By David J. Goldberg
The continuous improvement and dissemination of laser expertise during the global has been not anything wanting remarkable. over the past fifteen years, this box has been marked through consistent technological innovation. This ebook represents the main updated description of the state-of-the-art in laser and lightweight resource expertise. Its authors symbolize prime specialists from either North the USA and Europe. After an preliminary bankruptcy describing the most recent knowing of laser physics and protection, next chapters take in the laser remedy, respectively, of vascular lesions, pigmented lesions and tattoos, undesirable hair, ablative and non-ablative resurfacing, and its use for scientific reasons. each one bankruptcy starts with the center innovations traditionally by way of laser therapy for a given cutaneous challenge, presently to be had applied sciences, symptoms and contraindications. every one writer then offers an instance of his/her consent shape and private therapy approach.
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It is extremely important when assessing patients for treatment of their facial telangiectasia that they are made fully aware of the available procedures and the likely outcomes and side effects (Fig. 16). In general, patients with small, fine, relatively superficial telangiectasia can be treated with most available lasers. Most patients will prefer the KTP laser because of the reduced associated purpura. Also, when treating extensive areas where there is significant background erythema, the PDL is likely to produce a superior result.
In the incompletely regressed capillary hemangioma of the older child, superficial ectatic blood vessels can be easily treated with the PDL (Fig. 7), but scarring or redundant tissue may require surgical repair. Leg Veins and Telangiectasia Visible veins on the leg are a common cosmetic problem affecting approximately 40% of women in the United States; they remain a therapeutic challenge. Sclerotherapy is currently the gold standard of treatment, but many vessels less than 1 mm in diameter may be difficult to inject.
These pulse widths are more appropriate in targeting large leg veins than the previous Qswitched Nd:YAG nanosecond lasers used in the treatment of tattoos. The 1064-nm infrared light is deeply penetrating with minimal absorption by melanin. When using long wavelength lasers with deeper penetration but relatively poor absorption, the combination of higher fluences and cooling devices will reduce epidermal injury. In one study, 50 sites were evaluated with this laser. Number of pulses and fluence were altered based on vessel size.