Skin Resurfacing

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An alternative approach to perioral rhytides

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Chemical peels and laser resurfacing constitute the next category of claims, constituting roughly 3%. The principle allegations here are as follows:

• Blistering/burns with significant scarring

• Infection/postoperative mismanagement

• Permanent discoloration postoperatively

Because of the unpredictability of individual healing characteristics, it is probably a good idea to do a "test patch" in an area that can be hidden (e.g., the back of the neck). Certainly, the documentation preceding this operation should contain clear warnings that quality of healing is linked to the individual's genetic makeup and cannot be predicted. The operator must make it clear to the patient that final color and texture determination is not in the hands of the surgeon and heavy make-up may be needed for an indeterminate period of time.

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