April 2020 HSC Section 4 - Plastic and Reconstructive Problems

Plastic and Reconstructive Surgery • January 2019

our study. We are currently performing a prospec- tive study to evaluate the long-term results of laser resurfacing for perioral rhytides, with the hopes of further demonstrating the role of erbium laser resurfacing in the treatment of perioral rhytides. CONCLUSIONS Erbium laser powerfully corrects perioral rhytides. It is safe, predictable, and effective when performed as isolated perioral resurfacing or in combination with other facial rejuvenation tech- niques. These data show that laser resurfacing rather than surgical lifting corrects perioral rhyt- ides. This study proves that erbium laser results are equal to or better than carbon dioxide laser with lower complication rates. Erbium laser resur- facing is a useful adjunct in facial rejuvenation that delivers exceptional results with few com- plications when performed within the proper guidelines. A. Jay Burns, M.D.

5. Weiss RA, Harrington AC, Pfau RC, Weiss MA, Marwaha S. Periorbital skin resurfacing using high energy erbium:YAG laser: Results in 50 patients. Lasers Surg Med . 1999;24:81–86. 6. Burns J. Lasers in plastic surgery. Select Read Plast Surg . 2008;10:14–17. 7. Burkhardt BR, Maw R. Are more passes better? Safety ver- sus efficacy with the pulsed CO2 laser. Plast Reconstr Surg . 1997;100:1531–1534. 8. Fitzpatrick RE. Laser resurfacing. Adv Dermatol . 1997;13:463–501. 9. Schwartz RJ, Burns AJ, Rohrich RJ, Barton FE Jr, Byrd HS. Long-term assessment of CO2 facial laser resurfacing: Aesthetic results and complications. Plast Reconstr Surg . 1999;103:592–601. 10. Perkins SW, Balikian R. Treatment of perioral rhytids. Facial Plast Surg Clin North Am . 2007;15:409–414, v. 11. Castro DJ, Abergel RP, Johnston KJ, et al. Wound healing: Biological effects of Nd:YAG laser on collagen metabolism in pig skin in comparison to thermal burn. Ann Plast Surg . 1983;11:131–140. 12. Ross EV, Naseef GS, McKinlay JR, et al. Comparison of car- bon dioxide laser, erbium:YAG laser, dermabrasion, and dermatome: A study of thermal damage, wound contraction, and wound healing in a live pig model. Implications for skin resurfacing. J Am Acad Dermatol . 2000;42:92–105. 13. Sivmani RK, Garcia MS, Isseroff RR. Wound re-epithelializa- tion: Modulating keratinocyte migration in wound healing. Front Biosci . 2007;12:2849–2868. 14. Moulin V, Auger FA, Garrel D, Germain L. Role of wound healing myofibroblasts on re-epithelialization of human skin. Burns 2000;26:3–12. 15. Santoro MM, Gaudino G. Cellular and molecular facets of keratinocyte reepithelization during wound healing. Exp Cell Res . 2005;304:274–286. 16. Clark RA. Cutaneous tissue repair: Basic biologic consider- ations. I. J Am Acad Dermatol . 1985;13:701–725. 17. Langsdon PR, Milburn M, Yarber R. Comparison of the laser and phenol chemical peel in facial skin resurfacing. Arch Otolaryngol Head Neck Surg . 2000;126:1195–1199. 18. Wanner M, Sakamoto FH, Avram MM, Anderson RR. Immediate skin responses to laser and light treatments: Warning endpoints. How to avoid side effects. J Am Acad Dermatol . 2016;74:807–819; quiz 819–820. 19. Ross EV, Miller C, Meehan K, et al. One-pass CO2 versus multiple-pass Er:YAG laser resurfacing in the treatment of rhytides: A comparison side-by-side study of pulsed CO2 and Er:YAG lasers. Dermatol Surg . 2001;27:709–715. 20. Walsh JT Jr, Flotte TJ, Deutsch TF. Er:YAG laser ablation of tissue: Effect of pulse duration and tissue type on thermal damage. Lasers Surg Med . 1989;9:314–326. 21. Khatri KA, Ross V, Grevelink JM, Magro CM, Anderson RR. Comparison of erbium:YAG and carbon dioxide lasers in resurfacing of facial rhytides. Arch Dermatol . 1999;135:391–397.

Dallas Plastic Surgery Institute 9101 North Central Expressway Dallas, Texas 75231 Twitter: @AJayBurnsMD

PATIENT CONSENT Patient provided written consent for the use of patient’s images.

REFERENCES 1. The American Society for Aesthetic Plastic Surgery. Cosmetic surgery national data bank statistics 2016 . Available at: https:// www.surgery.org/sites/default/files/ASAPS-Stats2016.pdf. Accessed July 7, 2017. 2. Burns AJ, Navarro JA. Role of laser therapy in pediatric patients. Plast Reconstr Surg . 2009;124(Suppl):82e–92e. 3. Scheuer JF III, Costa CR, Dauwe PB, Ramanadham SR, Rohrich RJ. Laser resurfacing at the time of rhytidectomy. Plast Reconstr Surg . 2015;136:27–38. 4. Farkas JP, Richardson JA, Burrus CF, Hoopman JE, Brown SA, Kenkel JM. In vivo histopathologic comparison of the acute injury following treatment with five fractional ablative laser devices. Aesthet Surg J . 2010;30:457–464.

50