The Use of Fractional Laser Photothermolysis for the Treatment of Atrophic Scars. Alster TS, Tanzi EL, Lazarus M Dermatol Surg. ; BACKGROUND Fractional photothermolysis (FP) is one of the most significant milestones in laser technology and resurfacing. METHODS. Fractional Photothermolysis in. Laser Skin Rejuvenation by Steven K. Struck, MD. Non-surgical forms of facial rejuvenation represent the most rapidly growing.

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Online since 15 th March ‘ The authors reviewed as best as possible all fractional lasers currently approved by the Food and Drug Administration for distribution into the United States.

Fractional photothermolysis for skin rejuvenation.

Fractional photothermolysis has become an important laser modality in management of a number of skin conditions and photoaging. The use of fractional lasers in stretch marks, melasma and other pigmentary conditions, dermatological conditions such as granuloma annulare has been reported.

Little scientific research comparing the injury, healing, and outcomes of the various fractional lasers is available. Expert Opinion and a Review. A sunscreen is mandatory, and emollients may be prescribed for the dryness and peeling that could occur. Physician needs to be familiar with these requirements before using the machine.

Main differences in outcome were related to type of laser wavelength. The patient should be provided brochures to study and also adequate opportunity to seek information. How to cite this article: Some machines can be used without any anesthesia or only with topical cooling or cryospray.

But for maximal patient comfort, a topical anesthetic prior to the procedure is recommended. A Review Joseph F. Indications for fractional laser treatment Click here to view. Fractional lasers can be used in the dermatologist’s minor procedure room for the above indications.


The safety profile has been improved over conventional ablative lasers, and the range of skin types and treatment areas have been expanded. Patient Selection and Preoperative Management.

Evidence-Based Treatment for Melasma: Various fractional laser technologies available in India Click here to view. Since parameters may vary with different systems, specific training tailored towards the concerned device at either the manufacturer’s facility or at another center using the machine is recommended. Indications for Fractional Laser Treatment. Nonablative fractionals do not achieve results similar to those of the fractional ablative lasers, but certain conditions may respond better to nonablative fractional treatments.

Preoperative counseling and Informed consent: Nine fractional lasers were evaluated. Technology and Information about Different Machines. A detailed understanding of the device being used is recommended. Fractional photothermolysis represents a breakthrough in laser treatment for a wide array of skin problems.

But further data are needed before adopting them for routine use in fracyional conditions. This article has been cited by. Topical Anesthetics for Dermatologic Procedures: Detailed counseling with respect to the treatment, desired effects and possible postoperative complications should be provided to the patient. Striae after topical corticosteroid: Different fractional laser machines, with different wavelengths, both ablative and non-ablative, are now available in India.

In general, scanning technologies are faster and more precise. Variations in laser wavelengths, depth of injury, type of delivery system, consumables, and architecture of the fractionated laser light are important considerations when evaluating fractional lasers. Preoperative photography should be carried out in all cases of resurfacing.


Indian J Dermatol Venereol Leprol ; The technique is easy, safe to use and has been used effectively for several clinical and cosmetic indications in Indian skin.

Fractional photothermolysis: current and future applications.

Published by Wolters Kluwer – Medknow. A close-up front and degree lateral photographs of both sides must be taken. Unlike full-surface flat beam resurfacing, fractional resurfacing damages specific photlthermolysis zones within the target area. A detailed consent form needs to be completed by the patient. Any qualified dermatologist may administer fractional laser treatment.

Laser wavelength, means of delivery, depth of penetration, and special features were collated.

Fractional laser technology is a new emerging technology to improve scars, fine lines, dyspigmentation, striae and wrinkles. Fractional laser treatment can be carried out under topical anesthesia with eutectic mixture of lidocaine and prilocaine.

Related articles Acne scars fractional photothermolysis lasers photoageing. Consent form should include information on the machine, possible postoperative course expected and postoperative complications.

Post-treatment edema and redness settle in a few hours to a few days. More data are needed on the comparative effects of the various types of lasers and their best indications. None, Conflict of Interest: How to cite this URL: The authors describe the scientific basis of fractional photothermolysis, report on most of the available devices, discuss their clinical uses and techniques, and attempt to decipher their relative efficacy.

Proper postoperative care is important in avoiding complications.