Abstract

Over 100 patients have been treated with the ultrapulse carbon dioxide laser since July 1994. The high power square wave pulse of 600 watts at less than 1 msec (which is less than the thermal relaxation time of tissue) dissipates heat during vaporization, thus producing a ‘cold beam’ and decreasing thermal injury. Similarly, hemostatic incision may be achieved by the focus beam at short repetition rates allowing incision with simultaneous coagulation of small vessels. Seventy-four patients underwent resurfacing for rhytides and photo aging with excellent cosmetic results and no texture or pigmentary change. Facial cosmetic surgery (facelift/eyelid lift/forehead lift) was accomplished in 41 patients using the laser scalpel. Patient selection, preparation, sequence of the laserbrasion and incisional techniques are summarized.

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