Cosmetic Laser Surgery A Practitioner's Guide

, by Alster, Tina S.; Apfelberg, David B.

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ISBN: 9780471252702 | 0471252700
Cover: Hardcover
Copyright: 10/15/1998

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Reviews from the first edition: "...well written, with many excellent clinical photographs."-The American Journal of Cosmetic Surgery "...many excellent clinical 'pearls'...Any dermatologist...will find this book a worthwhile investment."-Archives of Dermatology

Contributors

Preface to the Second Edition

xix

Evaluation, Installation, and Marketing of a Cosmetic Laser Practice

(8)

Tina S. Alster

David B. Apfelberg

Introduction

(1)

Evaluation of Your Practice

(2)

Future Practice Direction

(1)

Evaluation of External Factors

(1)

Evaluation of Your Office and Personnel

(1)

Obtaining Laser Certification

(1)

Choosing the Correct Laser for You

(1)

Laser Options: How to Obtain a Laser

(1)

Marketing Your Laser Practice

(4)

Skin Resurfacing with High-Energy, Short-Pulsed Carbon Dioxide Lasers: Preoperative, Assessment, Patient Evaluation and Preparation, Sequence of Procedure, and Adjunctive Care

(16)

David B. Apfelberg

Introduction

(1)

Patient Selection

(4)

Eyelid Integrity

(1)

Skin Preparation

(1)

Standard Preparations

(1)

Homeopathic and Natural Preparations

(1)

Sequence of Laser Procedure and Intraoperative Technique

(2)

Care of the Neck

(3)

Touch-up or Secondary Procedures

(5)

Laser Resurfacing: A Microscopic Analysis

(12)

Arielle N.B. Kauvar

Introduction

(1)

Principles of Laser Tissue Interaction

(2)

Laser Systems

(1)

Immediate Histological Effects

(3)

Effect of Multiple Passes and Pulse Overlap

(1)

Comparative Studies of Chemical Peeling, Dermabrasion, and Laser Resurfacing

(1)

Histological Changes Following Laser Resurfacing

(1)

New Directions for Laser Resurfacing

(3)

Postoperative Management and Complications of Carbon Dioxide Laser Resurfacing

(48)

Christopher A. Nanni

Introduction

(1)

Immediate Postoperative Period

(5)

Postoperative Days 1 and 2

(2)

Postoperative Days 3--6

(1)

Postoperative Days 7--10

(1)

Postoperative Days 10--30

(1)

Complications of Carbon Dioxide Laser Resurfacing

(14)

Risk Factors

(1)

Specific Side Effects and Complications

(14)

The Erbium Laser in Skin Resurfacing

E. Victor Ross

R. Rox Anderson

Introduction

(1)

Biophysics

(1)

Wound Healing After Erbium Laser Treatment

(4)

The Lasers

(1)

Treatment of Specific Lesions

(11)

Wrinkles

(5)

Necks, Hands, and Arms

(1)

Acne Scars

(1)

Full-Face Versus Regional Treatment for Wrinkles and Acne Scars

(1)

Benign Adnexal Tumors and Xanthelasma of the Face

(1)

Nonfacial Adnexal Tumors and Other Nonfacial Lesions

(1)

Keloids and Hypertrophic Scars

(1)

Melasma

(1)

Miscellaneous Lesions

(1)

Test Sites

(1)

Combination Techniques and Other Creative Protocols

(1)

Preoperative Considerations

(2)

Relative Contraindications

(1)

Preoperative Regimen

(1)

Postoperative Care

(1)

Anesthesia

(3)

Complications

(1)

Dyspigmentation

(1)

Infection

(1)

Acne and Milia

(1)

Persistent Erythema

(1)

Scarring

(1)

Ectropion

(1)

Petechiae

(1)

Summary

(4)

Conclusions

(1)

Future

(4)

Management of Dyschromias with Reference to Laser Therapy

(18)

W. Gregory Chernoff

Introduction

(4)

Diagnosis

(2)

Medical Therapy

(1)

Laser Therapy

(8)

Conclusion

100

(3)

Laser Approach to Upper Facial Rejuvenation

103

(18)

Cynthia Weinstein

Introduction

103

(1)

Components of Upper Facial Aging

103

(1)

Gravity

103

(1)

Solar Damage

103

(1)

Muscular Activity

103

(1)

Ideal Upper Facial Rejuvenation

104

(1)

Traditional Methods for Upper Facial Rejuvenation

104

(1)

