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Today, fractional lasers (including the brand name Fraxel lasers) come in ablative and non-ablative forms. Early lasers were ablative, meaning they removed the top two layers of the skin.
Resurfacing can be ablative, which vaporizes tissue and creates wounds, or non-ablative which keeps the skin intact. Laser resurfacing is usually done with a 2940 nm Er:YAG laser or a 10,600 nm CO 2 laser. Complete resurfacing was first done with a CO 2 laser. Both erbium and CO 2 are used to treat deep rhytides, sun damage and age spots.
Fraxel Restore Dual incorporates a combination of a 1,550nm erbium glass laser and an ablative 1,927nm thulium fiber laser. It is commonly used to treat wrinkles, photoaging, surgical scars, and acne scars. [3] Fraxel Repair uses an ablative 10,600nm-wavelength carbon-dioxide (CO 2) laser. This laser is the most aggressive among Fraxel lasers ...
Laser-assisted drug delivery (LADD) is a drug delivery technique commonly used in the dermatology field that involves lasers. As skin acts as a protective barrier to the environment, the absorption of topical products through the epidermis is limited; thus, different drug delivery modalities have been employed to improve the efficacy of these treatments.
By manipulating skin cooling during treatment, RF can also be used for heating and reduction of fat. Currently, the most common uses of RF-based devices are to noninvasively manage and treat skin tightening of lax skin (including sagging jowls, abdomen, thighs, and arms), as well as wrinkle reduction, cellulite improvement, and body contouring. [7]
One 2017 review found tentative evidence of benefit of tranexamic acid in melasma. [13] Another 2017 review found that evidence to support its use was insufficient. [14] Azelaic acid may be a second-line option for melasma. [15] A number of types of laser treatments have been used in melasma with some evidence of benefit. [16]