ErbiumYAG Laser Introduction

The euphoria generated by laser therapy in the 1990s has dissipated somewhat, as the long-term results of treatment for the aging face did not live up to all the expectations. Laser surgery will develop further in the future and the repertoire of the aesthetic surgeon is unimaginable without it, but its use must be considered very carefully.

Skin resurfacing with pulsed CO2 laser treatment was explained in detail in Volume I of the manual, so only pulsed erbium-YAG laser treatment will be described briefly here. The advantage of using erbium-YAG laser treatment instead of CO2 laser treatment is that there is less necrosis and the treated area heals more rapidly because of the lower thermal impact on deeper tissue layers. The lack of a coagulation effect, however, limits the treatment of wrinkles as it is presumed that the collagen structure will not change because the ablation is virtually non-thermal.

In principle, pulsed CO2 laser treatment can be used in all cases where erbium-YAG laser treatment is recommended, so an aesthetic surgeon should only purchase an erbium-YAG laser if his work focuses on anti-aging surgery of the face.

More information can be found in Volume I, p 269.

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