eMedicine Specialties > Plastic Surgery > Skin
Skin Resurfacing, Erbium YAG Laser: Workup
Updated: Feb 16, 2009
Workup
Laboratory Studies
- No specific preoperative laboratory evaluation is required before laser resurfacing.
Imaging Studies
- As before any cosmetic procedure, obtain preoperative photographs of the patient.
Diagnostic Procedures
- Testing in an inconspicuous area may be warranted if resurfacing is planned for locations that are at high risk for complications, such as the skin of the neck, the chest, and the dorsum of the hands. In elderly persons, these areas may be atrophic and have even fewer adnexal structures to serve as islands for reepithelialization.25
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References
Goldman MP, Fitzpatrick RE. Cutaneous Laser Surgery: The Art and Science of Selective Photothermolysis. 2nd ed. St. Louis, Mo: Mosby-Year Book; 1999:339-436.
Daly CH, Odland GF. Age-related changes in the mechanical properties of human skin. J Invest Dermatol. Jul 1979;73(1):84-7. [Medline].
Warren R, Gartstein V, Kligman AM, Montagna W, Allendorf RA, Ridder GM. Age, sunlight, and facial skin: a histologic and quantitative study. J Am Acad Dermatol. Nov 1991;25(5 Pt 1):751-60. [Medline].
Gilchrest BA. A review of skin ageing and its medical therapy. Br J Dermatol. Dec 1996;135(6):867-75. [Medline].
Uitto J, Bernstein EF. Molecular mechanisms of cutaneous aging: connective tissue alterations in the dermis. J Investig Dermatol Symp Proc. Aug 1998;3(1):41-4. [Medline].
Taylor CR, Stern RS, Leyden JJ, Gilchrest BA. Photoaging/photodamage and photoprotection. J Am Acad Dermatol. Jan 1990;22(1):1-15. [Medline].
Alster TS. Cutaneous resurfacing with CO2 and erbium: YAG lasers: preoperative, intraoperative, and postoperative considerations. Plast Reconstr Surg. Feb 1999;103(2):619-32; discussion 633-4. [Medline].
Alster TS, Lupton JR. Erbium:YAG cutaneous laser resurfacing. Dermatol Clin. Jul 2001;19(3):453-66. [Medline].
American Society of Plastic Surgeons. 2007 Statistics. Available at http://www.plasticsurgery.org/Media/Statistics/2007_Statistics.html. Accessed February 12, 2009.
Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. Apr 29 1983;220(4596):524-7. [Medline].
Bass LS. Erbium:YAG laser skin resurfacing: preliminary clinical evaluation. Ann Plast Surg. Apr 1998;40(4):328-34. [Medline].
Walia S, Alster TS. Prolonged clinical and histologic effects from CO2 laser resurfacing of atrophic acne scars. Dermatol Surg. Dec 1999;25(12):926-30. [Medline].
Alster TS. Erbium:YAG laser resurfacing and other skin resurfacing options. In: Alster TS, ed. Manual of Cutaneous Laser Techniques. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2000:135-45.
Alster TS. Clinical and histologic evaluation of six erbium:YAG lasers for cutaneous resurfacing. Lasers Surg Med. 1999;24(2):87-92. [Medline].
Alster TS. Cutaneous resurfacing with Er:YAG lasers. Dermatol Surg. Jan 2000;26(1):73-5. [Medline].
Pozner JN, Roberts TL 3rd. Variable-pulse width ER:YAG laser resurfacing. Clin Plast Surg. Apr 2000;27(2):263-71, xi. [Medline].
Jasin ME. Achieving superior resurfacing results with the erbium:YAG laser. Arch Facial Plast Surg. Oct-Dec 2002;4(4):262-6. [Medline].
Millman AL, Mannor GE. Histologic and clinical evaluation of combined eyelid erbium: YAG and CO2 laser resurfacing. Am J Ophthalmol. May 1999;127(5):614-6. [Medline].
Zachary CB. Modulating the Er:YAG laser. Lasers Surg Med. 2000;26(2):223-6. [Medline].
Trelles MA, Allones I, Luna R. One-pass resurfacing with a combined-mode erbium: YAG/CO2 laser system: a study in 102 patients. Br J Dermatol. Mar 2002;146(3):473-80. [Medline].
Teikemeier G, Goldberg DJ. Skin resurfacing with the erbium:YAG laser. Dermatol Surg. Aug 1997;23(8):685-7. [Medline].
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. Apr 1999;135(4):391-7. [Medline].
Goldman MP, Fitzpatrick RE, Manuskiatti W. Laser resurfacing of the neck with the Erbium: YAG laser. Dermatol Surg. Mar 1999;25(3):164-7; discussion 167-8. [Medline].
Jimenez G, Spencer JM. Erbium:YAG laser resurfacing of the hands, arms, and neck. Dermatol Surg. Nov 1999;25(11):831-4; discussion 834-5. [Medline].
Kaufmann R. Role of Erbium:YAG laser in the treatment of aged skin. Clin Exp Dermatol. Oct 2001;26(7):631-6. [Medline].
Monheit GD. Facial resurfacing may trigger the herpes simplex virus. Cosmet Derm. 1995;8:9-16.
Alster TS, Nanni CA. Famciclovir prophylaxis of herpes simplex virus reactivation after laser skin resurfacing. Dermatol Surg. Mar 1999;25(3):242-6. [Medline].
West TB, Alster TS. Effect of pretreatment on the incidence of hyperpigmentation following cutaneous CO2 laser resurfacing. Dermatol Surg. Jan 1999;25(1):15-7. [Medline].
