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Semin Plast Surg 2012; 26(03): 137-140
DOI: 10.1055/s-0032-1329415
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fractional CO2 Laser Resurfacing Complications

William M. Ramsdell
1   Private practice, Austin, Texas
› Author Affiliations
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Publication History

Publication Date:
01 November 2012 (online)

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Abstract

Fractionated CO2 laser technology has allowed physicians to resurface patients with a lower rate of complications than nonfractionated ablative laser treatment. Unfortunately, adverse effects can still occur even with the best technology and physician care. Complication prevention, detection, and treatment are an important part of a physician's ability to provide the best result when treating a patient with fractionated CO2 resurfacing.

Keywords

complication - infection - scar - dyschromia
 

  • References

  • 1 Alam M, Pantanowitz L, Harton AM, Arndt KA, Dover JS. A prospective trial of fungal colonization after laser resurfacing of the face: correlation between culture positivity and symptoms of pruritus. Dermatol Surg 2003; 29 (3) 255-260
    CrossrefPubMedGoogle Scholar
  • 2 Conn H, Nanda VS. Prophylactic fluconazole promotes reepithelialization in full-face carbon dioxide laser skin resurfacing. Lasers Surg Med 2000; 26 (2) 201-207
    CrossrefPubMedGoogle Scholar
  • 3 Rao J, Golden TA, Fitzpatrick RE. Atypical mycobacterial infection following blepharoplasty and full-face skin resurfacing with CO2 laser. Dermatol Surg 2002; 28 (8) 768-771 , discussion 771
    CrossrefPubMedGoogle Scholar
  • 4 Palm MD, Butterwick KJ, Goldman MP. Mycobacterium chelonae infection after fractionated carbon dioxide facial resurfacing (presenting as an atypical acneiform eruption): case report and literature review. Dermatol Surg 2010; 36 (9) 1473-1481
    Google Scholar
  • 5 Fisher AA. Lasers and allergic contact dermatitis to topical antibiotics, with particular reference to bacitracin. Cutis 1996; 58 (4) 252-254
    PubMedGoogle Scholar
  • 6 Ortiz AE, Tingey C, Yu YE, Ross EV. Topical steroids implicated in postoperative infection following ablative laser resurfacing. Lasers Surg Med 2012; 44 (1) 1-3
    PubMedGoogle Scholar
  • 7 Ross RB, Spencer J. Scarring and persistent erythema after fractionated ablative CO2 laser resurfacing. J Drugs Dermatol 2008; 7 (11) 1072-1073
    PubMedGoogle Scholar
  • 8 Fife DJ, Fitzpatrick RE, Zachary CB. Complications of fractional CO2 laser resurfacing: four cases. Lasers Surg Med 2009; 41 (3) 179-184
    CrossrefPubMedGoogle Scholar
  • 9 Manuskiatti W, Fitzpatrick RE, Goldman MP. Long-term effectiveness and side effects of carbon dioxide laser resurfacing for photoaged facial skin. J Am Acad Dermatol 1999; 40 (3) 401-411
    CrossrefPubMedGoogle Scholar
  • 10 Choi B, Barton J, Chan E , et al. Infrared imaging of CO2 laser ablation: implications for laser skin resurfacing. Proc SPIE 1998; 3245: 344-351
    PubMedGoogle Scholar
  • 11 Avram MM, Tope WD, Yu T, Szachowicz E, Nelson JS. Hypertrophic scarring of the neck following ablative fractional carbon dioxide laser resurfacing. Lasers Surg Med 2009; 41 (3) 185-188
    CrossrefPubMedGoogle Scholar
  • 12 Gewirtzman A, Meirson DH, Rabinovitz H. Eruptive keratoacanthomas following carbon dioxide laser resurfacing. Dermatol Surg 1999; 25 (8) 666-668
    CrossrefPubMedGoogle Scholar
  • 13 Mamelak AJ, Goldberg LH, Marquez D, Hosler GA, Hinckley MR, Friedman PM. Eruptive keratoacanthomas on the legs after fractional photothermolysis: report of two cases. Dermatol Surg 2009; 35 (3) 513-518
    CrossrefPubMedGoogle Scholar
  • 14 Tan KL, Kurniawati C, Gold MH. Low risk of postinflammatory hyperpigmentation in skin types 4 and 5 after treatment with fractional CO2 laser device. J Drugs Dermatol 2008; 7 (8) 774-777
    PubMedGoogle Scholar
  • 15 Ward PD, Baker SR. Long-term results of carbon dioxide laser resurfacing of the face. Arch Facial Plast Surg 2008; 10 (4) 238-243 , discussion 244–245
    CrossrefPubMedGoogle Scholar
  • 16 Bernstein LJ, Kauvar AN, Grossman MC, Geronemus RG. The short- and long-term side effects of carbon dioxide laser resurfacing. Dermatol Surg 1997; 23 (7) 519-525
    CrossrefPubMedGoogle Scholar
  • 17 Bisson MA, Grover R, Grobbelaar AO. Long-term results of facial rejuvenation by carbon dioxide laser resurfacing using a quantitative method of assessment. Br J Plast Surg 2002; 55 (8) 652-656
    CrossrefPubMedGoogle Scholar
  • 18 Laws RA, Finley EM, McCollough ML, Grabski WJ. Alabaster skin after carbon dioxide laser resurfacing with histologic correlation. Dermatol Surg 1998; 24 (6) 633-636
    CrossrefPubMedGoogle Scholar
  • 19 Shamsaldeen O, Peterson JD, Goldman MP. The adverse events of deep fractional CO(2): a retrospective study of 490 treatments in 374 patients. Lasers Surg Med 2011; 43 (6) 453-456
    CrossrefPubMedGoogle Scholar
  • 20 Lowe NJ, Lask G, Griffin ME. Laser skin resurfacing. Pre- and posttreatment guidelines. Dermatol Surg 1995; 21 (12) 1017-1019
    CrossrefPubMedGoogle Scholar
  • 21 Lee S. New and unresolved complications after upper lid blepharoplasty and full face CO2 laser resurfacing. Paper presented at: the 20th Annual Scientific Meeting of the American Academy of Cosmetic Surgery; January 29–Feburary 2, 2004; Hollywood, FL
    PubMedGoogle Scholar
  • 22 Nanni CA, Alster TS. Complications of carbon dioxide laser resurfacing. An evaluation of 500 patients. Dermatol Surg 1998; 24 (3) 315-320
    CrossrefPubMedGoogle Scholar