Review Article| Volume 11, ISSUE 3, P335-347, August 2003

Laser resurfacing of the face: analysis and diagnosis

      Laser skin resurfacing has been the most rapidly evolving area in facial rejuvenation. Interest in this technology has paralleled the growing quest for more youthful skin. There has been a rapid expansion of all types of skin rejuvenation, from over-the-counter topical treatments to the more sophisticated use of lasers. What was the mainstay for cutaneous exfoliation less than half a decade ago (the CO2 laser) has been eclipsed by less invasive techniques. A number of lasers with shorter or even no healing time have been developed. With such a variety in treatments, the cosmetic surgeon must properly evaluate the patient's needs and select an appropriate treatment plan.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Facial Plastic Surgery Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Goldberg D.J
        New collagen formation after dermal remodeling with and intense pulsed light source.
        J Cut Laser Ther. 2000; 2: 59-61
        • Goldberg D.J
        • Kutler K.B
        Nonablative treatment of rhytids with intense pulsed light.
        Lasers Surg Med. 2000; 26: 196-200
        • Weinstein C
        Carbon dioxide laser resurfacing.
        Clin Plast Surg. 1998; 25: 109-130
        • Jacobson D
        • Bass L.S
        • VanderKam V
        • et al.
        Carbon dioxide and Er:YAG laser resurfacing.
        Clin Plast Surg. 2000; 27: 241-250
        • Nanni C.A
        • Alster T.S
        Complications of carbon dioxide laser resurfacing.
        Dermatol Surg. 1998; 24: 315-320
        • Pearlman S.J
        • Chernoff G.W
        • Freeman M.S
        Laser skin resurfacing.
        in: Blitzer A.B Binder W.J Boyd J.B Management of facial lines and wrinkles. Lippincott Williams & Wilkins, Philadelphia (PA)2000: 81-99
        • Alster T.S
        • Lupton J.R
        Erbium/YAG cutaneous laser resurfacing.
        Dermatol Clin. 2001; 19: 453-466
        • Fitzpatrick R.E
        CO2 laser resurfacing.
        Derm Clin. 2001; 19: 443-451
        • Adrian R.M
        Pulsed carbon dioxide and Erbium/YAG laser resurfacing: a comparative clinical and histologic study.
        J Cutan Laser Ther. 1999; 1: 29-35
        • Trelles M.A
        • Allones I
        • Luna R
        Facial rejuvenation with a nonablative 1320 nm Nd:YAG laser: a preliminary clinical and histological evaluation.
        Dermatol Surg. 2001; 27: 111-116
        • Kelly K.M
        • Majoraon B
        • Nelson J.S
        Nonablative laser and light rejuvenation: the newest approach to photodamaged skin.
        Arch Facial Plast Surg. 2001; 3: 230-235
        • Goldberg D.J
        Nonablative resurfacing.
        Clin Plast Surg. 2000; 27: 287-292
        • Newman J
        Nonablative laser skin tightening.
        Facial Plast Clin. 2001; 9: 343-349
        • Kelly K.M
        • Nelson J.S
        • Lask G.P
        • et al.
        Cryogen spray cooling in combination with nonablative laser treatment of facial rhytids.
        Arch Dermatol. 1999; 135: 691-694
        • Zelickson B.D
        • Kilmer S.L
        • Bernstein E
        • et al.
        Pulsed dye laser therapy for sun damaged skin.
        Lasers Surg Med. 1999; 25: 229-236
        • Bjerring P
        • Clement M
        • Heickenorff L
        • et al.
        Selective non-ablative wrinkle reduction by laser.
        J Cut Laser Ther. 2000; 2: 9-15
        • Mulholland R.S
        • Bitter P.H
        Photorejuvenation: FotoFacial, Laser Laxity vectors & WrinkleLite therapy. 3rd edition. Beautiful Solutions Ltd, Toronto, Canada2002
        • Bitter P.H
        Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments.
        Dermatol Surg. 2000; 26: 835-843
        • Goldberg D.J
        • Samady J.A
        Intense pulsed light and Nd:YAG laser non-ablative treatment of facial rhytids.
        Lasers Surg Med. 2001; 28: 141-144
        • Zimbler M.S
        • Kokoska M.S
        • Thomas J.R
        Anatomy and physiology of facial aging.
        Facial Plast Surg Clin. 2001; 9: 179-187
        • Prystowsky J.H
        • Siegel D.M
        Anatomy of facial lines and wrinkles—resurfacing.
        in: Blitzer A.B Binder W.J Boyd J.B Management of facial lines and wrinkles. Lippincott Williams &Wilkins, Philadelphia (PA)2000: 1-7
        • Fitzpatrick T.B
        The validity and practicality of sun-reactive skin types I through IV.
        Arch Dermatol. 1988; 124: 869-871
        • Lemperle G
        • Holmes R.E
        • Cohen Lemperle Sr., S.M
        A classification of facial wrinkles.
        Plast Reconstr Surg. 2001; 108: 1735-1752
        • Glogau R.G
        Chemical peeling and aging skin.
        J Geriatr Dermatol. 1994; 2: 30-35
      1. Friedman P.M., Skover G.R., Payone G. 3D in-vivo optical skin imaging for topographical quantitative assessment of non-ablative laser technology

        • Glaser D.A
        • Rogers C
        Topical and systemic therapies for the aging face.
        Facial Plast Clin. 2001; 9: 189-196
        • Goldman M
        • Weiss R.A
        Treatment of poikiloderma of civatte on the neck with an intense pulsed light source.
        Plast Reconstr Surg. 2001; 107: 1376-1381
        • Goldman M.P
        CO2 laser resurfacing of the face and neck.
        Facial Plast Clin. 2001; 9: 283-290
        • Fanous N
        TCA peel for Asians: a new classification and a modified approach.
        Facial Plast Clin. 1996; 4: 195-200