Abstract
Ablative skin resurfacing using the carbon dioxide laser was long considered the gold
standard for treatment of photoaging, acne scars, and rhytids. However, conventional
full-face carbon dioxide resurfacing is associated with significant risk of side effects
and a prolonged postoperative recovery period. Fractional resurfacing has recently
revolutionized laser surgery by offering close to comparable results with minimal
side effects and a more rapid recovery. Although fractional devices have grown in
popularity, and have essentially replaced traditional resurfacing, fractional resurfacing
can still be a challenging modality to control precisely due to hardware variations
across comparable devices, the range of settings that can be used, and patient-specific
considerations. Certain precautions and rules of thumb can reduce the risk associated
with fractional resurfacing, and increase the likelihood of a good outcome.
Keywords
skin resurfacing - ablative - nonablative - fractional lasers