How to perform ablative laser surgery for skin resurfacing?

The target chromophore of ablative lasers is water.The ablative lasers in dermatologic practice include carbon dioxide (CO2) and Erbium: yttrium-aluminium-garnet (YAG) lasers. Their different physical properties determine the ablation zone and accompanying thermal damage within the skin. Fractional laser technology was a major step through the evolution of ablative lasers decreasing the down-time period and complications of the interventions. Strict concordance with the preoperative and postoperative recommendations is central to minimize the risks and complications of the interventions. Our intention with this review is to reveal the basic principles of ablative lasers and to illustrate the various indications depending on the physician’s creative potential.

Keywords: Erbium: yttrium-aluminium-garnet laser, Carbon dioxide laser, ablative laser, fractional laser

Deri yüzey yenileme için ablatif lazer cerrahisi nas?l uygulan?r?

Ablatif lazerlerin derideki hedef kromoforu sudur. Dermatoloji prati?inde kullan?lan 2 ablatif lazer karbondioksit lazer ve erbium: yttrium-aluminium garnet lazerdir. Bu iki lazerin fiziksel özellikleri dokuda yaratt?klar? termal etki ve ablasyonun farkl? olmas?na neden olmaktad?r. Fraksiyonel teknoloji sayesinde iyile?me zaman?n?n k?salt?labilmesi ve yan etkilerinin azalt?lmas? sa?lanabilmi?tir. Optimal sonuçlar?n eldesi için i?lem öncesi ve sonras? önerilere s?k? uyum ?artt?r. Bizim bu yaz?daki amac?m?z ablatif lazerlerin temel prensiplerini belirtip sonras?nda klinisyenin yarat?c? potansiyeline göre kullan?m alanlar?n?n nas?l çe?itlendirilebilece?ini örnekler e?li?inde sunmakt?r.

Anahtar Kelimeler: Erbium: Yttrium-aluminyum-garnet lazer, Karbondioksit lazer, ablatif lazer, fraksiyonel lazer