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(2):81-6. [Medline].
Sriprachya-Anunt S, Fitzpatrick RE, Goldman MP, Smith SR. Infections complicating pulsed carbon dioxide laser resurfacing for photoaged facial skin. Dermatol Surg. Jul 1997;23(7):527-35; discussion 535-6. [Medline].
Avram DK, Goldman MP. The safety and effectiveness of single-pass erbium:YAG laser in the treatment of mild to moderate photodamage. Dermatol Surg. Aug 2004;30(8):1073-6. [Medline].
Pozner JN, Goldberg DJ. Superficial erbium:YAG laser resurfacing of photodamaged skin. J Cosmet Laser Ther. Jun 2006;8(2):89-91. [Medline].
Khatri KA, Gordon J, Garamela L. Laser skin resurfacing with a novel portable erbium:YAG laser. J Cosmet Laser Ther. Apr 2006;8(1):23-5. [Medline].
Alster TS, Doshi SN, Hopping SB. Combination surgical lifting with ablative laser skin resurfacing of facial skin: a retrospective analysis. Dermatol Surg. Sep 2004;30(9):1191-5. [Medline].
Alster TS, West TB. Effect of topical vitamin C on postoperative carbon dioxide laser resurfacing erythema. Dermatol Surg. Mar 1998;24(3):331-4. [Medline].
Walia S, Alster TS. Cutaneous CO2 laser resurfacing infection rate with and without prophylactic antibiotics. Dermatol Surg. Nov 1999;25(11):857-61. [Medline].
Nanni CA, Alster TS. Complications of carbon dioxide laser resurfacing. An evaluation of 500 patients. Dermatol Surg. Mar 1998;24(3):315-20. [Medline].
Tanzi EL, Alster TS. Side effects and complications of variable-pulsed erbium:yttrium- aluminum-garnet laser skin resurfacing: extended experience with 50 patients. Plast Reconstr Surg. Apr 1 2003;111(4):1524-9; discussion 1530-2. [Medline].
Bernstein LJ, Kauvar AN, Grossman MC, Geronemus RG. The short- and long-term side effects of carbon dioxide laser resurfacing. Dermatol Surg. Jul 1997;23(7):519-25. [Medline].
Jeong JT, Kye YC. Resurfacing of pitted facial acne scars with a long-pulsed Er:YAG laser. Dermatol Surg. Feb 2001;27(2):107-10. [Medline].
Sapijaszko MJ, Zachary CB. Er:YAG laser skin resurfacing. Dermatol Clin. Jan 2002;20(1):87-96. [Medline].
Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med. 1996;19(2):190-200. [Medline].
Perez MI, Bank DE, Silvers D. Skin resurfacing of the face with the Erbium:YAG laser. Dermatol Surg. Jun 1998;24(6):653-8; discussion 658-9. [Medline].
Kim YJ, Lee HS, Son SW, Kim SN, Kye YC. Analysis of hyperpigmentation and hypopigmentation after Er:YAG laser skin resurfacing. Lasers Surg Med. Jan 2005;36(1):47-51. [Medline].
Goldman MP, Marchell N, Fitzpatrick RE. Laser skin resurfacing of the face with a combined CO2/Er:YAG laser. Dermatol Surg. Feb 2000;26(2):102-4. [Medline].
Marcells GN, Ellis DA. Laser facial skin resurfacing: discussion on erbium:YAG and CO2 lasers. J Otolaryngol. Apr 2000;29(2):78-82. [Medline].
Polnikorn N, Goldberg DJ, Suwanchinda A, Ng SW. Erbium:YAG laser resurfacing in Asians. Dermatol Surg. Dec 1998;24(12):1303-7. [Medline].
Utley DS, Koch RJ, Egbert BM. Histologic analysis of the thermal effect on epidermal and dermal structures following treatment with the superpulsed CO2 laser and the erbium: YAG laser: an in vivo study. Lasers Surg Med. 1999;24(2):93-102. [Medline].
Kelly KM, Nelson JS, Lask GP, Geronemus RG, Bernstein LJ. Cryogen spray cooling in combination with nonablative laser treatment of facial rhytides. Arch Dermatol. Jun 1999;135(6):691-4. [Medline].
Lapidoth M, Yagima Odo ME, Odo LM. Novel use of erbium:YAG (2,940-nm) laser for fractional ablative photothermolysis in the treatment of photodamaged facial skin: a pilot study. Dermatol Surg. Aug 2008;34(8):1048-53. [Medline].
Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol. May 2008;58(5):719-37; quiz 738-40. [Medline].
Further Reading
Keywords
erbium, facial rejuvenation, laser skin surgery, facial wrinkle removal, CO2 laser, carbon dioxide laser, erbium:yttrium-aluminum-garnet laser, Er:YAG laser, pulsed laser surgery, selective photothermolysis, photothermolysis, scar removal, wrinkle removal rhytid removal, rhytide removal, photodamage, photo damage, acne scar treatment, varicella scar treatment, chicken pox scar, dyschromia, solar keratosis, melasma, lentigines, compound nevi, compound nevus, sebaceous hyperplasia, trichoepithelioma, miliary osteoma, syringoma, telangiectasia, rhinophyma, adenoma sebaceum, hidradenoma, xanthelasma, Hailey-Hailey disease, Darier's disease, Darier disease, keratosis follicularis, pemphigus, wrinkling, scaling, dyspigmentation, telangiectasia, skin laxity
Workup: Skin Resurfacing, Erbium YAG Laser