Abstract

(1) Introduction: The Erbium laser is a very versatile laser system used in dermatology. Its ability to be almost selectively absorbed by water makes it a perfect device for managing various cutaneous skin conditions. (2) Methods: In this paper, we report our twenty-five years’ experience with the Erbium laser. More than three thousand patients were treated for common skin disorders such as flat warts, seborrheic keratosis, xanthelasmas, and scars. (3) Results: A complete response was observed in 89.6%, without significant side effects. Local anesthesia was used in only a tiny percentage of patients. (4) Conclusions: This study confirms that the Erbium laser is a valuable and flexible procedure for laser surgery with excellent safety and short healing times.

Highlights

  • The usefulness of laser surgery in dermatology is increasingly recognized in treating many skin and mucosal lesions [1]

  • The Erbium laser emits at 2940 nm and is characterized by an active medium consisting of a Yttrium–Aluminium–Garnet (YAG) crystal doped with erbium ions [7,8]

  • Bleeding and herpes virus reactivation may present as short-term complications, a cycle of antiviral therapy may reduce the risk of viral reactivation

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Summary

Introduction

The usefulness of laser surgery in dermatology is increasingly recognized in treating many skin and mucosal lesions [1]. The 2940 nm wavelength guarantees a maximum absorption by the aqueous tissue component (this wavelength is the closest to the 3000 nm absorption peak of water), allowing a very superficial epidermal ablation, a minimal thermal effect, and a limited area of necrosis. Water vaporization produces a cooling effect, reducing thermal damage to surrounding skin and allowing multiple passages over the same area in the same surgical session. It decreases the amount of heat and damage to the surrounding tissues. This cooling allows Er:YAG lasers to perform multiple passes over the same skin and ablation area during the same treatment session with minimal heat damage and improved results and recovery

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