Newer Techniques for Upper Facial Rejuvenation

105

(1)

Combined Approach to Upper Facial Rejuvenation

106

(1)

Laser Blepharoplasty, Transblepharoplasty Resection of Frown Muscles

106

(1)

Minimal Incision Endoscopic Brow Lift

106

(1)

Laser Resurfacing to Remove Wrinkle Lines

106

(1)

Indications for Combined Upper Facial Rejuvenation Procedure

106

(1)

Preoperative Assessment

107

(1)

Marking the Patient

108

(3)

Scalp Incisions

108

(1)

Eyelid Incision

108

(1)

Important Landmarks

108

(3)

Anesthesia

111

(1)

Procedure

111

(3)

Scalp Incisions

112

(1)

Fixation

113

(1)

Closure

113

(1)

Laser Resurfacing

113

(1)

Postoperative Care

114

(1)

Complications

115

(2)

Conclusion

117

(4)

Carbon Dioxide Laser Blepharoplasty, Ptosis Correction, and Treatment of Festoons

121

(20)

Sterling S. Baker

Julie A. Woodward

Introduction

121

(1)

Laser Physiology

121

(1)

Surgical Anatomy

122

(16)

Upper Eyelid

122

(10)

Lower Eyelid

132

(6)

Discussion

138

(1)

Conclusion

138

(3)

Complications of Laser-Assisted Blepharoplasty

141

(14)

Brian S. Biesman

Introduction

141

(1)

Preoperative Complications

141

(1)

Intraoperative Complications

142

(6)

Postoperative Complications

148

(7)

Endoscopic Laser Brow Lift

155

(14)

Nicanor G. Isse

Introduction

155

(1)

Aesthetic and Anatomical Considerations

155

(3)

Laser Application for Tissue Ablations

158

(7)

Standard

158

(1)

Glabellar

158

(1)

Frontal

158

(2)

Extended

160

(1)

Temporal/Lateral Frontal

160

(1)

Soft Tissue Modifications

160

(5)

CO2 Laser Application for Skin Resurfacing

165

(2)

Postlaser Wound Dressing

167

(2)

Laser-Assisted Suprafibromuscular and Endoscopic Rhytidectomy

169

(14)

Gregory S. Keller

Jeffrey D. Rawnsley

Introduction

169

(1)

Background

170

(1)

Erbium: YAG Lasers

171

(1)

Laser-Assisted Procedural Guidelines

171

(9)

Necklift

172

(2)

Composite Suprafibromuscular Cheeklift with Malar Fat Pad Suspension

174

(3)

Endoscopic Forehead Lift

177

(2)

Concurrent Laser Resurfacing

179

(1)

Summary

180

(3)

Laser-Assisted Uvulopalatoplasty

183

(12)

Andrew Blitzer

Yosef P. Krespi

Introduction

183

(1)

Diagnosis

184

(1)

Factors Influencing Snoring and OSA

184

(2)

Poor Pharyngeal Muscle Tone

184

(1)

Obesity

185

(1)

Familial Predisposition

185

(1)

Drugs, Fatigue, and Smoking

185

(1)

Management

186

(5)

Medical

186

(1)

CPAP

186

(1)

Laser-Assisted Uvulopalatoplasty

186

(5)

Postoperative Care

191

(1)

Complications and Side Effects

191

(1)

Conclusions

192

(3)

Laser-Assisted Hair Transplantationh

195

(16)

Walter P. Unger

Introduction

195

(2)

Types of Lasers

197

(4)

Ultrapulse Laser

197

(4)

Sharplan Laser

201

(1)

Erbium Laser

201

(1)

Technique

201

(6)

Planning

202

(2)

Anesthesia

204

(1)

The Donor Area

204

(2)

The Recipient Area

206

(1)

Graft Insertion and Bandaging

207

(2)

Complications and Postoperative Course

209

(1)

Summary

209

(2)

Laser Hair Removal

211

(16)

Melanie C. Grossman

Introduction

211

(1)

Laser Hair Removal Systems: Principles of Current Technology

211

(3)

Long-Pulse Ruby Lasers

212

(1)

Long-Pulse Alexandrite Lasers

213

(1)

Filtered Flashlamp

213

(1)

SoftLight

214

(1)

Preoperative Considerations

214

(2)

History

215

(1)

Physical Examination

216

(1)

Preoperative Patient Preparation

216

(1)

Intraoperative Considerations

216

(3)

Long-Pulse Ruby Laser

217

(1)

