Background: The high-energy pulsed carbon dioxide (CO2) laser has proven useful for skin resurfacing. The modality can be less penetrating than chemical peels and more accurate than dermabrasion.
Objective: To demonstrate the additional benefit of dermal remodeling (selective dermaplasty) of skin lesions, scars, grafts, folds, and eyelids.
Methods: The collimated and the computerized pattern generator handpieces were used with the high-energy pulsed CO2 laser at 250-350 mJ to remodel tissue. Usually three or four passes were adequate to vaporize tissue and shrink collagen.
Results: A rejuvenated earlobe, eyelid, or forehead was produced in a predictable fashion. The tissue irregularities of scars, dog-ears, or trap-door deformities were reduced and remodeled.
Conclusion: Dermal remodeling (selective dermaplasty) with the high-energy pulsed CO2 laser has proved a useful tool to remodel the skin. Areas such as the earlobe, the forehead, the eyelids, or skin lesions can be vaporized to develop a more youthful appearance. We find this a useful addition to the armamentarium of the cosmetic dermatologist.
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