The most common indications for ablative resurfacing include wrinkles and acne scars. This procedure is especially helpful when pho-
todamage is a significant component as actinic keratoses and lentigines are easily ablated. Epidermal lesions such as seborrheic keratoses and even some dermal lesions such as sebaceous hyperplasia, nevi, trichoepitheliomas, and syringomas can be smoothed out. Superficial basal cell carcinomas can be treated with CO2 laser resurfacing in a manner similar to desiccation and curettage. It appears that this modality also decreases the risk for the development of future actinic keratoses and basal cell carcinomas (S.L. Kilmer, personal observation).
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