting how we handle the erbium laser,
results, and complications. Laser hair surgery is still an open chapter, where investigation
and continuous research should be important goals for those dedicated to the constant
improvement of baldness surgery.
KEYWORDS
Hair restoration - baldness surgery - erbium YAG laser
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Carlos Oscar UebelM.D.
Division of Plastic Surgery, Pontificia Universidade Catolica RS
Vitor Hugo St, 78, Porto Alegre, Brazil