Long-Pulse Alexandrite Laser

217

(2)

Filtered Flashlamp

219

(1)

Q-Switched Nd: YAG and Topical Carbon Suspension Application

219

(1)

Postoperative Considerations

219

(1)

Conclusion

219

(8)

Laser Scar Revision

227

(18)

Tina S. Alster

Introduction

227

(1)

Hypertrophic Scars and Keloids

227

(5)

Categorization

227

(1)

Etiology

228

(1)

Treatment

228

(2)

Patient Selection

230

(1)

Pulsed Dye Laser (585 nm, 450--1,500 μsec) Treatment Protocol

230

(1)

Pulsed Dye Laser Treatment Side Effects and Complications

231

(1)

Treatment Results

232

(1)

Atrophic Scars

232

(3)

Previous Treatment

232

(1)

Laser Treatment

232

(1)

Patient Selection

233

(1)

Laser Resurfacing Protocol

234

(1)

Side Effects and Complications of Laser Scar Resurfacing

235

(1)

Treatment Results

235

(1)

Summary

235

(10)

Current Therapy of Striae Distensae with the 585-NM Pulsed Dye Laser

245

(10)

Keith Ash

David H. McDaniel

Introduction

245

(1)

Background and Background Studies

245

(1)

Current Laser Study

246

(2)

Topical Therapy

248

(1)

Procedural Guidelines

249

(3)

Summary

252

(3)

Laser Treatment of Facial and Leg Telangiectasias

255

(24)

Tina B. West

Stanley J. Kovak

Introduction

255

(1)

Continuous Wave Lasers

256

(4)

Argon Laser

256

(1)

Argon-Pumped Tunable Dye Laser

257

(1)

KTP Laser

257

(1)

Copper Vapor Laser

258

(1)

Copper Bromide Laser

259

(1)

Krypton Laser

259

(1)

Pulsed Lasers

260

(7)

FPDL

260

(3)

Leg Telangiectasias

263

(1)

Intense Pulsed Light Source

264

(1)

Treatment Parameters

264

(3)

Summary

267

(12)

Laser Treatment of Pigmented Lesions

279

(10)

David J. Goldberg

Background

279

(1)

Pigment-Specific Lasers

280

(4)

Green Light Pulsed Lasers

280

(1)

Green Light Nonpulsed (Quasi-Continuous Wave) Lasers

281

(1)

Red Light Pulsed Lasers

282

(1)

Near-Infrared Pulsed Lasers

283

(1)

Laser Treatment Protocols

284

(1)

Green Light Lasers

284

(1)

Red and Infrared Light Lasers

284

(1)

Nonselective Lasers

285

(1)

Summary

285

(4)

Laser Treatment of Tattoos

289

(16)

Suzanne L. Kilmer

Introduction

289

(1)

Tattoos

289

(1)

Laser Treatment

290

(5)

Background

290

(1)

General Treatment Principles

291

(2)

Q-Switched Ruby Laser (694 nm)

293

(1)

Q-Switched Alexandrite (755 nm) and Pigmented Lesion Dye Lasers (510 nm)

293

(1)

Frequency-Doubled Q-Switched Nd:YAG Laser (532 and 1,064 nm)

294

(1)

Summary

295

(10)

Laser Safety Management: Hazards, Risks, and Control Measures

305

(16)

Penny J. Smalley

Introduction

305

(1)

Standards, Regulations and Practice Guidelines

306

(3)

Can a Nurse Perform Laser Treatments or Procedures?

309

(1)

Hazards and Risks

310

(9)

Establishing Control Measures

311

(1)

Procedural Control Measures

311

(1)

Controlled Access

312

(1)

Ocular Hazards and Protection

313

(2)

Flammability and Reflection

315

(1)

Electrical Hazards

316

(1)

Airborne Contaminants

316

(2)

Safety Program Monitoring

318

(1)

Summary

319

(2)

Appendix A: Informational Letters and Practice Announcements

321

(6)

Appendix B: Patient Information and Consent Forms

327

(14)

Appendix C: Operative Reports and Patient Care Forms

341

(36)

Appendix D: List of Selected Vendors and Products for Laser Surgery

377

(10)

Index

387

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Cosmetic Laser Surgery A Practitioner's Guide

Summary

Author Biography

Table of Contents

Supplemental Materials

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Rent More, Save More! Use code: BBRENTAL

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Cosmetic Laser Surgery A Practitioner's Guide

Summary

Author Biography

Table of Contents

Supplemental Materials

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